DEPARTMENT OF GYNECOLOGY & OBSTETRICS, RMDC.

(According to NATIONAL ACCREDITATION FRAME WORK FOR MEDICAL & DENTAL SCHOOLS IN PAKISTAN,,PMDC 2019)

Table of contents

Standard 1: Mission Statement

Standard 2: Outcomes

Standard 3: Institutional Autonomy and Academic Freedom

Standard 4: Curricular Organization

Standard 5: Educational Contents

Standard 6: Curricular Management Standard

Standard 7: Assessment

Standard 8: Student

Standard 9: Faculty

Standard 10: Program Evaluation and Continuous Renewal

Standard 11: Governance, Services and Resources

Standard 12: Research and Scholarship

Standard 1:

Mission

Statement

1. Mission Statement

To promote the health and well-being of the community through provision

of quality medical education and by producing doctors who are clinically

competent, research oriented and committed to provide patient care in

diverse situations globally in a humane and compassionate manner. The

mission statement is known to all stake holders in the college through:-

1.1 Prospectus

1.2 Website

1.3 Plaque placed in front Hall of RMDC

1.4 Academic Council Meetings

1.5 Direct interaction with students on the day of white coat ceremony.

Standard 2:

Outcomes

2. Outcomes

At the end of academic session, the final year MBBS student will be able to:

2.1.1-- demonstrate his/her ability to obtain a relevant clinical history from a woman

With gynecological or obstetric problem.

2.1.2-- perform adequate clinical examination of a gynecological or obstetric patient.

2.1.3--interpret clinical and laboratory data to arrive at differential diagnosis.

2.1.4--councel the woman (and her husband/family, if married) regarding the nature

Of the existing clinical problem with reasonable communication skills.

2.1.5--recognize the high risk cases for referral to senior obstetrician/gynecologist.

2.1.6--provide initial life saving measures in emergency obstetrics and gynecology

Before referring to tertiary care hospital.

2.1.7--initiate ethical practice in gynecology and obstetrics following the principals

Of safe and value based community health care services focused on wellness

Woman and child as a life-course perspective.

Standard 3:

Institutional

Autonomy and

Academic Freedom

Not applicable

Standard 4:

Curricular

Organization

4. Curricular Organization

Department of gynecology and obstetrics follows the MBBS

Curriculum as prescribed by UHS, which is the degree awarding institute.

The Medical Education Department works within the orbit of UHS Standards

To implement the designed curriculum and teaching strategies according to

Table Of Specifications (TOS, given by UHS/attached in “STUDY GUIDE

GYNE&OBS, FINAL YEAR MBBS”, RMDC).

4.1 Credit hours:

Total 300 hours : Gynecology & Obstetrics

3rd Year : 50 Hours

4th Year : 100 Hours

5th Year : 150 Hours

It is pertinent to mention that RMDC exceeds the number of minimum allocated

hours .70% hours are clinical teaching and 30% hours are theoretical teaching.

Total numbers of hours distribution is mentioned in STUDY GUIDE). 20% time is

assigned for self-directed learning. Following curriculum documents are attached

as Annexures in “STUDY GUIDE FINAL YEAR”.

4.1.1 College Time Tables as per Academic Calander 2018-19

4.1.2 Rotation Plans in respective yearly GYNE/OBS STUDY GUIDES.

4.1.3 Batch Distributions

4.1.4 Gynecology Department weekly Planner for All learning activities

4.1.5 Lecture schedule of gynecology

4.1.6 Clinics (evening rotations)

4.2 Teaching Methodologies

A horizontal and vertical integrated curriculum is being followed in RMDC

which is aligned with UHS vision, institutional mission to address the local

community and national needs with contextual relevance to meet the PM&DC

standards.

o Interactive Classroom Lectures

o Small Group Discussions (SGD)

o Bed side teaching during Ward rounds

o Long Case presentations in OPD

o O.T: Instruments /Steps of gynecological & Obstetrics procedures

o Labor Room: students assist with medical officers/PGs in deliveries

on patients.

o Pelvis & Dummy for mechanism of normal/abnormal labor

o e-Library is linked up with HEC Digital portal.

o Skill lab is functional for simulations e.g. vaginal deliveries ,

mechanism of labor

o For self-directed and Peer Assisted learning , assignments are given

and

o CPCs (Clinical Pathological Conferences) are held on regular basis.

SKILL LAB MODELS FOR GYNE AND OBS DEPARTMENT

17. Basics birth

simulator, digital

For practice of normal/abnormal labor and

deliveries

18. Fetal Development

Models

Fetus in different development stages are

shown

19. Baby with placenta

(soft)

New born baby with placenta attached

with umbilical cord. For cord ligation and

cutting practice

20. Gynecological

training simulator

(soft)

Different parts of female pelvis along with

delivering fetus

4.3 Feedback System

a. Discussion of test papers in class

b. Returning checked test papers with written comments

c. One to one feedback meetings with students

d. Parents Teacher meeting maintaining to discuss student(s)

performance to high light weak areas to involve them in their

improvement and taking their feedback about college and teaching

being imparted in the college. This is done by SMS/Letters.

4.4 Level of Faculty Involvement

The faculty members of each depts. are actively involved in the learning process.

Detail is as under:-

a. Lectures

i. 3rd year MBBS; Associate Professors, Assistant Professors and

Senior Registrar (accompanied by Professor).

ii. 4th year MBBS; Professor, Associate Professors & Assistant

Professors.

iii. Final year MBBS; Professors (mainly) and Associate Professors.

4.5 Question Bank

A Question bank for MCQs, SEQs and OSPE Stations are in gynecology

department.

4.6 Assessment Formats

A) MCQs

B) SEQs

C) OSPE

D) Long cases.

4.4.7 Maintenance of Record in Gynae Department:

Hard Copies/Soft copies

Attendance Record

Test Record

Intradepartmental Meetings and junior faculty development

Class wise result analysis

4.9 Strategies to tackle weak students

a. Meetings with students to identify their issues related to the teaching

b. Parents Teacher meeting to involve them in the student improvement

c. Repeat lectures pertaining to difficult topic during the session

d. Written assignments

e. In clinical rotation, OSPE Drills for weak students.

Standard 5:

Educational

Contents

RMDC follows the rules and regulations as prescribed by

University of Health Sciences – UHS.

UHS Syllabus: OBSTETRICS

The course outline is according to UHS Rules which is as follows:

1. Introduction.

2. Obstetric History Taking & Examination.

3. Conception, Implantation & Development of placenta, its abnormalities and

fetal circulation.

4. Fetal skull and bony pelvis.

5. Diagnosis of pregnancy.

6. Physiological changes associated with pregnancy.

7. Antenatal care.

8. Early pregnancy loss and its complications.

9. Physiology of labor.

10. Mechanism of labor.

11. Management of labor.

12. Complications of Third stage of labor.

13. Abnormal labor e.g. prolonged labor, obstructed labor.

14. Preterm labor.

15. Induction of labor.

16. Intrauterine Growth restriction and its management.

17. Post maturity.

18. Conduction of Normal delivery.

19. Operative delivery e.g. Forceps / Vacuum delivery.

20. Hypertensive disorders of pregnancy-PET, Eclampsia, Essential

hypertension.

21. Obstetric shock.

22. Caesarean section.

23. Antepartum Hemorrhage.

24. Hydramnios.

25. Hyperemesis Gravidarium.

26. Medical disorders associated with pregnancy e.g.

Pregnancy with Anemia.

Pregnancy with Heart disease.

Pregnancy with Diabetes.

Pregnancy with jaundice/hepatitis.

Renal problems during pregnancy.

27. Fetal distress and its management.

28. Fetal Monitoring.

29. Fetal presentations.

30. Breech presentation.

31. Occipito posterior position.

32. Brow presentation.

33. Face presentation.

34. Cord Prolapse / Compound presentation.

35. Transverse lie / Unstable lie.

36. Multiple Pregnancy.

37. Normal & Abnormal puerperium.

38. Examination of new born baby.

39. Resuscitation of new born baby.

40. Minor problems of the new-born.

41. Breast feeding & its significance.

42. Hematological disorders of pregnancy e.g. Rh incompatibility,

Thalassemia.

43. Role of Ultrasound in Obstetrics

44. Fetal congenital abnormalities.

45. Vital statistics.

Practical:

Log Book of 10 obstetric histories.

GYNAECOLOGY

The course outline is as follows:

1. Introduction.

2. Anatomy of female genital organs and their development.

3. Puberty and Adolescence.

4. Ovulation and its clinical importance.

5. Normal menstruation.

6. Menstrual Abnormalities.

7. Gynecological history taking and examination.

8. Minor gynecological operative procedures.

9. Amenorrhea.

10. Infertility.

11. Contraception.

12. Ectopic pregnancy.

13. Trophoblastic tumors.

14. Lesions of vulva.

15. Tumors of Vagina.

16. Tumors of Cervix.

17. Tumors of Ovaries.

18. Tumors of uterus.

19. Tumors of fallopian tubes.

20. Menopause/Hormone replacement therapy.

21. Genital prolapse.

22. Pelvic floor injuries.

23. Urogynecology.

24. Problems of marriage & sexual problems.

25. Vaginal discharge.

26. Infections of upper & lower female genital tract.

27. Pre-operative preparations.

28. Post-operative complications & management.

29. Role of ultrasound in gynecology.

PRACTICAL: Log Book of 10 histories of Gynae.

RECOMMENDED BOOKS FOR GYNECOLOGY &

OBSTERICS:

1. Obstetrics by Ten Teachers by Stuart Campbell and Christophe Lees, 17th

Ed 2000.

2. Gynecology by Ten Teachers by Stanley G. Clayton and Ash Monga

2006.

3. Essentials of Obstetrics & Gynecology Neville F. Hacker , J. George

Moore and Joseph C. Gambone. 4thEd. 2004.

4. Notes on Obstetrics & Gynecology. Stirrat, Draycott. 5thEd.2003.

5. Text book of Obstetrics & Gynecology by Rashid Lateef.

6. Obstetrics & Gynecology by Arshad Chohan.

7. Online Journals and Reading Materials by through HEC Digital Library

Facility.

Standard 6:

Curricular

MANAGEMENT

6. Curricular Management :

6.1RMDC has a curriculum committee which is shown in the college organogram.

6.1 The committee has its own TORs to plan , implement and evaluate.

6.3 Skill Lab: Functioning under supervision of Col®.Dr.Rizwan Ullah Asst.Prof

community medicine and Dr.Wajiha Asst.Prof Gynae, the hands-on work training is

conducted by the relevant clinical departments as per time table.

6.4/6.5 The STUDY GUIDES for 3rd year, 4th year and 5th year about subject of

gynecology and obstetrics specifying Curricular Organization, Academic

Management and Learning objectives/outcomes are available with the department &

on college website http://www.rmdc.edu.pk.

STANDARD 7:

ASSESSMENT

7. Assessment:

The Department of Gynecology and Obstetrics has comprehensive plan, both for

formative and summative assessment.

7.1/7.2/7.3 Types & Tools of Assessment

FORMATIVE

SUMMATIVE

ASSESSMENT

ASSESSMENT BY COLLEGE

ASSESSMENT BY UHS

Continuous assessment while any

learning activity

By UHS, in form of Final Professional

Exam in gynecology & obstetrics,

Paper 1: Obstetrics

Paper 2: Gynecology

Assignment in form of Log Books. -

Comprehensive revision Tests.

Ward Test at the end of Clinical

Rotation of individual batches by long

cases presentations on patients, OSPE

& Viva.

-

Class Test every 3rd Friday of month

¤ (5 tests in an academic year, covering

the curriculum taught in previous

weeks in lectures in College.

Send-up Exams

-

7.4 Assessment Policy

Department of Gynecology & Obstetrics,RMDC is following traditional

discipline based curriculum developed in light of Pakistan Medical & Dental Council

and University of Health Sciences guidelines essence of the assessment policies are

as under:-

1.5.1 Passing criterion is 50% marks.

1.5.2 Assessments will be carried out at end of each term and at the end of

academic year.

1.5.3 The frequency, timing and weightage of assessments will be feasible, valid

and reliable.

1.5.4 Assessment criteria will be clear and available to students in a time.

1.5.5 Appropriate feedback from students and teachers after each term (formative

as well as summative assessments) will be carried out.

1.5.6 Assessment schedule once approved will not be changed without approval

by the Assessment Committee and Academic Council.

PURPOSE OF ASSESSMENT

JUDGE KNOWLEDGE,

SKILLS, ATTITUDE

MEASURE IMPROVEMENTS

OVER TIME

GRADE STUDENTS

IDENTIFY STUDENT

DIFFICULTIES

EVALUATE TEACHING

METHIODS AND COURSE

EFFECTIVENESS

STUDENT MOTIVATION

7.6 Pre-,per- and post-exam QUALITY ASSURANCE

As RMDC is ISO Certified 9001-2015, we abide by its rules. Refer to Blue Folder

8 Examination

Internal assessments (Sendup) of gynecology & obstetrics are compulsory for

students appearing in final professional exams by UHS.

8.1 The weightage of internal assessment is 10%.

8.2 The marks of internal assessment are displayed on notice board of college as

well as in department of Gynae in Punjab Rangers Teaching Hospital affiliated with

RMDC.

8.3 Record of continuous internal assessment is maintained by one focal faculty

member of gynecology department as assigned by the Head of Department.

Standard 8:

STUDENT

8. Student:

As per College Policy.

STANDARD 9:

Faculty

FACULTY ORGANOGRAM OF GYNECOLOGY DEPARTMENT

Prof.Dr.Shehnaz Kauser

HOD

UNIT 1

Associate Professor Dr.Maj®Mamuna Qayyum

Medical Officers

Dr. Anum Farooq

Dr.Smeea Tur Rahman

9.2 For Job Descriptions, refer to Blue Folder.

Prof.Brig®Dr.Shamim Akhter

UNIT 2

Assistant Professors:

Dr. Munazza Tayyab Dr. Shabana Khokher

Dr. Wajiha Rizwan Dr. Saba Iliyas Malik

Senior Registrars:

Dr.Humaira Durrani Dr.Ambreen Nasir

9.3 As per College Policy

9.4 As per College Policy

9.5 As per College Policy

9.6 Faculty Development Program :

- Twice weekly interesting case discussions in morning time from 8.30-9.15 am

with HOD & Professor and departmental affairs which are maintained in

separate Register as hard copy for record in Gynae department.

- A workshop on “Maternal Resuscitation“ was organized by Department of

Gynae On 30.10.2019 in Punjab Rangers Teaching Hospital with 3.5 CME

Credit Hours.

- HOD promotes continuous medical learning in form of mini-workshop type

lectures which is arranged by assigned faculty member. Recently, a

departmental activity as “MCQ Workshop” was organized in Gynae by

Assistant Professor under supervision of Professor (Prof.Dr.Shehnaz Kauser).

- Perinatal Mortality & Morbidity meetings are organized by Department of

Gynae & Paeds in which previous 2 months record is discussed.

- Hospital Morbidity & Mortality meetings are organized by departments of

surgery, medicine ,Gynae and pediatrics for making SOPs for better patient

Care headed by Prof. of surgery Dr.Sadaqat Ali Khan. Minutes of meeting are

kept as record by respective department since Jan, 2019.Our case presentation

MoMs can be available as hard copy from department record.

COMMUNITY HEALTH SERVICES

Medical Camps are arranged by RMDC, in which Department of Gynae

participates every month: are held in peripheral areas of Lahore. It is

compulsory for Final Year students, RMDC to visit those places to know the

basic health care system and problems of the poor community.

STANDARD 10:

PROGRAM EVALUATION

AND

CONTINUOUS RENEWAL

10. Program Evaluation & Continuous Renewal

We have been recognized by PMDC for 100 students in November 2018.

Our first batch has graduated in current year 2019. We are too young as an

Institution and in preliminary stages. However, we remain in direct contact

With Medical Education Department, RMDC and Students as prescribed by

UHS/PMDC.

QUALITY ASSURANCE:

-The College has been declared as ISO 9001-2015 certified , to ensure quality

assurance by the said organization .RMDC also ensures quality assurance in

accordance with PMDC & HEC Standards.

Standard 11:

GOVERNANCE,

SERVICES &

RESOURCES

As per College Policy.

STANDARD 12:

RESEARCH &

SCHOLARSHIP

As per College Policy.

----------------------------

Workshop

Obstetrics & Gynaecology

Rahbar Medical & Dental College

MATERNAL RESUSCITATION

October 30th

2018

Organized by: 3.5 CME

Prof. Dr. Shahnaz Kousar hours

HOD OBGYN

Prof. Brig ® Shamim Akhter

FREE REGISTERATION

Coordinator:

Dr. Humaira Durrani Senior Registrar Ph: 03217040878

Venue: Punjab Rangers Teaching Hospital

( opposite Askari X)