Obs & Gynaec : Academic Activities

Academic Activities

 

Details 2012

UG TEACHING SCHEDULE

    II. Methodology (For duration of the entire course) Number
1) Total duration of clinical postings 24 weeks
2) Didactic Lectures 01 /Week
3) Demonstrations 01/ Week of clinical posting
4) Tutorials 01/ Weeks
5) Seminars conducted during the year Number of students attending each Not.applicable for U. G
6) Practical Not applicable
7) Duration of operation theatre posting 01/ Week during clinical posting
8) Duration of labor postings and the number of cases observed/conducted by a student. 01/ Week during clinical posting (Minimum 10 labor cases during entire clinical posting)
9) Bedside clinics 01/ Week during clinical posting
10) How many hours does a student spend daily in the wards for clerkship 01 hour / day
11) Average number of students posted at time for indoor/OPD posting 25 / batch / unit
12) Do students write case histories & delivery notes in a prescribed book?   yes
13) Are they corrected? Yes
14) If so, by whom? Assistant Professor
15) is the clinical work done in the wards by the students assessed periodically? Yes
16 If so, how often and by whom? Once per spell of clinical posting. By Assistant Professor
17 Total period of attendance in OPD by a student throughout clinical training. 42 days (7 weeks per 24 week of total posting)
18 Is it done concurrently with the inpatients ward postings? Yes
19) Who gives them training to attend to casualties? Assistant Professor Associate Professor Professor.

   

UNDERGRADUATE CURRICULUM FOR THE SUBJECT OF OBST. & GYNAEC.

Sr. No. Theory Topics Didactic Lectures (Duration : 45 Minutes) No. 3RD SEMESTER Clinical Training – 02 weeks/of total 24 weeks
      Case Discussion by Bed-side teaching Demonstration O.P.D. Demonstration Short Micro-teaching Sessions/ Tutorials Demonstration of Clinical Skill- Labour Room & Operation Theatre/Ward
1 Applied anatomy of female reproductive organs incl.  perineum & pelvic floor 3.1 History taking in Obstetrics        
2 Physiological changes during pregnancy 3.2 History taking in Gynecology        
3 Menstural cycle and ovulation 3.3   Obstetric examination      
4 Epidemiology of Obstetrics & family planning-definitions & parameters of reproductive health in the community 3.4 History taking in Obstetrics-skill (Presentation)        
5 Diagnosis of pregnancy 3.5 Obstetric examination- skill (Presentation)        
  3.6   1st trimester pregnancy symptoms, examination & ANC      
  3.7       Vomiting in pregnancy  
  3.8       1st trimester MTP 1st trimester MTP
  3.9       Abortion clinical aspect Abortion clinical aspect and D&E
  3.10   2nd trimester pregnancy symptoms, exam. ANC      

 

Sr. No. Theory Topics Didactic Lectures (Duration : 45 Minutes) No. 4th SEMESTER Clinical Training – 04 weeks/of total 24 weeks
      Case Discussion by Bed-side teaching Demonstration O.P.D. Demonstration Short Microtechning Sessions/Tutorials Demonstration of Clinical Skill- Labour Room & Operation Theatre/Ward
06 Antenatal assessment of Fetal well-being 4.1 3rd trimester pregnancy symptoms, exam. ANC 3rd trimester pregnancy symptoms, exam. ANC      
07 Puberty and Adolescent Gynaecological problems 4.2     Fetal skull & maternal pelvis incl. contracted pelvis    
08 Abortion-including Septic abortion, Ectopic pregnancy 4.3       Normal labour-clinical course & active management Normal labour-clinical course – demo
09 Anemia 4.4       2nd stage of labour 2nd stage of labour demo
10 Anemia 4.5       2nd stage of labour 2nd stage of labour demo
    4.6         Episiotomy, it’s repair & perineal tear
    4.7         Clinical monitoring of labour: maternal & fetal
    4.8       Fetal distress Fetal distress
    4.9     2nd trimester MTP, MTP & PNDT Act.    
    4.10       Catheterization Catheterization

 

Sr. No. Theory Topics Didactic Lectures (Duration : 45 Minutes) No. 6th SEMESTER Clinical Training – 06weeks/of total 24 weekss
      Case Discussion by Bed-side teaching Demonstration O.P.D. Demonstration Short Microtechning Sessions/Tutorials Demonstration of Clinical Skill- Labour Room & Operation theatre/Ward
11 Dysfunctional Uterine Bleeding 6.1       Hystero-salpinography Tubal factor of infertility  
12 Anatomy of Pelvic Floor 6.2     Instruments for minor procedures- O & G    
13 Utero-vaginal prolapse 6.3       Medico-legal aspects in O. & G  
    6.4       Oxytocics & Tocolytics  
    6.5 New born infant   New born infant   New born infant
    6.6 Anaemia in Pregnancy        
    6.7       Iron Therapy  
    6.8       Analgesia in labour  
    6.9       Shock in Obstertircs Obstetrics. Emergencies Demo
    6.10       Anti-convalsants & Anti-hypertenswive Obstetrics. Emergencies Demo
    6.11         Endomterial biopsy, D & C
    6.12       Asphyxia neonatorum Neonatal Resuc NALS
    6.13       Vesicular mole    
    6.14       Ovulation induction  
    6.15       3rd stage complications  

 

Sr. No. Theory Topics Didactic Lectures (Duration : 45 Minutes) No. 8th SEMESTER             Clinical Training – 06weeks/of total 24 weeks
      Case Discussion by Bed-side teaching Demonstration O.P.D. Demonstration Short Microtechning Sessions/Tutorials Demonstration of Clinical Skill- Labour Room & Operation theatre/Ward
14 Common STIs & their prevention incl. HIV 8.1 Normal laction & Puerperium     Breast feeding, Postnatal care  
15 Pelvic inflammatory disease 8.2       Introduction-contraception, LAM  
16 Pre-eclampsia & other hypertensive disorders in preg. 8.3       Surgical contraception female Surgical Contraception female
17 Eclampsia 8.4   IUCD   IUCD  
18 Ante-partum hemorrhage 8.5       COC & other hormonal contraceptives  
19 Pregnancy with heart disease 8.6       Emerg. contraceptives  
20 PROM & Pre-term labour 8.7       Barrier methods  
21 Rh-iso-immunization 8.8, 8.14 Pregnancy with previous LSCS     PPH Obstetric Hysterectomy Caesarean Section
22 Multiple Pregnancy 8.9       Induction of labour ARM, PG
23 Diabetes in pregnancy 8.10 8.18 Twins pregnancy   Obstetric specimens    
24 IUFD 8.11       RDS, Jaundice in new born  
25 Infertility M & F Factors 8.12   PAP’s Smear, Colposcopy   Early diagnosis of  Carcinoma Cervix Cervical biopsy
26 CA-Cervix-Diagnosis,Management 8.13     Obstetric forceps & Ventouse Delivery Obstetrics forceps & Ventouse Delivery
27 Adenomyosis, Fibroid uterus 8.15 8.16     Preoperative, Post-Operative care  
28 Endometeriosts 8.17 Abnormal vaginal discharge      
    8.19, 8.20   Instruments, Xrays, USG, NST, Doppler    
Sr. No. Theory Topics Didactic Lectures (Duration : 45 Minutes) No. 9TH  SEMESTER Clinical Training – 06weeks/of total 24 weeks  
      Case Discussion by Bed-side teaching Demonstration O.P.D. Demon stration Short Microtechning Sessions/Tutorials Demonstration of Clinical Skill- Labour Room & Operation theatre/Ward
29 Menopause 9.1 Postnatal care        
30 Breech Presentation 9.2 P.I.H.        
31 Obstructed Labour 9.3       Antibiotics in O & G  
32 Occipito-Posterior Position 9.4         Neonatal Care, Immedicate Care
33 Tansverse lie & cord prolapse 9.5         Abdominal Hysterectomy
34 Abnormalities of Puerperium 9.6         Vaginal Hysterectomy
35 Ruptured uterus & injuries to birth canal 9.7       Emergency drugs in Obstetrics. & Gyna;ec.  
36 Postmenopausal bleeding & CA Endometrium 9.8       ARM, Amniocentesis, CV sampling, Cordocentesis-Genetic problems in O & G, PNDT Act  
37 Ovarian Tumors 9.9 Malpresentation        
38 BOH 9.10       IV Fluid therapy Blood Transfusion  
39 Post-maturity, IUGR 9.11     Suture Materials    
40 Universal work precautions in Obstetrics. & Gynaec 9.12     Catheters Urinary problems in Obstetrics. & Gynaec.  

    9 TH SEMESTER:3RD Evaluation before final evaluation: At the end of 9th semester-i.e.24 weeks clinical posting Final evaluation (External) : 01 month after the 3rd internal evaluation.

PG Schedule

WEEKLY UNITWISE TEACHING SCHEDULE FOR STUDENTS (PLAN)

WEEKDAYS  
MONDAY* Death Review Every 1st Monday of the month
TUESDAY Subject review / Interim Dissertation Review & Progrss Every 1st Tuesday of the month
WEDNESDAY* Case Presentation (by rotation)
THURSDAY*    Seminar Every 1st Thursday
FRIDAY*   Journal Club(by rotation)
SATURDAY  Subject Review/Audit
WEEKLY TOTAL    3 to 5 days per week each session (max.2 hrs)

 

  • *Common activity for all year students
  • Perinatal meeting shall be planned in coordination with Pediatric Department
  • 2nd year students shall participate in Undergraduate Training once every week by rotation
  • A Common Meeting register shall be maintained by each PG Teacher to record postgraduate teaching activities in all for each year.
  • A log book shall be maintained by all Postgraduate students as per format and signed by PG Teacher and Teachers during allied Rotation
  • A 02 weeks rotation is given to all PG Students in 2nd year in the following branches (1) Anesthesiology (2) Radio-Diagnosis (3) Neonatology (4) General Surgery (5) Casualty Department

WEEKLY CLINICAL ACTIVITY for Residency Training

WEEKDAYS OPD GRAND WARD ROUND OT EMERGENCY
MONDAY* U-I U-I U-II U-I
TUESDAY U-II -- U-I U-II
WEDNESDAY* U-I U-II -- U-I
THURSDAY* U-II U-I -- U-II
FRIDAY* U-I --- U-II U-I
SATURDAY U-II U-II U-I U-II
SUNDAY -- -- --- Alternate
WEEKLY TOTAL 3 per Unit 2 per Unit 2 per Unit 3 per unit

A log book shall be maintained by the students for their clinical skill achievements and academic progress and participation which shall be checked by the respective PG Teacher and certified in terms of conduct, skills achievement, trainings, and attendance at academic events and participation periodically and at the end of the whole residency training program.

ACADEMIC ACTIVITIES PERFORMED BY O & G DEPTT.

  1. Surveillance of (a) HIV infection in Preg (b) HIV infection in Female Sex Workers
  2. Prevention of parent to child transmission of HIV Programme. PPTCT since 2005
  3. Specialized skill based training in (a) MTP (1st Trimester) (b) Laparos- copic Female sterilization.
  4. Basic & comprehensive Emergency Obstetric care training to Medical Officer (EMOC)
  5. PPTCT Training to District Hospitals & CHC Health Staff.
  6. In house training of Health workers in Universal Work Precaution & Waste Disposal (Safety)
  7. On the Job training to Female Health Workers in Antenatal,Intra-partum & Postnatal care skills.(F.H.W.- Skilled birth attendance Training)
  8. Adolescent clinic & Outreach program in schools.
  9. Attending state level workshops, seminars & CME & presentation of lectures.
  10. Participating in Laparoscopic Female Sterilization Field camps.
  11. Attending satellite interactive workshops & CME via Satellite receiver of Medical college.
  12. NALS training to intern doctors and Medical Officers for Neonatal Resuscitation
  13. Postgraduate Training
  14. Lecture series on Methods in Biostatistics & How to write Dissertation by Dr A U Mehta
  15. Continuous Quality Improvement under NABH Program

PUBLICATIONS

Publication By : DR. A.U. Mehta (Professor & Head) Publication : 01 Journal : F.O.G.S.I., Dec. 1996 Title : Twice a caesarean always a caesarean?

Publication By

DR. Kamal Goswami (Assistant Professor) & Dr. Kavita Dudhrejia (Assistant Professor) Publication : 02 as co-authors. (Case Reports) Journal : Gujarat Medical Journals Vol. Title : 1. A rare third stage complication "Sheehan's Syndrome" Vol.61 no 2Year june 2004 2. A rare Obstetric emergency "Shoulder Dystocia" Vol.62 no 1 Year june 2005

Dissertation Topics Current Year

Dr Prakash Parmar : (2009-2012) Principal Investigator ( Guide: Dr A U Mehta) “A Randomized Double Blind Placebo Controlled trial of Tablet Mesopristol 600 mcg by Rectal Route versus Sublingual Route in terms of Efficacy and Adverse Drug Reactions when used for Prophylaxis for Post Partum Hemorrhage in 3rd & 4th Stage of labor”

Services Provided

  • OPD
  • Antenatal Care incl laboratory and Thalessemia Screen
  • Gynecology, STI and Infertility
  • Post Partum Care and FP
  • Immunization
  • PPTCT ( HIV Testing and Counseling)
  • Ultrasonography
  • Indoor & OT
  • Labor & Delivery
  • Comprehensive Emergency Obstetric & Gynecological Care
  • Comprehensive Abortion Care,
  • Caesarean Delivery
  • Operative Vaginal Delivery
  • MTP / MVA
  • Antenatal Care to High Risk Pregnancy
  • Post Partum Care
  • Immunization
  • Neonatal Resuscitation Facility
  • Ultra-sonography
  • Major & Minor Gynecology Operations
  • Endoscopic Surgery
  • Laboratory
  • Care and Examination of Sexual Assaults
  • Blood Transfusion

CLINICAL MATERIAL OF LAST 6 YRS.(Apr-to-Mar),

Obstetrics & Gynecology Department, R. Zanana Hospital, Rajkot

 

Sr. No. Details of the Work Load Year 2005-2006 Year 2006-07 Year 07- 08 Year 08-09 Year 09-2010 Year 10-11 Upto July10
1 O.P.D. Case New 35088 29629 53478 41286 19566 6932
2 Indoor Cases 13684 14007 12807 13679 18190 7569
3 Major Operations 916 991 637 1268 1122 446
4 Minor Operations 4449 4060 957 2358 2775 799
5 Normal Deliveries 3612 3862 3308 2508 3657 1134
6 + Abnormal Deliveries 816 +717 561 1080 1084 371
7 Abortions 383 399 534 486 613 242
8 Laparoscopic TL 2837 2904 1998 2108 1598 202
9 Abdominal TL 01 02 04 03 24 06
10 MTP 1013 797 693 760 574 271
11 IUCD 1129 932 742 702 460 251
12 Blood Transfusions 534 557 490 386 684 428
13 Maternal Deaths 17 19 5 06 08 03
14 Still Births 153 190 206 191 207 54
15 Premature Neonates 26 46 215 492 455 210
16 Antenatal Cases (Old & New) 23350 25224 27491 46109 43396 26788
17 Anaemia Cases 682 645 501 194 105 29
18 PIH Cases 441 290 1605 409 442 127
19 Eclampsia 45 30 73 73 80 35
20 Total Annual Indoor Patient Days 49160 35242 31330 48796 34013 17055
21 Bed Occupancy 112.13 80.42 72 79.52 77.6% 118%
22 Ultrasonography     290 1389 957 641
23 HIV testing in ANC mothers 1227 1162 4080 4800 4676 1683
24 HIV +ve detected & treated 27 26 34 38 13 10
25 0 dose polio & BCG     3968 4425 3345 1901