Department of Obstetrics and Gynaecology Final Med 20122013

CP5400



DEPARTMENT OF OBSTETRICS AND
GYNAECOLOGY




2012 2013

Department of Obstetrics and Gynaecology Final Med 20122013

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MODULE DESCRIPTION

CP5400 Principles and Practices of Obstetrics and Gynaecology
(Pending Version)

Credit Weighting: 10
Teaching Period(s): Teaching Periods 1 and 2.
No. of Students: Max 175.
Pre-requisite(s): None
Co-requisite(s): None

Teaching Methods:
Placements (Clinical attachments to include tutorials, practical patient contact sessions (including on-call
activities), case-focused problem based tutorials, and self-directed learning.).

Module Co-ordinator:
Dr Mairead O'Riordan, Department of Obstetrics and Gynaecology.

Lecturer(s):
Staff, School of Medicine; Staff, Department of Obstetrics and Gynaecology.

Module Objective:
Further development of knowledge, skills and attitudes (including clinical skills, clinical acumen, and
professionalism) in Obstetrics and Gynaecology.

Module Content:
The module content will be mainly based on clinical obstetric and gynaecological experience during the
attachment. Students will be expected to clerk outpatients and inpatients and be available for on call-call
duties. In addition there will be formal obstetric and gynaecology tutorials.

Learning Outcome:
On successful completion of this module, students should be able to:
Present a complete history, competently taken and a comprehensive physical examination from
women who are pregnant or have gynaecological problems
Interact and engage with the patient, their families, and other healthcare professionals in order to
provide optimal and holistic patient care with a multi disciplinary approach
Identify, evaluate and apply evidence to their practice of obstetrics and gynaecology whilst
demonstrating an understanding of how such knowledge is created, shaped, appraised and shared
Interpret available clinical information to generate and prioritise an appropriate list of diagnostic
possibilities
Construct an appropriate management plan to deal with the patient's problems in a holistic manner
and negotiate this plan with the patient and other formal and informal carers
Consider current strategies for the promotion of primary and secondary disease prevention in
Obstetrics and Gynaecology
Perform a core set of procedural skills relevant to the practice of Obstetrics and Gynaecology, at a
preregistration level
Apply knowledge of expected codes of conduct, governance and medical ethics to the practice of
obstetrics and gynaecology at a pre-registration level.
Department of Obstetrics and Gynaecology Final Med 20122013

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Assessment:
Total Marks 200:
End of Year Written Examination 80 marks;
Continuous Assessment 40 marks (End of Attachment MCQ 15 marks; End of Attachment Short Answer
Questions 10 marks; Consultant Assessment 10 marks (based on attendance sheet); Presentation of Seminar
Topic 5 marks.);
Clinical Assessment 80 marks.
Oral, if required.

Compulsory Elements:
End of Year Written Examination; Continuous Assessment; Clinical Examination.

Penalties (for late submission of Course/Project Work etc.):
Where work is submitted up to and including 7 days late, 10% of the total marks available shall be deducted
from the mark achieved.
Where work is submitted up to and including 14 days late, 20% of the total marks available shall be
deducted from the mark achieved. Work submitted 15 days late or more shall not be accepted.

Pass Standard and any Special Requirements for Passing Module:
50% . Clinical Assessment and End of Year Written Examination must be passed independently.

End of Year Written Examination Profile:
1 x 3 hr(s) paper(s).

Requirements for Supplemental Examination:
1 x 3 hr(s) paper(s) to be taken in Winter. Students who do not pass in Summer must also undertake a new 3
week pre-approved attachment, repeat Continuous Assessment (MCQ, Short Answer Questions, Consultant
Assessment and Student Presentation), and Clinical Examination. Oral, if required.

ASSESSMENT DATES

Seminar Topic
Presentation
(8.30 a.m. - Last Thurs. of Rotation)
MCQ &
2 Short Questions
(10.00 a.m. -Last Friday of Rotation)

Venue

Healthcare 21 Classroom, CUMH

Healthcare 21 Classroom , CUMH
Group 1 27 September 2012 28 September 2012
Group 2 25 October 2012 26 October 2012
Group 3 22 November 2012 23 November 2012
Group 4 10 January 2013 11 January 2013
Group 5 7 February 2013 8 February 2013
Group 6 7 March 2013 8 March 2013
Group 7 11 April 2013 12 April 2013

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MODULE RESOURCES

Learning to be a good doctor means spending time with patients and health care professionals who work
with them. You learn from those professionals with experience, so optimize your exposure.

BLACKBOARD:
Much of the lecture material will be placed on blackboard and this will help with what you learn from
attending lectures. Blackboard is regularly updated and therefore there is an onus on each student to check
it regularly. As in previous years Blackboard is used to post schedules, changes in schedules, exam results
etc. Familiarise yourself with using it and check it regularly.

READING MATERIAL:
The following gives some guidance on the range of medical books available. It is recommended that these
be used to supplement your lecture and other learning material to expand your knowledge and integrate your
learning across the disciplines and modules of year 5.
Students have different learning styles and hence have differing requirements for textbooks. As this is the
second year in which Obstetrics and Gynaecology is taught students will for the most part have some books
already and it is unnecessary to buy new books if these suit. It is probably better to restrict use to one or two
core textbooks so as to allow you to stay focused and to complete the curriculum. The focus in fifth year is
to apply the knowledge that you have gained in the fourth medical year so it is recommended that the
information available in textbooks and lectures is supplemented with information garnered from medical
journals and online resources such as Best Practice guidelines available from the Professional bodies. This
is a suggested list from which you can choose a textbook if you have a textbook that doesnt appear on this
list thats fine as long as it a recent edition.

Textbooks:
Obstetrics and Gynaecology( 3
rd
Edition) Lawrence Impey and Tim Child

Obstetrics by Ten Teachers Philip N. Baker

Gynaecology by Ten Teachers Ash Monga

Obstetrics & Gynaecology (ACOG) Beckmann et al

Blueprints: Obstetrics and Gynaecology Tamara L Callahan and Aaron Caughey

Lecture Notes: Obstetrics and Gynaecology Diana Hamilton-Fairley


Essentials of Obstetrics and Gynaecology Hacker, Moore & Gambone

Obstetrics and Gynaecology- a problem based approach M J ames, T Draycott, R Fox and M Read

Crash course: Obstetrics and Gynaecology Parisaei, Shailendra, Panay and Ryan

Handbooks:

Essentials of Obstetrics & Gynaecology 2
nd
Edition OReilly et al

Oxford Handbook of Obstetrics & Gynaecology Impey et al
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Seminar Topics

Seminars for Final Medical Obstetrics and Gynaecology

Seminar topics will be allocated on first day of rotation.
5 minute seminar
Prepare powerpoint presentation
Maximum of 5 slides
Special attention should be paid to patholphysiology and rationale for management must be clearly
explained

Obstetrics

1. A 29 year old nulliparous type 1 diabetic attends your clinic for pre-conceptual counseling, what
advice would you give her?

2. Discuss the role of ultrasound in obstetrics

3. Discuss the aetiology, treatment and prevention of anaemia in pregnancy

4. A patient with a BMI of 40 books into your clinic at 13 weeks, discuss the management of her
pregnancy

5. Discuss the management of HIV in pregnancy

6. All babies should be delivered by caesarean section discuss

7. A patient attending in her second pregnancy wishes to discuss the risks and benefits of vaginal birth
after caesarean section (VBAC)

8. A patient presents to the delivery suite at 38+5 in spontaneous labour and is found to have a breech
presentation. How would you counsel her?

9. Outline the aetiology, management and prevention of primary post partum haemorrhage

10. Discuss the indications for, advantages and disadvantages of electronic fetal monitoring in labour.

11. A patient presents 7 days post normal delivery with a temperature of 39C, outline your differential
diagnosis, management and treatment.
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Gynaecology

12. A 27 year old presents with a history of no periods for 7 months. Discuss aetiology and management

13. Discuss the management of menorrhagia in a 40 year old woman

14. Discuss the diagnosis, management and long term sequelae of endometriosis

15. What are the medical and surgical treatment options available for the management of overactive
bladder?

16. Discuss the aetiology, investigations and management of a 58 year old patient presenting with a two
month history of post-menopausal bleeding.

17. Discuss the fertility preservation techniques available to a young patient who has recently been
diagnosed with carcinoma of the cervix

18. A patient with known PCOS has been unable to conceive after trying for one year, what therapeutic
options are available to her?

19. How would you obtain informed consent from a patient attending for a diagnostic laparoscopy?

20. Discuss the modern investigation and management of uterine fibroids in a woman who wishes to
preserve her fertility

21. Describe the principles of screening. Are these applicable to carcinoma of the uterine cervix?

22. Discuss disorders of the female external genitalia

23. Discuss the initial investigations you would carry out on a woman with sub-fertility and a regular
cycle.

24. Discuss the various contraception options for a 38 year old woman with Type 2 diabetes.




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STUDENT LOGBOOK FINAL MEDICINE 2012/13


OBSTETRICS & GYNAECOLOGY


INSTRUCTIONS

This logbook should be kept in your white coat pocket and used to record the cases you see and present to
your team throughout your attachment.

Patients are the real teachers in any hospital setting and the main onus is on you to meet, interview AND
EXAMINE as many patients as possible. You should endeavour to clerk at least one patient from each of
you teams elective operating list and as many acute admissions as possible. To this latter end, you
should arrange to shadow the SHO/Registrar on call when your team is on call. The Emergency Room is
another fertile ground for meeting and examining interesting patients.

This logbook will be a useful record of the range of cases clerked and a notebook of points to remember
from each case. You might like to record signs identified, strengths in your presentation and suggestions for
improvement.

You will be marked on your performance while attached to the Obstetrics & Gynaecology team. This
clinical attachment mark is worth 10 marks out of a total of 200. The Final Year Medicine Evaluation Form
for Obstetrics and Gynaecology will be sent directly from the Departmental Office to the relevant consultant
for completion on the last week of your attachment.

On the last Thursday of your Obstetrics & Gynaecology attachment (Seminar Topic Presentation
day) you are required to submit

(a) the signed logbook and
(b) the completed Partogram
(c) the completed learning tool for the Emergency attachment
(d) the completed attendance sheet

to Mary Morrison, in the Obstetrics & Gynaecology Departmental Office on the 5
th
Floor, CUMH.

It is important to be dressed appropriately for the wards and clinics and to have our student ID card visible
at all times.

Finally, it is compulsory, at all times, to be aware of and respect the dignity, confidentiality and sensitivities
of your patients. They provide you with a unique educational gift! We look forward to helping you
through you final year as medical students and to subsequently working with you as colleagues.