FINAL YEAR LOG BOOK Gynae &ObstetricsThe skills to be achieved are laid out in 2 sections. The first...
Transcript of FINAL YEAR LOG BOOK Gynae &ObstetricsThe skills to be achieved are laid out in 2 sections. The first...
FINAL YEAR LOG BOOK Gynae & Obstetrics
KHYBER GIRLS
MEDICAL COLLEGE,
PESHAWAR,
PAKISTAN
Prepared By:
PROF. DR. SHAMSHAD BEGUM
With help of
Dr. Rukhsana Karim (AP)
Dr. Shamama Rahim (TMO)
Picture
NAME
FATHER NAME
ROLL NUMBER
BATCH
DATES OF ROTATION
INTRODUCTION
As part of structured learning program, this log book will identify the objectives for each
period / rotation of learning. The main purpose of the log book is to help you monitor your
own competence, to recognize gaps and address them. Its second purpose is to describe the
minimum competence level expected of you at the end of every rotation.
STRUCTURE
The skills to be achieved are laid out in 2 sections. The first section relates to history taking,
examination and presentation of a case. Every organ system has representation in this section
as mentioned in the top row of each table. The second section includes procedural skills.
Competencies in procedural skills from all organ systems are presented together. Untitled,
additional tables for both sections are included in the end in case some competencies have
to be reassessed / repeated.
LEVEL OF COMPETENCE
Each competency has an expected level of competence to be achieved. The level of
competence ranges from observation (1) to independent practice (5). The following list
specifies what is meant by each level.
Level 1 Observes Observes the clinical activity performed by a colleague / senior
Level 2 Assists Assists a colleague / senior perform the clinical activity
Level 3 Direct
supervision
Performs the entire activity under direct supervision of a senior
Level 4 Indirect
supervision Performs the entire activity with indirect supervision of a
senior colleague
Level 5 independent Performs the entire activity without need for supervision
USING THE LOGBOOK
Each organ system commences on a new page. The pages contain numbered competencies.
Many of the competencies do not require an assessment of every competence level and these
are indicated by shaded boxes. Certain competencies e.g. procedures do not require the
student to be level 5 (independent) by the end of the learning period. These are identified by
black boxes.
Teacher / trainer will tick off competence levels as you achieve them and sign them with date.
SECTION 1
OBSTERICS
HISTORY TAKING, EXAMINATION
AND PRESENTATION OF A CASE
1. ANTENATAL CARE
COMPETENCIES
EXPECTED LEVEL OF
COMPETENCE
CERTIFICATION
To be ticked when
achieved
Teacher to sign &
date
HISTORY / EXAM / MANAGEMENT
PLAN
1
2
3
4
5
Sign
Date
1
Introduction Informed consent Relevant details Establish differential diagnosis
2
General physical Examination Systemic examination Abdominal examination with
Leopold maneuvers Pelvic examination
3
Presentation skill fully. Findings of history and
examination. Logical conclusion.
4
Differential diagnosis.
5 List relevant investigations
6 Treatment options With pros & cons According to resources treatment
7
Communication with patient Differential diagnosis Investigations Treatment plan
8 Address patients beliefs Cultural and ethical issues.
9 Respect for patient and family
Good points
Suggestions for improvement
Sign / Date
2a. MEDICAL DISORDERS (HYPERTENSIVE DISORDERS WITH PREGNANCY)
COMPETENCIES
EXPECTED LEVEL OF
COMPETENCE
CERTIFICATION
To be ticked when
achieved
Teacher to sign &
date
HISTORY / EXAM / MANAGEMENT
PLAN
1
2
3
4
5
Sign
Date
1
Introduction Informed consent Relevant details Establish differential diagnosis
2
General physical Examination Systemic examination Abdominal examination with
Leopold maneuvers Pelvic examination
3
Presentation skill fully. Findings of history and
examination.
Logical conclusion.
4
Differential diagnosis.
5
List relevant investigations
6
Treatment options With pros & cons According to resources
treatment
7
Communication with patient Differential diagnosis Investigations Treatment plan
8 Address patients beliefs Cultural and ethical issues.
9
Respect for patient and family
Good points
Suggestions for improvement
Sign / Date
2b. HEART DISEASE WITH PREGNANCY
COMPETENCIES
EXPECTED LEVEL OF
COMPETENCE
CERTIFICATION
To be ticked when
achieved
Teacher to sign &
date
HISTORY / EXAM / MANAGEMENT
PLAN
1
2
3
4
5
Sign
Date
1
Introduction Informed consent Relevant details Establish differential diagnosis
2
General physical Examination Systemic examination Abdominal examination with
Leopold maneuvers Pelvic examination
3
Presentation skill fully. Findings of history and
examination. Logical conclusion.
4
Differential diagnosis.
5
List relevant investigations
6
Treatment options With pros & cons According to resources
treatment
7
Communication with patient Differential diagnosis Investigations Treatment plan
8 Address patients beliefs Cultural and ethical issues.
9
Respect for patient and family
Good points
Suggestions for improvement
Sign / Date
2c. DIABETES WITH PREGNANCY
COMPETENCIES
EXPECTED LEVEL OF
COMPETENCE
CERTIFICATION
To be ticked when
achieved
Teacher to sign &
date
HISTORY / EXAM / MANAGEMENT
PLAN
1
2
3
4
5
Sign
Date
1
Introduction Informed consent Relevant details Establish differential diagnosis
2
General physical Examination Systemic examination Abdominal examination with
Leopold maneuvers Pelvic examination
3
Presentation skill fully. Findings of history and
examination. Logical conclusion.
4
Differential diagnosis.
5
List relevant investigations
6
Treatment options With pros & cons
According to resources treatment
7
Communication with patient Differential diagnosis Investigations Treatment plan
8 Address patients beliefs Cultural and ethical issues.
9
Respect for patient and family
Good points
Suggestions for improvement
Sign / Date
2d. LIVER DISEASES WITH PREGNANCY
COMPETENCIES
EXPECTED LEVEL OF
COMPETENCE
CERTIFICATION
To be ticked when
achieved
Teacher to sign &
date
HISTORY / EXAM / MANAGEMENT
PLAN
1
2
3
4
5
Sign
Date
1
Introduction Informed consent Relevant details Establish differential diagnosis
2
General physical Examination Systemic examination Abdominal examination with
Leopold maneuvers Pelvic examination
3
Presentation skill fully. Findings of history and
examination. Logical conclusion.
4
Differential diagnosis.
5
List relevant investigations
6
Treatment options With pros & cons According to resources
treatment
7
Communication with patient Differential diagnosis Investigations Treatment plan
8 Address patients beliefs Cultural and ethical issues.
9
Respect for patient and family
Good points
Suggestions for improvement
Sign / Date
2e. RENAL DISEASES WITH PREGNANCY
COMPETENCIES
EXPECTED LEVEL OF
COMPETENCE
CERTIFICATION
To be ticked when
achieved
Teacher to sign &
date
HISTORY / EXAM / MANAGEMENT
PLAN
1
2
3
4
5
Sign
Date
1
Introduction Informed consent Relevant details Establish differential diagnosis
2
General physical Examination Systemic examination Abdominal examination with
Leopold maneuvers Pelvic examination
3
Presentation skill fully. Findings of history and
examination. Logical conclusion.
4
Differential diagnosis.
5
List relevant investigations
6
Treatment options With pros & cons According to resources
treatment
7
Communication with patient Differential diagnosis Investigations Treatment plan
8 Address patients beliefs Cultural and ethical issues.
9
Respect for patient and family
Good points
Suggestions for improvement
Sign / Date
2f. HEMATOLOGICAL DISORDERS WITH PREGNANCY
COMPETENCIES
EXPECTED LEVEL OF
COMPETENCE
CERTIFICATION
To be ticked when
achieved
Teacher to sign &
date
HISTORY / EXAM / MANAGEMENT
PLAN
1
2
3
4
5
Sign
Date
1
Introduction Informed consent Relevant details Establish differential diagnosis
2
General physical Examination Systemic examination Abdominal examination with
Leopold maneuvers Pelvic examination
3
Presentation skill fully. Findings of history and
examination. Logical conclusion.
4
Differential diagnosis.
5
List relevant investigations
6
Treatment options With pros & cons According to resources
treatment
7
Communication with patient Differential diagnosis Investigations Treatment plan
8 Address patients beliefs Cultural and ethical issues.
9
Respect for patient and family
Good points
Suggestions for improvement
Sign / Date
3a. FETAL MEDICINE (MULTIPLE PREGNANCIES)
COMPETENCIES
EXPECTED LEVEL OF
COMPETENCE
CERTIFICATION
To be ticked when
achieved
Teacher to sign &
date
HISTORY / EXAM / MANAGEMENT
PLAN
1
2
3
4
5
Sign
Date
1
Introduction Informed consent Relevant details Establish differential diagnosis
2
General physical Examination Systemic examination Abdominal examination with
Leopold maneuvers Pelvic examination
3
Presentation skill fully. Findings of history and
examination. Logical conclusion.
4
Differential diagnosis.
5
List relevant investigations
6
Treatment options With pros & cons According to resources
treatment
7
Communication with patient Differential diagnosis Investigations Treatment plan
8 Address patients beliefs Cultural and ethical issues.
9
Respect for patient and family
Good points
Suggestions for improvement
Sign / Date
3b. POLYHYDROMNIOS/OLIGOHYDROMNIOS
COMPETENCIES
EXPECTED LEVEL OF
COMPETENCE
CERTIFICATION
To be ticked when
achieved
Teacher to sign &
date
HISTORY / EXAM / MANAGEMENT
PLAN
1
2
3
4
5
Sign
Date
1
Introduction Informed consent Relevant details Establish differential diagnosis
2
General physical Examination Systemic examination Abdominal examination with
Leopold maneuvers Pelvic examination
3
Presentation skill fully. Findings of history and
examination. Logical conclusion.
4
Differential diagnosis.
5
List relevant investigations
6
Treatment options With pros & cons According to resources
treatment
7
Communication with patient Differential diagnosis Investigations Treatment plan
8 Address patients beliefs Cultural and ethical issues.
9
Respect for patient and family
Good points
Suggestions for improvement
Sign / Date
3c. FETAL ASSESSMENT
COMPETENCIES
EXPECTED LEVEL OF
COMPETENCE
CERTIFICATION
To be ticked when
achieved
Teacher to sign &
date
HISTORY / EXAM / MANAGEMENT
PLAN
1
2
3
4
5
Sign
Date
1
Introduction Informed consent Relevant details Establish differential diagnosis
2
General physical Examination Systemic examination Abdominal examination with
Leopold maneuvers Pelvic examination
3
Presentation skill fully. Findings of history and
examination. Logical conclusion.
4
Differential diagnosis.
5
List relevant investigations
6
Treatment options With pros & cons According to resources
treatment
7
Communication with patient Differential diagnosis Investigations Treatment plan
8 Address patients beliefs Cultural and ethical issues.
9
Respect for patient and family
Good points
Suggestions for improvement
Sign / Date
4a. OBSTETRICAL EMERGENCIES (ANTEPARTUM HEMORRHAGE)
COMPETENCIES
EXPECTED LEVEL OF
COMPETENCE
CERTIFICATION
To be ticked when
achieved
Teacher to sign &
date
HISTORY / EXAM / MANAGEMENT
PLAN
1
2
3
4
5
Sign
Date
1
Introduction Informed consent Relevant details Establish differential diagnosis
2
General physical Examination Systemic examination Abdominal examination with
Leopold maneuvers Pelvic examination
3
Presentation skill fully. Findings of history and
examination. Logical conclusion.
4
Differential diagnosis.
5
List relevant investigations
6
Treatment options With pros & cons According to resources
treatment
7
Communication with patient Differential diagnosis Investigations Treatment plan
8 Address patients beliefs Cultural and ethical issues.
9
Respect for patient and family
Good points
Suggestions for improvement
Sign / Date
4b. POSTPARTUM HEMORRHAGE
COMPETENCIES
EXPECTED LEVEL OF
COMPETENCE
CERTIFICATION
To be ticked when
achieved
Teacher to sign &
date
HISTORY / EXAM / MANAGEMENT
PLAN
1
2
3
4
5
Sign
Date
1
Introduction Informed consent Relevant details Establish differential diagnosis
2
General physical Examination Systemic examination Abdominal examination with
Leopold maneuvers Pelvic examination
3
Presentation skill fully. Findings of history and
examination. Logical conclusion.
4
Differential diagnosis.
5
List relevant investigations
6
Treatment options With pros & cons According to resources
treatment
7
Communication with patient Differential diagnosis Investigations Treatment plan
8 Address patients beliefs Cultural and ethical issues.
9
Respect for patient and family
Good points
Suggestions for improvement
Sign / Date
4c. ACUTE ABDOMEN DURING PREGNANCY
COMPETENCIES
EXPECTED LEVEL OF
COMPETENCE
CERTIFICATION
To be ticked when
achieved
Teacher to sign &
date
HISTORY / EXAM / MANAGEMENT
PLAN
1
2
3
4
5
Sign
Date
1
Introduction Informed consent Relevant details Establish differential diagnosis
2
General physical Examination Systemic examination Abdominal examination with
Leopold maneuvers Pelvic examination
3
Presentation skill fully. Findings of history and
examination. Logical conclusion.
4
Differential diagnosis.
5
List relevant investigations
6
Treatment options With pros & cons According to resources
treatment
7
Communication with patient Differential diagnosis Investigations Treatment plan
8 Address patients beliefs Cultural and ethical issues.
9
Respect for patient and family
Good points
Suggestions for improvement
Sign / Date
4d. OBSTETRICS SHOCK (RUPTURED UTERUS,AFE,PUL EMBOLISM)
COMPETENCIES
EXPECTED LEVEL OF
COMPETENCE
CERTIFICATION
To be ticked when
achieved
Teacher to sign &
date
HISTORY / EXAM / MANAGEMENT
PLAN
1
2
3
4
5
Sign
Date
1
Introduction Informed consent Relevant details Establish differential diagnosis
2
General physical Examination Systemic examination Abdominal examination with
Leopold maneuvers Pelvic examination
3
Presentation skill fully.
Findings of history and examination.
Logical conclusion.
4 Differential diagnosis.
5
List relevant investigations
6
Treatment options With pros & cons
According to resources treatment
7
Communication with patient Differential diagnosis Investigations Treatment plan
8 Address patients beliefs Cultural and ethical issues.
9
Respect for patient and family
Good points
Suggestions for improvement
Sign / Date
5. POST TERM PREGNANCY (INDUCTION OF LABOUR)
COMPETENCIES
EXPECTED LEVEL OF
COMPETENCE
CERTIFICATION
To be ticked when
achieved
Teacher to sign &
date
HISTORY / EXAM / MANAGEMENT
PLAN
1
2
3
4
5
Sign
Date
1
Introduction Informed consent Relevant details Establish differential diagnosis
2
General physical Examination Systemic examination Abdominal examination with
Leopold maneuvers Pelvic examination
3
Presentation skill fully.
Findings of history and examination.
Logical conclusion.
4
Differential diagnosis.
5
List relevant investigations
6
Treatment options With pros & cons According to resources
treatment
7
Communication with patient Differential diagnosis Investigations Treatment plan
8 Address patients beliefs Cultural and ethical issues.
9
Respect for patient and family
Good points
Suggestions for improvement
Sign / Date
6.PROLONG LABOR/FAILURE TO PROGRESS/MALPOSITION/MALPRESENTATION
COMPETENCIES
EXPECTED LEVEL OF
COMPETENCE
CERTIFICATION
To be ticked when
achieved
Teacher to sign &
date
HISTORY / EXAM / MANAGEMENT PLAN
1
2
3
4
5
Sign
Date
1
Introduction Informed consent Relevant details Establish differential diagnosis
2
General physical Examination Systemic examination Abdominal examination with
Leopold maneuvers Pelvic examination
3
Presentation skill fully. Findings of history and
examination. Logical conclusion.
4
Differential diagnosis.
5
List relevant investigations
6
Treatment options With pros & cons According to resources
treatment
7
Communication with patient Differential diagnosis Investigations Treatment plan
8 Address patients beliefs Cultural and ethical issues.
9
Respect for patient and family
Good points
Suggestions for improvement
Sign / Date
SECTION 2
GYNAE SESSION
1. GYNECOLOGICAL DISORDERS OF CHILDHOOD AND ADOLESCENCE
COMPETENCIES
EXPECTED LEVEL OF
COMPETENCE
CERTIFICATION
To be ticked when
achieved
Teacher to sign &
date
HISTORY / EXAM / MANAGEMENT PLAN
1
2
3
4
5
Sign
Date
1
Introduction Informed consent Relevant details Establish differential diagnosis
2
General physical Examination Systemic examination Abdominal examination Pelvic examination
3
Presentation skill fully. Findings of history and
examination. Logical conclusion.
4
Differential diagnosis.
5
List relevant investigations
6
Treatment options With pros & cons According to resources
treatment
7
Communication with patient Differential diagnosis Investigations Treatment plan
8 Address patients beliefs Cultural and ethical issues.
9
Respect for patient and family
Good points
Suggestions for improvement
Sign / Date
2. EARLY PREGNANCY PROBLEMS
COMPETENCIES
EXPECTED LEVEL OF
COMPETENCE
CERTIFICATION
To be ticked when
achieved
Teacher to sign &
date
HISTORY / EXAM / MANAGEMENT
PLAN
1
2
3
4
5
Sign
Date
1
Introduction Informed consent Relevant details Establish differential diagnosis
2
General physical Examination Systemic examination Abdominal examination Pelvic examination
3
Presentation skill fully. Findings of history and
examination.
Logical conclusion.
4
Differential diagnosis.
5
List relevant investigations
6
Treatment options With pros & cons According to resources
treatment
7
Communication with patient Differential diagnosis Investigations Treatment plan
8 Address patients beliefs Cultural and ethical issues.
9
Respect for patient and family
Good points
Suggestions for improvement
Sign / Date
3. ECTOPIC PREGNANCY
COMPETENCIES
EXPECTED LEVEL OF
COMPETENCE
CERTIFICATION
To be ticked when
achieved
Teacher to sign &
date
HISTORY / EXAM / MANAGEMENT
PLAN
1
2
3
4
5
Sign
Date
1
Introduction Informed consent Relevant details Establish differential diagnosis
2
General physical Examination Systemic examination Abdominal examination Pelvic examination
3
Presentation skill fully. Findings of history and
examination. Logical conclusion.
4
Differential diagnosis.
5
List relevant investigations
6
Treatment options With pros & cons According to resources
treatment
7
Communication with patient Differential diagnosis Investigations Treatment plan
8 Address patients beliefs Cultural and ethical issues.
9
Respect for patient and family
Good points
Suggestions for improvement
Sign / Date
4. MENSTRUAL DISORDERS AND MENOPAUSE
COMPETENCIES
EXPECTED LEVEL OF
COMPETENCE
CERTIFICATION
To be ticked when
achieved
Teacher to sign &
date
HISTORY / EXAM / MANAGEMENT
PLAN
1
2
3
4
5
Sign
Date
1
Introduction Informed consent Relevant details Establish differential diagnosis
2
General physical Examination Systemic examination Abdominal examination Pelvic examination
3
Presentation skill fully. Findings of history and
examination.
Logical conclusion.
4
Differential diagnosis.
5
List relevant investigations
6
Treatment options With pros & cons According to resources
treatment
7
Communication with patient Differential diagnosis Investigations Treatment plan
8 Address patients beliefs Cultural and ethical issues.
9
Respect for patient and family
Good points
Suggestions for improvement
Sign / Date
5. SUBFERTILITY
COMPETENCIES
EXPECTED LEVEL OF
COMPETENCE
CERTIFICATION
To be ticked when
achieved
Teacher to sign &
date
HISTORY / EXAM / MANAGEMENT PLAN
1
2
3
4
5
Sign
Date
1
Introduction Informed consent Relevant details Establish differential diagnosis
2
General physical Examination Systemic examination Abdominal examination Pelvic examination
3
Presentation skill fully. Findings of history and
examination. Logical conclusion.
4
Differential diagnosis.
5
List relevant investigations
6
Treatment options With pros & cons According to resources
treatment
7
Communication with patient Differential diagnosis Investigations Treatment plan
8 Address patients beliefs Cultural and ethical issues.
9
Respect for patient and family
Good points
Suggestions for improvement
Sign / Date
6. CHRONIC PELVIC PAIN AND ENDOMETRIOSES
COMPETENCIES
EXPECTED LEVEL OF
COMPETENCE
CERTIFICATION
To be ticked when
achieved
Teacher to sign &
date
HISTORY / EXAM / MANAGEMENT PLAN
1
2
3
4
5
Sign
Date
1
Introduction Informed consent Relevant details Establish differential diagnosis
2
General physical Examination Systemic examination Abdominal examination Pelvic examination
3
Presentation skill fully. Findings of history and
examination. Logical conclusion.
4
Differential diagnosis.
5
List relevant investigations
6
Treatment options With pros & cons According to resources
treatment
7
Communication with patient Differential diagnosis Investigations Treatment plan
8 Address patients beliefs Cultural and ethical issues.
9
Respect for patient and family
Good points
Suggestions for improvement
Sign / Date
7. UTEROVAGINAL PROLAPSE
COMPETENCIES
EXPECTED LEVEL OF
COMPETENCE
CERTIFICATION
To be ticked when
achieved
Teacher to sign &
date
HISTORY / EXAM / MANAGEMENT
PLAN
1
2
3
4
5
Sign
Date
1
Introduction Informed consent Relevant details Establish differential diagnosis
2
General physical Examination Systemic examination Abdominal examination Pelvic examination
3
Presentation skill fully. Findings of history and
examination.
Logical conclusion.
4
Differential diagnosis.
5
List relevant investigations
6
Treatment options With pros & cons According to resources
treatment
7
Communication with patient Differential diagnosis Investigations Treatment plan
8 Address patients beliefs Cultural and ethical issues.
9
Respect for patient and family
Good points
Suggestions for improvement
Sign / Date
8. URINARY INCONTINENCE
COMPETENCIES
EXPECTED LEVEL OF
COMPETENCE
CERTIFICATION
To be ticked when
achieved
Teacher to sign &
date
HISTORY / EXAM / MANAGEMENT PLAN
1
2
3
4
5
Sign
Date
1
Introduction Informed consent Relevant details Establish differential diagnosis
2
General physical Examination Systemic examination Abdominal examination Pelvic examination
3
Presentation skill fully. Findings of history and
examination. Logical conclusion.
4
Differential diagnosis.
5
List relevant investigations
6
Treatment options With pros & cons According to resources
treatment
7
Communication with patient Differential diagnosis Investigations Treatment plan
8 Address patients beliefs Cultural and ethical issues.
9
Respect for patient and family
Good points
Suggestions for improvement
Sign / Date
9. BENIGN DISEASES OF VULVA,VAGINA,CERVICS,UTERUS,OVARIES
COMPETENCIES
EXPECTED LEVEL OF
COMPETENCE
CERTIFICATION
To be ticked when
achieved
Teacher to sign &
date
HISTORY / EXAM / MANAGEMENT PLAN
1
2
3
4
5
Sign
Date
1
Introduction Informed consent Relevant details Establish differential diagnosis
2
General physical Examination Systemic examination Abdominal examination Pelvic examination
3
Presentation skill fully. Findings of history and
examination.
Logical conclusion.
4
Differential diagnosis.
5
List relevant investigations
6
Treatment options With pros & cons According to resources
treatment
7
Communication with patient Differential diagnosis Investigations Treatment plan
8 Address patients beliefs Cultural and ethical issues.
9
Respect for patient and family
Good points
Suggestions for improvement
Sign / Date
10. OVARIAN,ENDOMETRIAL,CERVICAL AND VAGINAL CARCINOMAS
COMPETENCIES
EXPECTED LEVEL OF
COMPETENCE
CERTIFICATION
To be ticked when
achieved
Teacher to sign &
date
HISTORY / EXAM / MANAGEMENT
PLAN
1
2
3
4
5
Sign
Date
1
Introduction Informed consent Relevant details Establish differential diagnosis
2
General physical Examination Systemic examination Abdominal examination Pelvic examination
3
Presentation skill fully. Findings of history and
examination. Logical conclusion.
4
Differential diagnosis.
5
List relevant investigations
6
Treatment options With pros & cons According to resources
treatment
7
Communication with patient Differential diagnosis Investigations Treatment plan
8 Address patients beliefs Cultural and ethical issues.
9
Respect for patient and family
Good points
Suggestions for improvement
Sign / Date
11. CONTRACEPTION AND STERILIZATION
COMPETENCIES
EXPECTED LEVEL OF
COMPETENCE
CERTIFICATION
To be ticked when
achieved
Teacher to sign &
date
HISTORY / EXAM / MANAGEMENT
PLAN
1
2
3
4
5
Sign
Date
1
Introduction Informed consent Relevant details Establish differential diagnosis
2
General physical Examination Systemic examination Abdominal examination Pelvic examination
3
Presentation skill fully. Findings of history and
examination.
Logical conclusion.
4
Differential diagnosis.
5
List relevant investigations
6
Treatment options With pros & cons According to resources
treatment
7
Communication with patient Differential diagnosis Investigations Treatment plan
8 Address patients beliefs Cultural and ethical issues.
9
Respect for patient and family
Good points
Suggestions for improvement
Sign / Date
12. COUNSELLING
COMPETENCIES
EXPECTED LEVEL OF
COMPETENCE
CERTIFICATION
To be ticked when
achieved
Teacher to sign &
date
GENERAL STEPS
1
2
3
4
5
Sign
Date
1
Introduction session a. introduce yourself b. ask about patient c. sympathetic approach d. eye to eye contact e. easy language f. explain purpose of session g. comfortable place
2
Content session a. detail of disease b. give treatment options c. tell about complications d. patient wishes
3
Follow up
a. venue b. date c. hospital contact number d. leaflet
4
Any queries?
Good points
Suggestions for improvement
Sign / Date
SECTION 3
PROCEDURAL SKILLS
COMPETENCIES
EXPECTED LEVEL OF COMPETENCE
CERTIFICATION
To be ticked when achieved
Teacher to sign & date
1
2
3
4
5
Sign
Date
GYNAECOLOGY EXAMINATION
Speculum Examination
Bimanual Examination
MINOR GYNAECOLOGICAL EXAMINATION
Pap Smear 1- Able to identify the Pap
Smear Kit
2- procedure
High Vaginal Swab (HVS)
Foley’s catheter
Dilatation and Curettage (DnC)
Evacuation and Curettage(EnC)
Wound debridment
Cautery Cervix
Cryotherapy
Colposcopy
Manual Vaccum Aspiration(MVA)
Removal of Bartholine cyst
Polypectomy
Vulval Biopsy
Cervical Biopsy
Suction and Curettage
Hysterosalpingography
MAJOR GYNAECOLOGICAL PROCEDURE
1
2
3
4
5
Total Abdominal Hysterectomy
Vaginal Hysterectomy
Laparotomy for Rupture Ectopic
Laparotomy for Ovarian cyst
Laparotomy for Gynecological Malignancies
Repair of 3rd and 4th degree tears
FotherGill Repair
Myomectomy
VVF repair
Diagnostic Laproscopy
Hysteroscopy
FAMILY PLANNING PROCEDURES
IUCD insertion
Mirena Insertion
Implanon
Norplant
Injectable Contraceptives
Oral Contraceptive Pills
Barrier methods
OBSTETRICAL PROCEDURES SKILL
Obstetrical Examination 1- Abdominal Examination 2- Bishop Score
3- Clinical pelvimetry
1
2
3
4
5
Partograph
Cardiotopography
DELIVERIES: 1- Normal Vaginal Delivery
2- Vaginal delivery with
Episiotomy
3- Vacuum vaginal delivery
4- Forceps Delivery
5- Cesarean Section
ABNORMAL PRESENTATION/LIE
1- Breech
2- Face
3- Transverse
4- Compound
5- Cord
6- Brow
OBSTETRIC EMERGENCIES 1
2
3
4
5
Eclampsia 1- Airway 2- Breathing
3- Circulation
4- MgSO4
5- Hydralazine/Labetalol
Post Partum Haemorrhage 1- Pass I.V line 2- Uterine Tamponade
3- Repair of vaginal and
cervical tears
4- B Lynch Suture
Maternal Resuscitation
Breast feeding Techniques
Neonatal resuscitation
Good points
Suggestions for
Improvement
Sign / Date
GYNAECOLOGY HSITORY TAKING FORMAT
HISTORY TAKING
1. Demographic details
2. Chief complaints
3. History of present illness
4. Past history
Obstetrical details
Medical disorders
Surgical interventions
5. Family history
Medical disorders
Genetic conditions
Gynaecological malignancies
6. Socioeconomic details
Monthly income
Dependant / self employed
Household details
Living standards
DRUGS
Current use
Previous use
Anaplylaxis
Life long use
Recreational drugs
CONTRACEPTION Type
Method
Safisfaction
Side effects
Complaince
MENSTRUAL CYCLE
Menstruating Normal
Abnormal
Length
Duration
Flow
Patteren
Dysmenorrhoea
Menopausal
PAP SMEAR
Wether ever taken
When last taken
Report
EXAMINATION GENERAL
Height
Weight
Bmi
Pallor
Jaindice
Clubbing
Koilonychia
Thyroid
Vericose veiws
Accessable lymph nodes.
BREAST EXAMINATION Inspection as a whole
Palpation as a whole
Nipple / areola
Quadrant wise assessment
axilla for tail and accessory Breasts
CHEST Respiratory
Cardiac
NEUROLAGICAL
GASTRO INLESTINAL SYSTEM
ABDOMINAL EXAMINATION Inspection
Palpation
Percussion
Quadrant wise palpation
EXAMINATION OF ABDOMIAL MASS Inspection
Site
Size
Margins
Nodularity
Tenderness
Mobility
Percussion
Auscultation
Associated ascites
PELVIC EXAMINATION Inspection of vulva
P/s examination
Bimanual examination
LMP
POG
EDD