STUDY GUIDE

4th YEAR MBBS,

RMDC.

2018-2019

DEPARTMENT OF GYNECOLOGY & OBSTETRICS

4TH Year MBBS

Obst./Gynae : Non-Examination Subject

1.Curriculum

Organization

a) Credit Hours

b) Time Tables & Batches

c) UHS Syllabus

Min. hours : 100 (Anx8)

Clinical : Theoretical

Teaching Teaching

70% 30%

70 hours 30 hours

Annexure # 1,2,3

Annexure # 4

2.Academic

Management

I. Academic Calendar

II. Planners with

Facilitator name &

topic.

III. Method of Teaching

IV. Assessments

No summative

assessment as non-

examination subject.

Annexure # 5

Annexure # 6,7

1.Interactive lectures

2.Small group

Discussions(SGD)/

Clinical Teaching

Bed side teaching

Teaching rounds

Case presentations

CPCs

Short case

discussions

In OPDs

Procedures

Workshops

Formative Assessment Only:

-History taking/long

cases

-OSPE

-During learning

activities , continuous

assessment

- Revision at monthly

intervals

3.Outcomes

At the end of academic

session, the student will be

to

- Have clear

knowledge about

diseases related to

gyne & obst.

- Take concise

history of gyne.&

obst cases

- Do proper

abdominal

examination of a

pregnant woman

- Identify common

instruments used in

gyne OPD.

- Infer differential

diagnosis on the

basis of history

and clinical

examination

- Advise relevant

laboratory

investigations

4.Program

Evaluation

For evaluation we remain in

direct contact with Medical

Education Department and

students.

As per UHS/PMDC

Rules

Annexure 1

Annexure 2

Annexure 3

UHS Syllabus : OBSTETRICS Annexure no.4

The course outline is as follows:

1. Introduction.

2. Obstetric History Taking & Examination.

3. Conception, Implantation & Development of placenta, its abnormalities and

fetal circulation.

4. Fetal skull and bony pelvis.

5. Diagnosis of pregnancy.

6. Physiological changes associated with pregnancy.

7. Antenatal care.

8. Early pregnancy loss and its complications.

9. Physiology of labor.

10. Mechanism of labor.

11. Management of labor.

12. Complications of Third stage of labor.

13. Abnormal labor e.g. prolonged labor, obstructed labor.

14. Preterm labor.

15. Induction of labor.

16. Intrauterine Growth restriction and its management.

17. Post maturity.

18. Conduction of Normal delivery.

19. Operative delivery e.g. Forceps / Vacuum delivery.

20. Hypertensive disorders of pregnancy-PET, Eclampsia, Essential

hypertension.

21. Obstetric shock.

22. Caesarean section.

23. Antepartum Hemorrhage.

24. Hydramnios.

25. Hyperemesis Gravidarium.

26. Medical disorders associated with pregnancy e.g.

Pregnancy with Anemia.

Pregnancy with Heart disease.

Pregnancy with Diabetes.

Pregnancy with jaundice/hepatitis.

Renal problems during pregnancy.

27. Fetal distress and its management.

28. Fetal Monitoring.

29. Fetal presentations.

30. Breech presentation.

31. Occipito posterior position.

32. Brow presentation.

33. Face presentation.

34. Cord Prolapse / Compound presentation.

35. Transverse lie / Unstable lie.

36. Multiple Pregnancy.

37. Normal & Abnormal puerperium.

38. Examination of new born baby.

39. Resuscitation of new born baby.

40. Minor problems of the new-born.

41. Breast feeding & its significance.

42. Hematological disorders of pregnancy e.g. Rh incompatibility,

Thalassemia.

43. Role of Ultrasound in Obstetrics

44. Fetal congenital abnormalities.

45. Vital statistics.

GYNAECOLOGY

The course outline is as follows:

1. Introduction.

2. Anatomy of female genital organs and their development.

3. Puberty and Adolescence.

4. Ovulation and its clinical importance.

5. Normal menstruation.

6. Menstrual Abnormalities.

7. Gynecological history taking and examination.

8. Minor gynecological operative procedures.

9. Amenorrhea.

10. Infertility.

11. Contraception.

12. Ectopic pregnancy.

13. Trophoblastic tumors.

14. Lesions of vulva.

15. Tumors of Vagina.

16. Tumors of Cervix.

17. Tumors of Ovaries.

18. Tumors of uterus.

19. Tumors of fallopian tubes.

20. Menopause/Hormone replacement therapy.

21. Genital prolapse.

22. Pelvic floor injuries.

23. Urogynecology.

24. Problems of marriage & sexual problems.

25. Vaginal discharge.

26. Infections of upper & lower female genital tract.

27. Pre-operative preparations.

28. Post-operative complications & management.

29.Role of ultrasound in gynecology.

Annexure 5

Annexure 6

4th Year MBBS Planner for Lecture Schedule

2018-19

S.No TOPICS NO. OF

LECTURES

FACILITATOR

1. The developmental anatomy of

female genital tract

2 Asst. Prof

2. The Gynecological History Taking

and Examination

2 Asst. Prof

3. Physiology of Normal Menstrual

Cycle

1 Senior Registrar

(With Asso.Prof.)

4. Implantation & Early Pregnancy

1 Asst. Prof

5. Revision 2 Asst.Prof

6. Infertility 1 Prof.

7. Contraception 2 Assoc.Prof

8. Menopause 1 Asst.Prof.

9. Urogynecology Introduction 1 Sr. Registrar

(with Prof.)

10. Benign conditions of Ovary 1 Professor

11. Revision 1 Assoc.Prof

12. Benign Conditions of Uterus 1 Asst.Prof

13. Benign Conditions of Vulva/Vagina

Cervix

2 Sr.Registrar

(with Asso.Prof)

14. Councelling in Gynae./Obstetrics 1 Professor

15. OSPE-How to perform 1 Professor

16. Normal Physiological Changes in

pregnancy

1 Assit.Prof.

17. Miscarriages 1 Asst.Prof.

18. Antepartum Hemorrhage 1 Sr.Registrar

(with Prof.)

19. Normal Labor 1 Asso.Prof.

20. Revision 1 Asst.Prof

21. Management of Normal Labor 1 Prof.

22. Abnormal Labor 1 Asst.Prof

23. Anemia in Pregnancy 1 Asso.Prof

24. Revision 1 Asst.Prof

25. Assessment of Fetal wellbeing/CTG 1 Sr.Registrar

(with Asso.Prof)

26. Diabetes in Pregnancy 2 Asst.Prof.

27. Induction/Augmentation of Labor 1 Prof.

28. Fetal Growth Restriction in

Pregnancy

1 Asso.Prof

29. Revision 1 Asst.Prof

30. Post-partum Hemorrhage 1 Sr.Registrar

(with Asso.Prof)

31. Polyhydramnios 1 Prof

32. Oligohydramnios 1 Sr.Registrar

(with Asso.Prof)

33. Revision 1 Prof.

Annexure 7

4Th Year MBBS Planner for Clinical Rotation in

Gynae. /Obstetrics

Time: 11.00am to 02.45pm

FIRST

WEEK

SECOND

WEEK

THIRD WEEK FOURTH

WEEK

Monday

History

Taking

(Sr.Reg.)

Tuesday

History

Taking

(Asst.Prof)

Wednesday

Examination

Obstetric

patient.

(Asst.Prof.)

Thursday

Examination

in Gynae.

patient

(SR)

Friday

CPC

Revision

Demonstration.

Case

Presentation

OT.

(instruments)

Case

presentation

CPC

OT

Case presentation

OT

Case presentation

CPC

OT

Case presentation

OT

Case Presentation

CPC

Annexure 8