Vydehi Institute of Medical Sciences

OBG Curriculum

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The broad goal of the teaching of undergraduate students in Obstetrics and Gynaecology  is that  he/she should acquire understanding  of anatomy, physiology and pathophysiology of  the reproductive system and gain the ability  to optimally  manage common conditions affecting it.

At the end of the course, the student should be able to: 

1. Outline the anatomy, physiology and pathophysiology of the reproductive system and the common conditions affecting it. 
2. Detect normal pregnancy, labour puerperium and manage the problems he/she is likely to encounter therein. 
3. List the leading causes of maternal and perinatal morbidity and mortality. 
4. Understand the principles of  contraception and various techniques employed, methods of medical termination of pregnancy, sterilisation and their complications. 
5. Identify the use, abuse and side effects of drugs in pregnancy, pre-menopausal and post-menopausal periods. 
6. Describe the national programme of maternal and child health and family welfare and their implementation at various levels. 
7. Identify common  gynaecological diseases  and describe principles of their management. 
8. State  the  indications, techniques and complications  of surgeries like Caesarian section, laparotomy, abdominal and vaginal   hysterectomy, Fothergill's operation and vacuum aspiration for M.T.P. 

At the end of the course, the student should be able to: 

1. Examine a pregnant woman; recognize high risk pregnancies and make appropriate referrals. 
2. Conduct a normal delivery, recognize complications  and provide postnatal care.
3. Resuscitate the newborn and recognize congenital anomalies. 
4. Advise a couple on the use of  various available contraceptive devices and assist in insertion in and removal of intra-uterine contraceptive devices. 
5. Perform pelvic examination, diagnose and manage common gynaecological problems including early detection of genital malignancies. 
6. Make a vaginal cytological smear, perform a post coital test and wet vaginal smear examination for Trichomonas  vaginalis, moniliasis and gram stain for gonorrhoea. 
7. Interpretation of data of investigations like biochemical, histopathological, radiological, ultrasound etc. 

The student should be able to integrate clinical skills with other disciplines and bring about coordinations of family welfare programmes for the national goal of population control. 

General Guidelines for Training
1. Attendance of a maternity hospital or the maternity wards of a  general  hospital  including  (i)  antenatal  care  (ii)   the management  of  the puerperium and (iii) a minimum  period  of  5 months  in-patient  and  out-patient  training  including  family planning. 
2. Of this period of clinical instruction, not less than one month shall be spent as a resident pupil in a maternity ward of a general hospital. 
3.  During this period, the student shall conduct at least 10 cases of labour under adequate supervision and assist in 10 other cases. 
4.  A certificate showing the number of cases of labour attended by  the  student in the maternity hospital and/or  patient  homes respectively, should be signed by a responsible medical officer on the staff of the hospital and should state: 

(a) That  the student has been present during  the course of labour  and personally conducted each case, making the  necessary abdominal and other examinations under the supervision of  the certifying officer who should describe his official position. 

(b) That satisfactory written histories of the cases conducted 5ncluding wherever possible antenatal and postnatal observations, were  presented by the student and initialed by  the  supervising officer.