Obstetrics and Gynecology

Code

11185

Academic unit

NOVA Medical School|Faculdade de Ciências Médicas

Department

MMIA

Credits

8

Teacher in charge

Profª Doutora Fátima Serrano

Objectives

The main purposes of the curricular unit of Obstetrics and Gynecology (4^th) year are the achievement of knowledge and attitudes required for women’s health promotion and disease prevention.

Acquisition of the essential theoretical and practical knowledge (most frequent pathologies, medical history and physical examination, interpretation of diagnostic procedures, formulation of diagnostic hypotheses and therapeutic plans), will take into account the specific needs and socio-cultural characteristics of each woman.

 

Prerequisites

 

Subject matter

Menstrual cycle; Concepcion;  Implantation. Physiological adaptation to pregnancy; Preconcepcional counseling; Obstetric history; Risk assessment in pregnancy;  Nutrition during pregnancy; Normal pregnancy; Physical examination in pregnancy; Routine antenatal care; Interpretation of diagnostic tests; Prenatal diagnosis; Multiple pregnancy; Hyperemesis; Miscarriage; Ectopic pregnancy; Trophoblastic disease; Bleeding in the second half of pregnancy; RhD Isoimmunization; Preterm labor and Premature rupture of membranes; Infections and Pregnancy (Toxoplasmosis; Cytomegalovirus; Hepatitis, Streptococcus Group B hemolytic; Urinary infections). Gestational Hypertensive disease; Gestational diabetes; Pre-existing maternal diseases (Anemia, Diabetes Mellitus, Hypertension, Infection).Fetal growth abnormalities; Surgical diseases during pregnancy;  The course and conduct of normal labor and delivery; Recognition of fetal distress (fetal monitoring); Abnormal presentations; Dystocia; Operative delivery; Normal puerperium; Importance of breastfeeding; Postpartum contraception; Postpartum hemorrhage; Prevention of infection and venous thromboembolism; Termination of pregnancy. Female sexuality;  Birth control;  Contraceptive Methods;  Emergency contraception;  Vulvovaginitis; Sexually

 

 

transmitted infections;  Pelvic Inflammatory Disease; Endometriosis; Pelvic pain;  Amenorrhea;  Abnormal uterine bleeding; Pelvic organs prolapse; Urinary incontinence; Epidemiology, screening , diagnosis and management of gynecologic cancer  (cervix, endometrium and ovary);  Breast cancer: screening, diagnosis and management; Menopause and post menopause; Sub fertility (causes, diagnostic procedures, therapeutic, ethical and social aspects).

 

 

Bibliography

Obstetrics and Gynecology” - 7ª ed,  2014. Lippincott Williams & Wilkins (ACOG). ISBN 978-1-4511-4431-4

  “Current Obstetric & Gynecologic Diagnosis &Treatment“-11ª ed, 2012. Alan DeCherney, Lauren Nathan. Mc Graw Hill. ISBN-13:978 007 143 900 8

“Medicina Materno-Fetal” – 4ª ed,  2010 – Luís Mendes da Graça.Lidel – Edições Técnicas, Lda. ISBN 978 972 757 654 8

“Saúde Reprodutiva / Infertilidade” (Orientações/DGS) – www.dgs.pt)

“Saúde Reprodutiva /Planeamento Familiar” (Orientações/DGS – www.dgs.pt

“Protocolos de Actuação em Obstetrícia e Ginecologia” – 2ª edição, 2011. Maternidade Dr. Alfredo da Costa. Lidel – Edições Técnicas, Lda.

“Consenso sobre Contracepção”- 2011.Sociedade Portuguesa de Contracepção. www.spdc.pt

 

Teaching method

This Curricular Unit involves lectures, theoretical-practical lessons, skills laboratory, Workshops and a practical component, which involves daily student’s participation in clinical and scientific activities of tertiary Departments of Obstetrics and Gynecology. Each student will also participate in the labor ward activities. The relation  teacher /student is 1/3. 

·  Lectures:  2 sessions of 60 min (Tuesday 15:00 to 17:00 pm at FCML)

The program of lectures repeats identically in two semesters

Frequency of lectures, although not mandatory, is highly recommended given that an important part of the assessment relates to them.

·  Theoretical-practical lessons: 2 hours long (at CHLC, CHLO, and FCML)

Learning how to obtain a medical history (anamnesis and physical examination), as well as basic procedures in obstetrics and gynecology in skills laboratory. Presentation and discussion of clinical cases seeking the integration of knowledge

·  Workshop: 2 -2,5  hours long (at CHLC, CHLO)

Presentation and discussion by students of topics previously prepared.

 

Evaluation method

Final classification is in a scale of 0 to 20.

Sixty per cent of this value is obtained from the evaluation on clinical practice following the School assessment for all disciplines, taking into account aspects such as attendance, punctuality, participation, clinical reasoning, level of knowledge and human skills. It will be complemented by an oral presentation and discussion of a clinical history and Logbook. Frequency of at least 2/3 in clinical practice is mandatory,

Evaluation parameters	Pontuation
Attendance, participation, punctuality, level of knowledge	5
Clinical History and LogBook discussion	5
Workshop	10

 

The remaining 40% is obtained in a multiple choice written test: 25 questions to answer in 30 minutes.

Written test dates: according to calendar waiting Pedagogical Council´s approval.   

Oral examination is compulsory for students who achieve less than 9.5 in the written test. Results obtained in the oral examination will cover the theoretical evaluation, making an average with the test, with a valuation of 40%.

                   Final score: Practical assessment (60%) + Written test (40%)

 

The 2nd call  and the special call are oral exams or a multiple choice written exam, depending on the number of candidates)

 

Courses

• Integrated Master Degree in Medicine