FINAL YEAR LOG BOOK Gynae & Obstetrics

KHYBER GIRLS

MEDICAL COLLEGE,

PESHAWAR,

PAKISTAN

Prepared By:

PROF. DR. SHAMSHAD BEGUM

With help of

Dr. Rukhsana Karim (AP)

Dr. Shamama Rahim (TMO)

Picture

NAME

FATHER NAME

ROLL NUMBER

BATCH

DATES OF ROTATION

INTRODUCTION

As part of structured learning program, this log book will identify the objectives for each

period / rotation of learning. The main purpose of the log book is to help you monitor your

own competence, to recognize gaps and address them. Its second purpose is to describe the

minimum competence level expected of you at the end of every rotation.

STRUCTURE

The skills to be achieved are laid out in 2 sections. The first section relates to history taking,

examination and presentation of a case. Every organ system has representation in this section

as mentioned in the top row of each table. The second section includes procedural skills.

Competencies in procedural skills from all organ systems are presented together. Untitled,

additional tables for both sections are included in the end in case some competencies have

to be reassessed / repeated.

LEVEL OF COMPETENCE

Each competency has an expected level of competence to be achieved. The level of

competence ranges from observation (1) to independent practice (5). The following list

specifies what is meant by each level.

Level 1 Observes Observes the clinical activity performed by a colleague / senior

Level 2 Assists Assists a colleague / senior perform the clinical activity

Level 3 Direct

supervision

Performs the entire activity under direct supervision of a senior

Level 4 Indirect

supervision Performs the entire activity with indirect supervision of a

senior colleague

Level 5 independent Performs the entire activity without need for supervision

USING THE LOGBOOK

Each organ system commences on a new page. The pages contain numbered competencies.

Many of the competencies do not require an assessment of every competence level and these

are indicated by shaded boxes. Certain competencies e.g. procedures do not require the

student to be level 5 (independent) by the end of the learning period. These are identified by

black boxes.

Teacher / trainer will tick off competence levels as you achieve them and sign them with date.

SECTION 1

OBSTERICS

HISTORY TAKING, EXAMINATION

AND PRESENTATION OF A CASE

1. ANTENATAL CARE

COMPETENCIES

EXPECTED LEVEL OF

COMPETENCE

CERTIFICATION

To be ticked when

achieved

Teacher to sign &

date

HISTORY / EXAM / MANAGEMENT

PLAN

1

2

3

4

5

Sign

Date

1

Introduction Informed consent Relevant details Establish differential diagnosis

2

General physical Examination Systemic examination Abdominal examination with

Leopold maneuvers Pelvic examination

3

Presentation skill fully. Findings of history and

examination. Logical conclusion.

4

Differential diagnosis.

5 List relevant investigations

6 Treatment options With pros & cons According to resources treatment

7

Communication with patient Differential diagnosis Investigations Treatment plan

8 Address patients beliefs Cultural and ethical issues.

9 Respect for patient and family

Good points

Suggestions for improvement

Sign / Date

2a. MEDICAL DISORDERS (HYPERTENSIVE DISORDERS WITH PREGNANCY)

COMPETENCIES

EXPECTED LEVEL OF

COMPETENCE

CERTIFICATION

To be ticked when

achieved

Teacher to sign &

date

HISTORY / EXAM / MANAGEMENT

PLAN

1

2

3

4

5

Sign

Date

1

Introduction Informed consent Relevant details Establish differential diagnosis

2

General physical Examination Systemic examination Abdominal examination with

Leopold maneuvers Pelvic examination

3

Presentation skill fully. Findings of history and

examination.

Logical conclusion.

4

Differential diagnosis.

5

List relevant investigations

6

Treatment options With pros & cons According to resources

treatment

7

Communication with patient Differential diagnosis Investigations Treatment plan

8 Address patients beliefs Cultural and ethical issues.

9

Respect for patient and family

Good points

Suggestions for improvement

Sign / Date

2b. HEART DISEASE WITH PREGNANCY

COMPETENCIES

EXPECTED LEVEL OF

COMPETENCE

CERTIFICATION

To be ticked when

achieved

Teacher to sign &

date

HISTORY / EXAM / MANAGEMENT

PLAN

1

2

3

4

5

Sign

Date

1

Introduction Informed consent Relevant details Establish differential diagnosis

2

General physical Examination Systemic examination Abdominal examination with

Leopold maneuvers Pelvic examination

3

Presentation skill fully. Findings of history and

examination. Logical conclusion.

4

Differential diagnosis.

5

List relevant investigations

6

Treatment options With pros & cons According to resources

treatment

7

Communication with patient Differential diagnosis Investigations Treatment plan

8 Address patients beliefs Cultural and ethical issues.

9

Respect for patient and family

Good points

Suggestions for improvement

Sign / Date

2c. DIABETES WITH PREGNANCY

COMPETENCIES

EXPECTED LEVEL OF

COMPETENCE

CERTIFICATION

To be ticked when

achieved

Teacher to sign &

date

HISTORY / EXAM / MANAGEMENT

PLAN

1

2

3

4

5

Sign

Date

1

Introduction Informed consent Relevant details Establish differential diagnosis

2

General physical Examination Systemic examination Abdominal examination with

Leopold maneuvers Pelvic examination

3

Presentation skill fully. Findings of history and

examination. Logical conclusion.

4

Differential diagnosis.

5

List relevant investigations

6

Treatment options With pros & cons

According to resources treatment

7

Communication with patient Differential diagnosis Investigations Treatment plan

8 Address patients beliefs Cultural and ethical issues.

9

Respect for patient and family

Good points

Suggestions for improvement

Sign / Date

2d. LIVER DISEASES WITH PREGNANCY

COMPETENCIES

EXPECTED LEVEL OF

COMPETENCE

CERTIFICATION

To be ticked when

achieved

Teacher to sign &

date

HISTORY / EXAM / MANAGEMENT

PLAN

1

2

3

4

5

Sign

Date

1

Introduction Informed consent Relevant details Establish differential diagnosis

2

General physical Examination Systemic examination Abdominal examination with

Leopold maneuvers Pelvic examination

3

Presentation skill fully. Findings of history and

examination. Logical conclusion.

4

Differential diagnosis.

5

List relevant investigations

6

Treatment options With pros & cons According to resources

treatment

7

Communication with patient Differential diagnosis Investigations Treatment plan

8 Address patients beliefs Cultural and ethical issues.

9

Respect for patient and family

Good points

Suggestions for improvement

Sign / Date

2e. RENAL DISEASES WITH PREGNANCY

COMPETENCIES

EXPECTED LEVEL OF

COMPETENCE

CERTIFICATION

To be ticked when

achieved

Teacher to sign &

date

HISTORY / EXAM / MANAGEMENT

PLAN

1

2

3

4

5

Sign

Date

1

Introduction Informed consent Relevant details Establish differential diagnosis

2

General physical Examination Systemic examination Abdominal examination with

Leopold maneuvers Pelvic examination

3

Presentation skill fully. Findings of history and

examination. Logical conclusion.

4

Differential diagnosis.

5

List relevant investigations

6

Treatment options With pros & cons According to resources

treatment

7

Communication with patient Differential diagnosis Investigations Treatment plan

8 Address patients beliefs Cultural and ethical issues.

9

Respect for patient and family

Good points

Suggestions for improvement

Sign / Date

2f. HEMATOLOGICAL DISORDERS WITH PREGNANCY

COMPETENCIES

EXPECTED LEVEL OF

COMPETENCE

CERTIFICATION

To be ticked when

achieved

Teacher to sign &

date

HISTORY / EXAM / MANAGEMENT

PLAN

1

2

3

4

5

Sign

Date

1

Introduction Informed consent Relevant details Establish differential diagnosis

2

General physical Examination Systemic examination Abdominal examination with

Leopold maneuvers Pelvic examination

3

Presentation skill fully. Findings of history and

examination. Logical conclusion.

4

Differential diagnosis.

5

List relevant investigations

6

Treatment options With pros & cons According to resources

treatment

7

Communication with patient Differential diagnosis Investigations Treatment plan

8 Address patients beliefs Cultural and ethical issues.

9

Respect for patient and family

Good points

Suggestions for improvement

Sign / Date

3a. FETAL MEDICINE (MULTIPLE PREGNANCIES)

COMPETENCIES

EXPECTED LEVEL OF

COMPETENCE

CERTIFICATION

To be ticked when

achieved

Teacher to sign &

date

HISTORY / EXAM / MANAGEMENT

PLAN

1

2

3

4

5

Sign

Date

1

Introduction Informed consent Relevant details Establish differential diagnosis

2

General physical Examination Systemic examination Abdominal examination with

Leopold maneuvers Pelvic examination

3

Presentation skill fully. Findings of history and

examination. Logical conclusion.

4

Differential diagnosis.

5

List relevant investigations

6

Treatment options With pros & cons According to resources

treatment

7

Communication with patient Differential diagnosis Investigations Treatment plan

8 Address patients beliefs Cultural and ethical issues.

9

Respect for patient and family

Good points

Suggestions for improvement

Sign / Date

3b. POLYHYDROMNIOS/OLIGOHYDROMNIOS

COMPETENCIES

EXPECTED LEVEL OF

COMPETENCE

CERTIFICATION

To be ticked when

achieved

Teacher to sign &

date

HISTORY / EXAM / MANAGEMENT

PLAN

1

2

3

4

5

Sign

Date

1

Introduction Informed consent Relevant details Establish differential diagnosis

2

General physical Examination Systemic examination Abdominal examination with

Leopold maneuvers Pelvic examination

3

Presentation skill fully. Findings of history and

examination. Logical conclusion.

4

Differential diagnosis.

5

List relevant investigations

6

Treatment options With pros & cons According to resources

treatment

7

Communication with patient Differential diagnosis Investigations Treatment plan

8 Address patients beliefs Cultural and ethical issues.

9

Respect for patient and family

Good points

Suggestions for improvement

Sign / Date

3c. FETAL ASSESSMENT

COMPETENCIES

EXPECTED LEVEL OF

COMPETENCE

CERTIFICATION

To be ticked when

achieved

Teacher to sign &

date

HISTORY / EXAM / MANAGEMENT

PLAN

1

2

3

4

5

Sign

Date

1

Introduction Informed consent Relevant details Establish differential diagnosis

2

General physical Examination Systemic examination Abdominal examination with

Leopold maneuvers Pelvic examination

3

Presentation skill fully. Findings of history and

examination. Logical conclusion.

4

Differential diagnosis.

5

List relevant investigations

6

Treatment options With pros & cons According to resources

treatment

7

Communication with patient Differential diagnosis Investigations Treatment plan

8 Address patients beliefs Cultural and ethical issues.

9

Respect for patient and family

Good points

Suggestions for improvement

Sign / Date

4a. OBSTETRICAL EMERGENCIES (ANTEPARTUM HEMORRHAGE)

COMPETENCIES

EXPECTED LEVEL OF

COMPETENCE

CERTIFICATION

To be ticked when

achieved

Teacher to sign &

date

HISTORY / EXAM / MANAGEMENT

PLAN

1

2

3

4

5

Sign

Date

1

Introduction Informed consent Relevant details Establish differential diagnosis

2

General physical Examination Systemic examination Abdominal examination with

Leopold maneuvers Pelvic examination

3

Presentation skill fully. Findings of history and

examination. Logical conclusion.

4

Differential diagnosis.

5

List relevant investigations

6

Treatment options With pros & cons According to resources

treatment

7

Communication with patient Differential diagnosis Investigations Treatment plan

8 Address patients beliefs Cultural and ethical issues.

9

Respect for patient and family

Good points

Suggestions for improvement

Sign / Date

4b. POSTPARTUM HEMORRHAGE

COMPETENCIES

EXPECTED LEVEL OF

COMPETENCE

CERTIFICATION

To be ticked when

achieved

Teacher to sign &

date

HISTORY / EXAM / MANAGEMENT

PLAN

1

2

3

4

5

Sign

Date

1

Introduction Informed consent Relevant details Establish differential diagnosis

2

General physical Examination Systemic examination Abdominal examination with

Leopold maneuvers Pelvic examination

3

Presentation skill fully. Findings of history and

examination. Logical conclusion.

4

Differential diagnosis.

5

List relevant investigations

6

Treatment options With pros & cons According to resources

treatment

7

Communication with patient Differential diagnosis Investigations Treatment plan

8 Address patients beliefs Cultural and ethical issues.

9

Respect for patient and family

Good points

Suggestions for improvement

Sign / Date

4c. ACUTE ABDOMEN DURING PREGNANCY

COMPETENCIES

EXPECTED LEVEL OF

COMPETENCE

CERTIFICATION

To be ticked when

achieved

Teacher to sign &

date

HISTORY / EXAM / MANAGEMENT

PLAN

1

2

3

4

5

Sign

Date

1

Introduction Informed consent Relevant details Establish differential diagnosis

2

General physical Examination Systemic examination Abdominal examination with

Leopold maneuvers Pelvic examination

3

Presentation skill fully. Findings of history and

examination. Logical conclusion.

4

Differential diagnosis.

5

List relevant investigations

6

Treatment options With pros & cons According to resources

treatment

7

Communication with patient Differential diagnosis Investigations Treatment plan

8 Address patients beliefs Cultural and ethical issues.

9

Respect for patient and family

Good points

Suggestions for improvement

Sign / Date

4d. OBSTETRICS SHOCK (RUPTURED UTERUS,AFE,PUL EMBOLISM)

COMPETENCIES

EXPECTED LEVEL OF

COMPETENCE

CERTIFICATION

To be ticked when

achieved

Teacher to sign &

date

HISTORY / EXAM / MANAGEMENT

PLAN

1

2

3

4

5

Sign

Date

1

Introduction Informed consent Relevant details Establish differential diagnosis

2

General physical Examination Systemic examination Abdominal examination with

Leopold maneuvers Pelvic examination

3

Presentation skill fully.

Findings of history and examination.

Logical conclusion.

4 Differential diagnosis.

5

List relevant investigations

6

Treatment options With pros & cons

According to resources treatment

7

Communication with patient Differential diagnosis Investigations Treatment plan

8 Address patients beliefs Cultural and ethical issues.

9

Respect for patient and family

Good points

Suggestions for improvement

Sign / Date

5. POST TERM PREGNANCY (INDUCTION OF LABOUR)

COMPETENCIES

EXPECTED LEVEL OF

COMPETENCE

CERTIFICATION

To be ticked when

achieved

Teacher to sign &

date

HISTORY / EXAM / MANAGEMENT

PLAN

1

2

3

4

5

Sign

Date

1

Introduction Informed consent Relevant details Establish differential diagnosis

2

General physical Examination Systemic examination Abdominal examination with

Leopold maneuvers Pelvic examination

3

Presentation skill fully.

Findings of history and examination.

Logical conclusion.

4

Differential diagnosis.

5

List relevant investigations

6

Treatment options With pros & cons According to resources

treatment

7

Communication with patient Differential diagnosis Investigations Treatment plan

8 Address patients beliefs Cultural and ethical issues.

9

Respect for patient and family

Good points

Suggestions for improvement

Sign / Date

6.PROLONG LABOR/FAILURE TO PROGRESS/MALPOSITION/MALPRESENTATION

COMPETENCIES

EXPECTED LEVEL OF

COMPETENCE

CERTIFICATION

To be ticked when

achieved

Teacher to sign &

date

HISTORY / EXAM / MANAGEMENT PLAN

1

2

3

4

5

Sign

Date

1

Introduction Informed consent Relevant details Establish differential diagnosis

2

General physical Examination Systemic examination Abdominal examination with

Leopold maneuvers Pelvic examination

3

Presentation skill fully. Findings of history and

examination. Logical conclusion.

4

Differential diagnosis.

5

List relevant investigations

6

Treatment options With pros & cons According to resources

treatment

7

Communication with patient Differential diagnosis Investigations Treatment plan

8 Address patients beliefs Cultural and ethical issues.

9

Respect for patient and family

Good points

Suggestions for improvement

Sign / Date

SECTION 2

GYNAE SESSION

1. GYNECOLOGICAL DISORDERS OF CHILDHOOD AND ADOLESCENCE

COMPETENCIES

EXPECTED LEVEL OF

COMPETENCE

CERTIFICATION

To be ticked when

achieved

Teacher to sign &

date

HISTORY / EXAM / MANAGEMENT PLAN

1

2

3

4

5

Sign

Date

1

Introduction Informed consent Relevant details Establish differential diagnosis

2

General physical Examination Systemic examination Abdominal examination Pelvic examination

3

Presentation skill fully. Findings of history and

examination. Logical conclusion.

4

Differential diagnosis.

5

List relevant investigations

6

Treatment options With pros & cons According to resources

treatment

7

Communication with patient Differential diagnosis Investigations Treatment plan

8 Address patients beliefs Cultural and ethical issues.

9

Respect for patient and family

Good points

Suggestions for improvement

Sign / Date

2. EARLY PREGNANCY PROBLEMS

COMPETENCIES

EXPECTED LEVEL OF

COMPETENCE

CERTIFICATION

To be ticked when

achieved

Teacher to sign &

date

HISTORY / EXAM / MANAGEMENT

PLAN

1

2

3

4

5

Sign

Date

1

Introduction Informed consent Relevant details Establish differential diagnosis

2

General physical Examination Systemic examination Abdominal examination Pelvic examination

3

Presentation skill fully. Findings of history and

examination.

Logical conclusion.

4

Differential diagnosis.

5

List relevant investigations

6

Treatment options With pros & cons According to resources

treatment

7

Communication with patient Differential diagnosis Investigations Treatment plan

8 Address patients beliefs Cultural and ethical issues.

9

Respect for patient and family

Good points

Suggestions for improvement

Sign / Date

3. ECTOPIC PREGNANCY

COMPETENCIES

EXPECTED LEVEL OF

COMPETENCE

CERTIFICATION

To be ticked when

achieved

Teacher to sign &

date

HISTORY / EXAM / MANAGEMENT

PLAN

1

2

3

4

5

Sign

Date

1

Introduction Informed consent Relevant details Establish differential diagnosis

2

General physical Examination Systemic examination Abdominal examination Pelvic examination

3

Presentation skill fully. Findings of history and

examination. Logical conclusion.

4

Differential diagnosis.

5

List relevant investigations

6

Treatment options With pros & cons According to resources

treatment

7

Communication with patient Differential diagnosis Investigations Treatment plan

8 Address patients beliefs Cultural and ethical issues.

9

Respect for patient and family

Good points

Suggestions for improvement

Sign / Date

4. MENSTRUAL DISORDERS AND MENOPAUSE

COMPETENCIES

EXPECTED LEVEL OF

COMPETENCE

CERTIFICATION

To be ticked when

achieved

Teacher to sign &

date

HISTORY / EXAM / MANAGEMENT

PLAN

1

2

3

4

5

Sign

Date

1

Introduction Informed consent Relevant details Establish differential diagnosis

2

General physical Examination Systemic examination Abdominal examination Pelvic examination

3

Presentation skill fully. Findings of history and

examination.

Logical conclusion.

4

Differential diagnosis.

5

List relevant investigations

6

Treatment options With pros & cons According to resources

treatment

7

Communication with patient Differential diagnosis Investigations Treatment plan

8 Address patients beliefs Cultural and ethical issues.

9

Respect for patient and family

Good points

Suggestions for improvement

Sign / Date

5. SUBFERTILITY

COMPETENCIES

EXPECTED LEVEL OF

COMPETENCE

CERTIFICATION

To be ticked when

achieved

Teacher to sign &

date

HISTORY / EXAM / MANAGEMENT PLAN

1

2

3

4

5

Sign

Date

1

Introduction Informed consent Relevant details Establish differential diagnosis

2

General physical Examination Systemic examination Abdominal examination Pelvic examination

3

Presentation skill fully. Findings of history and

examination. Logical conclusion.

4

Differential diagnosis.

5

List relevant investigations

6

Treatment options With pros & cons According to resources

treatment

7

Communication with patient Differential diagnosis Investigations Treatment plan

8 Address patients beliefs Cultural and ethical issues.

9

Respect for patient and family

Good points

Suggestions for improvement

Sign / Date

6. CHRONIC PELVIC PAIN AND ENDOMETRIOSES

COMPETENCIES

EXPECTED LEVEL OF

COMPETENCE

CERTIFICATION

To be ticked when

achieved

Teacher to sign &

date

HISTORY / EXAM / MANAGEMENT PLAN

1

2

3

4

5

Sign

Date

1

Introduction Informed consent Relevant details Establish differential diagnosis

2

General physical Examination Systemic examination Abdominal examination Pelvic examination

3

Presentation skill fully. Findings of history and

examination. Logical conclusion.

4

Differential diagnosis.

5

List relevant investigations

6

Treatment options With pros & cons According to resources

treatment

7

Communication with patient Differential diagnosis Investigations Treatment plan

8 Address patients beliefs Cultural and ethical issues.

9

Respect for patient and family

Good points

Suggestions for improvement

Sign / Date

7. UTEROVAGINAL PROLAPSE

COMPETENCIES

EXPECTED LEVEL OF

COMPETENCE

CERTIFICATION

To be ticked when

achieved

Teacher to sign &

date

HISTORY / EXAM / MANAGEMENT

PLAN

1

2

3

4

5

Sign

Date

1

Introduction Informed consent Relevant details Establish differential diagnosis

2

General physical Examination Systemic examination Abdominal examination Pelvic examination

3

Presentation skill fully. Findings of history and

examination.

Logical conclusion.

4

Differential diagnosis.

5

List relevant investigations

6

Treatment options With pros & cons According to resources

treatment

7

Communication with patient Differential diagnosis Investigations Treatment plan

8 Address patients beliefs Cultural and ethical issues.

9

Respect for patient and family

Good points

Suggestions for improvement

Sign / Date

8. URINARY INCONTINENCE

COMPETENCIES

EXPECTED LEVEL OF

COMPETENCE

CERTIFICATION

To be ticked when

achieved

Teacher to sign &

date

HISTORY / EXAM / MANAGEMENT PLAN

1

2

3

4

5

Sign

Date

1

Introduction Informed consent Relevant details Establish differential diagnosis

2

General physical Examination Systemic examination Abdominal examination Pelvic examination

3

Presentation skill fully. Findings of history and

examination. Logical conclusion.

4

Differential diagnosis.

5

List relevant investigations

6

Treatment options With pros & cons According to resources

treatment

7

Communication with patient Differential diagnosis Investigations Treatment plan

8 Address patients beliefs Cultural and ethical issues.

9

Respect for patient and family

Good points

Suggestions for improvement

Sign / Date

9. BENIGN DISEASES OF VULVA,VAGINA,CERVICS,UTERUS,OVARIES

COMPETENCIES

EXPECTED LEVEL OF

COMPETENCE

CERTIFICATION

To be ticked when

achieved

Teacher to sign &

date

HISTORY / EXAM / MANAGEMENT PLAN

1

2

3

4

5

Sign

Date

1

Introduction Informed consent Relevant details Establish differential diagnosis

2

General physical Examination Systemic examination Abdominal examination Pelvic examination

3

Presentation skill fully. Findings of history and

examination.

Logical conclusion.

4

Differential diagnosis.

5

List relevant investigations

6

Treatment options With pros & cons According to resources

treatment

7

Communication with patient Differential diagnosis Investigations Treatment plan

8 Address patients beliefs Cultural and ethical issues.

9

Respect for patient and family

Good points

Suggestions for improvement

Sign / Date

10. OVARIAN,ENDOMETRIAL,CERVICAL AND VAGINAL CARCINOMAS

COMPETENCIES

EXPECTED LEVEL OF

COMPETENCE

CERTIFICATION

To be ticked when

achieved

Teacher to sign &

date

HISTORY / EXAM / MANAGEMENT

PLAN

1

2

3

4

5

Sign

Date

1

Introduction Informed consent Relevant details Establish differential diagnosis

2

General physical Examination Systemic examination Abdominal examination Pelvic examination

3

Presentation skill fully. Findings of history and

examination. Logical conclusion.

4

Differential diagnosis.

5

List relevant investigations

6

Treatment options With pros & cons According to resources

treatment

7

Communication with patient Differential diagnosis Investigations Treatment plan

8 Address patients beliefs Cultural and ethical issues.

9

Respect for patient and family

Good points

Suggestions for improvement

Sign / Date

11. CONTRACEPTION AND STERILIZATION

COMPETENCIES

EXPECTED LEVEL OF

COMPETENCE

CERTIFICATION

To be ticked when

achieved

Teacher to sign &

date

HISTORY / EXAM / MANAGEMENT

PLAN

1

2

3

4

5

Sign

Date

1

Introduction Informed consent Relevant details Establish differential diagnosis

2

General physical Examination Systemic examination Abdominal examination Pelvic examination

3

Presentation skill fully. Findings of history and

examination.

Logical conclusion.

4

Differential diagnosis.

5

List relevant investigations

6

Treatment options With pros & cons According to resources

treatment

7

Communication with patient Differential diagnosis Investigations Treatment plan

8 Address patients beliefs Cultural and ethical issues.

9

Respect for patient and family

Good points

Suggestions for improvement

Sign / Date

12. COUNSELLING

COMPETENCIES

EXPECTED LEVEL OF

COMPETENCE

CERTIFICATION

To be ticked when

achieved

Teacher to sign &

date

GENERAL STEPS

1

2

3

4

5

Sign

Date

1

Introduction session a. introduce yourself b. ask about patient c. sympathetic approach d. eye to eye contact e. easy language f. explain purpose of session g. comfortable place

2

Content session a. detail of disease b. give treatment options c. tell about complications d. patient wishes

3

Follow up

a. venue b. date c. hospital contact number d. leaflet

4

Any queries?

Good points

Suggestions for improvement

Sign / Date

SECTION 3

PROCEDURAL SKILLS

COMPETENCIES

EXPECTED LEVEL OF COMPETENCE

CERTIFICATION

To be ticked when achieved

Teacher to sign & date

1

2

3

4

5

Sign

Date

GYNAECOLOGY EXAMINATION

Speculum Examination

Bimanual Examination

MINOR GYNAECOLOGICAL EXAMINATION

Pap Smear 1- Able to identify the Pap

Smear Kit

2- procedure

High Vaginal Swab (HVS)

Foley’s catheter

Dilatation and Curettage (DnC)

Evacuation and Curettage(EnC)

Wound debridment

Cautery Cervix

Cryotherapy

Colposcopy

Manual Vaccum Aspiration(MVA)

Removal of Bartholine cyst

Polypectomy

Vulval Biopsy

Cervical Biopsy

Suction and Curettage

Hysterosalpingography

MAJOR GYNAECOLOGICAL PROCEDURE

1

2

3

4

5

Total Abdominal Hysterectomy

Vaginal Hysterectomy

Laparotomy for Rupture Ectopic

Laparotomy for Ovarian cyst

Laparotomy for Gynecological Malignancies

Repair of 3rd and 4th degree tears

FotherGill Repair

Myomectomy

VVF repair

Diagnostic Laproscopy

Hysteroscopy

FAMILY PLANNING PROCEDURES

IUCD insertion

Mirena Insertion

Implanon

Norplant

Injectable Contraceptives

Oral Contraceptive Pills

Barrier methods

OBSTETRICAL PROCEDURES SKILL

Obstetrical Examination 1- Abdominal Examination 2- Bishop Score

3- Clinical pelvimetry

1

2

3

4

5

Partograph

Cardiotopography

DELIVERIES: 1- Normal Vaginal Delivery

2- Vaginal delivery with

Episiotomy

3- Vacuum vaginal delivery

4- Forceps Delivery

5- Cesarean Section

ABNORMAL PRESENTATION/LIE

1- Breech

2- Face

3- Transverse

4- Compound

5- Cord

6- Brow

OBSTETRIC EMERGENCIES 1

2

3

4

5

Eclampsia 1- Airway 2- Breathing

3- Circulation

4- MgSO4

5- Hydralazine/Labetalol

Post Partum Haemorrhage 1- Pass I.V line 2- Uterine Tamponade

3- Repair of vaginal and

cervical tears

4- B Lynch Suture

Maternal Resuscitation

Breast feeding Techniques

Neonatal resuscitation

Good points

Suggestions for

Improvement

Sign / Date

GYNAECOLOGY HSITORY TAKING FORMAT

HISTORY TAKING

1. Demographic details

2. Chief complaints

3. History of present illness

4. Past history

Obstetrical details

Medical disorders

Surgical interventions

5. Family history

Medical disorders

Genetic conditions

Gynaecological malignancies

6. Socioeconomic details

Monthly income

Dependant / self employed

Household details

Living standards

DRUGS

Current use

Previous use

Anaplylaxis

Life long use

Recreational drugs

CONTRACEPTION Type

Method

Safisfaction

Side effects

Complaince

MENSTRUAL CYCLE

Menstruating Normal

Abnormal

Length

Duration

Flow

Patteren

Dysmenorrhoea

Menopausal

PAP SMEAR

Wether ever taken

When last taken

Report

EXAMINATION GENERAL

Height

Weight

Bmi

Pallor

Jaindice

Clubbing

Koilonychia

Thyroid

Vericose veiws

Accessable lymph nodes.

BREAST EXAMINATION Inspection as a whole

Palpation as a whole

Nipple / areola

Quadrant wise assessment

axilla for tail and accessory Breasts

CHEST Respiratory

Cardiac

NEUROLAGICAL

GASTRO INLESTINAL SYSTEM

ABDOMINAL EXAMINATION Inspection

Palpation

Percussion

Quadrant wise palpation

EXAMINATION OF ABDOMIAL MASS Inspection

Site

Size

Margins

Nodularity

Tenderness

Mobility

Percussion

Auscultation

Associated ascites

PELVIC EXAMINATION Inspection of vulva

P/s examination

Bimanual examination

LMP

POG

EDD