gynae training manual
DESCRIPTION
manualTRANSCRIPT
I
INTERMEDIATE MODULEIN
OBSTETRICS &GYNAECOLOGY
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REQUIREMENTS FOR TRAINING & EXAMINATION
2010
II
THE COLLEGE OF PHYSICIANS AND SURGEONS PAKISTANwould appreciate any criticism, suggestions,
advice from the readers and users of this document. Comments may be sent in writing or by
e-mail to the CPSP at:
National Directorate Residency Program (NDRP)College of Physicians and Surgeons Pakistan (CPSP)
7th Central Street, Defence Housing Authority, [email protected]
III
Contact Details:College of Physicians and Surgeons, Pakistan.7th Central Street, Phase II, D.H.A. Karachi - 75500.Phone: 99207100-10, UAN 111-606-606Facsimile: 99266450Website: www.cpsp.edu.pk
CONTENTS
INTRODUCTION
TRAINING AND EXAMINATION
ASSESSMENT
TRAINING FOR INTERMEDIATE MODULE
USEFUL ADDRESSES AND TELEPHONE NUMBERS
1
4
7
10
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The College was established in 1962 through an ordinance of the
Federal Government. The objectives and functions of the College
include: promotion of specialist practice by securing improvement of
teaching and training; arranging postgraduate medical, surgical and
other specialist training; holding and conducting examinations for
awarding College diplomas and admission to the Fellowships of the
College; and promotion of research.
Since its inception the College has actively pursued improvements in
postgraduate medical education in Pakistan. Currently, the College
offers Fellowships in fifty three disciplines compared to the initial few
in Medicine, Surgery, Paediatrics and Obstetrics and Gynecology in
1963. Structured training programs have been developed, criteria for
recognition of training institutes have been laid down, and format of
examinations has been improved with unbiased objective, reliable
and candidate friendly methods of assessment. Fellowship training
can be undertaken in over 130 accredited medical institutions
throughout the country and 106 accredited institutions abroad. Over
2000 supervisors are involved in the CPSP training programs.
The College has established 12 Regional Centers including five
Provincial Headquarter Centres in the country to coordinate the
training and examination, and facilitate the candidates of these areas.
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INTRODUCTION
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Constant efforts are made to improve the standards of examinations
and make them relevant, transparent, objective and fair to the
candidates. In its endeavor to decrease inter-rater variability, and
increase fairness and transparency, the College has introduced the
use of assessment forms for scoring of all the components of clinical
and oral examinations. Another step in this direction is the
introduction of Task Oriented Assessment of Clinical Skills (TOACS)
in the FCPS II Clinical Examinations in a number of disciplines from
September 2001.
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INTERMEDIATE MODULE
To ensure better training, the CPSP introduced an IntermediateModule Examination in several disciplines in 2001. This mid-trainingassessment strengthens the monitoring and in-training assessmentsystems by providing trainees with an estimate of mid-trainingcompetence. It also serves as a diagnostic tool for trainees andsupervisors, provides a curricular link between basic and advancedtraining, and an opportunity for sampling a wider domain ofknowledge and skills.
Vide Notification No. 6-1 / Exam-04 / CPS / 1438 S and R, theIntermediate Module (IMM) examination is mandatory eligibilityrequirement for all FCPS II examination as from September 2007 andonward. Candidates are required to complete two years training inObstetrics and Gynaecology, attend all mandatory workshops andtake the Intermediate Module examination.
In case of failure in the Intermediate Module examination, the traineesare permitted to continue their training in the chosen specialty butmust pass the Intermediate Module examination prior to appearing inthe final FCPS II examination.
GENERAL REGULATIONS
Candidate will be admitted to the examination in the name (surname
and other names) as given in the MBBS degree and PMDC
certificate. CPSP will not entertain any application for change of
name on the basis of marriage / divorce /deed.
REGISTRATION AND SUPERVISION
All training must be supervised, and trainees are required to register
with the Research and Training Monitoring Cell (RTMC) within 30
days of starting their training for Intermediate Module. In case of
delay in registration, the start of training will be considered from the
date of receipt of application by the RTMC. Registration forms are
available in RTMC and in the Regional Centers. They can also be
downloaded from the CPSP Website. Training is compulsorily
monitored by an approved supervisor who is a CPSP fellow or a
specialist with relevant postgraduate qualifications registered at the
RTMC.
APPROVED TRAINING CENTRES
Training must be undertaken in units, departments and institutions
approved by the College. A current list of approved institutions is
available from the College and its Regional Centres as well as on the
College website: www.cpsp.edu.pk
TRAINING ANDEXAMINATION
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BASIC MEDICAL TRAININGPROGRAM FOR INTERMEDIATEMODULE
DURATION The duration of training for the Intermediate Module (IMM) istwo years; the Intermediate Module examination is taken oncompletion of the basic training.
ROTATIONS Three months of rotation in any two of the following disciplines,one of which is mandatory before appearing in the IntermediateModule examination. Second rotation may be completed in nexttwo years:
- Medicine - Neonatology- Diagnostic imaging
COMPONENTS OF TRAINING
Mandatory Workshops
It is mandatory for all Intermediate Module trainees to attendthe following CPSP certified workshops in the two year oftraining:1. Introduction to Computer and Internet
2. Research Methodology and Dissertation Writing
3. Surgical Skills
4. Communication Skills
Any other workshop/s as may be introduced (e.g. ACLS and ATLS)by CPSP.
LogbookTrainees are required to maintain a logbook in which entries ofacademic/ professional work done during the period of trainingshould be made on a daily basis, and signed by the supervisor.Completed and duly certified logbook will form a part of theapplication for appearing in IMM examination.
E-logbookThe CPSP council has decided to introduce E-logbook system forall trainees in FCPS from January 2009. Upon registration withRTMC each trainee is allotted a registration number and apassword to log on to the e-logbook on the CPSP website. Thetrainee is required to enter all work performed and the academicactivities undertaken in the logbook on daily basis. The concernedsupervisor is required to verify the entries made by the trainee.This system ensures timely entries by the trainee and promptverification by the supervisor. It also helps in monitoring theprogress of trainees and vigilance of supervisors.
Research (Dissertation/Two Papers)One of the training requirements for fellowship trainees is adissertation or two research papers on a topic related to thefield of specialization. For trainees in Obstetrics & Gynaecologythe dissertation synopsis or abstracts of the research papersmust be submitted for approval to the Research and EvaluationUnit (REU) by the end of first year of the Intermediate Module.
General Requirements Training should incorporate the principle of gradually increasingresponsibility, and provide each trainee with a sufficient scope,volume and variety of experience in a range of settings that includeinpatients, outpatients, emergency and intensive care.
Instructional MethodologyTeaching occurs using several methods that range from formallectures to planned clinical experiences. Aspects covered willinclude knowledge, skills and attitudes relevant to the discipline inorder to achieve specific learning outcomes and competencies.
The theoretical part of the curriculum presents the current body ofknowledge necessary for practice. This can be imparted usinglectures, grand teaching rounds, clinico-pathological meetings,literature reviews and presentations, journal clubs, self directedlearning, conferences and seminars. Clinical learning is organizedto provide appropriate expertise and competence necessary toevaluate and manage common clinical problems. Demonstration inoutpatient and in patient clinics and procedural skill trainings onsimulators, mannequins and patients are all practical trainingmodalities.
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ASSESSMENT
ELIGIBILITY REQUIREMENTS
For appearing in Intermediate Module examination a candidate
should have:
● Passed FCPS-I in Obstetrics and Gynaecology or granted
exemption by CPSP.
● Registered with the Research and Training Monitoring Cell
(RTMC).
● Completed two years of training under an approved supervisor
in an institution recognized by the CPSP. A certificate of
completion of training must be submitted.
● Submitted attested logbook.
● Submitted certificates of attendance of mandatory workshops.
● Synopsis for dissertation/abstracts of two research papers must
be submitted.
It is important to note that all applicants must undertake IMM
examination before taking Fellowship examination of the relevant
specialty.
EXAMINATION SCHEDULE
● The Intermediate Module theory examination will be held twice
a year.
● Theory examinations are held in various cities of the country
usually at Abbottabad, Bahawalpur, Faisalabad, Hyderabad,
Islamabad, Karachi, Nawabshah, Larkana, Lahore, Multan,
Peshawar and Quetta centres. The College shall decide
where to hold TOACS examinations depending on the number
of candidates in a city and shall inform the candidates
accordingly.
● English is the medium of all examinations for theory, practical
and viva.
● The College will notify of any change in the centres, the dates
and format of the examination. ● A competent authority appointed by the College has the power
to debar any candidate from any examination if it is satisfiedthat such a candidate is not a fit person to take the Collegeexamination because of using unfair means in the examination,misconduct or other disciplinary reasons.
EXAMINATION FEE
● Fee deposited for a particular examination shall not becarried over to the next examination in case of withdrawal,absence or exclusion.
● Applications along with the prescribed examination fee andrequired documents must be submitted by the last datenotified for this purpose before each examination.
● The details of examination fee and fee for change of centre,subject, etc shall be notified before each examination.
FORMAT OF EXAMINATION
Intermediate Module examination consists of the following twocomponents:● Theory examination:
It consists of:
Paper I
Paper II
● Clinical examination:
TOACS (Task Oriented Assessment of Clinical Skills).
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} 100 One best type of MCQs in each paper. (70 Obs. 30 Gynae)
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TOACS
TOACS will comprise of 12 to 20 stations with a change time ofone minute for the candidate to move from one station to theother. The stations may have an examiner, a patient or both.Structured clinical tasks will be set at each station. At stationswhere no examiner is present the candidates will have tosubmit written responses to short answer questions/ MCQs ona response sheet.
There will be two types of stations: static and interactive. Onstatic stations the candidate will be presented with patientdata, a clinical problem or a research study and will be askedto give written responses about the questions asked. At theinteractive stations the candidate will have to demonstrate acompetency, for example, taking history, performing a clinicalexamination, counseling, assembling an instrument, etc. Oneexaminer will be present at each interactive station and willeither rate the performance of the candidate or ask questionstesting reasoning and problem-solving skills.
Pass/Fail Criteria
Candidates have to pass the theory to be eligible to take theTOACS examination.
TRAINING FOR INTERMEDIATEMODULE
GIO (GENERAL INSTRUCTIONAL OBJECTIVES):
By the end of 2nd year in Obstetrics and Gynaecology, a traineeshall be able to:
KNOWLEDGE:
1. Discuss etiology, pathogenesis, epidemiology and managementof disorders in Obstetrics and Gynaecology, as given in thesection on Specific Learning Outcomes (SLO).
2. Show initiative to become life long self-directed learnerstapping on resources including clinical material, faculty,Internet and on-line learning programs and library.
3. Discuss principles of basic sciences as applied to Obstetricsand Gynaecology like hemorrhage, blood transfusion, shock,sterilization of instruments, infection, antibiotics, inflammation,repair, and healing.
SKILLS:
1. Take a comprehensive and pertinent history of a patientpresenting with Obstetrical and Gynaecological complaints.
2. Perform detailed Physical examination in a rational sequencethat is both technically correct as well as methodical.
3. Elicit Physical signs without discomfort to the patient.4. Evaluate patient in the setting of Outpatients Department,
Hospital wards, Labour Room, Day care surgery, EmergencyDepartment and attending calls in other departments forproblems related to Obstetrics and Gynaecology.
5. Formulate a working diagnosis and consider relevantdifferential diagnosis.
6. Order a set of relevant investigations considering availability,diagnostic yield, cost-effectiveness, side effects, andimplications for management.In
term
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7. Decide and implement suitable effective treatment consideringsafety, cost factors, complications and side effects.
8. Practice proper procedures in operating theatres and laborwards including gowning, gloving, use of various sutures,surgical principles, and use and working of electro medicalequipment.
9. Assist at major surgeries and perform minor procedures undersupervision.
10. Maintain follow-up of patients at appropriate intervals,recognizing new developments and/or complications andoffering sensible management protocols.
ATTITUDES:
1. Counsel patients and relatives in patient's preferred languageexhibiting good communication skills, empathy andempowerment to patients.
2. Exhibit emotional maturity and stability, integrity, ethical valuesand professional approach, sense of responsibility in day-to-day professional activities.
3. Take proper informed consent for physical examination andensure confidentiality and appropriate environment for intimatephysical examination.
4. Call for help judiciously in emergency situations and referral asrequired.
5. Maintain detailed and accurate documentation regardingpatient management and procedures.
PROCEDURES:
The level of competence to be achieved each year is specifiedaccording to the key, as follows:1. Observer status.2. Assistant status.3. Performed under direct supervision.4. Performed under indirect supervision.5. Performed independently
Note: Levels 4 and 5 for practical purposes are almost synonymous
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Elic
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Inte
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Inte
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Elic
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Usi
ng u
ltras
ound
(ba
sic)
310
410
510
30
Fet
al m
onito
ring
(incl
udin
g C
TG
)5
305
305
3090
Am
nioc
ente
sis
Man
agem
ent
of m
edic
al d
isor
ders
in p
regn
ancy
415
515
515
45
Ob
ste
tric
s A
nte
nata
l (O
PD
& W
AR
D)
Se
co
nd
Ye
ar
15 M
on
ths
Le
vel
Ca
ses
Tota
l C
ase
s2
nd
Ye
ar
18 M
on
ths
21
Mo
nth
sL
eve
lC
ase
sL
eve
lC
ase
s
CO
MP
ETE
NC
IES
Act
ual o
r de
mon
stra
tion
on v
ideo
mod
els
Inte
rme
dia
te M
od
ule
in
Ob
ste
tric
s &
Gy
na
ec
olo
gy
2010
17
Ass
essm
ent
on a
dmis
sion
530
530
530
90M
edic
al in
duct
ion
of la
bour
55
55
55
15S
urgi
cal i
nduc
tion
of la
bour
55
55
55
15M
anag
emen
t of
nor
mal
labo
ur5
305
255
2580
Per
form
ing
and
repa
iring
epi
siot
omy
510
510
510
30R
epai
r of
vag
inal
& p
erin
eal t
ears
(ex
clud
ing
third
deg
ree
tear
s)5
25
25
26
Rep
air
of
third
deg
ree
tear
s3
-3
-4
-8
Rep
air
of c
ervi
cal t
ears
43
53
54
10Im
med
iate
man
agem
ent
of p
ost-
part
um h
aem
orrh
age
54
54
54
12O
utle
t fo
rcep
s de
liver
y4
25
45
410
Vac
uum
ext
ract
ion
53
53
53
9C
aesa
rean
sec
tion
415
515
515
45R
epai
r of
rup
ture
d ut
erus
3-
3-
45
5O
bste
tric
hys
tere
ctom
y3
-3
-4
33
Cor
rect
ion
of in
vert
ed u
teru
s (a
cute
)3
-3
-4
22
Bre
ech,
tw
in d
eliv
ery,
des
truc
tive
oper
atio
ns,
cran
ioto
my
etc.
43
43
42
8
Res
usci
tatio
n of
neo
nate
420
520
520
60C
ontr
acep
tion
coun
selin
g /
advi
ce5
505
505
5015
0In
sert
ion
of I
UC
D5
105
105
1030
Ob
ste
tric
s I
ntr
apart
um
(Labour
Room
)
Ob
ste
tric
s P
ostn
ata
l
Se
co
nd
Ye
ar
15 M
on
ths
Le
vel
Ca
ses
Tota
l C
ase
s2
nd
Ye
ar
18 M
on
ths
21
Mo
nth
sL
eve
lC
ase
sL
eve
lC
ase
s
CO
MP
ETE
NC
IES
Inte
rme
dia
te M
od
ule
in
Ob
ste
tric
s &
Gy
na
ec
olo
gy
2010
18
Elic
iting
Per
tinen
t hi
stor
y4
20-
--
-20
Per
form
ing
phys
ical
exa
min
atio
n4
20-
--
-20
Req
uest
ing
appr
opria
te in
vest
igat
ions
320
--
--
20
Inte
rpre
ting
the
resu
lts o
f in
vest
igat
ions
320
--
--
20
Dec
idin
g an
d im
plem
entin
g ap
prop
riate
tre
atm
ent
220
--
--
20
Man
agin
g im
med
iate
com
plic
atio
ns2
20-
--
-20
Mai
ntai
ning
fol
low
-up
420
--
--
20
Taki
ng P
ap s
mea
rs3
10-
--
-10
Arr
angi
ng a
sses
smen
t by
an
anes
thet
ist
315
--
--
15
Col
posc
opy
210
--
--
10
Hys
tero
-sal
ping
ogra
phy
(inje
ctio
n of
dye
)3
5-
--
-5
LLE
TZ
/ C
aute
rizat
ion
of c
ervi
x /c
ryos
urge
ry2
2-
--
-2
Gyn
aeco
log
y
OP
D &
Ward
(n
um
ber
of
cases d
istr
ibute
d in 1
2 m
onth
s)
Se
co
nd
Ye
ar
15 M
on
ths
Le
vel
Ca
ses
Tota
l C
ase
s2
nd
Ye
ar
18 M
on
ths
21
Mo
nth
sL
eve
lC
ase
sL
eve
lC
ase
s
CO
MP
ETE
NC
IES
19
Inte
rme
dia
te M
od
ule
in
Ob
ste
tric
s &
Gy
na
ec
olo
gy,
2010
Scr
ubbi
ng4
15-
--
-15
Ope
ning
and
Clo
sing
abd
omen
3,4
5-
--
-5
Eva
cuat
ion
of R
etai
ned
prod
ucts
of
conc
eptio
n3
5-
--
-5
Dila
tatio
n an
d C
uret
tage
35
--
--
5
Cer
vica
l Bio
psy
33
--
--
3
Pol
ypec
tom
y3
3-
--
-3
Mar
supi
lizat
ion
of B
arth
olin
’s C
yst
32
--
--
2
Min
ilapa
roto
my
(for
tub
al li
gatio
n)3
5-
--
-5
Dra
inag
e of
abs
cess
33
--
--
3
Pos
t-pa
rtum
tub
al li
gatio
n3
5-
--
-5
Dia
gnos
tic la
para
scop
y2
5-
--
-5
Hys
tero
scop
y2
5-
--
-5
Ova
rian
cyst
ecto
my
23
--
--
3
Lapa
roto
my
for
ecto
pic
preg
nanc
y2
5-
--
-5
Myo
mec
tom
y2
2-
--
-2
Abd
omin
al h
yste
rect
omy
25
--
--
5
Vag
inal
hys
tere
ctom
y2
3-
--
-3
Rep
air
of p
rola
pse
23
--
--
3
Gyn
aeco
log
y O
pera
tive S
kill
s (
B1 G
enera
l S
kill
s)
(num
ber
of
cases d
istr
ibute
d in 1
2 m
onth
s)
Gyn
aeco
log
y O
pera
tive S
kill
s (
B2 O
pera
tions)
(
num
ber
of
cases d
istr
ibute
d in 1
2 m
onth
s)
Se
co
nd
Ye
ar
15 M
on
ths
Le
vel
Ca
ses
Tota
l C
ase
s2
nd
Ye
ar
18 M
on
ths
21
Mo
nth
sL
eve
lC
ase
sL
eve
lC
ase
s
CO
MP
ETE
NC
IES
ROTATIONAL TRAINING
Inte
rme
dia
te M
od
ule
in
Ob
ste
tric
s &
Gy
na
ec
olo
gy
2010
20
Neo
nata
l Exa
min
atio
n1,
2,3,
410
eac
h
Neo
nata
l Res
usci
tatio
n1,
2,3,
410
eac
h
Em
erge
ncy
drug
dos
age
and
side
effe
cts
1,2,
3,4
5 ea
ch
I /
V
flu
ids
in f
irst
seve
n da
ys1,
2,3,
45
each
Man
agem
ent
of L
BW
1,2,
3,4
5 ea
ch
Rec
ogni
tion
of S
epsi
s &
em
erge
ncy
care
1,2,
3,4
5 ea
ch
IMC
I (I
nteg
rate
d m
anag
emen
t of
Chi
ldho
od il
lnes
s)1,
2,3,
45
each
Vac
cina
tion
1,2,
3,4
5 ea
ch
Rec
og
nit
ion
an
d e
mer
gen
cy m
anag
emen
t o
f d
ang
er s
ign
s lik
e:
i. Ja
undi
ce1,
2,3,
410
eac
h
ii. R
espi
rato
ry d
istr
ess
1,2,
3,4
10 e
ach
iii.
Con
vuls
ions
1,2,
3,4
10 e
ach
iv.
CC
T1,
2,3,
410
eac
h
v. A
naem
ia1,
2,3,
410
eac
h
vi.
Per
iphe
ral C
ircul
ator
y F
ailu
re1,
2,3,
410
eac
h
Le
vel
Ca
ses
RO
TATIO
NS
NE
ON
AT
OLO
GY
(Thre
e M
onth
Rota
tion)
Inte
rme
dia
te M
od
ule
in
Ob
ste
tric
s &
Gy
na
ec
olo
gy
2010
21
Med
ical
pro
ble
ms
rele
van
t to
OB
G /
GY
N li
ke…
.
Dia
bete
s M
ellit
us1,
2,3,
4,5
10 e
ach
Hyp
erte
nsio
n1,
2,3,
4,5
10 e
ach
Live
r D
isea
se1,
2,3,
4,5
10 e
ach
Ana
emia
1,2,
3,4
10 e
ach
Ren
al D
isea
ses
1,2,
3,4
10 e
ach
Thy
roid
Dis
ease
s1,
2,3,
410
eac
h
Epi
leps
y1,
2,3,
410
eac
h
Vira
l Dis
ease
s1,
2,3,
4,5
10 e
ach
Pre
vent
ive
Man
agem
ent
1,2,
3,4,
510
eac
h
His
tory
, exa
min
atio
n, A
pp
rop
riat
e in
vest
igat
ion
an
d t
reat
men
t o
f …
Par
acen
tesi
s1,
2,3
5 ea
ch
Asp
iratio
n1,
2,3
5 ea
ch
Live
r B
iops
y1
5 ea
ch
Cas
e P
rese
ntat
ion/
Jou
rnal
Clu
b5
3
Le
vel
Ca
ses
RO
TATIO
NS M
ED
ICIN
E
(Thre
e M
onth
Rota
tion)
Inte
rme
dia
te M
od
ule
in
Ob
ste
tric
s &
Gy
na
ec
olo
gy
2010
22
Bas
ics
of U
ltra
Sou
nd S
can
1,2,
3,4
10 e
ach
Dia
gnos
is o
f IU
TP
regn
ancy
1,2,
3,4
10 e
ach
Fet
al B
iom
etry
1,2,
310
eac
h
Pla
cent
al L
ocal
isat
ion
1,2,
310
eac
h
BP
P1,
2,3
10 e
ach
Dia
gnos
is o
f E
ctop
ic p
regn
ancy
1,2
10 e
ach
Iden
tific
atio
n of
nor
mal
ova
ry &
Ute
rus
1,2
10 e
ach
Ova
rian
Fol
licle
1,2,
310
eac
h
Ova
rian
Cys
t al
ongw
ith it
s ch
arac
teris
tics
1,2,
310
eac
h
Inte
rper
tatio
n of
X-R
ay C
hest
1,2,
3,4
15 e
ach
Inte
rper
tatio
n of
HS
G1,
2,3,
410
eac
h
Inte
rper
tatio
n of
CT
1,2
5 ea
ch
Inte
rper
tatio
n of
MR
I1,
25
each
Le
vel
Ca
ses
RO
TATIO
NS
DIA
GN
OS
TIC
IM
AG
ING
(T
hre
e M
onth
s R
ota
tion)
Inte
rme
dia
te M
od
ule
in
Ob
ste
tric
s &
Gy
na
ec
olo
gy
2010
23
USEFUL ADDRESSESAND TELEPHONENUMBERS
1. Regional Offices of the CPSP
MUZAFFARABADCMH MuzaffarabadAzad Kashmir TEL: 058810 - 43307FAX: 058810 - 43902Email: [email protected]
ABBOTTABAD
Ayub Hospital ComplexAbbottabadTEL: 0992-383330Email: [email protected]
PESHAWARHayatabad Medical ComplexPhase IV, Hayatabad,PeshawarUAN: 091-111-666-666TEL: 091-9217011, 091-9217320-1FAX: 091-9217062Email: [email protected]
ISLAMABADP.I.M.S, Ravi Road, Sector G- 8/ 3Islamabad. UAN: 051-111-666-666TEL: 051-9262590-1, FAX: 051-9262592Email: [email protected]
FAISALABADPunjab Medical CollegeFaisalabadUAN: 041-111-666-666TEL: 041-9210131, 9210366-8FAX: 041-9210224il:[email protected]
LAHORE
Next to INMOL, HospitalNew Muslim Town, Block-DLahore. UAN: 042-111-666-666TEL: 042- 9231320-8 FAX: 042- 9231327Email: [email protected]
MULTAN
Nishtar Medical College,Distt. Jail Road, Opp Circuit House, Multan. UAN: 061-111-666-666TEL: 061-9200946, 9200952Email: [email protected]
BAHAWALPUR
Quaid-e-Azam Medical CollegeBahawalpurTEL: 062- 9250461Email: [email protected]
NAWABSHAH
Peoples Medical College for GirlsNawabshahTEL: 0244-9370271, 9370479FAX: 0244-9370478Email: [email protected]
LARKANA
Chandka Medical CollegeLarkanaTEL: 074 – 9410726Email: [email protected]
Inte
rme
dia
te M
od
ule
in
Ob
ste
tric
s &
Gy
na
ec
olo
gy
2010
24
HYDERABAD
Liaquat University Hospital, Jamshoro
Hyderabad
TEL: 022-3877393
Email: [email protected]
KARACHI
2.
UAN – 021-111-606-606
● Examination (FCPS Part I)9207100 -10 Ext: 311
● Examination (FCPS Part II)9207100 -10 Ext: 215
● Department of Medical Education9207100 -10 Ext: 305
● Registration, Training & Monitoring Cell9207100 -10 Ext: 320
For further Information visit theCollege website at :www.cpsp.edu.pk
QUETTA
CPSP Bolan Medical College
Sandeman Civil Hospital
TEL: 081- 9202424Email: [email protected]
3. Saudi ArabiaRIYADH Saudi Commission for HealthSpecialities,Diplomatic Quarter, P.O. Box 94656Riyadh -11614, KSA.TEL: 966-1-4822415 Ext: 156/141
966-2-6401000 Ext: 25843Email: [email protected]
4. NepalKATHMANDUT.U. Institute of MedicineMaharajganj, Kathmandu, NepalTEL: 977-1- 416224Email: [email protected]
Departments of CPSP Karachi OVERSEAS CPSP CENTRES
ADDENDUM IMM PROSPECTUSOBSTETRICS AND GYNECOLOGY
The course during IMM covers following areas of Gynaecology &Obstetrics:
1. GYNAECOLOGY (Weightage 30%):■ Development of Female Genital organs-normal and
abnormal, especialy intersexes, obstruction of outflow tract
and urogenital maldevelopment
■ Amenorrhoea
■ Gynaecological Endocrinology, especialy Hirsutism and Virilism,
PCO
■ Endometriosis, Perineal and Pelvic infections, especialy
Bartholin gland problems, Vaginal discharge, STIs, PID
■ Menstrual disorders, especialy Menorrhagia, Dysmenorrhoea,
PMS, DUB
■ Disorders of early pregnancy, especialy Abortion, Ectopic
Pregnancy, GTD and their management
■ Menopause, Hormone Replacement Therapy
■ Pelvic Floor Disorders and UV Prolapse
■ Infertility
■ Contraception and Sterilization
■ Pre and Postoperative assessment, preparation and
management. Gynaecological procedures, e.g. cervical
smear, insertion of pesseries, Hysterosalpingography,
Ultrasonography. Minor Operative Gynaecological surgery
Topics where low level of knowledge (up to diagnosis) isrequired:
■ Radiotherapy
■ Oncology
■ Endoscopy
■ Urinary Fistulas
Inte
rme
dia
te M
od
ule
in
Ob
ste
tric
s &
Gy
na
ec
olo
gy
2010
A
This Addendum is to be read after Page 22 of the prospectus
2. OBSTETRICS (weightage 70%):1. Normal Pregnancy, Labour and Puerperium
- Antenatal Care- Intrapartum care, Maternal and fetal monitoring- Postpartum care- Analgesia / Anaesthesia during labour- Normal Puerperium - Breast feeding / complications- Prenatal diagnosis
2. Abnormal Pregnancy, Labour and Puerperium- Malpresentation - Malposition- In-coordinate uterine action- CPD- Obstructed labour- 3rd stage complications- Induction of labour- Pre Term Labour- Surgical complications (Appendicitis, Perforated peptic
ulcer, Pancreatitis cholethiasis / cholecystitis, renal colic).- Neonatal care / Resuscitation
3. Medical complications of Pregnancy- Cardio vascular diseases- Renal and urinary tract disorders- Diabetes in pregnancy - Endocrine disorders- Hepatic and G.I.T disorders- Haemotological disorders of pregnancy - Thromboembolic disorders- Psychiatric and neurological disorders- Dermatological disorders- Neoplastic diseases
Inte
rme
dia
te M
od
ule
in
Ob
ste
tric
s &
Gy
na
ec
olo
gy
2010
B
4. Operative / Instrumental Interventions
- Forceps delivery
- Vacuum delivery
- Breech extraction
- Shoulder dystocia
- Ceasarian section / Ceasarian Hysterectomy
- Episiotomy
- Perineal tears, cervical tear
- Rupture uterus, inversion of uterus
- Manual removal of placenta
- Cephalocentesis
5. Epidemiology
- Maternal mortality / morbidity
- Biostatistics
- Reproductive Health
- Domestic Violence
Inte
rme
dia
te M
od
ule
in
Ob
ste
tric
s &
Gy
na
ec
olo
gy
2010
C