Clinical Schedule
for Undergraduate
1st
round : 4th year MBBS
8 weeks (144 hours)
In Patient department
2nd
round : 5th year MBBS
8 weeks (242 hours)
In Patient department + Family Planning + Out Patient department
3rd
round : 5th year MBBS
Block placement (In patient
department)
8 weeks ( 144)
MBBS ( 4th
YEAR)
Learning Objectives
To teach the behavioral attitude,
Knowledge & clinical Skill
Interpretation of laboratory data
Management of Obstetrical and
Gynecological emergency
Referral technique/Team work
Record keeping
Labour ward - 1
week
Eclampsia - 1 week
Obs. - 3 week
Gynae
- 3 week
MBBS ( 5th YEAR)
Total
student :
Lecture
Clinical
4 lectures / week 2nd
round
Duration: 01 hour 8
weeks (242 hours)
Total : 123
3
weeks |
3
weeks |
3
weeks (1+1+1) |
Obstetrics |
Gynecology |
Labour
ward/Family planning/GOPD |
72
hours (3W
x 6D x 4H)* |
72
hours (3W
x 6D x 4H)* |
98
hours 98
(3W x 6D x 7H)* |
*W =
Week, D = Day, H = Hour
1 week – OPD
1
week – FP
Obs.
Ward – 3 week
Gynae
ward – 3 week
Block
Placement
MBBS
( 5TH YEAR)
3rd round
Duration :
2 months (8 weeks)
Placement : At
the end 5th year of MBBS course
Student
placed in batches & batches will rotate.
Evaluation of
Students
Formative
After each
topic – Item is completed
Item card
is completed during ward placement
At the end
of ward placement – Students are evaluated by OSPE, viva & clinical exam
At the end of block
placement–evaluated by Assessment exam
Formative
Assessment
Formative
assessment will be done by result of in-course (card/Item/card completion) and
end-course final assessment examination & class attendance both lecture
& tutorial.
Card/Item/card completion : 6
marks (3 + 3).
> 85% = (3 + 3 marks), 70 to 84% = 2.5 marks.
60
to 69% = 2 marks.
Class
attendance : 02 marks
> 90% = 2 marks, 81 to 89% = 1.5, 75 to 80% =
1,
˂
75% no marks.
Final assessment : 2 marks
Summative : Professional
examination
SL |
Date |
Event |
Signature of teacher |
1 |
|
Conduction of normal
labour |
|
2 |
|
Episiotomy |
|
3 |
|
Catheterization |
|
4 |
|
Vacuum Extraction |
|
5 |
|
Twin delivery |
|
6 |
|
Breech delivery |
|
7 |
|
Forceps delivery |
|
8 |
|
E&C, MVA |
|
9 |
|
AMTSL |
|
10 |
|
Manual removal of
placenta |
|
11 |
|
PPIUD |
|
12 |
|
Management of Eclampsia a)
Inj.
Mag. Sulphate b)
Position
of the patient c)
Mouth
gag / airway tube |
|
13 |
|
Prostaglandin gel
introduction Misoprostol
administration |
|
14 |
|
Management of PPH a)
Bimanual
Compression b)
Aortic
Compression c)
Repair
of cervical tear d)
Uterine
temponade-Balloon Cagheterization |
|
15 |
|
Caesarean section Destructive operation
|
|
16 |
|
Peripaartum
Hysterectomy for ruptured uterus / PPH |
|
17 |
|
Neonatal
Resuscitation |
|
OPD, EVENTS TO BE OBSERVED
SL |
Date |
Event |
Signature of teacher |
Gynae
OPD |
|||
1 |
|
Per speculum
examination collection of HVS |
|
2 |
|
Cervical cancer
screening – VIA test, PAP’s smear |
|
3 |
|
D&C, Cervical
biopsy, electrocautery |
|
Family
planning |
|||
1 |
|
Insertion of IUCD |
|
2 |
|
Insertion of implant |
|
3 |
|
Tubectomy |
|
4 |
|
Counselling for
contraception |
|
Intern
training
Activities at a
Glance
Training
I. Intern doctor :
a) Assessment by log book.
b) Daily morning →
follow up/admission review/Roster duties.
c) Performing NVD assistance in operation
theater, OPD placement
d) Emergency patient management drill.
e) Department examination at the end ward
schedule.
f) Examination by examination committee at the
end of Intern ship.
Post graduate curriculum
Post
graduate training :
a) Monitoring by admission
review / Clinical activities & surgery
b) Supervised training by
observer procedure are
- Induction of labour
- Partograph
- Labour care guide
- CTG
- Clinical examination of
patients
- Management of shoulder
dystocia
- PPH management drill
- Eclampsia management
drill
- Surgeon & assistant
C/S, laparotomy, hysterectomy
- Neonatal resuscitation
- Work place based learning
(skill room)
c)
Supervised training from
wearing of gloves to operative procedure.
d)
Journal club presentation
death review & near miss presentation.
e)
Monthly clinical case
presentation by trainee.
f)
Monthly clinical
examination of log book signing.
Assessment
of Post Graduate Training according to BCPS curriculum
- Three
monthly mini CEX
- Six monthly CBD
- Reporting in BCPS