Faculty of Medicine - Information on Clinical Rotations

Faculty of Medicine

Obstetrics and Gynaecology - MD 5

The clinical/practica- course in Obstetrics and Gynaecology is covered in a 16 week rotation, during semester 9 and 10. Each group of students separately, sit for final qualifying examination at the end of the relevant rotation. There is a long interval between the end of theoretical course in Obstetrics and Gynaecology, undertaken in semester 5 and 6, and the beginning of the Clinical/practical course of the specialty. Since thorough and current theoretical knowledge is indispensable for the effective Clinical/practical learning and training in the specialty, students will be urged to undertake thorough and systematic revision of what was taught and learnt during semesters 5 and 6, from day one of the clinical/practical rotation.

To emphasize the critical importance of the above undertaking, there would be a comprehensive revision test during week three of the rotation. Also there will be a mid rotation test. End of Rotation Examination (Clinical Practical), as well as Final Qualifying Examination (Clinical Practical).

The single clinical/practical rotation will comprise:
- Several Lectures on important topics not covered during semester 5 and 6.

- One week orientation to the Cancer Institute.

- Students-led Seminar presentations on important topics that can best be covered in seminar format. All students in the group will be expected to prepare for, and to attend every seminar presentation and actively participate in the proceedings of the seminar. This accounts for 20% of the continuous assessment.

- The two Tests accounts for 30% of the continuous assessment.

- Clinical/practical exposure in various aspects of the specialty being the most important component of the rotation. This aspect is elaborated further in the Coursework-Procedure Assessment book

- Coursework-Procedure Assessment book which only prescribes minimum requirements. Students are urged to take every opportunity to observe, learn, and assist in various procedures and to personally perform, under supervision, permitted procedures, over and above the prescribed minimum requirements.

- Cases presented should be noted, evaluated and signed by the Lecturer soon after each case presentation.

- This Coursework Procedure Assessment booklet, constitutes the basis for assessment of the student, and accounts for 50% of Continuous assessment, for the 5th year rotation in Obstetrics and Gynaecology. The booklet should be handed to the Department one week before the end of rotation examination. No student will be allowed to sit for the end of rotation examination before submitting his/her booklet.

Student Advisors:
Each student will be assigned to one of the lecturers as his /her academic advisor.

Overall Format for 5th Year Case Record Booklet

Students must strictly follow instructions as outlined below.
Remember, the number of cases given is the minimum requirement. You need to do more practice, for a better performance. All cases should have a full history, physical findings, investigations and treatment, and indication for operation with description of the procedure, in operative procedures.

Gynaecology Cases
ia) Gynaecology OPD clinic: any 5 cases, (ib) Cold Cases (Admitted), 3 cases: any of the following: Uterine Fibroids, Carcinoma of Cervix, Menstrual disorders, Infertility Ovarian mass.

ii) Emergency cases: any three of the following: Ectopic pregnancy,
Incomplete Abortion, Septic Abortion, Perforated uterus, Acute PID,
Pelvicabscess, Unsafe Abortion.

iii) Operative procedures:
a) Two Major: any of the following: Abdominal Hysterectomy, Myomectomy, Ovarian mass laparatomy, Tubal Surgery, Vaginal Operations.

b) Two Minor: any of the following: Laparoscopy, EUA, D&C, BTL (Minilap), Cervical cerclage, MVA.

8.0 Obstetric Cases
ia) Antenatal Clinic: any ten (10) cases, (ib) Antenatal admitted 5 cases: any of the following: Hyperemesis gravidarum, Severe Anaemia in Pregnancy, Pregnancy Induced Hypertension (Severe Preeclampsia-Eclampsia, Severe Malaria in Pregnancy, Multiple Pregnancy, Bad Obstetric History (BOH)
One Previous Caesarean Section, HIV in pregnancy.

iia) Normal deliveries: personally conducted with certified Partographs 10 cases.

iib) Episiotomies/small tears: repaired under supervision: 10 cases.

iii) Abnormal Partographs: 2 cases.

iv) Intrapartum Complications: 2 cases, any of the following:Fetal Distress
Cord Prolapse, Retained second twin, Intrapartum Haemorrhage, Eclampsia.

v) Postpartum Complications: 2 cases, any of the following: Primary PPH (Uterine atony, Retained placenta), Uterine Inversion, Puerperal Complications like Anaemia, Sepsis, Psychosis, Convulsions.

vi) Operative procedures: assisted 5 cases, any of the following: Caesarean section (mandatory two (2) cases), Tuboligation, Vacuum delivery, Cervical Cerclage.
  • PrintFriendly
  • Google+