Kuwait Institute for Medical Specialization Ministry of Health, Kuwait Kuwait Institute for Medical Specialization (KIMS) is the authority of the Ministry of Health, State of Kuwait, that is responsible for planning all aspects of postgraduate training of medical and other health professionals in Kuwait. It organises the internship training of recently qualified medical graduates, and speciality level and continuing education programmes for all health professionals. In fulfilling its aim of providing speciality level training in the different fields of medicine, KIMS has established a number of Faculties and Committees, which initiate and coordinate postgraduate training. They are in Internal Medicine, Surgery, Paediatrics, Obstetrics & Gynaecology, Family Medicine, Laboratory Medicine, Radiology, Nuclear Medicine, Anaesthesia and Radiology, and Dentistry. This booklet gives an outline of the training programme in Obstetrics and Gynaecology. Registration in the programmes is open to doctors practising in Kuwait as well to those based in institutions in the other GCC countries subject to availability. Interested readers are requested to contact KIMS, for additional information on the programme described here, or for details of other activities organised in the speciality. TABLE OF CONTENTS General Objectives ---------------------------------- 1 Eligibility to Enter the Training Program ----------------------------------- 1 Selection Criteria ----------------------------------- 2 Training Curriculum ------------------------------- 2 Additional Curriculum Information ------------- 3 Resident Evaluation ------------------------------- 5 Certification ---------------------------------------- 7 GENERAL OBJECTIVES The general objective of obstetrics and gynecology training program in Kuwait is to enrol the doctors presently in this field and new medical graduates in Kuwait in a training program whereby by the completion of this program, including success in the final examinations, the residents will qualify to be recognized as a specialist in obstetrics and gynecology. ELIGIBILITY TO ENTER THE TRAINING PROGRAM The following candidates are eligible to enter the obstetrics & gynecology specialty training program :1. Graduates of the University of Kuwait who have successfully completed their 1 year pre-registration professional internship training. 2. Graduates of other Universities fulfilling the above requirement stated in 1. SELECTION CRITERIA Candidates must apply to the Director of Obstetrics and Gynecology program and will be selected for the specialty training program by a selection committee and on the basis of the number of training posts available (maximum 5 per year) as well as other criteria :Qualification Above-average academic record. A proven interest in Obstetrics and Gynecology. Two reference letters from an academic specialist at least one of who is in Obstetrics and Gynecology. Passing the entrance examination is mandatory to enter the Residency training program. TRAINING CURRICULUM In order to achieve the program objectives the training period will last to 5 calendar years. At its completion, the trainee is expected to be a competent specialist in Obstetrics and Gynecology. Training in the specialty must reflect the breadth of contemporary Obstetrics and Gynecology, including an understanding of the principles of Medicine, Surgery, Human Behaviors, Laboratory Medicine and Pediatrics as they apply to Reproductive Medicine. The trainee must acquire competence for independent consultant practice in the specialty. The 5 Post graduate years (PGY) are divided as follows: PGY 1 - Basic Obstetrics and Gynecology PGY 2 - Advanced Obstetrics and Gynecology PGY 3 & PGY 4 -3 months maternal fetal medicine -3 months Obstetrical and Gynecological ultrasound -3 months Reproductive Endocrinology and infertility -3 months Gynecological Oncology -6 months of service electives -3 months research -3 months I.C.U and anesthesia PGY 5 - Chief Resident Position At the beginning of the training program each resident trainee will receive information on the objectives of the training program, the method of training and the procedures adopted in supervision and evaluation. During the period of training each resident will be assigned to a teaching staff supervisor who will provide guidance and support in all issues regarding this program. ADDITIONAL CURRICULUM INFORMATION Teaching Half-Days A structured formal teaching program complements the hospital-based clinical training program. The core of the formal teaching program consists of weekly seminars covering all major topics in Obstetrics and Gynaecology throughout the 2 years. During this period residents are exempted from clinical responsibilities. Peer and Junior Teaching At all levels of training, but especially at the Senior and Chief levels, all residents are expected to participate actively in the department’s teaching program, and to lead clerkship seminars on a regular basis. Residents also will be asked to make formal teaching presentations to other residents, and may be called upon to speak to allied health or non-medical groups. Teaching Rounds Under the direction of the supervisor at each hospital, residents at all levels of training are required to participate in the presentation of hospital grand rounds. Research As part of residency training, a minimum of a threemonth period dedicated to research is required. Each resident is obliged to complete at least one research project during his residency where he can present his data in local or international conferences. Specific Post-graduate courses A minimum of two such courses will be conducted by the faculty each year. Attendance at these by the resident will be compulsory. RESIDENT EVALUATION The most important element of the evaluation process is the mentor/resident relationships and the ongoing communication between faculty members and residents during their day to day work in the wards. An evaluation interview between the resident and chief of service is conducted near the end of each clinical rotation. During the off-service or elective blocks a formal evaluation is completed by the supervisor. Each resident is also required to appear for a short examination each June or each December based on the material covered in the previous block of training. A Log Book is to be kept by the resident summarizing his daily program activities specially the surgical procedures. This must be validated by the immediate supervisor on a daily basis. The annual discussion papers and research presentations provide another means of assessment of resident performance. At the end of each academic year, the program director meets with each resident to discuss his/her progress through the year. Satisfactory completion of the above prescribed rotation program and examination is a pre requisite for acceptance as a candidate for the Obstetrics and Gynecologic Specialty Certification Examination Part I and Part II. Part I Examination Candidates should have satisfactorily completed 2 years of training before appearing for the Part I examination. The examination will be on Obstetrics and Gynecology, with special emphasis on applied basic science. The candidate will be allowed three attempts to appear for the examination at the end of 2nd year, and two more at six month intervals. Failure to satisfy the examiners at three attempts will automatically disqualify the candidate from continuing the program. Part II Examination This will take place at the end of 5 years of satisfactory training. The candidate must have passed the first part to be allowed to appear in second part of the examination. The examination will cover all issues (basic and advanced) related to the specialty of Obstetrics and Gynecology. The candidates would be assessed by an external examiner during the clinical examination. CERTIFICATION Residents who have satisfactorily completed the rotation program, and have passed the final examination will be awarded a certificate by the Kuwait Institute of Medical Specialization (KIMS) stating that they are recognized as specialists in Obstetrics and Gynecology.