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SCORECARD

Post Graduate Internship Program


CY: ___________________

Department of Obstetrics & Gynecology


Name of PGI:
Rotation Period:
Adopted from the minimum competency requirement from the APMC dated January 25, 2021
Minimum
COMPETENCIES nos. Case Outputs
required
I. PSYCHOMOTOR SKILLS/PROCEDURES
A. Normal Spontaneous Deliveries A1 A2
A1. Perineal Support
A2. Episiotomy and Episiorrhapy 1 Case no: Case no:
1

B. Prenatal Check Ups 4 1 2 3 4


Case no: Case no: Case no: Case no:

C. Pap Smear/KOH/Gram Stain 2 1 2


Smears
Case no: Case no:
D. Leopold’s Manuever 2 1 2
Case no: Case no:
E. Pelvic Examination 2 1 2
Case no: Case no:
F. Assist In OB Surgeries 2 1 2
Case no: Case no:
G. Assist in Gynecological Surgeries 2 1 2
Case no: Case no:
II. ONLINE LEARNING
(PGI must have attended the minimum required sessions)
H. History Taking 5 COMPLETED? Yes / No IF NO, provide alternative remedial

COMPLIED REMEDIAL? Yes / No


I. Suturing Workshop 1 COMPLETED? Yes / No IF NO, provide alternative remedial

COMPLIED REMEDIAL? Yes / No


J. Mother’s Class (Lectures on post- 1 COMPLETED? Yes / No IF NO, provide alternative remedial
partum care, breast feeding, family
COMPLIED REMEDIAL? Yes / No
SCORECARD
Post Graduate Internship Program
CY: ___________________

Department of Obstetrics & Gynecology


Name of PGI:
Rotation Period:
Adopted from the minimum competency requirement from the APMC dated January 25, 2021
planning, ten danger signals of
pregnancy)
K. OSCE (Return demo of basic 1 COMPLETED? Yes / No IF NO, provide alternative remedial
OBGYN skills using innovative or
household materials) COMPLIED REMEDIAL? Yes / No
L. CASE-BASED DISCUSSION OF 1 COMPLETED? Yes / No IF NO, provide alternative remedial
DIFFERENT CASES (To include
literature review) COMPLIED REMEDIAL? Yes / No

General Instructions and information:


1. A case no. refers to the permanent and unique hospital no. of each and every patient that NMMC has cared for which is verifiable and traceable. Submission of the completed scorecard
be after every completion of their assigned rotation 4 major departments and shall be within 3 working days after the last day of rotation. This scorecard shall be required for the
issuance of the Certificate of Internship form NMMC.
2. Formative assessment - is to monitor student and provide ongoing feedback to staff and student.
3. Summative assessment – is to evaluate student learning at the end of an instructional unit by comparing it against some standard or benchmark.
4. To ensure accuracy of each case number attended by the intern, the RESIDENT-IN-CHARGE of the case must affirm with his/her initials beside each case number of this form.

Checked by: Verified by:

Department, PGI Monitor Department, Training Officer

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