i e edia e d e ielogbook.cpsp.edu.pk/eportal/eportal/docs/trainee/... · 2016. 4. 20. · (fcps and...

I

IntermedIAte module

In

obstetrIcs & GynAecoloGy

CoLLege oF

PhySICIAnS And

SurgeonS

PAkIStAn

REQUIREMENTS FOR TRAINING & EXAMINATION

2010

AddendumBasic Life Support (BLS) is a mandatory course for

all postgraduate trainees (FCPS and MCPS). All Fellowship residents arerequired to attend BLS course before they can

appear in Intermediate Module (IMM) examination.

OFFIC

E CO

PY

ADDENDUM

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

23

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.

Intermediate Module in Obstetrics & Gynaecology 2010

1

INTRODUCTION


2

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.


3

INTERMEDIATE MODULE

To ensure better training, the CPSP introduced an Intermediate

Module Examination in several disciplines in 2001. This mid-training

assessment strengthens the monitoring and in-training assessment

systems by providing trainees with an estimate of mid-training

competence. It also serves as a diagnostic tool for trainees and

supervisors, provides a curricular link between basic and advanced

training, and an opportunity for sampling a wider domain of

knowledge and skills.

Vide Notification No. 6-1 / Exam-04 / CPS / 1438 S and R, the

Intermediate Module (IMM) examination is mandatory eligibility

requirement for all FCPS II examination as from September 2007 and

onward. Candidates are required to complete two years training in

Obstetrics and Gynaecology, attend all mandatory workshops and

take the Intermediate Module examination.

In case of failure in the Intermediate Module examination, the trainees

are permitted to continue their training in the chosen specialty but

must pass the Intermediate Module examination prior to appearing in

the 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


4


5

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 TRAININGMandatory 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 Internet2. Research Methodology and Dissertation Writing3. Surgical Skills4. Communication SkillsAny other workshop/s as may be introduced (e.g. ACLS and ATLS)by CPSP.

noTe: No candidate will be allowed to appear in IMM

examination without attending the abovementioned

workshops including BLS.

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.


6


7

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 satisfied

that such a candidate is not a fit person to take the College

examination because of using unfair means in the examination,

misconduct or other disciplinary reasons.

EXAMINATION FEE

� Fee deposited for a particular examination shall not be

carried over to the next examination in case of withdrawal,

absence or exclusion.

� Applications along with the prescribed examination fee and

required documents must be submitted by the last date

notified 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 two

components:

� Theory examination:

It consists of:

Paper i

Paper ii

� Clinical examination:

TOACS (Task Oriented Assessment of Clinical Skills).


8

} 100 One best type of MCQs in each paper. (70 Obs. 30 Gynae)


9

TOACS

TOACS will comprise of 12 to 20 stations with a change time of

one minute for the candidate to move from one station to the

other. The stations may have an examiner, a patient or both.

Structured clinical tasks will be set at each station. At stations

where no examiner is present the candidates will have to

submit written responses to short answer questions/ MCQs on

a response sheet.

There will be two types of stations: static and interactive. On

static stations the candidate will be presented with patient

data, a clinical problem or a research study and will be asked

to give written responses about the questions asked. At the

interactive stations the candidate will have to demonstrate a

competency, for example, taking history, performing a clinical

examination, counseling, assembling an instrument, etc. One

examiner will be present at each interactive station and will

either rate the performance of the candidate or ask questions

testing reasoning and problem-solving skills.

Pass/Fail Criteria

Candidates have to pass the theory to be eligible to take the

TOACS examination.

TRAINING FOR INTERMEDIATEMODULE

GIO (GENERAL INSTRUCTIONAL OBJECTIVES):

By the end of 2nd year in Obstetrics and Gynaecology, a trainee

shall be able to:

KNOWLEDGE:

1. Discuss etiology, pathogenesis, epidemiology and management

of disorders in Obstetrics and Gynaecology, as given in the

section on Specific Learning Outcomes (SLO).

2. Show initiative to become life long self-directed learners

tapping on resources including clinical material, faculty,

Internet and on-line learning programs and library.

3. Discuss principles of basic sciences as applied to Obstetrics

and 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 patient

presenting with Obstetrical and Gynaecological complaints.

2. Perform detailed Physical examination in a rational sequence

that 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, Emergency

Department and attending calls in other departments for

problems related to Obstetrics and Gynaecology.

5. Formulate a working diagnosis and consider relevant

differential diagnosis.

6. Order a set of relevant investigations considering availability,

diagnostic yield, cost-effectiveness, side effects, and

implications for management.Intermediate Module in Obstetrics & Gynaecology 2010

10


11

7. Decide and implement suitable effective treatment considering

safety, cost factors, complications and side effects.

8. Practice proper procedures in operating theatres and labor

wards including gowning, gloving, use of various sutures,

surgical principles, and use and working of electro medical

equipment.

9. Assist at major surgeries and perform minor procedures under

supervision.

10. Maintain follow-up of patients at appropriate intervals,

recognizing new developments and/or complications and

offering sensible management protocols.

ATTITUDES:

1. Counsel patients and relatives in patient's preferred language

exhibiting good communication skills, empathy and

empowerment to patients.

2. Exhibit emotional maturity and stability, integrity, ethical values

and professional approach, sense of responsibility in day-to-

day professional activities.

3. Take proper informed consent for physical examination and

ensure confidentiality and appropriate environment for intimate

physical examination.

4. Call for help judiciously in emergency situations and referral as

required.

5. Maintain detailed and accurate documentation regarding

patient management and procedures.

PROCEDURES:

The level of competence to be achieved each year is specified

according 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


12

Elic

itin

g P

ert

inent

his

tory

430

530

530

530

120

Perf

orm

ing p

hysic

al exam

ination

430

530

530

530

120

Requesting a

ppro

priate

investigations

330

330

430

530

120

Inte

rpre

ting t

he r

esults o

f in

vestigations

330

330

430

530

120

Deci

din

g a

nd im

ple

mentin

g a

ppro

priate

tre

atm

ent

230

230

330

430

120

Managin

g im

media

te c

om

plic

ations

130

230

330

430

120

Main

tain

ing f

ollo

w-u

p3

30

430

530

530

120

Usin

g u

ltra

sound (

basic

)1

51

52

52

10

25

Feta

l m

onitoring (

inclu

din

g C

TG

)3

30

430

530

530

120

Am

nio

cente

sis

--

--

--

1

Managem

ent

of

medic

al dis

ord

ers

in p

regnancy

110

210

310

310

40

ob

ste

tric

sA

nte

nata

l (

OP

D &

WA

RD

)

COMPETENCIES

First Year

3 Months

6 Months

LevelCasesLevelCases

Total Cases

1st Year

9 Months

12 Months


Actu

al or

dem

onstr

ation o

nvid

eo m

odels

Intermediate Module in Obstetrics & Gynaecology, 2010

13

Assessm

ent

on a

dm

issio

n2

30

330

430

430

120

Medic

al in

duction o

f la

bour

25

25

35

45

20

Surg

ical in

duction o

f la

bour

25

25

35

45

20

Managem

ent

of

norm

al la

bour

230

230

330

430

120

Perf

orm

ing a

nd r

epairin

g e

pis

ioto

my

25

210

310

410

35

Repair o

f vagin

al and p

erineal te

ars

2

22

23

34

310

(exclu

din

g t

hird d

egre

e t

ears

)R

epair o

f t

hird d

egre

e t

ears

1-

1-

2-

2-

-R

epair o

f cerv

ical te

ars

12

22

33

43

10

Imm

edia

te m

anagem

ent

of

23

33

43

53

12

post-

part

um

haem

orr

hage

Outlet

forc

eps d

eliv

ery

12

22

32

42

8V

acuum

extr

action

12

23

33

43

11C

aesare

an s

ection

110

210

310

410

40

Repair

of ru

ptu

red u

teru

s (c

ase

s d

istrib

ute

d in

12 m

onth

s)1

-1

-2

-2

-5

Obste

tric

hyste

recto

my

(as a

bove)

1-

1-

2-

2-

3C

orr

ection o

f (a

cute

) in

vert

ed u

teru

s

(as a

bove)

1-

1-

1-

2-

2B

reech,

twin

deliv

ery

, 1

31

32

32

312

destr

uctive o

pera

tions,

cra

nio

tom

y e

tc.

Resuscitation o

f neonate

120

220

320

320

80

Contr

aception c

ounselin

g /

advic

e2

50

350

350

450

200

Insert

ion o

f IU

CD

15

25

35

35

20

ob

ste

tric

sIn

trapart

um

(Labour

Room

)

ob

ste

tric

s P

ostn

ata

l

COMPETENCIES

First Year

3 Months

6 Months


Total Cases

1st Year

9 Months

12 Months



14

Elic

itin

g P

ert

inent

his

tory

420

--

--

--

20

Perf

orm

ing p

hysic

al exam

ination

420

--

--

--

20

Requesting a

ppro

priate

investigations

320

--

--

--

20

Inte

rpre

ting t

he r

esults o

f in

vestigations

320

--

--

--

20

Decid

ing a

nd im

ple

mentin

g a

ppro

priate

tre

atm

ent

220

--

--

--

20

Managin

g im

media

te c

om

plic

ations

120

--

--

--

20

Main

tain

ing f

ollo

w-u

p3

20

--

--

--

20

Takin

g P

ap s

mears

210

--

--

--

10

Arr

angin

g a

ssessm

ent

by a

n a

nesth

etist

215

--

--

--

15

Colp

oscopy

15

--

--

--

5

Hyste

ro-s

alp

ingogra

phy (

inje

ction o

f dye)

25

--

--

--

5

LLE

TZ

/ C

aute

rization o

f cerv

ix /

cry

osurg

ery

12

--

--

--

2

gyn

aeco

log

yO

PD

& W

ard

(

num

ber

of

cases d

istr

ibute

d in 1

2 m

onth

s)

COMPETENCIES

First Year

3 Months

6 Months


Total Cases

1st Year

9 Months

12 Months



15

Scru

bbin

g3

10

--

--

--

10

Openin

g &

Clo

sin

g a

bdom

en

1,2

5-

--

--

-5

Evacuation o

f R

eta

ined p

roducts

of

conception

25

--

--

--

5

Dila

tation &

Cure

ttage

25

--

--

--

5

Cerv

ical B

iopsy

22

--

--

--

2

Poly

pecto

my

22

--

--

--

2

Mars

upili

zation o

f B

art

holin

’s C

yst

22

--

--

--

2

Min

ilaparo

tom

y (

for

tubal lig

ation)

25

--

--

--

5

Dra

inage o

f abscess

22

--

--

--

2

Post-

part

um

tubal lig

ation

25

--

--

--

5

Dia

gnostic lapara

scopy

15

--

--

--

5

Hyste

roscopy

15

--

--

--

5

Ovarian c

yste

cto

my

13

--

--

--

3

Laparo

tom

y f

or

ecto

pic

pre

gnancy

15

--

--

--

5

Myom

ecto

my

11

--

--

--

1

Abdom

inal hyste

recto

my

15

--

--

--

5

Vagin

al hyste

recto

my

12

--

--

--

2

Repair o

f pro

lapse

12

--

--

--

2

gyn

aeco

log

y O

pera

tive S

kills

(B

1 G

enera

l S

kills

) (

num

ber

of

cases d

istr

ibute

d in 1

2 m

onth

s)

gyn

aeco

log

y O

pera

tive S

kills

(B

2 O

pera

tions)

(num

ber

of

cases d

istr

ibute

d in 1

2 m

onth

s)

COMPETENCIES

First Year

3 Months

6 Months


Total Cases

1st Year

9 Months

12 Months



16

Elic

itin

g P

ert

inent

his

tory

530

530

530

90

Perf

orm

ing p

hysic

al exam

ination

530

530

530

90

Requesting a

ppro

priate

investigations

530

530

530

90

Inte

rpre

ting t

he r

esults o

f in

vestigations

530

530

530

90

Decid

ing a

nd im

ple

menting a

ppro

priate

tre

atm

ent

530

530

530

90

Managin

g im

media

te c

om

plic

ations

530

530

530

90

Main

tain

ing f

ollo

w-u

p5

30

530

530

90

Usin

g u

ltra

sound (

basic

)3

10

410

510

30

Feta

l m

onitoring (

inclu

din

g C

TG

)5

30

530

530

90

Am

nio

cente

sis

Managem

ent

of

medic

al dis

ord

ers

in p

regnancy

415

515

515

45

ob

ste

tric

s A

nte

nata

l (O

PD

& W

AR

D)

Second Year

15 Months

LevelCases

Total Cases

2nd Year

18 Months

21 Months


COMPETENCIES

Actu

al or

dem

onstr

ation o

n v

ideo m

odels


17

Assessm

ent

on a

dm

issio

n5

30

530

530

90

Medic

al in

duction o

f la

bour

55

55

55

15

Surg

ical in

duction o

f la

bour

55

55

55

15

Managem

ent

of

norm

al la

bour

530

525

525

80

Perf

orm

ing a

nd r

epairin

g e

pis

ioto

my

510

510

510

30

Repair o

f vagin

al &

perineal te

ars

(exclu

din

g t

hird d

egre

e t

ears

)5

25

25

26

Repair o

f t

hird d

egre

e t

ears

3-

3-

4-

8

Repair o

f cerv

ical te

ars

43

53

54

10

Imm

edia

te m

anagem

ent

of

post-

part

um

haem

orr

hage

54

54

54

12

Outlet

forc

eps d

eliv

ery

42

54

54

10

Vacuum

extr

action

53

53

53

9

Caesare

an s

ection

415

515

515

45

Repair o

f ru

ptu

red u

teru

s3

-3

-4

55

Obste

tric

hyste

recto

my

3-

3-

43

3

Corr

ection o

f in

vert

ed u

teru

s (

acute

)3

-3

-4

22

Bre

ech,

twin

deliv

ery

, destr

uctive o

pera

tions,

cra

nio

tom

y e

tc.

43

43

42

8

Resuscitation o

f neonate

420

520

520

60

Contr

aception c

ounselin

g /

advic

e5

50

550

550

150

Insert

ion o

f IU

CD

510

510

510

30

ob

ste

tric

s I

ntr

apart

um

(Labour

Room

)

ob

ste

tric

s P

ostn

ata

l

Second Year

15 Months

LevelCases

Total Cases

2nd Year

18 Months

21 Months


COMPETENCIES


18

Elic

itin

g P

ert

inent

his

tory

420

--

--

20

Perf

orm

ing p

hysic

al exam

ination

420

--

--

20

Requesting a

ppro

priate

investigations

320

--

--

20

Inte

rpre

ting t

he r

esults o

f in

vestigations

320

--

--

20

Decid

ing a

nd im

ple

menting a

ppro

priate

tre

atm

ent

220

--

--

20

Managin

g im

media

te c

om

plic

ations

220

--

--

20

Main

tain

ing f

ollo

w-u

p4

20

--

--

20

Takin

g P

ap s

mears

310

--

--

10

Arr

angin

g a

ssessm

ent

by a

n a

nesth

etist

315

--

--

15

Colp

oscopy

210

--

--

10

Hyste

ro-s

alp

ingogra

phy (

inje

ction o

f dye)

35

--

--

5

LLE

TZ

/ C

aute

rization o

f cerv

ix /

cry

osurg

ery

22

--

--

2

gyn

aeco

log

y

OP

D &

Ward

(n

um

ber

of

cases d

istr

ibute

d in 1

2 m

onth

s)

Second Year

15 Months

LevelCases

Total Cases

2nd Year

18 Months

21 Months


COMPETENCIES

19

Intermediate Module in Obstetrics & Gynaecology, 2010

Scru

bbin

g4

15

--

--

15

Openin

g a

nd C

losin

g a

bdom

en

3,4

5-

--

-5

Evacuation o

f R

eta

ined p

roducts

of

conception

35

--

--

5

Dila

tation a

nd C

ure

ttage

35

--

--

5

Cerv

ical B

iopsy

33

--

--

3

Poly

pecto

my

33

--

--

3

Mars

upili

zation o

f B

art

holin

’s C

yst

32

--

--

2

Min

ilaparo

tom

y (

for

tubal lig

ation)

35

--

--

5

Dra

inage o

f abscess

33

--

--

3

Post-

part

um

tubal lig

ation

35

--

--

5

Dia

gnostic lapara

scopy

25

--

--

5

Hyste

roscopy

25

--

--

5

Ovarian c

yste

cto

my

23

--

--

3

Laparo

tom

y f

or

ecto

pic

pre

gnancy

25

--

--

5

Myom

ecto

my

22

--

--

2

Abdom

inal hyste

recto

my

25

--

--

5

Vagin

al hyste

recto

my

23

--

--

3

Repair o

f pro

lapse

23

--

--

3

gyn

aeco

log

y O

pera

tive S

kills

(B

1 G

enera

l S

kills

) (

num

ber

of

cases d

istr

ibute

d in 1

2 m

onth

s)

gyn

aeco

log

y O

pera

tive S

kills

(B

2 O

pera

tions)

(

num

ber

of

cases d

istr

ibute

d in 1

2 m

onth

s)

Second Year

15 Months

LevelCases

Total Cases

2nd Year

18 Months

21 Months


COMPETENCIES

ROTATIONAL TRAINING


20

Neonata

l E

xam

ination

1,2

,3,4

10 e

ach

Neonata

l R

esuscitation

1,2

,3,4

10 e

ach

Em

erg

ency d

rug d

osage a

nd s

ide e

ffects

1,2

,3,4

5 e

ach

I /

V

flu

ids in f

irst

seven d

ays

1,2

,3,4

5 e

ach

Managem

ent

of

LB

W1,2

,3,4

5 e

ach

Recognitio

n o

f S

epsis

& e

merg

ency c

are

1,2

,3,4

5 e

ach

IMC

I (I

nte

gra

ted m

anagem

ent

of

Child

hood illn

ess)

1,2

,3,4

5 e

ach

Vaccin

ation

1,2

,3,4

5 e

ach

reco

gn

itio

n a

nd

em

erg

en

cy m

an

ag

em

en

t o

f d

an

ger

sig

ns l

ike:

i. J

aundic

e1,2

,3,4

10 e

ach

ii. R

espirato

ry d

istr

ess

1,2

,3,4

10 e

ach

iii.

Convuls

ions

1,2

,3,4

10 e

ach

iv.

CC

T1,2

,3,4

10 e

ach

v. A

naem

ia1,2

,3,4

10 e

ach

vi. P

eriphera

l C

ircula

tory

Failu

re1,2

,3,4

10 e

ach

Level

Cases

ROTATIONS

NE

ON

AT

OLO

GY

(T

hre

e M

onth

Rota

tion)


21

Med

ical

pro

ble

ms r

ele

van

t to

oB

g /

gy

n l

ike…

.

Dia

bete

s M

elli

tus

1,2

,3,4

,510 e

ach

Hypert

ensio

n1,2

,3,4

,510 e

ach

Liv

er

Dis

ease

1,2

,3,4

,510 e

ach

Anaem

ia1,2

,3,4

10 e

ach

Renal D

iseases

1,2

,3,4

10 e

ach

Thyro

id D

iseases

1,2

,3,4

10 e

ach

Epile

psy

1,2

,3,4

10 e

ach

Viral D

iseases

1,2

,3,4

,510 e

ach

Pre

ventive M

anagem

ent

1,2

,3,4

,510 e

ach

his

tory

, exam

inati

on

, a

pp

rop

riate

in

vesti

gati

on

an

d t

reatm

en

t o

f …

Para

cente

sis

1,2

,35 e

ach

Aspiration

1,2

,35 e

ach

Liv

er

Bio

psy

15 e

ach

Case P

resenta

tion/

Journ

al C

lub

53

Level

Cases

ROTATIONS M

ED

ICIN

E

(Thre

e M

onth

Rota

tion)


22

Basic

s o

f U

ltra

Sound S

can

1,2

,3,4

10 e

ach

Dia

gnosis

of

IUT

Pre

gnancy

1,2

,3,4

10 e

ach

Feta

l B

iom

etr

y1,2

,310 e

ach

Pla

centa

l Localis

ation

1,2

,310 e

ach

BP

P1,2

,310 e

ach

Dia

gnosis

of

Ecto

pic

pre

gnancy

1,2

10 e

ach

Identification o

f norm

al ovary

& U

teru

s1,2

10 e

ach

Ovarian F

olli

cle

1,2

,310 e

ach

Ovarian C

yst

alo

ngw

ith its

chara

cte

ristics

1,2

,310 e

ach

Inte

rpert

ation o

f X

-Ray C

hest

1,2

,3,4

15 e

ach

Inte

rpert

ation o

f H

SG

1,2

,3,4

10 e

ach

Inte

rpert

ation o

f C

T1,2

5 e

ach

Inte

rpert

ation o

f M

RI

1,2

5 e

ach

Level

Cases

ROTATIONS

DIA

GN

OS

TIC

IM

AG

ING

(T

hre

e M

onth

s R

ota

tion)


23

USEFUL ADDRESSESAND TELEPHONENUMBERS

1. Regional Offices of the CPSP

MUZAFFARABADCMH Muzaffarabad

Azad Kashmir

TEL: 058810 - 43307

FAX: 058810 - 43902

Email: [email protected]

ABBOTTABAD

Ayub Hospital Complex

Abbottabad

TEL: 0992-383330


PESHAWARHayatabad Medical Complex

Phase IV, Hayatabad,

Peshawar

UAN: 091-111-666-666

TEL: 091-9217011, 091-9217320-1

FAX: 091-9217062


ISLAMABADP.I.M.S, Ravi Road, Sector G- 8/ 3

Islamabad.

UAN: 051-111-666-666

TEL: 051-9262590-1,

FAX: 051-9262592


FAISALABADPunjab Medical College

Faisalabad

UAN: 041-111-666-666

TEL: 041-9210131, 9210366-8

FAX: 041-9210224

il:[email protected]

LAHORE

Next to INMOL, Hospital

New Muslim Town, Block-D

Lahore.

UAN: 042-111-666-666

TEL: 042- 9231320-8

FAX: 042- 9231327


MULTAN

Nishtar Medical College,

Distt. Jail Road, Opp Circuit House,

Multan.

UAN: 061-111-666-666

TEL: 061-9200946, 9200952


BAHAWALPUR

Quaid-e-Azam Medical College

Bahawalpur

TEL: 062- 9250461


NAWABSHAH

Peoples Medical College for Girls

Nawabshah

TEL: 0244-9370271, 9370479

FAX: 0244-9370478


LARKANA

Chandka Medical College

Larkana

TEL: 074 – 9410726



24

HYDERABAD

Liaquat University Hospital, Jamshoro

Hyderabad

TEL: 022-3877393


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 Health

Specialities,

Diplomatic Quarter, P.O. Box 94656

Riyadh -11614, KSA.

TEL: 966-1-4822415 Ext: 156/141

966-2-6401000 Ext: 25843


4. NepalKATHMANDUT.U. Institute of Medicine

Maharajganj, Kathmandu, Nepal

TEL: 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


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


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


C

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