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BLOK 17 REPRODUCTIVE SYSTEM ISKANDAR ZULQARNAIN

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Page 1: Introduction

BLOK 17REPRODUCTIVE SYSTEM

ISKANDAR ZULQARNAIN

Page 2: Introduction

Level of achievment : Recognize clinical symptoms of disease Can make clinical diagnosis based on physical

examination and other additional examination and also can reffer the patient to the relevant specialistic

Can decide and give first therapy before reffer to the specialist (not emergency case)

Can decide and solve the problem clearly by them selves

Page 3: Introduction

BASED CLINICAL SKILL

Area of competention

■ Get and note a fully history of disease and can also do a comprehensif examination

■ Choose a “lege artis” action and can understand many clinical procedure and laboratorium

Page 4: Introduction

BASED CLINICAL SKILLComponent of competention■ Explore history of disease accurately, doing

physical examination and general laboratory examination for every problem of the patient

■ Choose the right medical action and can understand the action accurately and clearly

Page 5: Introduction

SKILL TO PRACTICE BIOMEDIC SCIENCE, CLINICAL SCIENCE, BEHAVIORAL AND EPIDEMIOLOGY SCIENCE IN FAMILY MEDICINE PRACTICE

Area of competention Making medicine and health problem

become clearly based on biomedic science, clinical, behavioral and earliest community

Prepare the intervention plan based on scientific meaning

Practice the evidence based medicine in daily practice

Page 6: Introduction

SKILL TO PRACTICE BIOMEDIC SCIENCE, CLINICAL SCIENCE, BEHAVIORAL AND EPIDEMIOLOGY SCIENCE IN FAMILY MEDICINE PRACTICE

Competention component Making health problem clearly from biomedic

science, clinically and earliest behavioral Explain the concept of pathophysiology of health

problems Arrange and explain of medical action plan Explain the based of pathophysiologic thinking

that choosed and explain about the possibility result to the patient, family and colega

Page 7: Introduction

TARGET Decide the relevant scientific base which

connect with pathophysiology meaning of health problem

Decide the clinical problem that raise up based on case that connective to a health problem

Page 8: Introduction

TARGET

Can explain etiology, pathogenesis, and also prpgresivity of health problem

Explain manifestation and consequention of health problem miomolecularly, celluler and also faaly

Develop strategy of etiology control, phatogenesis and also spesific danger of health problem

Page 9: Introduction

TARGET

Explain the aim of medicinalis from physiology and molecular side

Understand scintific logic to choose intervention from pharmacology, physiologi, nutrient and also behavioral change

Knowing and can explain indication for specific medicine , work mechanism, dose, halftime and clinical aplication

Anticipated the possibility of drug interaction Explain health problem caused of drugs Make a parameter and indicator of therapy whether it

succed or failed Explain how important to control the therapy

Page 10: Introduction

SKILL TO HANDLE THE HEALTH PROBLEM INDIVIDUALY, FAMILY OR RELATIVES WITH COMPREHENSIF, HOLISTIC, CONTINUE, COORDINATE, AND WORKING TOGETHER IN CONCEPT PRIMARY HEALTH SERVICE

Competention area

■ Diagnose, controlling and preventing individual problem

■ Control the individual health problem through the clinical reasoning

Page 11: Introduction

SKILL TO HANDLE THE HEALTH PROBLEM INDIVIDUALY, FAMILY OR RELATIVES WITH COMPREHENSIF, HOLISTIC, CONTINU, COORDINNATE, AND WORKING TOGETHER IN CONCEPT PRIMARY HEALTH SERVICE

Component of competention : Diagnose individual health Integrated preventive action to produce

comprehensive health service Monitoring improvement in therapy Diagnose the causa of environment health

problem

Page 12: Introduction

SKILL TO HANDLE THE HEALTH PROBLEM INDIVIDUALY, FAMILY OR RELATIVES WITH COMPREHENSIF, HOLISTIC, CONTINU, COORDINNATE, AND WORKING TOGETHER IN CONCEPT PRIMARY HEALTH SERVICE

TARGET Evaluate data of basic examination corectly Make a differential doagnose Arrange the problem bassed on diffrential

diagnosis

Page 13: Introduction

SKILL TO HANDLE THE HEALTH PROBLEM INDIVIDUALY, FAMILY OR RELATIVES WITH COMPREHENSIF, HOLISTIC, CONTINU, COORDINNATE, AND WORKING TOGETHER IN CONCEPT PRIMARY HEALTH SERVICE

TARGET

Choose the right theerapy Choose action based on financial factor and

patient ability Do consulting and reffered if necessary

Page 14: Introduction

SKILL TO HANDLE THE HEALTH PROBLEM INDIVIDUALY, FAMILY OR RELATIVES WITH COMPREHENSIF, HOLISTIC, CONTINU, COORDINNATE, AND WORKING TOGETHER IN CONCEPT PRIMARY HEALTH SERVICE

TARGET

Decide the aim of the therapy Optimally involved the patient and their family Decide the scrining examination

Page 15: Introduction

SKILL TO HANDLE THE HEALTH PROBLEM INDIVIDUALY, FAMILY OR RELATIVES WITH COMPREHENSIF, HOLISTIC, CONTINU, COORDINNATE, AND WORKING TOGETHER IN CONCEPT PRIMARY HEALTH SERVICE

TARGET

Do education and other intervention if neeeded Decide indicator and parameter that will

evaluate Diagnose and control the environment that

cause disease

Page 16: Introduction

PLANNING OF

INTEGRATED TEACHING

Page 17: Introduction

1. Physiological obstetrics

Consultant : Dr. Iskandar Zulqarnain, SpOG (K)

Dr. A. Abadi , SpOG (K)

Time alocation : 2 x 50 minutes

I. OBSTETRICS AND GYNECOLOGY

Page 18: Introduction

1 . Physiological Obstetrics

Fertilization, implantation, and nidation Placental hormone Changing of morfology and physiology of

the fetus Changing of anatomy and physiology of

pregnant woman Antenatal care

Page 19: Introduction

2. Phatological Obstetric 1,2& 3

Consultant :

Prof. Dr. Syakroni DR , SpOG (K)

Prof. Dr.A.Kurdi Syamsuri ,SpOG (K)

Dr. Wim TP , Dr, SpOG (K)

Dr. Heriyadi Manan , SpOG

Dr. K. Yusuf Effendi , SpOG (K)

Dr. Marwansyah FM , SpOG

Page 20: Introduction

3. IT Obstetrics 3 : Phatological Obstetric 2

Consultant :

Dr. M. Hatta Ansyori , SpOG (K)

Dr.Nuswil Bernolian, SpOG

Dr. Putri Mirani , SpOG

Page 21: Introduction

Phatological Obstetrics

Hyperemesis gravidarum Abortus Ectopic pregnancy / disturbance ectopic

pregnancy Hypertension in pregnancy Antepartum haemorrhage

Page 22: Introduction

Phatological Obstetrics

Preterm and postterm pregnancy Disease and abnormality of placentae,

amniotic membrane and amniotic fluid Congenital disease Premature rupture of the membrane Twin pregnancy

Page 23: Introduction

Phatological Obstetric

Disturbance on fetal growth Pregnancy with infection of virus, parasit and

bacteria ( TORCHS ), Malaria, Hepatitis, TBC Pregnancy with medical abnormality

Page 24: Introduction

6. Physical Exam,Labour &Peurperium .

Consultant : Dr. Zaimursyaf Aziz , SpOG (K)

Dr. Fatimah Usman , SpOG

Page 25: Introduction

Obstetric

Diagnosis of pregnancy Situs, habitus, presentation & position of the

baby Mechanism of normal labour Intrapartum monitoring (partograph) Nifas and lactation

Page 26: Introduction

7. IT Obstetrics 7 : Labour Complication & Operatif Obstetrics

Consultant :

Prof. Dr. Mgs. Usman Said ,SpOG (K)

Prof. Dr. Syakroni Daud Rusydi, SpOG (K)

Dr. Amir Fauzi , SpOG (K)

Dr. Marwansyah FM , SpOG

Page 27: Introduction

Labour Complication & Operatif Obstetrics

Dystocia . Postpartum haemorrhage Puerperalis infection Shock in obstetric Curretage and labour induction Ephysiotomi & Suture of laceration

Page 28: Introduction

Labour Complication & Operatif Obstetrics

Forcipal extraction & Vacuum extraction Breech presentation Manual removal of the placentae & repotition

of uterine inversion Embryotomi LSCS & postpartum hysterectomy

Page 29: Introduction

Gynecology

1. Gynecology 1 : Consultant

Dr. Rizani Amran , SpOG (K)

Dr. K. Yusuf Effendi , SpOG (K)

Dr. Amir Fauzi , SpOG (K)

Page 30: Introduction

Gynecology 1

Anatomy abnormality and abnormality of female reproduction organ

Disturbance in female fungsional reproduction system

Page 31: Introduction

Gynecology 2

Consultant :

Dr. Asrol Byrin, SpOG (K)

Dr. Firmansyah Basyir , SpOG

Topics Pelvic infection Gynecology benign tumour

Page 32: Introduction

3. Family Planning

Consultant :

Dr. Azhari, SpOG (K)

Dr. Fatimah Usman , SpOG

Page 33: Introduction

Family planning

Population and the problem Method and effectivity of contraception Contraception counselling

Page 34: Introduction

4. Gynecology Oncolology

Consultant : Dr. Agustria Zainu Saleh , SpOG ( K)Dr. Rizal Sanif , SpOG (K) Dr. Irawan Sastradinata, SpOG (K)

Page 35: Introduction

Female reproduction organ carcinoma Cervix uterine intraepithelial neoplasma Cervical carcinoma Uterine carcinoma Ovarian carcinoma Vulva & vagina carcinoma Gestational trophoblast neoplasia Pain in female reproductive organ neoplasia

Page 36: Introduction

6. Imaging in O & G ( Ultrasound imaging , CTG , ect )

Consultant : Prof. Dr. A.Kurdi Syamsuri , SpOG (K).Dr. M . Hatta Ansyori , SpOG (K)Dr. Nuswil Bernolian , SpOG

Page 37: Introduction

Imaging in O & G

Monitoring of fetal heart rate, CTG Amniocentesis. Ultrasound in obstetrics gynecology MRI , CT Scan, Rontgenologi in obstetrics

gynecology

Page 38: Introduction

II. BIOLOGY / MEDICAL ANDROLOGY

Developmental Embryology

Consultant :

dr. Siti Hildani Thaib, MKes

Topics Growth and Development Reproductive Organs

(Male and Female). Abnormality of Reproductive Organs (Male)

Page 39: Introduction

II. BIOLOGY / MEDICAL ANDROLOGY

Consultant : Prof.dr. Kms. H. Arsyad, SpAnd

MALE INFERTILITY - Hormonal Regulation in male fertility - Cause of male inferIity - Manag of male infertility and sexual dysfunction - Semen analysis

MALE CONTRACEPTIONS

Page 40: Introduction

III. NUTRITIONAL

Consultant :

dr. Dimyati Burhanuddin, MSc.

dr. Nazly Hanim, MSc

dr. Syarif Husin , MSi

Page 41: Introduction

NUTRITION ON REPRODUCTION SYSTEM (OBSTETRICS & GYNECOLOGY)

Dietary management in Pregnancy and lactation (including hyperemesis gravidarum and hypertension)

Iron deficiciency & megaloblastic anemia in pregnancy

Page 42: Introduction

IV. PHYSIOLOGY

Consultant :

drg. Nursiah Nasution , MKes

dr. Irfanuddin , SpKO

Page 43: Introduction

Physiology of female reproduction system

Function of female & male reproductive system

Menstrual cycles Fisiology of hormone female reproduction

system

Page 44: Introduction

V. Pharmacology: Drug in pregnancy & cytostatic

Consultant :

Dr. Syahril Aziz , SpFK ,

Dr. Theodorus , MSc

Page 45: Introduction

VI. Internal Medicine :Internal medicine in Obstetrics & Gynecology

Consultant : dr. H. ALWI SYAHAB, SpPD,(K)

Page 46: Introduction

VII. Pediatric Medicine : Perinatology in

Obstetric & Gynecology

Consultant :

dr. Hj. Julniar. M. Tasli, SpA ( K)

dr. Herman Bermawi , SpA (K)

dr. Afifa Ramadanti, SpA

Page 47: Introduction

VIII. Anatomy Pathology : Role of Anatomy

Patholgy in Obstetrics & Gynecology

Consultant :

Dr.Henny Sulastri , SpPA

Dr.Aida Farida, SpPA

Page 48: Introduction

IX. Physiciatri Medicine : Psikosa & Postpartum Depression

Consultant : Dr. Deddy S , SpKJ

Page 49: Introduction

X. Forensic Medicine : Trauma & Sexual Crime

Consultant :

Dr. Ramli bachsin , SpF

Page 50: Introduction

XI. Clinical Pathology : TORCH, Tumour marker

Consultant :

Prof dr. PM Chatar , SpPK

Dr. Kms. Yakub , SpPK

Page 51: Introduction

XII. Hystology : Hystology of male & female

reproduction system

Consultant :

Dr. Yan Effendi Hasyim , SpHK

Page 52: Introduction

XIII. DERMATO & VENEROLOGY

Consultant :

1. dr. Yulia Farida Yahya , SpKK ( K )

Page 53: Introduction

XIV:ANESTHESIOLOGY&ANIMATION

Consultant :

1 . dr . Rose Mafiana , SpAN.

2. dr. M .Zulkifli , SpAN, Mkes.

Page 54: Introduction

XIV : BEDAH TUMOR

Consultant :

1. dr. Burmansyah , SpB , Sp(K)Onk

2. dr. Benny Kusuma , SpB. Sp(K)Onk

Page 55: Introduction

RENCANA PRAKTIKUM

BLOK REPRODUKSI

Page 56: Introduction

I. ANATOMY PATHOLOGY

Theme : Time alocation : 2 X Divided group : 3 Place : INDRALAYA

Page 57: Introduction

I. CLINICAL PATHOLOGY

Theme : Time alocation : 2 X Divided group : 3 Locations : RSMH

Page 58: Introduction

TUTORIAL

Abortion Pregnancy with severe preeclampsia Breech presentation Postpartum haemorrhage

Page 59: Introduction

SKILL LAB 5 Topic

Obstetric examination + normal delivery Gynecologic examination and IUD insertion Pap’s smear Curretage Episiotomy

Page 60: Introduction

SKILL LAB

Skill Lab : 1 x 50 : Plenary lecture 2 x 50 : Group : 8 - 12

Introduction

Clinical steps demo

Pratice

Discussion

Page 61: Introduction

EVALUATION

Log Book Absentie OSCE : About Lab Skill SOCA : About Tutorial MCQ : 120 – 200

Page 62: Introduction

SYARAT BOLEH MENGIKUTI EVALUASI

Log Book MCQ : Kehadiran IT 75 % OSCE : Kehadiran Skill Lab , 100 % SOCA : Kehadiran Topik tutorial 100

%

Page 63: Introduction

Rancangan : ContohPanduan Integrated teaching Blok.17. Reproductive System Theme : Normal pregnancy Sub theme : Physiological of pregnancy anatomic and physiological changing during pregnancy Development of morfology and fungsional of the fetus Antenatal caree Nutrition in pregnancy Imaging in pregnancy ( Ultrasonografi, etc) Amniocintesis Learning objective Method guidelines Assesment : 5 question MCQ, only one right answer between

4 choices A,B,C,& D

Page 64: Introduction

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