OBSTETRICS & GYNAECOLOGY
The main goal of curriculum is to enable the undergraduate students to acquire the knowledge, skills and attitudes in the discipline of Obstetrics & Gynaecology as essential for a general practitioner.
The student should be able to:
Practical & clinical training
- Students should be trained about proper history taking, clinical examination.
-Advicing relevant necessary investigations and their interpretation and management.
- Posting in OPD, wards, operation theaters, labor room and family planning clinics.
- Students should observe common OPD procedures like, E.A., D & C, MTP, Pap Smear,CuT insertion. Observe normal deliveries, forceps and ventouse assisted deliveries, caesrean section.
- Ligations, minilap procedures like abdominal, vaginal hysterectomy, fothergill repair.
I Basic Sciences
ovulation, fertilization, climacteric & menopause.
of the drugs across the placenta, effect of the drugs on the fetus, their excretion through breast milk.
IV Contraception, Neonatology and Recent Advances
(a) Contraception (Male & Female)
(b) Medical terminal of pregnancy – safe abortion – selection of cases, technique & management of complication of medical and surgical procedures, MTP law Medical abortion & Emergency
(c) National health programmes.
(d) Social obstetrics and vital statistics
(e) Care of new born, neonatal resuscitation, detection of neonatal malformation.
(f) Neonatal sepsis – prevention, detection & management.
(g) Neonatal hyper-bilirubinemia – investigation & management including NICU care.
(h) Managemenr of common neonatal problems
(i) Ethics and medical jurisprudence
TRAINING PROGRAMME : SCHEDULE
The undergraduate students in Obstetrics & Gynae must undergo the following rotation training during
their MBBS course.
4th semester : Three weeks
6th semester : Three weeks
8th semester : Three weeks
Internship : One month
During these periods they will be posted in Obstetrics & Gynaecology OPD’s Wards and OT’s, Labour Room, and Family Planning OPD and OT. They will be distributed in the 2Units of the department.
Evening tutorials during posting by senior residents.
During this posting the students are expected to acquire competence in history taking and examination of the obstetfics and gynaecology patient.
They will be allocated beds in the wards and completed to work up these cases for case discussions with faculty. They will also attend OPD and take history of OPD cases and examine them under the suspension of commitants / senior residents. They will be posted in Minor OT to observe OPD surgical procedures like D & C, MTP, Cu-T insertion & removal, endometrial aspirations. At the end of the posting, they have to submit the records of history taking and procedures observed.
6th & 8th semester
the students are expected to gain increasing competence in making a diagnosis and planning the management of the patient. They will follow their allotted units. In addition there will be joint case discussion with the faculty.
They will take history and examination of pelvic organs cases under the supervision of the competent/ senior resident. They will learn to draw up a list of investigations and counsel the patient and also follow them up.
They will assist in the performance of minor surgical procedures.
They will be allocated beds and will be responsible for working up and following their patients.
They will remain in the Labour Room in the evening and nights when their respective unit is on call.
They will assist a minimum of 10 normal deliveries and witness 5 operative deliveries during each
They will witness / assist major surgical procedures like abdominal and vaginal hysterectomy.
Students will learn medical and surgical methods of contraception and sterilization procedure. They will learn to perform IUCD insertion and removal and minilap tubal ligation and vasectomy. They will assist1st and 2nd trimester MTP procedure.
Practical skills to be imparted during ward posting
Medico-Legal Responsibilities of Interns
As mentioned in the beginning of this document, Resident and Interns are advised to carefully read and learn the medico-legal responsibilities as related to their day-to-day work in the hospital from the department of Obstetrics & Gynaecology Residents have to attend to a lot of “rape cases” in Casualty. They must be very sure of the formalities and steps involved
in making the correct death certificates, mortuary slips, medico-legal entries, requisition for autopsy etc. Similarly, they must be fully aware of the ethical angle of their responsibilities and should carefully learn how to take legally valid consent for the different hospital procedure / therapics etc.
All students and interns are expected to attend the CGR.
Clinical Grand Round (CGR)
This is a centralized teaching activity held at 4.00 p.m. on Tuesday in LT I where the research activity
carried out by a department is presented. The total duration is one hour.
Patient care in Wards
Patient Care in Labour Room
Labour emergency coverage is done by each unit concerned from 8 a.m. – 5 p.m. after which the emergency unit “on call” provides intensive care duty. Labour Room duty on Sunday is on rotation.
Each unit routinely has two days Main OT and emergency OT patient care 24x7day.
TEXT BOOKS RECOMMENDED
. Essentials of Obstetrics – Dr S Arulkumaran
ASSESSMENT AND EXAMINATION
End of Posting Assessment
At the end of each clinical posting in each of the Obst & Gynae units mentioned above, the students are
assessed by the faculty members. This comprises of one Obstetric case, one Gynae case and a viva
Obstetrics & Gynaecology 111
voce in obstetrics, gynaecology and family planning. In the 8th semester, a theory exam also taken at the
end of the ward learning.
Pre-professional and Final MBBS Examination :
It consist of a written examination, a clinical examination to assess the clinical competencies and skills,
and a viva voce examination. The final MBBS examination is conducted by two internal examiners and
one external examiners. Candidates must exhibit acceptable level of competence in all the areas of
knowledge, attitudes and skills being evaluated by the examiners and teaching faculty.
Written theory examination is conducted with the help of traditional essay type question papers and
short notes. There is questions paper of 3 hours.
Clinical examination is aimed at assessing the clinical skills of the candidate and diagnostic reasoning.
Entirely objective evaluation of these skills is neither feasible nor desirable. However, in order to test the
various skills, the examiners may evaluate the candidates on a structured format, namely, history taking,
physical examination, diagnostic reasoning, choice of diagnostic investigations, general management,
medical and surgical procedures and strategies, and general attitude and demeanor towards the patient
and the examiners. Patients material selected for examination one obstetrics and one gynae case is
usually sufficiently representative of the type of patients for whom an internist may by called upon to
give an opinion.