department of gynecology & obstetrics, rmdc. · 2019-08-25 · 2.1.6--provide initial life...
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DEPARTMENT OF GYNECOLOGY & OBSTETRICS, RMDC.
(According to NATIONAL ACCREDITATION FRAME WORK FOR MEDICAL & DENTAL SCHOOLS IN PAKISTAN,,PMDC 2019)
Table of contents
Standard 1: Mission Statement
Standard 2: Outcomes
Standard 3: Institutional Autonomy and Academic Freedom
Standard 4: Curricular Organization
Standard 5: Educational Contents
Standard 6: Curricular Management Standard
Standard 7: Assessment
Standard 8: Student
Standard 9: Faculty
Standard 10: Program Evaluation and Continuous Renewal
Standard 11: Governance, Services and Resources
Standard 12: Research and Scholarship
Standard 1:
Mission
Statement
1. Mission Statement
To promote the health and well-being of the community through provision
of quality medical education and by producing doctors who are clinically
competent, research oriented and committed to provide patient care in
diverse situations globally in a humane and compassionate manner. The
mission statement is known to all stake holders in the college through:-
1.1 Prospectus
1.2 Website
1.3 Plaque placed in front Hall of RMDC
1.4 Academic Council Meetings
1.5 Direct interaction with students on the day of white coat ceremony.
Standard 2:
Outcomes
2. Outcomes
At the end of academic session, the final year MBBS student will be able to:
2.1.1-- demonstrate his/her ability to obtain a relevant clinical history from a woman
With gynecological or obstetric problem.
2.1.2-- perform adequate clinical examination of a gynecological or obstetric patient.
2.1.3--interpret clinical and laboratory data to arrive at differential diagnosis.
2.1.4--councel the woman (and her husband/family, if married) regarding the nature
Of the existing clinical problem with reasonable communication skills.
2.1.5--recognize the high risk cases for referral to senior obstetrician/gynecologist.
2.1.6--provide initial life saving measures in emergency obstetrics and gynecology
Before referring to tertiary care hospital.
2.1.7--initiate ethical practice in gynecology and obstetrics following the principals
Of safe and value based community health care services focused on wellness
Woman and child as a life-course perspective.
Standard 3:
Institutional
Autonomy and
Academic Freedom
Not applicable
Standard 4:
Curricular
Organization
4. Curricular Organization
Department of gynecology and obstetrics follows the MBBS
Curriculum as prescribed by UHS, which is the degree awarding institute.
The Medical Education Department works within the orbit of UHS Standards
To implement the designed curriculum and teaching strategies according to
Table Of Specifications (TOS, given by UHS/attached in “STUDY GUIDE
GYNE&OBS, FINAL YEAR MBBS”, RMDC).
4.1 Credit hours:
Total 300 hours : Gynecology & Obstetrics
3rd Year : 50 Hours
4th Year : 100 Hours
5th Year : 150 Hours
It is pertinent to mention that RMDC exceeds the number of minimum allocated
hours .70% hours are clinical teaching and 30% hours are theoretical teaching.
Total numbers of hours distribution is mentioned in STUDY GUIDE). 20% time is
assigned for self-directed learning. Following curriculum documents are attached
as Annexures in “STUDY GUIDE FINAL YEAR”.
4.1.1 College Time Tables as per Academic Calander 2018-19
4.1.2 Rotation Plans in respective yearly GYNE/OBS STUDY GUIDES.
4.1.3 Batch Distributions
4.1.4 Gynecology Department weekly Planner for All learning activities
4.1.5 Lecture schedule of gynecology
4.1.6 Clinics (evening rotations)
4.2 Teaching Methodologies
A horizontal and vertical integrated curriculum is being followed in RMDC
which is aligned with UHS vision, institutional mission to address the local
community and national needs with contextual relevance to meet the PM&DC
standards.
o Interactive Classroom Lectures
o Small Group Discussions (SGD)
o Bed side teaching during Ward rounds
o Long Case presentations in OPD
o O.T: Instruments /Steps of gynecological & Obstetrics procedures
o Labor Room: students assist with medical officers/PGs in deliveries
on patients.
o Pelvis & Dummy for mechanism of normal/abnormal labor
o e-Library is linked up with HEC Digital portal.
o Skill lab is functional for simulations e.g. vaginal deliveries ,
mechanism of labor
o For self-directed and Peer Assisted learning , assignments are given
and
o CPCs (Clinical Pathological Conferences) are held on regular basis.
SKILL LAB MODELS FOR GYNE AND OBS DEPARTMENT
17. Basics birth
simulator, digital
For practice of normal/abnormal labor and
deliveries
18. Fetal Development
Models
Fetus in different development stages are
shown
19. Baby with placenta
(soft)
New born baby with placenta attached
with umbilical cord. For cord ligation and
cutting practice
20. Gynecological
training simulator
(soft)
Different parts of female pelvis along with
delivering fetus
4.3 Feedback System
a. Discussion of test papers in class
b. Returning checked test papers with written comments
c. One to one feedback meetings with students
d. Parents Teacher meeting maintaining to discuss student(s)
performance to high light weak areas to involve them in their
improvement and taking their feedback about college and teaching
being imparted in the college. This is done by SMS/Letters.
4.4 Level of Faculty Involvement
The faculty members of each depts. are actively involved in the learning process.
Detail is as under:-
a. Lectures
i. 3rd year MBBS; Associate Professors, Assistant Professors and
Senior Registrar (accompanied by Professor).
ii. 4th year MBBS; Professor, Associate Professors & Assistant
Professors.
iii. Final year MBBS; Professors (mainly) and Associate Professors.
4.5 Question Bank
A Question bank for MCQs, SEQs and OSPE Stations are in gynecology
department.
4.6 Assessment Formats
A) MCQs
B) SEQs
C) OSPE
D) Long cases.
4.4.7 Maintenance of Record in Gynae Department:
Hard Copies/Soft copies
Attendance Record
Test Record
Intradepartmental Meetings and junior faculty development
Class wise result analysis
4.9 Strategies to tackle weak students
a. Meetings with students to identify their issues related to the teaching
b. Parents Teacher meeting to involve them in the student improvement
c. Repeat lectures pertaining to difficult topic during the session
d. Written assignments
e. In clinical rotation, OSPE Drills for weak students.
Standard 5:
Educational
Contents
RMDC follows the rules and regulations as prescribed by
University of Health Sciences – UHS.
UHS Syllabus: OBSTETRICS
The course outline is according to UHS Rules which is as follows:
1. Introduction.
2. Obstetric History Taking & Examination.
3. Conception, Implantation & Development of placenta, its abnormalities and
fetal circulation.
4. Fetal skull and bony pelvis.
5. Diagnosis of pregnancy.
6. Physiological changes associated with pregnancy.
7. Antenatal care.
8. Early pregnancy loss and its complications.
9. Physiology of labor.
10. Mechanism of labor.
11. Management of labor.
12. Complications of Third stage of labor.
13. Abnormal labor e.g. prolonged labor, obstructed labor.
14. Preterm labor.
15. Induction of labor.
16. Intrauterine Growth restriction and its management.
17. Post maturity.
18. Conduction of Normal delivery.
19. Operative delivery e.g. Forceps / Vacuum delivery.
20. Hypertensive disorders of pregnancy-PET, Eclampsia, Essential
hypertension.
21. Obstetric shock.
22. Caesarean section.
23. Antepartum Hemorrhage.
24. Hydramnios.
25. Hyperemesis Gravidarium.
26. Medical disorders associated with pregnancy e.g.
Pregnancy with Anemia.
Pregnancy with Heart disease.
Pregnancy with Diabetes.
Pregnancy with jaundice/hepatitis.
Renal problems during pregnancy.
27. Fetal distress and its management.
28. Fetal Monitoring.
29. Fetal presentations.
30. Breech presentation.
31. Occipito posterior position.
32. Brow presentation.
33. Face presentation.
34. Cord Prolapse / Compound presentation.
35. Transverse lie / Unstable lie.
36. Multiple Pregnancy.
37. Normal & Abnormal puerperium.
38. Examination of new born baby.
39. Resuscitation of new born baby.
40. Minor problems of the new-born.
41. Breast feeding & its significance.
42. Hematological disorders of pregnancy e.g. Rh incompatibility,
Thalassemia.
43. Role of Ultrasound in Obstetrics
44. Fetal congenital abnormalities.
45. Vital statistics.
Practical:
Log Book of 10 obstetric histories.
GYNAECOLOGY
The course outline is as follows:
1. Introduction.
2. Anatomy of female genital organs and their development.
3. Puberty and Adolescence.
4. Ovulation and its clinical importance.
5. Normal menstruation.
6. Menstrual Abnormalities.
7. Gynecological history taking and examination.
8. Minor gynecological operative procedures.
9. Amenorrhea.
10. Infertility.
11. Contraception.
12. Ectopic pregnancy.
13. Trophoblastic tumors.
14. Lesions of vulva.
15. Tumors of Vagina.
16. Tumors of Cervix.
17. Tumors of Ovaries.
18. Tumors of uterus.
19. Tumors of fallopian tubes.
20. Menopause/Hormone replacement therapy.
21. Genital prolapse.
22. Pelvic floor injuries.
23. Urogynecology.
24. Problems of marriage & sexual problems.
25. Vaginal discharge.
26. Infections of upper & lower female genital tract.
27. Pre-operative preparations.
28. Post-operative complications & management.
29. Role of ultrasound in gynecology.
PRACTICAL: Log Book of 10 histories of Gynae.
RECOMMENDED BOOKS FOR GYNECOLOGY &
OBSTERICS:
1. Obstetrics by Ten Teachers by Stuart Campbell and Christophe Lees, 17th
Ed 2000.
2. Gynecology by Ten Teachers by Stanley G. Clayton and Ash Monga
2006.
3. Essentials of Obstetrics & Gynecology Neville F. Hacker , J. George
Moore and Joseph C. Gambone. 4thEd. 2004.
4. Notes on Obstetrics & Gynecology. Stirrat, Draycott. 5thEd.2003.
5. Text book of Obstetrics & Gynecology by Rashid Lateef.
6. Obstetrics & Gynecology by Arshad Chohan.
7. Online Journals and Reading Materials by through HEC Digital Library
Facility.
Standard 6:
Curricular
MANAGEMENT
6. Curricular Management :
6.1RMDC has a curriculum committee which is shown in the college organogram.
6.1 The committee has its own TORs to plan , implement and evaluate.
6.3 Skill Lab: Functioning under supervision of Col®.Dr.Rizwan Ullah Asst.Prof
community medicine and Dr.Wajiha Asst.Prof Gynae, the hands-on work training is
conducted by the relevant clinical departments as per time table.
6.4/6.5 The STUDY GUIDES for 3rd year, 4th year and 5th year about subject of
gynecology and obstetrics specifying Curricular Organization, Academic
Management and Learning objectives/outcomes are available with the department &
on college website http://www.rmdc.edu.pk.
STANDARD 7:
ASSESSMENT
7. Assessment:
The Department of Gynecology and Obstetrics has comprehensive plan, both for
formative and summative assessment.
7.1/7.2/7.3 Types & Tools of Assessment
FORMATIVE
SUMMATIVE
ASSESSMENT
ASSESSMENT BY COLLEGE
ASSESSMENT BY UHS
Continuous assessment while any
learning activity
By UHS, in form of Final Professional
Exam in gynecology & obstetrics,
Paper 1: Obstetrics
Paper 2: Gynecology
Assignment in form of Log Books. -
Comprehensive revision Tests.
Ward Test at the end of Clinical
Rotation of individual batches by long
cases presentations on patients, OSPE
& Viva.
-
Class Test every 3rd Friday of month
¤ (5 tests in an academic year, covering
the curriculum taught in previous
weeks in lectures in College.
Send-up Exams
-
7.4 Assessment Policy
Department of Gynecology & Obstetrics,RMDC is following traditional
discipline based curriculum developed in light of Pakistan Medical & Dental Council
and University of Health Sciences guidelines essence of the assessment policies are
as under:-
1.5.1 Passing criterion is 50% marks.
1.5.2 Assessments will be carried out at end of each term and at the end of
academic year.
1.5.3 The frequency, timing and weightage of assessments will be feasible, valid
and reliable.
1.5.4 Assessment criteria will be clear and available to students in a time.
1.5.5 Appropriate feedback from students and teachers after each term (formative
as well as summative assessments) will be carried out.
1.5.6 Assessment schedule once approved will not be changed without approval
by the Assessment Committee and Academic Council.
PURPOSE OF ASSESSMENT
JUDGE KNOWLEDGE,
SKILLS, ATTITUDE
MEASURE IMPROVEMENTS
OVER TIME
GRADE STUDENTS
IDENTIFY STUDENT
DIFFICULTIES
EVALUATE TEACHING
METHIODS AND COURSE
EFFECTIVENESS
STUDENT MOTIVATION
7.6 Pre-,per- and post-exam QUALITY ASSURANCE
As RMDC is ISO Certified 9001-2015, we abide by its rules. Refer to Blue Folder
8 Examination
Internal assessments (Sendup) of gynecology & obstetrics are compulsory for
students appearing in final professional exams by UHS.
8.1 The weightage of internal assessment is 10%.
8.2 The marks of internal assessment are displayed on notice board of college as
well as in department of Gynae in Punjab Rangers Teaching Hospital affiliated with
RMDC.
8.3 Record of continuous internal assessment is maintained by one focal faculty
member of gynecology department as assigned by the Head of Department.
Standard 8:
STUDENT
8. Student:
As per College Policy.
STANDARD 9:
Faculty
FACULTY ORGANOGRAM OF GYNECOLOGY DEPARTMENT
Prof.Dr.Shehnaz Kauser
HOD
UNIT 1
Associate Professor Dr.Maj®Mamuna Qayyum
Medical Officers
Dr. Anum Farooq
Dr.Smeea Tur Rahman
9.2 For Job Descriptions, refer to Blue Folder.
Prof.Brig®Dr.Shamim Akhter
UNIT 2
Assistant Professors:
Dr. Munazza Tayyab Dr. Shabana Khokher
Dr. Wajiha Rizwan Dr. Saba Iliyas Malik
Senior Registrars:
Dr.Humaira Durrani Dr.Ambreen Nasir
9.3 As per College Policy
9.4 As per College Policy
9.5 As per College Policy
9.6 Faculty Development Program :
- Twice weekly interesting case discussions in morning time from 8.30-9.15 am
with HOD & Professor and departmental affairs which are maintained in
separate Register as hard copy for record in Gynae department.
- A workshop on “Maternal Resuscitation“ was organized by Department of
Gynae On 30.10.2019 in Punjab Rangers Teaching Hospital with 3.5 CME
Credit Hours.
- HOD promotes continuous medical learning in form of mini-workshop type
lectures which is arranged by assigned faculty member. Recently, a
departmental activity as “MCQ Workshop” was organized in Gynae by
Assistant Professor under supervision of Professor (Prof.Dr.Shehnaz Kauser).
- Perinatal Mortality & Morbidity meetings are organized by Department of
Gynae & Paeds in which previous 2 months record is discussed.
- Hospital Morbidity & Mortality meetings are organized by departments of
surgery, medicine ,Gynae and pediatrics for making SOPs for better patient
Care headed by Prof. of surgery Dr.Sadaqat Ali Khan. Minutes of meeting are
kept as record by respective department since Jan, 2019.Our case presentation
MoMs can be available as hard copy from department record.
COMMUNITY HEALTH SERVICES
Medical Camps are arranged by RMDC, in which Department of Gynae
participates every month: are held in peripheral areas of Lahore. It is
compulsory for Final Year students, RMDC to visit those places to know the
basic health care system and problems of the poor community.
STANDARD 10:
PROGRAM EVALUATION
AND
CONTINUOUS RENEWAL
10. Program Evaluation & Continuous Renewal
We have been recognized by PMDC for 100 students in November 2018.
Our first batch has graduated in current year 2019. We are too young as an
Institution and in preliminary stages. However, we remain in direct contact
With Medical Education Department, RMDC and Students as prescribed by
UHS/PMDC.
QUALITY ASSURANCE:
-The College has been declared as ISO 9001-2015 certified , to ensure quality
assurance by the said organization .RMDC also ensures quality assurance in
accordance with PMDC & HEC Standards.
Standard 11:
GOVERNANCE,
SERVICES &
RESOURCES
As per College Policy.
STANDARD 12:
RESEARCH &
SCHOLARSHIP
As per College Policy.
----------------------------
Workshop
Obstetrics & Gynaecology
Rahbar Medical & Dental College
MATERNAL RESUSCITATION
October 30th
2018
Organized by: 3.5 CME
Prof. Dr. Shahnaz Kousar hours
HOD OBGYN
Prof. Brig ® Shamim Akhter
FREE REGISTERATION
Coordinator:
Dr. Humaira Durrani Senior Registrar Ph: 03217040878
Venue: Punjab Rangers Teaching Hospital
( opposite Askari X)