NOVA Medical School | Faculdade de Ciências Médicas

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 student’s 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 Woman’s 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 http://www.spd.pt/images/consenso_dg_atualizacao2016.pdf

SPDC (2011). Consensos sobre contracepção

Sites recomendados:

Direcção Geral de Saúde                               www.dgs.pt

Sociedade portuguesa de contracepção       www.spdc.pt

Organização Mundial de Saúde                    www.who.int/

 

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

Classificação final= Urgência 0,3 + Obstetrícia 0,3 + Ginecologia 0,3 + Relatório 0,1

Parâmetros

Assiduidade

Participação

Relacionamento

História Clínica

Registos

Conhecimentos teóricos

SU, Obst, Gin

0,0 -3,0

0,0 - 3,0

0,0 - 3,0

0,0 – 4,0

0,0 – 3,0

0,0 - 4,0

 

 

 

 

 

 

 

Workshop

Estrutura

Clareza

Objectividade

Comunicação

Tempo

Discussão

 

0,0 – 4,0

0,0 – 2,0

0,0 – 2,0

0,0 – 4,0

0,0 – 4,0

0,0 – 4,0

 

 

 

 

 

 

 

Outros parâmetros

Pontualidade

Capacidade de Iniciativa

Elaboração atempada do relatório

Apresentação das presenças e logbook

Interesse

Discussão da avaliação do desempenho

 

Courses