Curriculum of the OB & GYN Egyptian Board - Training Schedule

During the 1^st year the trainee should be allowed to participate in the following activities as minimal requirements for the training. The actual schedule we be available in each hospital depending on their original schedules:

• Outpatient Clinics twice weekly ( one for OB and one for GYN if possible)
• Obstetrics Emergency (including Reception room and Labor ward) 3 sessions each of 12 hrs.
• Ward round and clinical sessions twice weekly
• Clinical meetings and Journal Clubs once weekly
• Lectures and Clinical Teaching ( 6 hours Every two weeks as scheduled in each Area)
• Mandatory courses:
  • Basic surgical skills
  • Basic ultrasound
  • CTG interpretation course
  • Perineal repair (if available)

The Cases needed to be performed by the trainee in the 1^st  year

OSATS

 (objective structured assessment of technical skills), one of the workplace-based assessment tools 

A small number of procedures are so fundamental to the practice of O&G that we’ve developed an objective assessment tool to aid the review process. OSATS are validated assessment tools that assess your technical competency in a particular technique. You’ll complete OSATS throughout your training until you’re competent to practice independently.

Skills assessed using OSATS

The curriculum indicates the skills that are assessed using OSATS. In the core curriculum, these are:

1. Opening and closing the abdomen
2. Uterine evacuation / D&C
3. IUD Insertion
4. Perineal repair
5. Diagnostic laparoscopy
6. Diagnostic hysteroscopy
7. Caesarean section
8. Management of the 3^rd stage of lab.
• ( including EUA and Manual removal of the placenta)
9. Operative laparoscopy
10. Operative vaginal delivery

There is also an ‘other procedure’ OSATS, for procedures where you wish to record your experience (formative) or competence (summative), such as:

• Marsupialisation of Bartholin’s abscess
• Cervical cerclage

Formative vs summative OSATS

OSATS can be either formative or summative: 

• Formative OSATS (supervised learning event, or SLE) – these give you the opportunity to practise and get feedback for a given procedure
• Summative OSATS (assessment of performance, or AoP) – these allow you to demonstrate your competence in a procedure and progress in your training

Both formative and summative OSATS are an excellent opportunity for feedback on observed performance. 

Number of OSATS

You should take as many formative OSATS (SLEs) as you need to feel sufficiently competent in a procedure to request a summative OSATS (AoP). Before the competences can be signed off in your eLogbook, you must successfully complete each OSATS (i.e. every box ticked for level 3 practice) on at least three separate occasions.

You should pass well through at least one OSATS in each of the first 3 skills to go to R2, and all The 3 occasions to go to R3.

 For skills from 4 to 7 you should pass well at least in one OSATS to go to R3 and all the 3 occasions to R4.

For skills from 8 to 10 you should pass well at least in one OSATS to go to R4 and all the 3 occasions to R5.

How to undertake an OSATS

When you are ready to undertake an OSATS, meet with your clinical supervisor, who will:

• Assess the procedure
• Complete the OSATS form on the ePortfolio
• Record the date that each OSATS is signed off

Please note:

• You must declare in advance whether an OSATS is summative or formative and there must always be a distinction between the two – you won’t be able to ‘upgrade’ a formative assessment that’s gone well.

• The Formative OSATS can be signed by the trainer of the supervisor.
• You must not use the same assessors for all OSATS
• The 1^st summative OSATS can be signed by the candidate supervisor, the 2^nd by another supervisor, while the third should be done by one of the O&G board committee member or whom they authorized.

• Taking consent for the procedure is not part of OSATS; taking of consent is assessed separately using a mini-CEX
• You must retain all OSATS forms in your ePortfolio, whether they were completed satisfactorily or not – this allows your Educational Supervisor to review your progress
• Once you’ve been signed off as fully competent for independent practice (minimum of three satisfactorily completed summative OSATS per procedure), you should undergo an annual OSATS assessment (one per procedure) to demonstrate continued competence until you achieve CCT