UMH - OBSTETRICS AND GYNAECOLOGY CLINICAL ROTATION

OBSTETRICS AND GYNAECOLOGY CLINICAL ROTATION

Course

Code: 1984

Degree: Bachelor's in Medicine

Faculty of Medicine

Year: Year 6 of Bachelor's in Medicine

Semester: Spring

Type: Internships

Language: Spanish

ECTS credits: 6

Lecture: 0

Laboratory: 6

Hours: 150

Directed: 60

Shared: 52

Autonomous: 38

Subject matter: Rotation

Module: Rotations and Final Degree Project

Department: Public Health, History of Science and Gynaecology

Area: OBSTETRICS AND GYNAECOLOGY

Course instructors are responsible for the course content descriptions in English.

Description

Pre-professional practice in the form of clinical rotations in surgical areas of university and associated hospitals. Training in the services of gynaecology and obstetrics. Active participation in supervised care activities, medical visits, observation, indication of diagnostic tests, discussion of clinical cases, differential diagnosis, therapeutic indications, and surgical techniques. Patient follow-up in outpatient consultation. Physician-patient relationship.

Faculty

Name	Coordinator	Lecture	Laboratory
QUEREDA SEGUI, FRANCISCO JOSÉ	■	■	■
RODRIGUEZ INGELMO, JOSE MARIA		■	■
REILLO FLOKRANS, MARCOS RAIMUNDO		■	■
LOPEZ FERNANDEZ, JOSE ANTONIO		■	■
MARTINEZ ESCORIZA, JUAN CARLOS		■	■
MATALLIN EVANGELIO, MARIA PILAR		■	■
RUIZ MACIA, EVA		■	■
ACIEN SANCHEZ, MARIA ISABEL		■	■

Professional interest

Gynecology and obstetrics is a specialty whose content and clinical practice are of great interest for the general practitioner and primary care. Deeping in the clinical activity of this area, after having learned the basics, along with a practical teaching directed to the most frequent reasons for consultation, should be without doubt of great interest for the training of practitioners and for any future specialists in any field.

Competencies and learning outcomes

General competencies

Understand and recognize the effects, mechanisms, and manifestations of disease on the structure and function of the human body.
Understand and recognize causative agents and risk factors that determine health status and disease development.
Comprehend and recognize the effects of growth, development, and aging on the individual and his/her social environment.
Understand the basics of action, indications, and efficacy of therapeutic interventions based on available scientific evidence.
Acquire and develop a medical history that contains all the relevant information.
Perform a physical examination and mental health assessment.
Be capable of formulating an initial diagnosis and establishing a rational diagnostic strategy.
Recognize and deal with immediate life-threatening situations and those others requiring immediate attention.
Establish the diagnosis, prognosis, and treatment, applying principles based on the best information available and under conditions of clinical safety.
Indicate the most appropriate therapy for the most prevalent acute and chronic processes, as well as for patients in terminal stages.
Raise and propose appropriate preventive measures for each clinical situation.
Acquire appropriate clinical experience in hospitals, clinics, and other health care institutions, under supervision, as well as basic knowledge of patient-centered health management and the appropriate use of tests, medications, and other health system resources.
Listen attentively, obtaining and synthesizing information relevant to the problems affecting the patient, understanding the content of this information.
Write case histories and other medical records that are comprehensible to third parties.

Specific competencies

Knowledge and use of the principles of medicine based on the (best) evidence.
Pregnancy, normal, and pathological delivery.
Contraception and fertilization.
Knowledge of tumor diseases, their diagnosis, and management.
Learn how to perform a complete patient-centered anamnesis oriented towards various pathologies, and interpret the findings.
Examine a pregnant woman and monitor her pregnancy.
Assess the risk/benefit ratio of diagnostic and therapeutic procedures.
Know how to interpret results from laboratory diagnostic tests.
Learn how to interpret radiological images using a systematic approach.

Objectives (Learning outcomes)

01General objectives: In the subjects of third and fourth levels (obstetrics, gynaecology, II integrated workshops and workshops integrated III), students had previously have been initiated in the basic and clinical concepts of Gynecology and obstetrics, with a brief stage in clinical and theoretical content learning.
It is understood and seems to be that the student in sixth grade, before the Rotary of Gynecology and obstetrics, will have made all of the above;

Keeping that in mind, at the end of the Rotary, the student must be capable of:
Perform the clinical history of a pregnant woman in proper form, clinical exploration and to develop a correct diagnostic trial for more frequent and relevant in the daily activity of the specialty situations.
to Request and interpret the results of the complementary examinations appropriate in each case of the above.
to Know alternatives appropriate for each case, with its own characteristics, results and most relevant complications. Be able to establish more appropriate recommendations for the most frequent of the speciality but relevant to primary care pathologies and treatments.
02OBJETIVOS ESPECÍFICOS: El alumno/a debe ser capaz de: Conocer y explicar el plan de control del embarazo con sus visitas y objetivos de cada una. Detectar e indicar conducta en las situaciones de embarazo y parto de alto riesgo, Fundamentar el tratamiento y las conductas que deben seguirse. Diagnosticar el comienzo y diferentes fases del parto. Conocer el mecanismo del parto normal y fundamentar la dirección y conducta durante el parto. Ser capaz por tanto de prestar asistencia básica a un parto normal. Detectar las posibles complicaciones y conocer las bases de las actuaciones a realizar. Conocer el diagnóstico, conducta y repercusiones de la rotura prematura de membranas, la amenaza de parto prematuro, las metrorragias del tercer trimestre, la preeclampsia, y el resto de la patología obstétrica más frecuente y relevante. Diagnosticar o sospechar la patología médica durante la gestación y ser capaz de orientar el tratamiento farmacológico apropiado en la gestante. Conocer la asistencia y consejos en el puerperio y detectar las posibles complicaciones. Enfocar el diagnóstico y tratamiento de las patologías ginecológicas endocrinas. Establecer un consejo contraceptivo apropiado a diferentes perfiles de mujeres. Diagnosticar y tratar las vulvovaginitis más frecuentes. Enfocar el diagnóstico del abdomen agudo ginecológico y algia pélvica. Establecer plan diagnóstico y terapéutico de las amenorreas. Estudiar y tratar las metrorragias. Establecer un plan adecuado de prevención y diagnóstico del cáncer genital y mamario. Aconsejar a la mujer peri y postmenopáusica, y orientarla en cuanto a necesidad de consultar para tratamiento y prevenir las repercusiones del climaterio. Conocer e interpretar el estudio básico de esterilidad.

Teaching units

U1PRACTICAL SEMINARS ABOUT RELEVANT AND FREQUENT ISSUES OF THE CLINICAL SPECIALTY

Association between objectives and units

Objective/Unit	U1
01
02

Schedule

Week	Directed hours	Shared hours	Autonomous hours	Total hours
1	4	4	3	11
2	4	4	3	11
3	4	4	3	11
4	4	4	3	11
5	4	4	3	11
6	4	4	3	11
7	4	4	3	11
8	4	3	3	10
9	4	3	2	9
10	4	3	2	9
11	4	3	2	9
12	4	3	2	9
13	4	3	2	9
14	4	3	2	9
15	4	3	2	9

Basic bibliography

Acién Álvarez, Pedro. Acién Sánchez, María Isabel / Martínez Escoriza, Juan Carlos / Matallin Evangelio, Pilar / Quereda Seguí, Francisco. "Tratado de obstetricia y ginecología Ginecología". Alicante Molloy D.L. 2004.
Alcázar Zambrano, Juan Luis. "Obstetricia y Ginecología en la formación de grado". Madrid Médica Panamericana cop. 2017.
Llewellyn-Jones, Derek. Abrahan, Suzanne / Oats, Jeremy. "Texto ilustrado de ginecología y obstetricia". Madrid [etc.] Harcourt D.L. 1999.
Novak, Emil / Berek, Jonathan S. dir. / Adashi, E. Y. dir. / Hillard, Paula Adams dir. / Rinehart, Rebecca D. ed. "Ginecología de Novak". México [etc.] McGraw-Hill Interamericana 2004.

Complementary bibliography

Acién Álvarez, Pedro. "Sexualidad, anticoncepción y E.T.S. (enfermedades de transmisión sexual)". Alicante Universidad Miguel Hernández de Elche Ediciones Molloy D.L. 2002.
Di Saia, Philip J. 1937-/ Creasman, William T./ Mannel, Robert S./ McMeekin, Scott/ Mutch, David G. "Oncología ginecológica clínica". Barcelona [etc.] Elsevier cop. 2018.
Williams, J. Whitridge (John Whitridge) 1866-1931 / Cunningham, F. Gary. "Obstetricia". Madrid Editorial Médica Panamericana D.L. 2002.

Methodology and grading

Methodology

Case studies: Learning through the analysis of actual or simulated cases in order to interpret and resolve them by employing various alternative solution procedures.
Learning agreement: Develop active learning through an agreement between the teacher and the student containing commitments for what will be learned, how monitoring will take place for that learning, the set period of time, and the evaluation criteria.
Problem-based learning: Develop active learning strategies through problem solving that promote thinking, experimentation, and decision making in the student.
Solving exercises and problems: Exercise, test, and apply previous knowledge through routine repetition.

Grading

It is required to pass the course the completion of all tasks and activities described in the teaching guide for the subject.

Evaluation of the clinical obstetrics and Gynecology Rotary consists of three parts: tutor's report, the portfolio assessment and qualification of the final exam.

A report from the tutor (10% of the global qualification of the subject, up 1 point). Professional to which the student has been assigned will issue a report grading the student after assessing timeliness, interest, dealing with patients, family members and staff, diligence in day-to-day work activities, leveraging

B- evaluation of the portfolio (40%, up to 4 points): the evaluation of the portfolio will be held in two stages.
The first evaluation will be performed by the tutor Coordinator of hospital service which is performed the Rotary (whose valuation is 20% , up to 2 points). In it the correct elaboration of 15 sheets daily activities will be valued: hospitalization area; outpatient area; operating room area; area delivery rooms; the number of acquired skills accredited by the guardian; the quality of the reports of epicrisis; the quality of written records; Summary of activity undertaken; formative self-evaluation report and delivery of the complete assistance monitoring tab.

The second will consist of an oral test for which will be scheduled several dates throughout the year and for which each student must register when appropriate, during which shall submit the portfolio to examiners and will be cross-examined upon knowledge and skills acquired or put to the test during its rotation (20% , up to 2 points). The duration will be about 10-15 minutes per student and must deliver exemplary self-assessment and anonymous survey (that figure in the portfolio).

C-test exam (50%, up to 5 points). A unique final comprehensive review of all Rotary will be convened at the end of the period of rotating clinical. This test will be of type test questions of practical relevance with a minimum of 250-270 questions in total, which will contain the corresponding to this Rotary 30 questions. The qualification obtained in these 30 questions will be mentioned 50% (up to 5 points).

Correction criteria

Those already exposed in the description of the evaluation

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