Obstetrics And Gynecology Curriculum Professor Hassan A Nasrat

Obstetrics And Gynecology Curriculum Professor Hassan A Nasrat FRCS, FRCOG Chairman Department Of Obstetrics And Gynecology Faculty Of Medicine King Abdulaziz University

- Obstetrics and Gynecology is a unique subspecialty: • Very often we deal with healthy rather than sick individuals. • However they still have potential problems and disorders. • complications can arise very fast. • The long term relationship that develops and grows between the Obstetrician and Gynecologist and the patient.

• The Clinical Application Of Almost All The Knowledge You Have Studied In Your Preclinical Years. • Surgical And Medical Skills And That You Have Acquired In Your Clerkship In Medicine And Surgery. • Dealing With Women In Labour With All Its Potential Complications • The Fetus as an independent Subject.

Prerequisite: Obstetrics and Gynecology is a subspecialty of General Medicine and General Surgery Preclinical Years Studies: Embryology, Reproductive Physiology, Female Pelvic Anatomy And Genetics. The Fourth year Introductory Lectures Course

The Curriculum

What Does The Term Curriculum Mean ? ØThe Aims Of The Course (Why) ØThe Learning Methods (How) ØAssessment Strategies And Procedures. ØAnd Organization Of Content.

A. Knowledge and Understanding B. Skills Ø Why (The Objectives) C. Attitude Ø How (The Means And Methods Of Teaching) Ø Assessment Strategies And Procedures. Ø Where And With What A Student Will Learn.

Main Objective in Fifth Year ü History taking: Ability to interact with patient and gain her confidence and cooperation. ü Examination Complete and accurate ü Communicate the result by well written and oral reports ü The importance of antepartum care including first visit assessment, diagnose pregnancy assess gestational age ü Identify risk factors and describe methods of fetal assessment. ü labor Diagnosis of, describe its stages and recognize common abnormalities.

ü Describe postpartum care, advise on lactation. ü Common puerperal complications. ü Generate a problem list (DD) for major Obstetric and Gynecological encounter and form a diagnostic impression ü Outline of a management plan includes appropriate laboratory and diagnostic studies

Additional Objectives in Six Year üCommon obstetrics disorders: Describe diagnosis and management plane (e. g. PET, Diabetes in pregnancy, APH, isoimmunization. . . etc. ). üCommon medical disorders: and its effects of pregnancy and how pregnancy may affect its course. üAntenatal care for Mother and Fetus: Its value and methods of, and prenatal diagnosis of genetic disorders. üAbnormal pregnancies e. g. IUGR, Malpresentation, preterm labour. etc. üLabor: the management of normal labour and the diagnoses of abnormal labor and its management.

üEmergency obstetric : Develop systemic approach to management e. g. Ant or Post partum hemorrhage. üpregnancy wastage: e. g. Miscarriage, IUFD üHealth care for women : including screening for cancer (pap smear), family planning, and care for the menopause and postmenopausal age. üFertility and infertility assessment: üThe common menstrual disorders during the various stages of women life: üPelvic infection Common causes of including STD. üBenign and malignant diseases of the genital tract, risk factors, early diagnosis, evaluation and staging.

Obstetrics & Gynecology Knowledge & Understanding 5 th year Body Physiology In health & disease Understand the concept of risk in obstetrics and define risk factor in gynecological patients 6 th year The effect of diseases on pregnancy & vies versa Clinical skills Communication skills Take relevant history Listening & talking skills Appropriate examination & Identify clinical signs Written and other …etc. diagnostic strategy (DD) and order appropriate investigations Prescribe Management strategy Communicating diagnosis, prognosis treatment Handle emotion & Respond to stress

A. Knowledge and Understanding B. Skills Ø Why (The Objectives) C. Attitude Ø How (The Means And Methods Of Teaching) Ø Assessment Strategies And Procedures. Ø Where And With What A Student Will Learn.

The Means And Methods Of Teaching And Assessment Teaching Assessment q CLINICAL SESSIONS: • EOP Examination q TUTORIAL: • Final Examination q LECTURES: q OUTPATIENT CLINIC: q THEATRE SESSION: q LABOUR ROOM SESSION: q. Fetal Medicine Unit: q. Clinical Skill Lab: üClinical Examination üOSCE üMCQ üORAL

q. Lectures: q. Tutorial Clinical Sessions: q. Problem Based Learning Sessions: q. Clinical Skill Laboratory

Teaching in Outpatient clinic The tasks expected from each student during the clerkship are: ØInterview and discuss at least four history cases (two gynecological and two obstetrical). ØPerform obstetric examinations for at least four patients. ØObserve procedures: pap smear, insertion of IUCE, taking a HVS.

Students Rotation in the Labour Room ØThe Diagnosis of labor: ØEvaluation of patients admitted to the labor room in order to identify risk factors: ØThe Stages of labor and describe the management plane for each stage: ØFetal monitoring in labor: ØImmediate care of the newborn: ØAnalgesia and anesthesia use in labor: ØTo be familiar with instruments used for operative delivery:

Teaching In Theatre Surgical procedures Cesarean Section Laparoscopy Hysteroscopy Dilatation and Curettage Pelvic Repair Laparotomy

A. Knowledge and Understanding B. Skills Ø Why (The Objectives) C. Attitude Ø How (The Means And Methods Of Teaching) Ø Assessment Strategies And Procedures. Ø Where And With What A Student Will Learn.

Assessment Examination are diagnostic aids which determine student’s progress. Should not be a barriers which students have to get through

5 th Year EOP Examination MCQ 5 th Year 6 th Year 40 MCQ (20 marks) 30 MCQ (15 Marks) Short Notes Clinical Total Duration 2 Questions (10 marks) 20 marks 50 marks 1 hours 2 Questions (5 Marks) 1 Prob. Solv (10 marks) 20 marks 50 marks 11/2 h

5 th Year Final Examination MCQ 5 th Year 60 MCQ (30 marks) 60 MCQ (30 Marks) Short Notes Clinical Total Duration 2 Questions (20 marks) 50 marks 2 hours 2 Questions 10 Marks 1 Prob. Solv (10 marks) 50 marks 11/2 h

Good Luck