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INTERMEDIATE MODULEIN

OBSTETRICS &GYNAECOLOGY

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REQUIREMENTS FOR TRAINING & EXAMINATION

2010

II

THE COLLEGE OF PHYSICIANS AND SURGEONS PAKISTANwould appreciate any criticism, suggestions,

advice from the readers and users of this document. Comments may be sent in writing or by

e-mail to the CPSP at:

National Directorate Residency Program (NDRP)College of Physicians and Surgeons Pakistan (CPSP)

7th Central Street, Defence Housing Authority, Karachi-75500.ndrp@cpsp.edu.pk

III

Contact Details:College of Physicians and Surgeons, Pakistan.7th Central Street, Phase II, D.H.A. Karachi - 75500.Phone: 99207100-10, UAN 111-606-606Facsimile: 99266450Website: www.cpsp.edu.pk

CONTENTS

INTRODUCTION

TRAINING AND EXAMINATION

ASSESSMENT

TRAINING FOR INTERMEDIATE MODULE

USEFUL ADDRESSES AND TELEPHONE NUMBERS

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The College was established in 1962 through an ordinance of the

Federal Government. The objectives and functions of the College

include: promotion of specialist practice by securing improvement of

teaching and training; arranging postgraduate medical, surgical and

other specialist training; holding and conducting examinations for

awarding College diplomas and admission to the Fellowships of the

College; and promotion of research.

Since its inception the College has actively pursued improvements in

postgraduate medical education in Pakistan. Currently, the College

offers Fellowships in fifty three disciplines compared to the initial few

in Medicine, Surgery, Paediatrics and Obstetrics and Gynecology in

1963. Structured training programs have been developed, criteria for

recognition of training institutes have been laid down, and format of

examinations has been improved with unbiased objective, reliable

and candidate friendly methods of assessment. Fellowship training

can be undertaken in over 130 accredited medical institutions

throughout the country and 106 accredited institutions abroad. Over

2000 supervisors are involved in the CPSP training programs.

The College has established 12 Regional Centers including five

Provincial Headquarter Centres in the country to coordinate the

training and examination, and facilitate the candidates of these areas.

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INTRODUCTION

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Constant efforts are made to improve the standards of examinations

and make them relevant, transparent, objective and fair to the

candidates. In its endeavor to decrease inter-rater variability, and

increase fairness and transparency, the College has introduced the

use of assessment forms for scoring of all the components of clinical

and oral examinations. Another step in this direction is the

introduction of Task Oriented Assessment of Clinical Skills (TOACS)

in the FCPS II Clinical Examinations in a number of disciplines from

September 2001.

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INTERMEDIATE MODULE

To ensure better training, the CPSP introduced an IntermediateModule Examination in several disciplines in 2001. This mid-trainingassessment strengthens the monitoring and in-training assessmentsystems by providing trainees with an estimate of mid-trainingcompetence. It also serves as a diagnostic tool for trainees andsupervisors, provides a curricular link between basic and advancedtraining, and an opportunity for sampling a wider domain ofknowledge and skills.

Vide Notification No. 6-1 / Exam-04 / CPS / 1438 S and R, theIntermediate Module (IMM) examination is mandatory eligibilityrequirement for all FCPS II examination as from September 2007 andonward. Candidates are required to complete two years training inObstetrics and Gynaecology, attend all mandatory workshops andtake the Intermediate Module examination.

In case of failure in the Intermediate Module examination, the traineesare permitted to continue their training in the chosen specialty butmust pass the Intermediate Module examination prior to appearing inthe final FCPS II examination.

GENERAL REGULATIONS

Candidate will be admitted to the examination in the name (surname

and other names) as given in the MBBS degree and PMDC

certificate. CPSP will not entertain any application for change of

name on the basis of marriage / divorce /deed.

REGISTRATION AND SUPERVISION

All training must be supervised, and trainees are required to register

with the Research and Training Monitoring Cell (RTMC) within 30

days of starting their training for Intermediate Module. In case of

delay in registration, the start of training will be considered from the

date of receipt of application by the RTMC. Registration forms are

available in RTMC and in the Regional Centers. They can also be

downloaded from the CPSP Website. Training is compulsorily

monitored by an approved supervisor who is a CPSP fellow or a

specialist with relevant postgraduate qualifications registered at the

RTMC.

APPROVED TRAINING CENTRES

Training must be undertaken in units, departments and institutions

approved by the College. A current list of approved institutions is

available from the College and its Regional Centres as well as on the

College website: www.cpsp.edu.pk

TRAINING ANDEXAMINATION

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BASIC MEDICAL TRAININGPROGRAM FOR INTERMEDIATEMODULE

DURATION The duration of training for the Intermediate Module (IMM) istwo years; the Intermediate Module examination is taken oncompletion of the basic training.

ROTATIONS Three months of rotation in any two of the following disciplines,one of which is mandatory before appearing in the IntermediateModule examination. Second rotation may be completed in nexttwo years:

- Medicine - Neonatology- Diagnostic imaging

COMPONENTS OF TRAINING

Mandatory Workshops

It is mandatory for all Intermediate Module trainees to attendthe following CPSP certified workshops in the two year oftraining:1. Introduction to Computer and Internet

2. Research Methodology and Dissertation Writing

3. Surgical Skills

4. Communication Skills

Any other workshop/s as may be introduced (e.g. ACLS and ATLS)by CPSP.

LogbookTrainees are required to maintain a logbook in which entries ofacademic/ professional work done during the period of trainingshould be made on a daily basis, and signed by the supervisor.Completed and duly certified logbook will form a part of theapplication for appearing in IMM examination.

E-logbookThe CPSP council has decided to introduce E-logbook system forall trainees in FCPS from January 2009. Upon registration withRTMC each trainee is allotted a registration number and apassword to log on to the e-logbook on the CPSP website. Thetrainee is required to enter all work performed and the academicactivities undertaken in the logbook on daily basis. The concernedsupervisor is required to verify the entries made by the trainee.This system ensures timely entries by the trainee and promptverification by the supervisor. It also helps in monitoring theprogress of trainees and vigilance of supervisors.

Research (Dissertation/Two Papers)One of the training requirements for fellowship trainees is adissertation or two research papers on a topic related to thefield of specialization. For trainees in Obstetrics & Gynaecologythe dissertation synopsis or abstracts of the research papersmust be submitted for approval to the Research and EvaluationUnit (REU) by the end of first year of the Intermediate Module.

General Requirements Training should incorporate the principle of gradually increasingresponsibility, and provide each trainee with a sufficient scope,volume and variety of experience in a range of settings that includeinpatients, outpatients, emergency and intensive care.

Instructional MethodologyTeaching occurs using several methods that range from formallectures to planned clinical experiences. Aspects covered willinclude knowledge, skills and attitudes relevant to the discipline inorder to achieve specific learning outcomes and competencies.

The theoretical part of the curriculum presents the current body ofknowledge necessary for practice. This can be imparted usinglectures, grand teaching rounds, clinico-pathological meetings,literature reviews and presentations, journal clubs, self directedlearning, conferences and seminars. Clinical learning is organizedto provide appropriate expertise and competence necessary toevaluate and manage common clinical problems. Demonstration inoutpatient and in patient clinics and procedural skill trainings onsimulators, mannequins and patients are all practical trainingmodalities.

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ASSESSMENT

ELIGIBILITY REQUIREMENTS

For appearing in Intermediate Module examination a candidate

should have:

● Passed FCPS-I in Obstetrics and Gynaecology or granted

exemption by CPSP.

● Registered with the Research and Training Monitoring Cell

(RTMC).

● Completed two years of training under an approved supervisor

in an institution recognized by the CPSP. A certificate of

completion of training must be submitted.

● Submitted attested logbook.

● Submitted certificates of attendance of mandatory workshops.

● Synopsis for dissertation/abstracts of two research papers must

be submitted.

It is important to note that all applicants must undertake IMM

examination before taking Fellowship examination of the relevant

specialty.

EXAMINATION SCHEDULE

● The Intermediate Module theory examination will be held twice

a year.

● Theory examinations are held in various cities of the country

usually at Abbottabad, Bahawalpur, Faisalabad, Hyderabad,

Islamabad, Karachi, Nawabshah, Larkana, Lahore, Multan,

Peshawar and Quetta centres. The College shall decide

where to hold TOACS examinations depending on the number

of candidates in a city and shall inform the candidates

accordingly.

● English is the medium of all examinations for theory, practical

and viva.

● The College will notify of any change in the centres, the dates

and format of the examination. ● A competent authority appointed by the College has the power

to debar any candidate from any examination if it is satisfiedthat such a candidate is not a fit person to take the Collegeexamination because of using unfair means in the examination,misconduct or other disciplinary reasons.

EXAMINATION FEE

● Fee deposited for a particular examination shall not becarried over to the next examination in case of withdrawal,absence or exclusion.

● Applications along with the prescribed examination fee andrequired documents must be submitted by the last datenotified for this purpose before each examination.

● The details of examination fee and fee for change of centre,subject, etc shall be notified before each examination.

FORMAT OF EXAMINATION

Intermediate Module examination consists of the following twocomponents:● Theory examination:

It consists of:

Paper I

Paper II

● Clinical examination:

TOACS (Task Oriented Assessment of Clinical Skills).

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} 100 One best type of MCQs in each paper. (70 Obs. 30 Gynae)

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TOACS

TOACS will comprise of 12 to 20 stations with a change time ofone minute for the candidate to move from one station to theother. The stations may have an examiner, a patient or both.Structured clinical tasks will be set at each station. At stationswhere no examiner is present the candidates will have tosubmit written responses to short answer questions/ MCQs ona response sheet.

There will be two types of stations: static and interactive. Onstatic stations the candidate will be presented with patientdata, a clinical problem or a research study and will be askedto give written responses about the questions asked. At theinteractive stations the candidate will have to demonstrate acompetency, for example, taking history, performing a clinicalexamination, counseling, assembling an instrument, etc. Oneexaminer will be present at each interactive station and willeither rate the performance of the candidate or ask questionstesting reasoning and problem-solving skills.

Pass/Fail Criteria

Candidates have to pass the theory to be eligible to take theTOACS examination.

TRAINING FOR INTERMEDIATEMODULE

GIO (GENERAL INSTRUCTIONAL OBJECTIVES):

By the end of 2nd year in Obstetrics and Gynaecology, a traineeshall be able to:

KNOWLEDGE:

1. Discuss etiology, pathogenesis, epidemiology and managementof disorders in Obstetrics and Gynaecology, as given in thesection on Specific Learning Outcomes (SLO).

2. Show initiative to become life long self-directed learnerstapping on resources including clinical material, faculty,Internet and on-line learning programs and library.

3. Discuss principles of basic sciences as applied to Obstetricsand Gynaecology like hemorrhage, blood transfusion, shock,sterilization of instruments, infection, antibiotics, inflammation,repair, and healing.

SKILLS:

1. Take a comprehensive and pertinent history of a patientpresenting with Obstetrical and Gynaecological complaints.

2. Perform detailed Physical examination in a rational sequencethat is both technically correct as well as methodical.

3. Elicit Physical signs without discomfort to the patient.4. Evaluate patient in the setting of Outpatients Department,

Hospital wards, Labour Room, Day care surgery, EmergencyDepartment and attending calls in other departments forproblems related to Obstetrics and Gynaecology.

5. Formulate a working diagnosis and consider relevantdifferential diagnosis.

6. Order a set of relevant investigations considering availability,diagnostic yield, cost-effectiveness, side effects, andimplications for management.In

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7. Decide and implement suitable effective treatment consideringsafety, cost factors, complications and side effects.

8. Practice proper procedures in operating theatres and laborwards including gowning, gloving, use of various sutures,surgical principles, and use and working of electro medicalequipment.

9. Assist at major surgeries and perform minor procedures undersupervision.

10. Maintain follow-up of patients at appropriate intervals,recognizing new developments and/or complications andoffering sensible management protocols.

ATTITUDES:

1. Counsel patients and relatives in patient's preferred languageexhibiting good communication skills, empathy andempowerment to patients.

2. Exhibit emotional maturity and stability, integrity, ethical valuesand professional approach, sense of responsibility in day-to-day professional activities.

3. Take proper informed consent for physical examination andensure confidentiality and appropriate environment for intimatephysical examination.

4. Call for help judiciously in emergency situations and referral asrequired.

5. Maintain detailed and accurate documentation regardingpatient management and procedures.

PROCEDURES:

The level of competence to be achieved each year is specifiedaccording to the key, as follows:1. Observer status.2. Assistant status.3. Performed under direct supervision.4. Performed under indirect supervision.5. Performed independently

Note: Levels 4 and 5 for practical purposes are almost synonymous

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ound

(ba

sic)

310

410

510

30

Fet

al m

onito

ring

(incl

udin

g C

TG

)5

305

305

3090

Am

nioc

ente

sis

Man

agem

ent

of m

edic

al d

isor

ders

in p

regn

ancy

415

515

515

45

Ob

ste

tric

s A

nte

nata

l (O

PD

& W

AR

D)

Se

co

nd

Ye

ar

15 M

on

ths

Le

vel

Ca

ses

Tota

l C

ase

s2

nd

Ye

ar

18 M

on

ths

21

Mo

nth

sL

eve

lC

ase

sL

eve

lC

ase

s

CO

MP

ETE

NC

IES

Act

ual o

r de

mon

stra

tion

on v

ideo

mod

els

Inte

rme

dia

te M

od

ule

in

Ob

ste

tric

s &

Gy

na

ec

olo

gy

2010

17

Ass

essm

ent

on a

dmis

sion

530

530

530

90M

edic

al in

duct

ion

of la

bour

55

55

55

15S

urgi

cal i

nduc

tion

of la

bour

55

55

55

15M

anag

emen

t of

nor

mal

labo

ur5

305

255

2580

Per

form

ing

and

repa

iring

epi

siot

omy

510

510

510

30R

epai

r of

vag

inal

& p

erin

eal t

ears

(ex

clud

ing

third

deg

ree

tear

s)5

25

25

26

Rep

air

of

third

deg

ree

tear

s3

-3

-4

-8

Rep

air

of c

ervi

cal t

ears

43

53

54

10Im

med

iate

man

agem

ent

of p

ost-

part

um h

aem

orrh

age

54

54

54

12O

utle

t fo

rcep

s de

liver

y4

25

45

410

Vac

uum

ext

ract

ion

53

53

53

9C

aesa

rean

sec

tion

415

515

515

45R

epai

r of

rup

ture

d ut

erus

3-

3-

45

5O

bste

tric

hys

tere

ctom

y3

-3

-4

33

Cor

rect

ion

of in

vert

ed u

teru

s (a

cute

)3

-3

-4

22

Bre

ech,

tw

in d

eliv

ery,

des

truc

tive

oper

atio

ns,

cran

ioto

my

etc.

43

43

42

8

Res

usci

tatio

n of

neo

nate

420

520

520

60C

ontr

acep

tion

coun

selin

g /

advi

ce5

505

505

5015

0In

sert

ion

of I

UC

D5

105

105

1030

Ob

ste

tric

s I

ntr

apart

um

(Labour

Room

)

Ob

ste

tric

s P

ostn

ata

l

Se

co

nd

Ye

ar

15 M

on

ths

Le

vel

Ca

ses

Tota

l C

ase

s2

nd

Ye

ar

18 M

on

ths

21

Mo

nth

sL

eve

lC

ase

sL

eve

lC

ase

s

CO

MP

ETE

NC

IES

Inte

rme

dia

te M

od

ule

in

Ob

ste

tric

s &

Gy

na

ec

olo

gy

2010

18

Elic

iting

Per

tinen

t hi

stor

y4

20-

--

-20

Per

form

ing

phys

ical

exa

min

atio

n4

20-

--

-20

Req

uest

ing

appr

opria

te in

vest

igat

ions

320

--

--

20

Inte

rpre

ting

the

resu

lts o

f in

vest

igat

ions

320

--

--

20

Dec

idin

g an

d im

plem

entin

g ap

prop

riate

tre

atm

ent

220

--

--

20

Man

agin

g im

med

iate

com

plic

atio

ns2

20-

--

-20

Mai

ntai

ning

fol

low

-up

420

--

--

20

Taki

ng P

ap s

mea

rs3

10-

--

-10

Arr

angi

ng a

sses

smen

t by

an

anes

thet

ist

315

--

--

15

Col

posc

opy

210

--

--

10

Hys

tero

-sal

ping

ogra

phy

(inje

ctio

n of

dye

)3

5-

--

-5

LLE

TZ

/ C

aute

rizat

ion

of c

ervi

x /c

ryos

urge

ry2

2-

--

-2

Gyn

aeco

log

y

OP

D &

Ward

(n

um

ber

of

cases d

istr

ibute

d in 1

2 m

onth

s)

Se

co

nd

Ye

ar

15 M

on

ths

Le

vel

Ca

ses

Tota

l C

ase

s2

nd

Ye

ar

18 M

on

ths

21

Mo

nth

sL

eve

lC

ase

sL

eve

lC

ase

s

CO

MP

ETE

NC

IES

19

Inte

rme

dia

te M

od

ule

in

Ob

ste

tric

s &

Gy

na

ec

olo

gy,

2010

Scr

ubbi

ng4

15-

--

-15

Ope

ning

and

Clo

sing

abd

omen

3,4

5-

--

-5

Eva

cuat

ion

of R

etai

ned

prod

ucts

of

conc

eptio

n3

5-

--

-5

Dila

tatio

n an

d C

uret

tage

35

--

--

5

Cer

vica

l Bio

psy

33

--

--

3

Pol

ypec

tom

y3

3-

--

-3

Mar

supi

lizat

ion

of B

arth

olin

’s C

yst

32

--

--

2

Min

ilapa

roto

my

(for

tub

al li

gatio

n)3

5-

--

-5

Dra

inag

e of

abs

cess

33

--

--

3

Pos

t-pa

rtum

tub

al li

gatio

n3

5-

--

-5

Dia

gnos

tic la

para

scop

y2

5-

--

-5

Hys

tero

scop

y2

5-

--

-5

Ova

rian

cyst

ecto

my

23

--

--

3

Lapa

roto

my

for

ecto

pic

preg

nanc

y2

5-

--

-5

Myo

mec

tom

y2

2-

--

-2

Abd

omin

al h

yste

rect

omy

25

--

--

5

Vag

inal

hys

tere

ctom

y2

3-

--

-3

Rep

air

of p

rola

pse

23

--

--

3

Gyn

aeco

log

y O

pera

tive S

kill

s (

B1 G

enera

l S

kill

s)

(num

ber

of

cases d

istr

ibute

d in 1

2 m

onth

s)

Gyn

aeco

log

y O

pera

tive S

kill

s (

B2 O

pera

tions)

(

num

ber

of

cases d

istr

ibute

d in 1

2 m

onth

s)

Se

co

nd

Ye

ar

15 M

on

ths

Le

vel

Ca

ses

Tota

l C

ase

s2

nd

Ye

ar

18 M

on

ths

21

Mo

nth

sL

eve

lC

ase

sL

eve

lC

ase

s

CO

MP

ETE

NC

IES

ROTATIONAL TRAINING

Inte

rme

dia

te M

od

ule

in

Ob

ste

tric

s &

Gy

na

ec

olo

gy

2010

20

Neo

nata

l Exa

min

atio

n1,

2,3,

410

eac

h

Neo

nata

l Res

usci

tatio

n1,

2,3,

410

eac

h

Em

erge

ncy

drug

dos

age

and

side

effe

cts

1,2,

3,4

5 ea

ch

I /

V

flu

ids

in f

irst

seve

n da

ys1,

2,3,

45

each

Man

agem

ent

of L

BW

1,2,

3,4

5 ea

ch

Rec

ogni

tion

of S

epsi

s &

em

erge

ncy

care

1,2,

3,4

5 ea

ch

IMC

I (I

nteg

rate

d m

anag

emen

t of

Chi

ldho

od il

lnes

s)1,

2,3,

45

each

Vac

cina

tion

1,2,

3,4

5 ea

ch

Rec

og

nit

ion

an

d e

mer

gen

cy m

anag

emen

t o

f d

ang

er s

ign

s lik

e:

i. Ja

undi

ce1,

2,3,

410

eac

h

ii. R

espi

rato

ry d

istr

ess

1,2,

3,4

10 e

ach

iii.

Con

vuls

ions

1,2,

3,4

10 e

ach

iv.

CC

T1,

2,3,

410

eac

h

v. A

naem

ia1,

2,3,

410

eac

h

vi.

Per

iphe

ral C

ircul

ator

y F

ailu

re1,

2,3,

410

eac

h

Le

vel

Ca

ses

RO

TATIO

NS

NE

ON

AT

OLO

GY

(Thre

e M

onth

Rota

tion)

Inte

rme

dia

te M

od

ule

in

Ob

ste

tric

s &

Gy

na

ec

olo

gy

2010

21

Med

ical

pro

ble

ms

rele

van

t to

OB

G /

GY

N li

ke…

.

Dia

bete

s M

ellit

us1,

2,3,

4,5

10 e

ach

Hyp

erte

nsio

n1,

2,3,

4,5

10 e

ach

Live

r D

isea

se1,

2,3,

4,5

10 e

ach

Ana

emia

1,2,

3,4

10 e

ach

Ren

al D

isea

ses

1,2,

3,4

10 e

ach

Thy

roid

Dis

ease

s1,

2,3,

410

eac

h

Epi

leps

y1,

2,3,

410

eac

h

Vira

l Dis

ease

s1,

2,3,

4,5

10 e

ach

Pre

vent

ive

Man

agem

ent

1,2,

3,4,

510

eac

h

His

tory

, exa

min

atio

n, A

pp

rop

riat

e in

vest

igat

ion

an

d t

reat

men

t o

f …

Par

acen

tesi

s1,

2,3

5 ea

ch

Asp

iratio

n1,

2,3

5 ea

ch

Live

r B

iops

y1

5 ea

ch

Cas

e P

rese

ntat

ion/

Jou

rnal

Clu

b5

3

Le

vel

Ca

ses

RO

TATIO

NS M

ED

ICIN

E

(Thre

e M

onth

Rota

tion)

Inte

rme

dia

te M

od

ule

in

Ob

ste

tric

s &

Gy

na

ec

olo

gy

2010

22

Bas

ics

of U

ltra

Sou

nd S

can

1,2,

3,4

10 e

ach

Dia

gnos

is o

f IU

TP

regn

ancy

1,2,

3,4

10 e

ach

Fet

al B

iom

etry

1,2,

310

eac

h

Pla

cent

al L

ocal

isat

ion

1,2,

310

eac

h

BP

P1,

2,3

10 e

ach

Dia

gnos

is o

f E

ctop

ic p

regn

ancy

1,2

10 e

ach

Iden

tific

atio

n of

nor

mal

ova

ry &

Ute

rus

1,2

10 e

ach

Ova

rian

Fol

licle

1,2,

310

eac

h

Ova

rian

Cys

t al

ongw

ith it

s ch

arac

teris

tics

1,2,

310

eac

h

Inte

rper

tatio

n of

X-R

ay C

hest

1,2,

3,4

15 e

ach

Inte

rper

tatio

n of

HS

G1,

2,3,

410

eac

h

Inte

rper

tatio

n of

CT

1,2

5 ea

ch

Inte

rper

tatio

n of

MR

I1,

25

each

Le

vel

Ca

ses

RO

TATIO

NS

DIA

GN

OS

TIC

IM

AG

ING

(T

hre

e M

onth

s R

ota

tion)

Inte

rme

dia

te M

od

ule

in

Ob

ste

tric

s &

Gy

na

ec

olo

gy

2010

23

USEFUL ADDRESSESAND TELEPHONENUMBERS

1. Regional Offices of the CPSP

MUZAFFARABADCMH MuzaffarabadAzad Kashmir TEL: 058810 - 43307FAX: 058810 - 43902Email: ssgr-brehman@cpsp.edu.pk

ABBOTTABAD

Ayub Hospital ComplexAbbottabadTEL: 0992-383330Email: rc_abbottabad@cpsp.edu.pk

PESHAWARHayatabad Medical ComplexPhase IV, Hayatabad,PeshawarUAN: 091-111-666-666TEL: 091-9217011, 091-9217320-1FAX: 091-9217062Email: rc_peshawar@cpsp.edu.pk

ISLAMABADP.I.M.S, Ravi Road, Sector G- 8/ 3Islamabad. UAN: 051-111-666-666TEL: 051-9262590-1, FAX: 051-9262592Email: rc_islamabad@cpsp.edu.pk

FAISALABADPunjab Medical CollegeFaisalabadUAN: 041-111-666-666TEL: 041-9210131, 9210366-8FAX: 041-9210224il:rc_faisalabad@cpsp.edu.pk

LAHORE

Next to INMOL, HospitalNew Muslim Town, Block-DLahore. UAN: 042-111-666-666TEL: 042- 9231320-8 FAX: 042- 9231327Email: rc_lahore@cpsp.edu.pk

MULTAN

Nishtar Medical College,Distt. Jail Road, Opp Circuit House, Multan. UAN: 061-111-666-666TEL: 061-9200946, 9200952Email: rc_multan@cpsp.edu.pk

BAHAWALPUR

Quaid-e-Azam Medical CollegeBahawalpurTEL: 062- 9250461Email: rc_bahawalpur@cpsp.edu.pk

NAWABSHAH

Peoples Medical College for GirlsNawabshahTEL: 0244-9370271, 9370479FAX: 0244-9370478Email: rc_nawabshah@cpsp.edu.pk

LARKANA

Chandka Medical CollegeLarkanaTEL: 074 – 9410726Email: rc_larkana@cpsp.edu.pk

Inte

rme

dia

te M

od

ule

in

Ob

ste

tric

s &

Gy

na

ec

olo

gy

2010

24

HYDERABAD

Liaquat University Hospital, Jamshoro

Hyderabad

TEL: 022-3877393

Email: rc_hyderabad@cpsp.edu.pk

KARACHI

2.

UAN – 021-111-606-606

● Examination (FCPS Part I)9207100 -10 Ext: 311

● Examination (FCPS Part II)9207100 -10 Ext: 215

● Department of Medical Education9207100 -10 Ext: 305

● Registration, Training & Monitoring Cell9207100 -10 Ext: 320

For further Information visit theCollege website at :www.cpsp.edu.pk

QUETTA

CPSP Bolan Medical College

Sandeman Civil Hospital

TEL: 081- 9202424Email: rc_quetta@cpsp.edu.pk

3. Saudi ArabiaRIYADH Saudi Commission for HealthSpecialities,Diplomatic Quarter, P.O. Box 94656Riyadh -11614, KSA.TEL: 966-1-4822415 Ext: 156/141

966-2-6401000 Ext: 25843Email: medexam5@scfhs.org

4. NepalKATHMANDUT.U. Institute of MedicineMaharajganj, Kathmandu, NepalTEL: 977-1- 416224Email: cpsp@iomdit.org.np

Departments of CPSP Karachi OVERSEAS CPSP CENTRES

ADDENDUM IMM PROSPECTUSOBSTETRICS AND GYNECOLOGY

The course during IMM covers following areas of Gynaecology &Obstetrics:

1. GYNAECOLOGY (Weightage 30%):■ Development of Female Genital organs-normal and

abnormal, especialy intersexes, obstruction of outflow tract

and urogenital maldevelopment

■ Amenorrhoea

■ Gynaecological Endocrinology, especialy Hirsutism and Virilism,

PCO

■ Endometriosis, Perineal and Pelvic infections, especialy

Bartholin gland problems, Vaginal discharge, STIs, PID

■ Menstrual disorders, especialy Menorrhagia, Dysmenorrhoea,

PMS, DUB

■ Disorders of early pregnancy, especialy Abortion, Ectopic

Pregnancy, GTD and their management

■ Menopause, Hormone Replacement Therapy

■ Pelvic Floor Disorders and UV Prolapse

■ Infertility

■ Contraception and Sterilization

■ Pre and Postoperative assessment, preparation and

management. Gynaecological procedures, e.g. cervical

smear, insertion of pesseries, Hysterosalpingography,

Ultrasonography. Minor Operative Gynaecological surgery

Topics where low level of knowledge (up to diagnosis) isrequired:

■ Radiotherapy

■ Oncology

■ Endoscopy

■ Urinary Fistulas

Inte

rme

dia

te M

od

ule

in

Ob

ste

tric

s &

Gy

na

ec

olo

gy

2010

A

This Addendum is to be read after Page 22 of the prospectus

2. OBSTETRICS (weightage 70%):1. Normal Pregnancy, Labour and Puerperium

- Antenatal Care- Intrapartum care, Maternal and fetal monitoring- Postpartum care- Analgesia / Anaesthesia during labour- Normal Puerperium - Breast feeding / complications- Prenatal diagnosis

2. Abnormal Pregnancy, Labour and Puerperium- Malpresentation - Malposition- In-coordinate uterine action- CPD- Obstructed labour- 3rd stage complications- Induction of labour- Pre Term Labour- Surgical complications (Appendicitis, Perforated peptic

ulcer, Pancreatitis cholethiasis / cholecystitis, renal colic).- Neonatal care / Resuscitation

3. Medical complications of Pregnancy- Cardio vascular diseases- Renal and urinary tract disorders- Diabetes in pregnancy - Endocrine disorders- Hepatic and G.I.T disorders- Haemotological disorders of pregnancy - Thromboembolic disorders- Psychiatric and neurological disorders- Dermatological disorders- Neoplastic diseases

Inte

rme

dia

te M

od

ule

in

Ob

ste

tric

s &

Gy

na

ec

olo

gy

2010

B

4. Operative / Instrumental Interventions

- Forceps delivery

- Vacuum delivery

- Breech extraction

- Shoulder dystocia

- Ceasarian section / Ceasarian Hysterectomy

- Episiotomy

- Perineal tears, cervical tear

- Rupture uterus, inversion of uterus

- Manual removal of placenta

- Cephalocentesis

5. Epidemiology

- Maternal mortality / morbidity

- Biostatistics

- Reproductive Health

- Domestic Violence

Inte

rme

dia

te M

od

ule

in

Ob

ste

tric

s &

Gy

na

ec

olo

gy

2010

C