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INTRODUCTION
Posting Coordinators
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MDP 30408 Obstetrics and Gynaecology Student Guide Book
LECTURERS (UNIMAS)
1 Professor Dr.Awi Anak Idi
2 Associate Professor Dr.Soe Lwin
3 Dr.Mardiana Binti Kipli
4 Dr.Yee Yee Kyaing
5 Dr.Myat San Yi
6 Dr.Thidar Soe
7 Dr.Mi Mi Khaing
8 Dr. Andy Bong Cheong Shin - Trainee
9 Dr. Sharifah Nor Fatimah bt Wan Mohamad Su'ut - Trainee
10 Dr.Abigail Rembui Ak Jerip - Trainee
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MDP 30408 Obstetrics and Gynaecology Student Guide Book
A. OBJECTIVES
General Objectives
At the end of clinical posting the students should improve in working knowledge on
history taking, physical examination and principles of management regarding:
1. normal pregnancy, normal labour and normal puerperium
2. abnormal pregnancy, abnormal labour and abnormal puerperium
3. common gynaecological problems.
Specific Objectives
Knowledge
At the end of the clinical posting the students should improve in:
1. apply basic sciences to clinical practice
2. demonstrate knowledge of underlying patho-physiology in obstetrics and gynae-
cology
3. define common clinical conditions (obstetrics and gynaecology)
4. interpret clinical symptoms and signs
5. interpret relevant investigation results
6. establish differential diagnoses
7. plan management and
8. assess outcome
Attitude
At the end of the clinical posting the students should have the attitude of:
1. caring for patients in conformity with medical ethics
2. respecting the customs and religion of the patient and community
3. respecting women's place in a family and society and the importance of the social
aspect of obstetrics and gynaecology
4. being vigilant throughout the course of pregnancy and labour
5. as pregnancy though a physiological process can turn pathological at any stage and
6. good obstetric care is preventive gynaecology
7. adopting the habit of continuing self education and scientific investigations.
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MDP 30408 Obstetrics and Gynaecology Student Guide Book
Skill
At the end of the clinical posting the students should be able to develop:
1. communication skill by acquiring the ability of taking proper obstetric and gynae-
cological history
2. clinical skill by performing physical examination systematically
3. managing normal pregnancy and labour (witness 10 cases and conduct 1 case)
4. recognizing abnormal pregnancy and labour
5. recognizing common gynaecological disorders
6. recognizing and managing cases of obstetric and gynaecological emergencies
7. prioritizing common obstetric and gynaecological problems in the country
8. data analyzing skill by understanding the basic principles underlying the investiga-
tions, diagnosis and treatment options for common obstetric problems and gynaeco-
logical diseases
9. counseling skill for common obstetric problems and gynaecological diseases
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MDP 30408 Obstetrics and Gynaecology Student Guide Book
Ward procedures clerkships and physical examinations 48 hours per student per posting
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MDP 30408 Obstetrics and Gynaecology Student Guide Book
Teaching / Learning
Venue Remarks
Strategies
Maternity Ward, Labour
Bedside Teaching Presentation by stu-
1 Ward, Postnatal Ward,
(BST) dent
Gynae: Ward
Out-Patient Department Jawa Clinic
2 Group basis
(OPD) SGH Gynaecological Clinic
Operating Session
3 Operation Theatre Group basis
(OTH)
Lectures/seminars/
4 tutorial/Problem based Lot 77,UNIMAS All students of posting
learnings
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MDP 30408 Obstetrics and Gynaecology Student Guide Book
LABOUR ROOM
In the labour room, third year students must observe the labour room setup and
follow the labour room procedures, witness 10 normal labour cases and deliver one
normal labour case under the guidance of labour ward staffs of Sarawak General Hos-
pital. Records have to be put in log books and signed by staffs on duty in labour ward.
Procedures Procedures
1 Scrubbing 8 Sterilization procedures
2 Gowning 9 Skin incision
3 Gloving 10 Closure of surgical wound
4 Preoperative skin preparation 11 Instruments used for C-section
Instruments used for Gynaecological
5 Positioning 12
Surgery
6 Draping 13 Instruments used for D & C
7 Catheterization 14 Anesthesia used for C-section
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MDP 30408 Obstetrics and Gynaecology Student Guide Book
D. POSTING ACTIVITIES
OBSTETRICS
Clerk and follow through antenatal ward patients
Attend ward round by Specialists / Consultants
Learn the principles of managing the common conditions associated
with pregnant mothers
Maternity Ward
Learn and observe the process of induction of labour
Learn regarding the postnatal care
Learn the conditions associated with maternal morbidity and mortality
On-call duty
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MDP 30408 Obstetrics and Gynaecology Student Guide Book
OBSTETRICS
Clerking patients
Following through labour
Observe and learn the care of mother and baby during labour
Observe and learn the conduct of a normal delivery
To conduct delivery under supervision
Labour Ward Chart/Enter Partogram recordings
Learn how to recognize and manage complications of the 3 rd stage of
labour
Observe forceps and ventouse deliveries
Observe elective/emergency LSCS
On-call duty
GYNAECOLOGY
E. POSTING ASSIGNMENTS.
Every student is requested to comply with the posting assignment as listed below.
1. OBSTETRIC AND GYNAECOLOGICAL CASES RECORD:
Keep records of every case clerked and assist (help) in its management (by them)
during the entire period of posting. Students can discuss with their supervisor /
lecturer / specialist as necessary.
2. CLINICAL WORK:
Each medical student must conduct (10) normal deliveries with or without repair
episiotomies during the posting period.
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MDP 30408 Obstetrics and Gynaecology Student Guide Book
5. LOG BOOK:
Complete the tasks and procedures that are required in logbook. The logbook must
be submitted (need to be handed over) to the supervisor for evaluation before end of
posting examination and supervisor will sign and assessed. Scoring of log book will
be counted to continuous assessment of posting.
Logbook Remarks
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MDP 30408 Obstetrics and Gynaecology Student Guide Book
Case write-up for obstetrics and gynaecology should be in accordance with the follow-
ing format:-
(1) History
(2) Physical Examination General and local
(3) Vaginal Examination (Speculum and Bimanual Examination) and Per Rectal
Examination are NOT ALLOWED to perform by the students. But, the
students are advised to include the possible findings of vaginal examination
and per rectal examination.
(4) Provisional Diagnosis
(5) Relevant Investigations
(6) Discussion should be based on anatomy, physiology and pathology of
that particular condition and its clinical presentation.
The student can ask any supervisor / lecturer / consultant if he/she do not know how to
arrange or what to be included in the case write-up.
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MDP 30408 Obstetrics and Gynaecology Student Guide Book
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MDP 30408 Obstetrics and Gynaecology Student Guide Book
3. PUNCTUALITY:
You are required to be punctual in all teaching activities. Late comers will be
considered as absent.
4. MEETING REGULARLY WITH YOUR SUPERVISOR:
You are advised to meet your supervisor regularly to discuss your progress during
the clinical posting. Your supervisor will help you during your posting and to
ensure that you have met the objectives of the clinical posting.
5. HONESTY
Throughout your posting you must be honest. Disciplinary action will be taken if
any student is found cheating during posting.
6. TAKING CARE OF PATIENT CONFIDENTIALITY
At all means you must ensure the patient records remain strict confidential
information.
7. ETHICS
Always practices good medical ethics at all times.
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MDP 30408 Obstetrics and Gynaecology Student Guide Book
H. LIST OF TEXTBOOKS
Prescribed textbooks
1. Obstetrics by Ten Teachers (19th Edition), Edited by Philip N.Baker and Louise C
Kenny (2011) Hodder Arnold (Publishers) Ltd.
2. Gynecology by Ten Teachers (19h Edition), Edited by Ash Monga and Stephen
Dobbs (2011) Hodder Arnold (Publishers) Ltd.
3. Essentials of Obstetrics (2nd Edition) by Sabaratnam Arulkumaran, V Siva-
nesaratnam, Alokendu Chatterjee and Pratapb Kumar (2010) published by Jaypee
Brothers Medical Publishers (P) Ltd
References
1. Labour Ward manual 2016 published by Department of Obstetrics and Gynaecol-
ogy Sarawak General Hospital
2. Web site of Department of Obstetrics and Gynaecology Sarawak General Hospital
O&G@SGH
3. Dewhurt's text book of Obstetrics and Gynaecology D. Keith Edmonds, 7 thed,
Blackwell Publishing, 2007
4. High Risk Pregnancy-Management Options(4th edition), edited by David K
James, Philip J Steer, Carl P Weiner, Bernard Gonik, (2011) Elservier
5. History Taking and physical examination in Obstetrics and Gynaecology
by Professor Dr.Awi Idi and Professor DatoDr.Nik Mohd Nasri Nik Ismil (2011)
published by University Malaysia Sarawak
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MDP 30408 Obstetrics and Gynaecology Student Guide Book
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