Annapoorana Medical College & Hospitals
Phase III, PART II MBBS
CBME-Obstetrics and Gynecology-lesson plan
Topic
Teaching
LEC NO.
Comp No.
Titles; Topic,Competency with Lesson
No.
Methodology
12
Topic
Medical disorders in pregnancy
OG12.8
Describe the mechanism,prophylaxis,fetal complications,diagnosis and management of iso immunization
1
Rh isoimmunization 1
Lecture
2
Rh isoimmunization 2
Lecture
3
Indication for intra uterine fetal transfusion and indication for exchange transfusion in new born
SGT
5
TOPIC
Preconception counselling
Describe ,discuss and identify pre existing medical disorders and discuss their management;discuss evidence based
OG5.1
intrapartum care
4
Medical disorders in the pregnant women
Lecture
5
Management of medical disorders during pregnancy
SGT
6
Pre pregnancy counselling
SDL
13
TOPIC
LOBOR
OG13.1
Enumerate and discuss the physiology of normal labor,mechanism of labor in occipito anterior presentation;monitoring of
labor including partogram;conduct of labor,pain relief;principles of induction and acceleration of labor;management of III
7
Physiology of normal labor
Lecture
8
Mechanism of labor
Lecture
9
Monitoring of labor
SGT
10
Conduct of labor
SGT
11
Pain relief in labor
SGT
12
Induction,acceleration of labor
Lecture
13
III stage of labor
SGT
14
Management of labour
Seminar
15
WHO Labour care guide
Tutorial
OG13.2
Define,describe the causes,pathophysiology,diagnosis, investigations and management of preterm labor, PROM and post dated
pregnancy
16
Preterm labor
Lecture
17
PROM
Lecture
18
Postdated pregnancy
Lecture
OG13.3
Observe/assist in the performance of artificial rupture of membranes
19
Artificial rupture of membranes
Demonstration
OG13.4
Demonstrate the stages of Normal labor in a simulated environment/Mannequin and councel on methods
20
Stages of labor in a Simulated environment
DOAP
OG13.5
Observe and assist the conduct of normal vaginal delivery
21
Normal vaginal delivery
Demonstration
14
TOPIC
Abnormal lie and presentation;Maternal pelvis
OG14.1
Enumerate and discuss the diameters of maternal pelvis and types
22
Maternal pelvis 1
SGT
23
Maternal pelvis 2
Demonstration
24
Fetal skull
Demonstration
25
cephalo pelvic dispropotion
SGT
OG14.2
Discuss the mechanism of normal labor,define and describe obstructed labor,its clinical features;Prevention and management
26
Mechanism of normal labor
Lecture
27
Obstructed labor
Lecture
OG14.3
Describe and discuss rupture uterus,causes,diagnosis and management
28
Rupture uterus
Lecture
OG14.4
Describe and discuss the classification,diagnosis, management of abnormal labor
29
Breech presentation 1
Lecture
30
Breech presentation 2
Lecture
31
Occipito posterior presentation
Lecture
32
Face presentation
Lecture
33
Transverse lie,Oblique lie,Brow presentation and compound presentation
Lecture
34
Abnormal uterine action
SGT
35
V-BAC
SGT
15
TOPIC
Operative Obstetrics
OG15.1
Enumerate and describe the indications and steps of common obstetric procedure,technique and
complication;Episiotomy,Vaccum extraction,Low forceps, Caesarean section,assisted breech delivery,external cephalic
36
Episiotomy
Lecture
37
Vaccum extraction
SGT
38
Low forceps
SGT
39
Caesarean section
Lecture
40
Assisted breech delivery
SGT
41
External cephalic version
SGT
42
Cervical cerclage
SGT
OG15.2
Observe and assist in the performance of an episiotomy and demonstrate the correct suturing technique of an episiotomy in a
simulated environment.observe/assist in operative obstetrics cases-including-CS , forceps,vaccum extraction and breech
43
Episiotomy
Demonstration
44
Caesarean section
Demonstration
45
Forceps delivery
Demonstration
46
Vaccum extraction
Demonstration
47
Breech delivery
Demonstration
48
CS in previous Caesarean Delivery
Demonstration
16
TOPIC
Complications of the third stage
OG16.1
Enumerate and discuss causes,prevention,diagnosis, management ,appropriate use of blood and blood products in post partum
haemorrhage
49
PPH-1
Lecture
50
PPH-2
Lecture
51
PPH drill
SDL
52
Indication of blood and blood products in pregency
Lecture
OG16.2
Describe and discuss uterine inversion -causes,prevention,diagnosis and management
53
Uterine inversion
Lecture
Describe and discuss causes,clinical features,diagnosis,investigations,monitoring of fetal well being,inckuding ultrasound and
OG16.3
fetal doppler;principles of management;prevention and councelling in intra uterine growth retardation
54
IUGR-1
Lecture
55
IUGR-2
Lecture
17
TOPIC
Lactation
OG17.1
Describe and discuss the physiology of lactation
56
Physiology of lactation
VI-Physiology
OG17.2
Counsel in a simulated environment,care of the breast,importance and the technique of breast feeding
57
Importance and technique of breast feeding
SGT
OG17.3
Describe and discuss the clinical features,diagnosis and management of mastitis and breast abcess
58
Mastitis and breast abcess
Lecture
18
TOPIC
Care of the new born
OG18.1
Describe and discuss the assesment of the maturity of the new born
HI-Paediatrics-
59
Assesment of New born
Lecture
OG18.2
Demonstrate the steps of neonatal resuscitation in a simulated environment
60
Resucitation of new born
Demonstration
OG18.3
Describe and discuss the diagnosis of birth asphyixa
61
Birth asphyxia
SGT
OG18.4
Describe the principles of resuscitation of the new born and enumerate the common problems encountered
62
Principles of resuscitation of new born
Lecture
19
TOPIC
Normal and abnormal Puerperium
OG19.1
Describe and discuss the physiology of Puerperium,its complications,diagnosis and management;counseling for
contraception,puerperal sterilization
63
Puerperium-1
Lecture
64
Puerperium-2
SGT
OG19.2
Counsel in a simulated environment,contraception and puerperal sterilization
65
Counselling for Temporary contraception
SGT
66
Counselling for Permanent contraception
SGT
OG19.3
Observe/assist in the performance of tubal ligation
67
Tubal ligation
Demonstration
OG19.4
Enumerate the indications for,describe the steps in and insert and remove intrauterine device in a simulated environment
68
Insertion and removal of IUCD
SGT
20
TOPIC
Medical Termination pregnancy
OG20.1
Enumerate the indications and describe and discuss the legal aspects,indications, methods for first and second trimester
MTP;complications and management of complications of MTP
69
MTP act
Lecture
70
Management of complications of MTP
SGT
71
MTP act explained with roleplay
Role Play
OG20.2
In a simulated environment administer informed concent to a person wishing to undergo MTP
72
Informed consent in MTP
SGT
OG20.3
Discuss pre conception and prenatal diagnostic techniques (PC and PNDT)act 1994 and its ammendments
73
PCNDT act
Lecture
21
TOPIC
Contraception
OG21.1
Describe and discuss the temporary and permanent methods of contraception,Indications, technique and
complications;selection of patient,side effects and failure rate including OC's, male contraception,Emergency contraception and
74
Introduction totemporary and permanent method of contraception
Lecture
75
Selection of patients,side effects and failure rate of all modalities of contraception
SGT
76
Emergency contraception and male sterilization
Lecture
77
Female sterilization
Lecture
OG21.2
Describe and discuss PPIUCD programme
78
PPIUCD
SGT
22
TOPIC
Vaginal discharge
OG22.1
Describe the clinical characteristics of Physiological vaginal discharge
79
Physiological vaginal discharge
Lecture
OG22.2
Describe and discuss the etiology (with special Emphasis on Candida,T.vaginalis,Bacterial vaginosis),Characteristics,clinical
diagnosis,investigations,genital hygiene,management of common causes and the syndromic management
80
Leucorrhoea 1
Lecture
81
Leucorrhoea 2
Lecture
23
TOPIC
Normal and abnormal puberty
OG23.1
Describe and discuss the physiology of puberty,features of abnormal puberty,common problems and their managemet
82
Normal puberty
Lecture
83
Abnormal puberty
Lecture
OG23.2
Enumerate the causes of delayed puberty.describe the investigation and management of common causes
84
Delayed puberty
SGT
OG23.3
Emnumerate the causes of precocious puberty
85
Precocious puberty
SDL
1
TOPIC
Demography and vital statistics
OG1.1
Define and discuss birthrate,maternal mortality and morbidity
86
Introduction to maternal Mortality and morbidity
Lecture
87
Causes for maternal mortality and morbidity and the steps to reduce it
SGT
OG1.2
Define and discuss perinatal mortality and morbidity including perinatal And neonatal mortality and morbidity audit
88
Introduction to perinatal mortality and morbidity;Neonatal mortality,morbidity
Lecture
89
Causes and Steps to prevent,reduce PNM
SGT
OG1.3
Define and discuss still birth and abortion
90
Definition,causes and management of stillbirth and abortions
Lecture
Describe evidence of abortion living and dead, duties of doctor in cases of abortion ,investigations of death due to criminal
91
SGD,VI-FM
abortion
24
TOPIC
Abnormal uterine bleeding
OG24.1
Define,classify and discuss abnormal uterine bleeding,its etiology, clinical features,investigations,diagnosis and management
92
Definition,classification and etiology of AUB
Lecture
93
Medical Management of AUB
SGT
94
Surgical management of AUB
SGT
95
Hysterectomy
Demonstration
96
NDVH
Demonstration
25
TOPIC
Amenorrhoea
OG25.1
Describe and discuss the causes of primary and secondary amenorrhoea,its investigations and the principles of management
97
Systematic approach to investigate and diagnose a complaint of primary amenorrhoea 1
SGT
98
Systematic approach to investigate and diagnose a complaint of primary amenorrhoea 2
Seminar
99
Systematic approach to investigate and diagnose a complaint of Secondary amenorrhoea 1
SGT
100
Systematic approach to investigate and diagnose a complaint of Secondary amenorrhoea 2
Seminar
26
TOPIC
Genital Injuries and fistulae
OG26.1
Describe and discuss the etiopathogenesis,clinical features;Investigations and implications on health and fertility and
management of endometriosis and adenomyosis
101
Etiopathogenesis of endometriosos and adenomyosis
Lecture
102
Clinical features and Management of endometriosis and adenomyosis
Lecture
OG26.2
Describe the causes,Prevention,Clinical features,Principles of management of genital injuries and fistulae
103
Genital Injuries
SGT
104
Fistulae
SGT
105
Surgery for genital fistulae
Lecture
27
TOPIC
Genital infections
OG27.1
Describe and discuss the etiology,pathology,clinical features,differential diagnosis,investigations,management and long term
implications of sexually transmitted infections
106
Syndromic Approach toSTI testing
Lecture
107
Etiopathology,clinical features,differential diagnosis of various STI's
SGT
108
Management of STI's
Lecture
OG27.2
Describe and discuss the etiology,pathology,clinical features,differntial diagnosis,investigations,management and long term
implications of genital tuberculosis
109
Genital tuberculosis
Lecture
OG27.3
Describe and discuss the etiology,pathology,clinical features,differential diagnosis,investigations,management and long term
implications of HIV
110
Gynecological symptoms and their management in HIV patients
Lecture
Describe and discuss the etiology,Pathology,clinical features,Diferential diagnosis, Investigations,Management and long term
OG27.4
implications of pelvic inflamatory disease
111
PID
Lecture
28
TOPIC
Infertility
OG28.1
Describe and discuss common causes,pathogenesis,clinicalfeatures,differential diagnosis;investigatons;principles of
management of infertility -Methods of tubal patency ,ovulation induction,ART
112
Male infertility
Lecture
113
Female infertility
Lecture
114
Recent advances
SGD
OG28.2
Enumerate the assesment and restoration of tubal patency
115
Infertility explained with roleplay
Role Play
116
Method of determining tubal patency
Seminar
117
Management of tubal factor infertility
SGT
OG28.3
Describe the principles of ovulation induction
Lecture
118
Ovulation induction
SGT
OG28.4
Enumerate the various assisted reproductive technique
119
ART -1
Lecture
120
ART-2
SDL
29
TOPIC
Uterine fibroids
Describe and discuss the etiology,Pathology,clinical features,Diferential diagnosis, Investigations,Principles of
OG29.1
Management,complications of fibroid uterus
121
Etiology,pathology,clinical features,complications of fibroid uterus
Seminar
122
Investigations and management of Uterine fibroid
SGD
30
TOPIC
PCOS and hirsutism
OG30.1
Describe and discuss the etiopathogenesis ;clinical features; differential diagnoisis ;investigations;management
,complications of PCOS
123
PCOS
SGT
OG30.2
Enumerate the causes and describe the investigations and management of hyperandrogenism
124
Management of a case of Hirsutism
SGT
31
TOPIC
Uterine prolapse
OG31.1
Describe and discuss the etiology, classification,clinical features,diagnosis,investigations,principles of management and
preventive aspects of prolapse of uterus
125
Supports of uterus,etiology,clinical features,complications of prolapse
Lecture
126
Management of uterine prolapse
SGT
127
POPQ
Lecture
32
TOPIC
Menopause
OG32.1
Describe and discuss the etiology of menopause,symptoms,prevention,management and the role of HRT
128
Menopause
Lecture
OG32.2
Enumerate the causes of Post menopausal bleeding and describe its management
129
Postmenopausal bleeding
Lecture
33
TOPIC
Benign,premalignant(CIN) and Malignant lesions of the cervix
OG33.1
Classify,describe and discuss the etiology,pathology,clinical features,differntial diagnosis,investigations and staging of cervical
cancer
130
CIN
SGT
131
Ca cervix-Clinical features, staging,investigations
Lecture
132
Differntial diagnosis of Ca cervix
SGT
OG33.2
Describe the principles of management including surgery and radiotherapy of benign,CIN and Malignant lesions of cervix
133
CIN Management
SGT
134
Surgery in Ca cervix 1
Lecture
135
Surgery in ca cervix 2
Lecture
136
Radiotheraphy in Ca cervix 1
Lecture
137
Radiotherapy in Ca cervix 2
Lecture
OG33.3
Describe and demonstrate the screening for cervical Cancer in a simulated environment
138
Screening for cervical cancer
Demonstration
OG33.4
Enumerate the methods to prevent Cancer of cervix including visual inspection with acetic acid (VIA),Visual inspection of
cervix with Lugol's iodine (VILI),pap smear and colposcopy
139
VIA,VILI
Demonstration
140
Pap smear / LBC
Demonstration
141
Colposcopy
Demonstration
34
TOPIC
Benign and malignant diseases of the uterus and ovary
OG34.1
Describe and discuss etiology,pathology,staging,clinical features,differential diagnosis,investigations,staging laparotomy and
principles of management of endometrial cancer
142
Endometrial hyperplasia
Lecture
143
Endometrial Cancer
SGT
144
Management of endometrial cancer
Lecture
OG34.2
Describe and discuss the etiology,pathology,classification,staging of ovarian cancer,clinical features,differntial
diagnosis,investigations,principle of management including staging laparotomy
145
Working up a case of ovarian mass
SGD
146
Clinical features and Management of benign ovarian tumour
SGT
147
Ovarian cancer
Lecture
148
Management including staging laparotomy 1
Lecture
149
Management including staging laparotomy 2
Lecture
OG34.3
Describe and discuss the etiology,Pathology,classification, staging,clinical features,differntial diagnosis,investigations and
management of gestational trophoblastic disease
150
Molar pregnancy
Lecture
151
Management of Gestational trophoblastic disease
SGT
152
Overview of FIGO prognostic and anatomical staging systems, risk classification,chemotherapy
Lecture
OG34.4
Operative gynecology;Understand and describe the technique and complications;dilatation and curettage; EA-ECC;cervical
biopsy;Abdominal hyterectomy;Myomectomy;surgery for ovarian tumour;staging laprotomy;vaginal hysyerectomy including
153
Dilatation and curettage
Demonstration
154
Excision of Bartholin cyst
Demonstration
Lecture/Demonstrati
155
EA-ECC;Cervical biopsy
on
156
Endometrial ablation
Seminar
Lecture/Demonstrati
157
Abdominal Hyterectomy
on
Lecture/Demonstrati
158
Myomectomy
on
159
Invasive procedure for prenatal diagnosis - chorionic villus sampling
Lecture
160
Invasive procedure for prenatal diagnosis - amniocentesis
Seminar
161
Cordocentesis
Lecture
Lecture/Demonstrati
162
Surgery for ovarian tumours
on
Lecture/Demonstrati
163
Staging laparotomy
on
164
LAVH
Demonstration
165
TLH
Demonstration
Lecture/Demonstrati
166
Vaginal hysterectomy with pelvic floor repair
on
Lecture/Demonstrati
167
Forthergill's operation
on
Lecture/Demonstrati
168
Laparoscopy
on
169
Tuboplasty
Demonstration
Lecture/Demonstrati
170
Hysteroscopy
on
171
Hysterolaparoscopy for infertility
Demonstration
172
Management of post operative complication
Lecture
35
TOPIC
Obstetrics and gynaecology skills-1
OG35.1
Obtain a logical sequence of history,and perform a humane and thorough clinical examination,excluding internal
examinations(PV and PR)
Lecture/Demonstrati
173
Clinical examination of antenatal patient
on
OG35.2
Arrive at a logical provisional diagnosis after examination
174
Interpretation of history,physical examination to arrive at provisional diagnosis
SGT
OG35.3
Recognise situation, which call for urgent or early treatment at secondary and tertiory centres and make a prompt referal of
such patients after giving first aid or emergency treatment
175
Triaging and management of Obstetrics emergencies
SGD
176
BLS in pregnency
SGT
177
Surgical emergencies in pregnancy 1
Lecture
178
Surgical emergencies in pregnancy 2
SGT
OG35.4
Demonstrate interpersonal and communication skills defitting a physician in order to discuss illness and its outcome with
patient and family
179
Effective communication
SGT
OG35.5
Determine gestational age,EDD and obstetric formule
180
Naegele's formulae
SDL
181
Determination of gestational age by ultrasound
Lecture
OG35.6
Demonstrate ethical behaviour in all aspects of medical practice
182
IMG and Ethics
Lecture
OG35.7
Obtain informed consent for any examination/procedure
183
Informed concent
SGT
OG35.8
Write a complete case record with all necessary details
184
Gynecological history taking -1
Lecture
Lecture/Demonstrati
185
Gynecological history taking -2
on
OG35.9
Write a proper discharge summary with all relevant information
186
Organized discharge summary
SGT
OG35.10
Write a proper referral note to secondary or tertiory centres or to other physicians with all necessary details
187
Writing of a referal note
SGT
OG35.11
Demonstrate the correct use of appropriate universal precautions for self protection against HIV and Hepatitis and Counsel
patients
188
Demonstration of universal precautions (HIV,Hepatitis)
Demonstration
OG35.12
Obtain a pap smear in a simulated environment
189
Pap smear Demonstration
SGT
190
Counselling HIV patients postpartum
SGT
191
Counselling HbsAg patient postpartum
SGT
OG35.13
Demonstrate the correct technique to perform artificial rupture of membranes in a simulated/supervised environment
192
Demonstration of ARM
SGT
OG35.14
Demonstrate the correct technique to perform and suture episiotomy in a simulated/supervised environment
193
Demonstration of episiotiomy
SGT
OG35.15
Demonstrate the correct technique to insert and remove IUCD in a simulated /Supervised environment
194
Demonstration of insertion and removal of IUCD
SGT
OG35.16
Diagniose and provide emergency management of antepartum and post partum hemorrhage in a simulated /guided
environment
195
APH and PPH drill
SGT
OG35.17
Demonstrate the correct technique of urinary catheterisation in a simulated/supervised environment
196
Demonstration of urinary catherisation
SGT
