Information to Students

The students should acquire the following  Critical Clinical Skills [ C.C.S] and be able to

  1. interview and obtain a  clear, concise & chronological history of:
    • a pregnant female
    • a gynaecological  patient
  2. carry out abdominal examination  of a pregnant female.
  3. carry out speculum & bimanual vaginal examination of gynaecological patient.
  4. carry out physical examination of an utero vaginal prolapse.
  5. present a detailed history of a pregnant female and a gynaecological patient.
  6. present a brief summary of a pregnant female and a gynaecological patient.
  7. carry out routine antenatal care.
  8. diagnose labour.
  9. maintain a partogram & manage normal labour.
  10. understand the basic principles of fetal monitoring and the use of  Cardiotocography.
  11. detect abnormalities of labour and intra partum fetal compromise.
  12. suture an episiotomy.
  13. diagnose & differentiate between different types of miscarriages.
  14. carry out a cervical (Pap) smear.
  15. insert an Intra Uterine Contraceptive Device ( Copper T ).
  16. counsel and manage all aspects of normal pregnancy, labour, delivery and puerperium without any further resident training.
  17. counsel and manage common gynaecological problems without further resident training.

The students should also acquire the following  Core Knowledge & Skills and be able to

  1. understand and abide by the  ethical principles involved in medical practice.
  2. abide by the code of conduct  expected of medical officers.
  3. understand and promote reproductive and sexual health rights.
  4. describe the Millennium Development Goals (MDGs), the indicators used for monitoring reproductive health services and the strategies adopted to achieve the MDGs.
  5. understand  the physiological changes in pregnancy.
  6. carry out pre conceptional counseling.
  7. understand physiological changes in pregnancy.
  8. diagnose  & manage normal pregnancy.
  9. identify risk factors  at the commencement of, or occurring during pregnancy.
  10. diagnose  & manage minor complications of pregnancy.
  11. diagnose & manage hyperemesis gravidarum.
  12. identify  & manage normal labour & conduct a normal vaginal delivery.
  13. carry out antenatal fetal monitoring and identify a fetus at risk.
  14. identify & manage a patient with an  abnormal cardiotocograph.
  15. identify & manage the third stage of labour.
  16. identify &  understand the principles of management of its  complications including  primary post partum haemorrhage,  acute inversion of uterus  and  post partum collapse.
  17. diagnose  & manage a retained placenta.
  18. identify   &  understand the principles of management of abnormalities of labour.
  19. carry out cross matching of blood.
  20. resuscitate  an asphyxiated baby.
  21. manage normal puerperium.
  22. diagnose & manage abnormalities of puerperium.
  23. advise regarding normal breast feeding techniques & management  of problems.
  24. diagnose & understand the principles of management of  an ante partum haemorrhage.
  25. diagnose & understand the principles of management of pre labour rupture of membranes.
  26. diagnose & understand the principles of management of pre term labour.
  27. carry out  induction and augmentation of labour.
  28. diagnose & understand the principles of  management of  cord presentation and cord prolapse.
  29. manage a shoulder dystocia.
  30. diagnose & manage anaemia complicating pregnancy.
  31. diagnose & understand the principles of management of hypertension and pre eclampsia in pregnancy.
  32. diagnose & manage eclampsia.
  33. diagnose & understand the principles of management of glucose intolerance in pregnancy.
  34. diagnose & understand the principles of management of heart disease in pregnancy.
  35. diagnose & understand the principles of management of multiple pregnancy.
  36. diagnose & understand the principles of management of breech presentation and other malpresentations.
  37. understand the principles of management of an  elderly primigravida, grande multipara and a  teenage gravida.
  38. understand the indications for Caesarean Sections (CS) and the morbidity associated with CS.
  39. identify causes & understand the principles of management of  a Death in Utero.
  40. differentiate a growth restricted baby from a preterm baby and understand the principles of management of a small for gestational age baby.
  41. diagnose & understand the principles of management of viral infections & sexual transmitted diseases.
  42. understand the principals underlying the use of medications during pregnancy & lactation.
  43. identify & understand the principles of management of blood group incompatibility & other miscellaneous conditions.
  44. diagnose & understand the principles of management of respiratory and renal diseases complicating pregnancy.
  45. understand the principles of  providing  safe motherhood.
  46. resuscitate a collapsed patient and identify the cause of collapse in a pregnant female and in a gynaecological  patient.
  47. carry out  pre operative assessment & management before major surgery.
  48. carry out post operative management after major surgery.
  49. carry out physical examination of an abdominal lump which is arising from the pelvis.
  50. differentiate between the different types of  lumps arising from the pelvis.
  51. describe physiology of normal menstrual cycle.
  52. diagnose & manage common menstrual disorders.
  53. diagnose & understand the principles of management of abnormal uterine  bleeding .
  54. diagnose & understand the principles of management of gestational trophoblastic disease.
  55. diagnose an ectopic pregnancy and understand the principles of management of an ectopic pregnancy.
  56. diagnose & understand the principles of management of the different types of  miscarriage.
  57. diagnose & understand the principles of management of a septic abortion.
  58. counsel and introduce temporary contraceptive techniques.
  59. counsel for sterilization.
  60. diagnose & manage common vaginal infections.
  61. diagnose & understand the principles of management of pelvic infections.
  62. diagnose uterine  fibroleiomata and other common gynaecological conditions.
  63. identify menopause  and utero vaginal prolapse.
  64. counsel & carry out preliminary investigations of a subfertile couple.
  65. understand the principles of management of uterine  fibroleiomata, subfertility, endometriosis  menopause,  utero vaginal prolapse and other common gynaecological conditions.
  66. carry out procedures for the early diagnosis of gynaecological cancer.
  67. understand the principles of diagnosis  & management of  carcinoma of the uterine body and cervix, and ovarian tumours.
  68. investigate a patient prior to chemotherapy for gynaecological malignancies.
  69. diagnose & understand the principles of management of urogynaecological problems.
  70. carry out sexual counseling.
  71. understand  the  basic principles of  Research Methodology & Statistical Analysis.
  72. understand the principles of Evidence Based Medicine ( EBM) and be able to use the WHO Reproductive Health Library  as an aid to the practice of EBM in the field of reproductive health.
  73. write a case summary.
  74. write a diagnosis card.
  75. write operation notes.
  76. assist for Caesarean Section.
  • Laparotomy.
  • Abdominal Hysterectomy.
  • Vaginal Hysterectomy.
  • Dilatation & Curettage / Evacuation.
  • Forceps Delivery / Vacuum Delivery.
  • Insertion of an Intra Uterine Contraceptive Device.
  • Female Sterilization.
  • Laparoscopy.
  • Hysteroscopy.
  • Colposcopy.
  • Urodynamic assessments.

 

Basic Clinical Skills

  1. Take a clear, concise & chronological history.
    1. pregnant female
    2. gynae patient
  2. Abdominal palpation of a pregnant female.
  3. Speculum & bimanual vaginal examination of Gynae patient.
  4. Present a brief summary of a pregnant female and a Gynae patient.
  5. Maintain a Partogram.

Log Book

  1. Antenatal care records of 6 pregnant women.
  2. Case summaries:    Obst     2     +     Gynae  2.
  3. Diagnosis cards    LSCS     3    +     Major Gynae   3       +    Minor Gynae      3.
  4. Operation notes    LSCS   3    +     Major Gynae   2       +    Minor Gynae       2.
  5. Normal  deliveries                      6.
  6. Partograms                                6.
  7. Vaginal examination in labour                         6.
  8. Monitoring Induction of Labour                      3.
  9. Interpretation of CTG                                   3.
  10. Suturing of Episiotomies / Perineal Tears          6.
  11. Observe  / assist for Instrumental Vaginal  Delivery            1.
  12. Demonstrate on a model  –
    1. Clinical Pelvimetry                             1.
    2. Assisted Vaginal Breech Delivery         1 .
    3. Management of Shoulder Dystocia      1.
    4. Management of Cord Prolapse            1.
    5. Management of a Retained Placenta   1.
  13. Assist for Caesarean section             3.
  14. Assist for Major  Gynae surgery         2.
  15. Assist for Minor Gynae surgery        2.
  16. Blood Cross Match                    4.
  17. Insertion of IUCD under supervision     1.
  18. Gynae V/E under supervision of Senior staff.
    Speculum   1    +    Bimanual   1    +     Prolapse   1.
  19. Pelvic Examination under Anaesthesia    2.
  20. Foley Catheter insertions            3.
  21. Carry out cervical (Pap) smears        2 .

N.B  * One of each :        nos  :  2,3,4,13,14,15, 16    18,19,20
* Two of each :      nos  : 5,6,7,10.
to be completed before commencing the professorial appointment
Each item should be certified (& signed) by the supervising officer.