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OBJECTIVES
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LO Addressed
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CONTENT
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Teaching/Learning Strategies
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RESOURCES
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EVALUATION
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- Perform the following:
- prenatal care
- monitor normal labor
- normal vaginal delivery (including episiotomy & episiorrhaphy)
- render immediate postpartum care
- provide post partum follow up
- advise patients on breastfeeding, family planning/spacing
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LO1, 2, 3, 4, 5, 6, 8, 9, 10, 11
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- History taking
- Physical examination of obstetric patient
- Diagnostic exams for prenatal, intrapartal and postpartum care
- Prenatal advice and supplementation.
- Conduct of normal labor, delivery and postpartum care.
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- Rotation in the Outpatient clinic and Ortoll Primary Reproductive Care Center
- 24 hour duty at the OBAS, LR/DR and Operating Room Complex
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Rotation exposure in specific areas
Patient assignments
Consultant and senior resident supervision of clinical work
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- OSCE
- Ward performance evaluation
- Quizzes
- Written examination
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- Diagnose, manage and treat with supervision:
- hyperemesis gravidarum
- threatened abortion and preterm labor
- first degree perineal lacerations, post partum
- mild postpartum bleeding due to uterine atony
- menstrual disorders
- common inflammatory diseases of the vulva and vagina
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LO1, 2, 3, 4, 5, 6, 7, 8, 10, 11
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- Hyperemesis gravidarum
- Causes and management of threatened abortion and preterm labor
- Prevention and management of perineal lacerarions
- Post partum care and management of complications
- Dysfunctional uterine bleeding, causes and management
- Benign vulvovaginal conditions
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- Summary rounds
- Preoperative conferences
- SGDs
- Staff conferences
- Ward work, outpatient clinics
- 24 hour duty at OBAS, LR/DR, Operating Room
- Rotation at the PACU/ RR
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Classroom/Conference rooms
Visual Aids including overhead projector, LCD projector and computer
Rotation exposure in specific areas
Patient assignments
Consultants and senior resident supervision of clinical work
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- SGD grading sheet
- OSCE
- Resident and consultant evaluation
- Written examination
- General Service Pre-operative conference evaluation
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- Diagnose and refer:
- Bleeding in early pregnancy
- Gestational trophoblastic diseases
- Bleeding in late pregnancy
- Multiple pregnancies
- Hydramnios
- Cord prolapse
- Hypertensive complications of pregnancy
- Other cases of high risk pregnancy
- Medical and surgical complications in pregnancy
- Dystocia
- Postpartum and puerperal complications
- Obstetric shock
- Pelvic infections
- Infertility and menstrual disorders
- Benign gynecologic lesions of female genital tract
- Premalignant and malignant lesions
- Pelvic relaxation
- Adolescent and menstrual problems
- Congenital abnormalities of female genital tract
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LO1, 2, 3 4, 5, 6, 7, 8, 9, 10, 11
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- Early pregnancy complications such as abortion, ectopic pregnancy
- Gestational trophoblastic diseases (complete & partial mole & gestational trophoblastic neoplasia)
- Late pregnancy complications such as placenta previa, abruption, lacerations and rupture
- Multiple pregnancy
- Hydramnios
- Cord prolapse
- Hypertensive complications of pregnancy such as preeclampsia, eclampsia, chronic hypertension and with superimposed preeclampsia & gestational hypertension
- High risk pregnancy such as IUGR, postdatism, pregnancy at extremes of age and medical and surgical complications as well as anatomic complications of reproductive tract. Poor obstetric history such as history of preterm births, neonatal deaths, intrauterine fetal demise, recurrent pregnancy losses and congental anomalies.
- Medical and surgical complications of pregnancy such as cardiac, pulmonary, endocrine, infectious, gastrointestinal, renal, immunologic, hematologic, malignant, neuromusculoskeletal disease and trauma
- Dysfunctional labor
- Postpartum complications such as atony, hematoma, retained placenta, inversion, infection and thromboembolic disease
- Obstetric shock
- pelvic infections.
- Infertility and menstrual disorders
- Benign gynecologic lesions such as myoma, endometriosis, adenomyosis
- Premalignant lesions such as cervical, vulvar, vaginal intraepithelial neoplasia; Malignant lesions of the female genital tract
- Urogynecology and pelvic organ prolapse
- Adolescent and menstrual concerns
- Mullerian congenital anomalies
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- Summary rounds
- Preoperative conferences – general OB Gyne Service, Malignancy Rounds, Tropho Rounds
- SGDs
- Staff conferences
- Teaching rounds in gyne onco and trophoblastic disease services
- Rotation in subspecialty services (Gyne Oncology & Tropho Services)
- Ward work, outpatient clinics and conferences
- Outpatient clinic
- 24 hour duty at OBAS, LR/DR, Operating Room
- Rotation at the PACU/RR
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Classroom/Conference rooms
Visual Aids including overhead projector, LCD projector and computer
Rotation exposure in specific areas
Patient assignments
Supervision of clinical work by consultants, senior residents and subspecialty fellows
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- SGD grading sheet
- OSCE
- Resident, fellow and consultant evaluation
- Written examination
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- Perform independently the following procedures:
- blood extraction and venoclysis
- Leopold’s maneuver and estimation of fetal weight
- Complete pelvic examination and clinical pelvimetry
- Cervical and vaginal smear for Pap test, culture and TMG
- NGT and urethral catheter insertion
- Intramuscular, intravenous injections and blood transfusion
- Normal delivery, local anesthesia, episiotomy, episiorrhaphy and perineorrhaphy or 1st and 2nd degree tears and postpartum monitoring
- Cervical inspection post partum
- Vaginal packing
- Initial resuscitation of newborn
- Family planning procedures like IUD insertion, removal and assist in tubal ligation
- Assist in minor and major gynecologic operations
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LO1, 2, 3 4, 5, 6, 7, 8, 9, 10, 11
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- Obstetric and gynecologic examinations
- Bedside procedures such as blood extractions, catheter insertions, venoclysis
- Normal labor, delivery and postpartum and newborn care
- Family planning procedures
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- Lecture regarding the procedures during orientation
- Demo/ Return demo
- Outpatient clinic rotation
- 24 hour duty at OBAS, LR/DR, Operating Room
- Rotation at the PACU/RR
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Consultant and senior resident orientation
Overhead and LCD projector and computer
Rotation and exposure in specific areas
Patient assignments
Consultant and senior resident supervision of clinical work
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OSCE
Resident, oncology & tropho fellow, consultant evaluation
Procedure checklist
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