
Obstetrics and Gynecology (clinical practice)
Code
11143
Academic unit
Nova Medical School | Faculdade de Ciências Médicas
Department
TRA - Woman, Children and Adolescent's Medicine
Credits
6
Teacher in charge
Prof.ª Doutora Teresa Ventura
Teaching language
Portuguese
Objectives
It is expected that a broad range of obstetric/gynecological procedures and observations will be conducted in order to acquire increasing autonomy. Tasks carried out and skills acquired should be mentioned in the final training report which will be certified by the students supervisor.
Table of skills/procedures expected
Skill level 1 refers to the knowledge and understanding of reasons underlying a given skill/procedure/watch performance or help
Skill level 2 refers to the ability of performing a given skill/procedure under supervision
Skill level 3 refers to the ability of performing a given skill/procedure without supervision or on a routine basis
Obstetrics |
Level 1 |
Level 2 |
Level 3 | ||||||||||||||||||||||||||||||||||||||||||||||
|
Care and observation of Pregnant women |
|
|
| |||||||||||||||||||||||||||||||||||||||||||||
|
Obstetric data collection and clinical history |
|
|
x | |||||||||||||||||||||||||||||||||||||||||||||
|
Fetal heart rate auscultation |
|
|
x | |||||||||||||||||||||||||||||||||||||||||||||
|
Ability to request complementary exams during normal pregnancy |
|
|
x | |||||||||||||||||||||||||||||||||||||||||||||
|
Ability to conduct and interpret gestational diabetes screening |
|
|
x | |||||||||||||||||||||||||||||||||||||||||||||
|
Screening of Streptococcus ß hemolytic (exudates collection) |
|
|
x | |||||||||||||||||||||||||||||||||||||||||||||
|
Counseling in pregnancy (diet, physical activity, sexuality) |
|
|
x | |||||||||||||||||||||||||||||||||||||||||||||
|
Prescription of vitamin supplements during pregnancy |
|
|
x | |||||||||||||||||||||||||||||||||||||||||||||
|
Ability to fill-in the pregnancy booklet/notebook |
|
|
x | |||||||||||||||||||||||||||||||||||||||||||||
|
Abdominal palpation, inspection, uterine height, Leopold maneuvers |
|
x |
| |||||||||||||||||||||||||||||||||||||||||||||
|
Gynecologic and breast exam in the 1st trimester |
|
x |
| |||||||||||||||||||||||||||||||||||||||||||||
|
Pelvic exam in pregnancy |
|
x |
| |||||||||||||||||||||||||||||||||||||||||||||
|
Ability to identify and solve common problems during normal pregnancy |
|
x |
| |||||||||||||||||||||||||||||||||||||||||||||
|
Ability to identify and signal risk pregnancy |
|
x |
| |||||||||||||||||||||||||||||||||||||||||||||
|
Antepartum CTG: indication, technique and interpretation |
|
x |
| |||||||||||||||||||||||||||||||||||||||||||||
The professional training in gynecology/obstetrics lasts four weeks and aims at a high level of individual responsibility and team integration of the future professional. The general goal is the acquisition of key skills required for good medical practice in gynecology and obstetrics. Students are to be involved in hospital practices under guidance always following closely the supervisor activity observing and/or conducting procedures which are of importance for their professional practice. The bulk of knowledge skills and attitudes assimilated during previous years in medical school mainly in the 4th year course of Gynecology and Obstetrics are to be consolidated throughout this training and to be framed in the broader area of Womans Medicine.
Bibliography
Beckmann C et al (2014). Obstetrics and Gynecology, 7th Edition, Lippincot Williams & Wilkins (The American College of Obstetricians and Gynecologists). ISBN 978-1-4511-4431-4 De Cherney et Nathan (2012). Current Obstetric & Gynecologic Diagnosis & Treatment, 11st Edition, The Mc Graw-Hill Companies Inc, ISBN 978-0-07-174267-2 Monga A, Dobbs S (2011). Gynaecology by Ten Teachers, 19th Edition, Hodder et Stoughton Ltd, ISBN: 978-0-340-983-546 Baker P, Kenny L (2011). Obstetrics by Ten Teachers, 19 th Edition, Hodder et Stoughton Ltd, ISBN: 13: 978-0-340-98353-9 Graça LM et al (2010). Medicina Materno-Fetal. 4ª ed. Lidel- Edições Técnicas Lda. ISBN 978-972-757 SPEDM, SPD, SPOMMF, SPP (2016). Relatório de Consenso sobre a Diabetes e Gravidez SPDC (2011). Consensos sobre contracepção Sites recomendados: Direcção Geral de Saúde Sociedade portuguesa de contracepção Organização Mundial de Saúde
Teaching method
In this CU teaching and clinical activities take place simultaneously and the ratio tutor: student is 1:1). Tutored teaching with a teacher/student ratio of 1:1, where students follow tutors/supervisors in assistance and scientific activities in a hospital environment (appointments, infirmary, ambulatory, operating unit, diagnosis techniques). Students attend the emergency unit of gynecology-obstetrics 12h/week, with the tutor, and participate in one workshop per period of training (4 weeks), giving a 10min talk on their work. Exact workshop dates should be defined at the beginning of training. Students must also write a final activity report, to be discussed with the tutor. Training activities should mingle with the assistance and research activities taking place at the hospital, including weekly meetings. The student should be integrated according to dominant guidelines in the department and should become aware of the administrative procedures common in clinical practice. Because of the professionalizing side of this curricular unit, the student should also discuss clinical histories, practice techniques and procedures, have contact with patient relatives and with other professionals, insofar as multidisciplinary approaches are advised, always keeping a record of such skills and acquisitions in the logbook. Evaluation method
Courses |