• 1.  Summary of the main learning outcomes for students enrolled in the course.
•  Acquire the basic medical knowledge needed in the diagnosis and management of common obstetric and gynecological illnesses.
• Master the required skills for appropriate history taking and medical examination
• Acquire the needed skills for approaching common clinical problems including most appropriate and cost-effective methods of investigations and the most appropriate lines of management including health promotion, prevention, treatment, and follow up.
• Acquire the knowledge and skills necessary to identify and manage emergency health situations.
• Acquire the needed   communication skills to Interact effectively with the patient, her family and health team involved in providing medical services.  
• Show a responsible behaviour in dealing with patients, colleagues and other staff.
• Continue independent learning and plan their post graduate studies
• Apply Islamic rules, consider the patient rights, and abilities and the capabilities of the health system

2.  Briefly describe any plans for developing and improving the course that are being implemented (eg increased use of IT or web based reference material, changes in content as a result of new research in the field).

·             More involvement of stakeholders in teaching strategy.

·              The course contents will be periodically reviewed by the instructors, in response to  the Course Evaluation Survey (CES) 

·              The inclusion of new structural materials and test methods to meet the national and international standards.

·             E-learning.

·             E mail to become the formal method of communication with the students through their leader and for announcing the results

1 Topics to be Covered

Topic

No of weeks

Contact hours

Normal Pregnancy

Physiology of Pregnancy:

Fertilization, implantation, and early development of the fetus, placenta, and cord

Placental functions and abnormalities

Formation and functions of liquor amnii

Physiological changes during pregnancy

Diagnosis of Pregnancy

Antenatal Care

1

27

Abnormal Pregnancy

Vomiting in Pregnancy:

Hyperemesis gravidarum

Pyelitis with pregnancy

Bleeding in Early Pregnancy

Abortion

Ectopic pregnancy

Hydatidiform mole

Hypertensive Disorders in Pregnancy

Antepartum Hemorrhage

Placenta previa

Abruptio placentae

Medical Disorders in Pregnancy

Diabetes mellitus in pregnancy

Anemias, DVT and pulmonary embolism in pregnancy

Cardiac disease in pregnancy

Rh isoimmunization

High-Risk Pregnancy

Oligohydramnios and polyhydramnios

Fetal growth and its disorders

Preterm labor and PROM

Post-term pregnancy and hazards of post-maturity

Intrauterine fetal death

Fetal Disorders including Anomalies

Antepartum Assessment of Fetal Well-Being

1.5

42

Normal Labor

Anatomy of the female bony pelvis and fetal skull

Mechanism of labor

Stages and management of labor

Analgesia and anesthesia in obstetrics

Induction of labor

1

27

Abnormal Labor

Abnormal Presentations and Positions

Occipito–posterior position

Face and brow presentation

Breech presentation

Shoulder presentation

Cord presentation and prolapse

Complex presentation

Multiple Pregnancy

Abnormal Uterine Action

Dystocia and Obstructed Labor

Contracted pelvis and cephalopelvic disproportion

Soft tissue obstruction

Ruptured uterus

Third Stage Complications

Postpartum Hemorrhage

Genital tract injury during labor

Other complications of the third stage of labor

1

27

Perinatal Problems

Fetal birth injuries

Neonatal respiratory distress and neonatal resuscitation

Normal and Abnormal Puerperium

Operative Obstetrics

Instrumental delivery in modern obstetrics

Cesarean section

Ultrasound in Obstetrics

1

27

Anatomy and Development of the Female Genital Tract

Reproductive Tract Infections

Sexually transmitted infections

Pelvic inflammatory disease

Lower genital tract infections

Vaginal discharge

Pruritus vulvae

Displacements, Traumatic Lesions, and Urogynecology

Genital Prolapse

Retroverted flexion of the uterus

Old, Complete Perineal Tear and Rectovaginal Fistula

Genitourinary Fistula and Stress Incontinence

1

27

Reproductive Endocrinology and Infertility

Physiology of Menstruation

Puberty

Menopause

Menstruation related disorders

Amenorrhea

Abnormal Bleeding from the Genital Tract

Ovulation and its disorders

Infertility & Assisted Reproductive Technologies

1

27

Uterine Fibroid

Endometriosis

Gynecologic Oncology

Cancer of the vulva and swelling of the vulva

Cancer of the vagina and vaginal swellings

Cancer of the cervix

Cancer of the body of the uterus

Ovarian tumors

Choriocarcinoma

1

27

Contraception and Family Planning

Imaging in Gynecology

Operative Gynecology, including Endoscopy

0.5

15

2 Course components (total contact hours per semester)

Bed Side Teaching & Case Discussions

Lectures

Tutorials/Seminars

Skill Lab

Examination

Total

90

51

51

30

24

246

3. Additional private study/learning hours expected for students per week. (This should be an average for the semester not a specific requirement in each week):

21-28 hours/week including about 7 hours/week on eLearning

4. Development of Learning Outcomes in Domains of Learning 

a). Knowledge

(i)  Description of the knowledge to be acquired:

A1-  Describe the basic physiological background of fertilization, implantation and early development of the fetus, placenta, and cord

A2- Describe the anatomical features and development of the female genital tract and their clinical application

A3- Describe the different placental functions and abnormalities, the theories of formation and functions of liquor amnii, and the basis of fetal circulation

Pregnancy

 A4- Recognize high-risk pregnancies, their magnitude, and different etiologies with emphasis on preventable and avoidable causes and their management

A5- Enumerate biochemical testing of early pregnancy diagnosis and know how to diagnose pregnancy in each trimester

A6- Recognize the basic physiological changes produced by pregnancy occurring in each trimester and the basic principles of antenatal care

A7- Define; enumerate risk factors, pathogenesis, diagnosis, fate, complications and lines of management of bleeding in early pregnancy and in late pregnancies and obstetric shock)

A8- Mention diagnosis, differential diagnosis, complications and enumerate lines of management of  different medical disorders occurring during pregnancies

A9- Illustrate different methods of assessment of fetal well-being and recognize and utilize basic diagnostic tools such as electronic fetal monitoring, non-stress test, contraction stress test and biophysical profile

A10- Mention etiology, pathology, diagnosis, and management of amniotic fluid disorders (oligohydramnios/polyhydramnios/amnionitis), fetal growth disorders and Rh isoimmunization

A11. Enumerate indications and safety of ultrasound in obstetrics and findings in different conditions.

A12- Recognize the causes, diagnosis, and management of post-term pregnancy and hazards of post-maturity, prematurity, intrauterine fetal death

labor

A13- Illustrate the basic and surgical anatomy of the female pelvis and fetal skull

A14- Explain the physiology, mechanism and management of normal labor and abnormal labor including different abnormal presentations and positions

A15- List the causes of complications of third stage of labor and outline their management.

A16- Mention indications, techniques, and complications of induction of labor

A17- Mention types, indications, technique, and complications of the obstetric forceps ,ventouse and cesarean section in modern obstetrics

A18- Define and describe the causes, complications and diagnosis and treatment of the common types of contracted pelvis, soft tissue obstruction, abnormal uterine action, obstructed labor, ruptured uterus and genital tract injuries during labor.

Puerperium

A19-Describe the physiological changes during puerperium and the recommended program of postnatal visits with abnormalities occurring in puerperium and their management.

Gynecology

A20- Enumerate names, structure of and illustrate with diagram the anatomical features of the female genital tract and its development with reference to its clinical applications

A21- Explain the physiology of menstruation, puberty (abnormalities and their management), menopause (abnormalities and their management)

A22- Discuss the causes and treatment of amenorrhea ,dysmenorrhea and premenstrual syndrome (PMS)

A23- Discuss types, causes, proper investigation and management of abnormal uterine bleeding especially life threatening conditions.

A24- Discuss the magnitude of the infertility problem and its different etiologies, basic diagnostic tools, and treatment options including Assisted Reproductive Technologies

A25- Describe causes, types, and methods of diagnosis and management of lower and upper genital tract infections.

A26- Explain the magnitude of, causes (preventable and avoidable) and management of pruritus vulvae, pelvic floor dysfunction, complete perineal tear and rectovaginal fistulas problems

A27-Descibe the pathology and enumerate diagnostic and management options of endometriosis.

A28- Outline the pathology, classification and clinical picture of cervical, uterine, ovarian, vaginal and vulval cancers, with emphasis on screening methods and early recognition and broad lines of management of these condition.

A29- Outline the pathology, classification and clinical picture of cervical, uterine, ovarian, vaginal and vulval masses with emphasis on differential diagnosis of pelviabdominal masses

A30- List different contraceptive methods (their uses, types, advantages, disadvantages, and complications)