Obstetrics and Gynecology (clinical practice)
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
General characterization
Code
11143
Credits
6
Responsible teacher
Prof.ª Doutora Teresinha Simões
Hours
Weekly - Available soon
Total - Available soon
Teaching language
Portuguese
Prerequisites
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. (2017) Medicina Materno-Fetal. 5ª ed. Lidel- Edições Técnicas Lda. ISBN 978-989-752-307-6
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 contraceção
Sites recomendados:
Direção Geral de Saúde www.dgs.pt
Sociedade portuguesa de contraceção 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, 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.
The Workshop The Women will be presented in person, or via Zoom, on the first week of training, and will summarize the most relevant topics in Gynecology and Obstetrics.
In the event that the epidemic precludes the students full-time attendance at the hospitals, some of the planned activities will be replaced by pre-recorded appointments, the use of simulators, and the resolution of clinical case studies via Zoom. Student presentations can also be conducted via Zoom.
Evaluation method
Subject matter
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. Whenever possible, the student should conduct consultations autonomously, with supervision limited to the last stage of the consultation and should, at the end of the internship, be able to perform the activities described under level 3 in the table above.
The Workshop The Women will be presented in person, or via Zoom, on the first week of training, and will summarize the most relevant topics in Gynecology and Obstetrics.
By the end of the course students are expected to have acquired theoretical background on:
Gynecology Obstetrics
Abnormal uterine bleeding: diagnosis and therapy
Preconcepcional counseling
Screening in gynecology
Follow up of normal pregnancy
Common gynecological infections: diagnosis and therapy
Recognition of risk pregnancy
Family planning
Major obstetric pathologies in the hospital setting
Main breast pathology
Interpretation of complementary exams
Menopause
Discussing diagnosis & therapy approaches
Urogynecology
Recognition of symptoms and signs of labor
Scientific activities:
The student is due to present a 10 minute talk (clinical case theme review or journal club), preferably related to observed clinical situation(s), stemming from his/her training activities.