OBG9358 : GYNCOLOGY II
Semester 4

Gynecology II (Master's Level) Course Outline

A master's-level Gynecology II course provides advanced knowledge and clinical skills in the diagnosis, treatment, and prevention of diseases of the female reproductive system. It emphasizes evidence-based practice, minimally invasive surgery, reproductive endocrinology, gynecologic oncology, urogynecology, and research.

Course Objectives

By the end of the course, students should be able to:

  • Apply advanced knowledge of gynecologic disorders and their management.
  • Perform comprehensive gynecologic assessment and clinical decision-making.
  • Manage common and complex gynecologic conditions.
  • Interpret diagnostic investigations and imaging.
  • Apply evidence-based guidelines in clinical practice.
  • Demonstrate leadership, ethical practice, and effective communication.
  • Conduct and evaluate gynecologic research.

Topic 1: Advanced Female Reproductive Anatomy and Physiology

  • Anatomy of the female reproductive tract
  • Reproductive endocrinology
  • Menstrual cycle regulation
  • Ovarian physiology
  • Puberty and menopause
  • Hormonal regulation and feedback mechanisms

Topic 2: Gynecologic History and Examination

  • Comprehensive history taking
  • Pelvic examination
  • Breast examination
  • Clinical documentation
  • Diagnostic approach to gynecologic symptoms
  • Communication and counseling skills

Topic 3: Diagnostic Procedures in Gynecology

  • Pelvic ultrasonography
  • Doppler ultrasound
  • Hysteroscopy
  • Colposcopy
  • Laparoscopy
  • Endometrial biopsy
  • Cervical cytology (Pap smear)
  • HPV testing
  • Imaging (CT and MRI)
  • Laboratory investigations

Topic 4: Benign Gynecologic Disorders

  • Abnormal uterine bleeding (AUB)
  • Uterine fibroids (leiomyomas)
  • Adenomyosis
  • Endometriosis
  • Ovarian cysts
  • Pelvic inflammatory disease (PID)
  • Chronic pelvic pain
  • Dysmenorrhea
  • Premenstrual syndrome (PMS)
  • Premenstrual dysphoric disorder (PMDD)

Topic 5: Reproductive Endocrinology and Infertility

  • Ovulatory disorders
  • Polycystic ovary syndrome (PCOS)
  • Hyperprolactinemia
  • Thyroid disorders
  • Female infertility
  • Male factor infertility
  • Ovulation induction
  • Assisted reproductive technologies (ART)
  • In vitro fertilization (IVF)
  • Fertility preservation

Topic 6: Gynecologic Oncology

  • Cervical cancer
  • Endometrial cancer
  • Ovarian cancer
  • Vulvar cancer
  • Vaginal cancer
  • Gestational trophoblastic disease
  • Screening and prevention
  • Staging systems
  • Surgical management
  • Chemotherapy and radiotherapy
  • Palliative care

Topic 7: Urogynecology and Pelvic Floor Disorders

  • Urinary incontinence
  • Pelvic organ prolapse
  • Fistulae (vesicovaginal and rectovaginal)
  • Pelvic floor dysfunction
  • Urodynamic studies
  • Conservative management
  • Surgical management
  • Rehabilitation

Topic 8: Menopause and Midlife Health

  • Menopausal transition
  • Hormone replacement therapy (HRT)
  • Osteoporosis
  • Cardiovascular health
  • Sexual health
  • Urogenital syndrome of menopause
  • Lifestyle interventions

Topic 9: Family Planning and Contraception

  • Contraceptive counseling
  • Hormonal contraceptives
  • Intrauterine devices (IUDs)
  • Emergency contraception
  • Permanent contraception
  • Contraception in special populations
  • Medical eligibility criteria

Topic 10: Sexually Transmitted Infections and Genital Infections

  • Human papillomavirus (HPV)
  • Human immunodeficiency virus (HIV)
  • Syphilis
  • Gonorrhea
  • Chlamydia
  • Herpes simplex virus
  • Trichomoniasis
  • Vaginal infections
  • Prevention and partner management

Topic 11: Minimally Invasive Gynecologic Surgery

  • Principles of laparoscopy
  • Hysteroscopy
  • Electrosurgery
  • Energy devices
  • Surgical anatomy
  • Complication prevention
  • Postoperative care
  • Robotic surgery (overview)

Topic 12: Advanced Gynecologic Surgery

  • Myomectomy
  • Hysterectomy
  • Oophorectomy
  • Salpingectomy
  • Ovarian cystectomy
  • Pelvic reconstructive surgery
  • Management of surgical complications

Topic 13: Pediatric and Adolescent Gynecology

  • Disorders of puberty
  • Congenital anomalies
  • Menstrual disorders
  • Adolescent contraception
  • Sexual health education
  • Safeguarding and child protection

Topic 14: Ethics, Law, and Professional Practice

  • Medical ethics
  • Informed consent
  • Confidentiality
  • Reproductive rights
  • Gender-based violence
  • Medico-legal issues
  • Professional standards
  • Cultural competence

Topic 15: Research, Leadership, and Evidence-Based Practice

  • Research methodology
  • Epidemiology
  • Biostatistics
  • Critical appraisal
  • Clinical guidelines
  • Clinical audit
  • Quality improvement
  • Health policy
  • Leadership in women's health
  • Dissertation or thesis preparation

Clinical Skills

Students are expected to become proficient in:

  • Comprehensive gynecologic assessment
  • Pelvic examination
  • Breast examination
  • Cervical cancer screening (Pap smear and HPV testing)
  • Colposcopy
  • Hysteroscopy
  • Diagnostic laparoscopy
  • Pelvic ultrasound interpretation
  • Endometrial biopsy
  • IUD insertion and removal
  • Counseling for contraception and menopause
  • Management of gynecologic emergencies
  • Preoperative and postoperative care

Assessment Methods

  • Written examinations (MCQs, SAQs, essays)
  • Objective Structured Clinical Examination (OSCE)
  • Clinical case presentations
  • Viva voce examinations
  • Practical and procedural skills assessments
  • Clinical logbook
  • Journal club presentations
  • Research proposal
  • Dissertation or thesis
  • Clinical audit or quality improvement project

Expected Learning Outcomes

Graduates should be able to:

  • Diagnose and manage common and complex gynecologic disorders.
  • Perform advanced gynecologic procedures safely and effectively.
  • Apply evidence-based practice and current clinical guidelines.
  • Provide comprehensive reproductive and sexual healthcare across the lifespan.
  • Lead multidisciplinary teams and contribute to quality improvement in women's health.
  • Conduct, interpret, and apply research to advance gynecologic practice.
OBG9358 : GYNECOLOGY II
Semester 4

Gynecology II (Master's Level) Course Outline

A master's-level Gynecology II course provides advanced knowledge and clinical skills in the diagnosis, treatment, and prevention of diseases of the female reproductive system. It emphasizes evidence-based practice, minimally invasive surgery, reproductive endocrinology, gynecologic oncology, urogynecology, and research.

Course Objectives

By the end of the course, students should be able to:

  • Apply advanced knowledge of gynecologic disorders and their management.
  • Perform comprehensive gynecologic assessment and clinical decision-making.
  • Manage common and complex gynecologic conditions.
  • Interpret diagnostic investigations and imaging.
  • Apply evidence-based guidelines in clinical practice.
  • Demonstrate leadership, ethical practice, and effective communication.
  • Conduct and evaluate gynecologic research.

Topic 1: Advanced Female Reproductive Anatomy and Physiology

  • Anatomy of the female reproductive tract
  • Reproductive endocrinology
  • Menstrual cycle regulation
  • Ovarian physiology
  • Puberty and menopause
  • Hormonal regulation and feedback mechanisms

Topic 2: Gynecologic History and Examination

  • Comprehensive history taking
  • Pelvic examination
  • Breast examination
  • Clinical documentation
  • Diagnostic approach to gynecologic symptoms
  • Communication and counseling skills

Topic 3: Diagnostic Procedures in Gynecology

  • Pelvic ultrasonography
  • Doppler ultrasound
  • Hysteroscopy
  • Colposcopy
  • Laparoscopy
  • Endometrial biopsy
  • Cervical cytology (Pap smear)
  • HPV testing
  • Imaging (CT and MRI)
  • Laboratory investigations

Topic 4: Benign Gynecologic Disorders

  • Abnormal uterine bleeding (AUB)
  • Uterine fibroids (leiomyomas)
  • Adenomyosis
  • Endometriosis
  • Ovarian cysts
  • Pelvic inflammatory disease (PID)
  • Chronic pelvic pain
  • Dysmenorrhea
  • Premenstrual syndrome (PMS)
  • Premenstrual dysphoric disorder (PMDD)

Topic 5: Reproductive Endocrinology and Infertility

  • Ovulatory disorders
  • Polycystic ovary syndrome (PCOS)
  • Hyperprolactinemia
  • Thyroid disorders
  • Female infertility
  • Male factor infertility
  • Ovulation induction
  • Assisted reproductive technologies (ART)
  • In vitro fertilization (IVF)
  • Fertility preservation

Topic 6: Gynecologic Oncology

  • Cervical cancer
  • Endometrial cancer
  • Ovarian cancer
  • Vulvar cancer
  • Vaginal cancer
  • Gestational trophoblastic disease
  • Screening and prevention
  • Staging systems
  • Surgical management
  • Chemotherapy and radiotherapy
  • Palliative care

Topic 7: Urogynecology and Pelvic Floor Disorders

  • Urinary incontinence
  • Pelvic organ prolapse
  • Fistulae (vesicovaginal and rectovaginal)
  • Pelvic floor dysfunction
  • Urodynamic studies
  • Conservative management
  • Surgical management
  • Rehabilitation

Topic 8: Menopause and Midlife Health

  • Menopausal transition
  • Hormone replacement therapy (HRT)
  • Osteoporosis
  • Cardiovascular health
  • Sexual health
  • Urogenital syndrome of menopause
  • Lifestyle interventions

Topic 9: Family Planning and Contraception

  • Contraceptive counseling
  • Hormonal contraceptives
  • Intrauterine devices (IUDs)
  • Emergency contraception
  • Permanent contraception
  • Contraception in special populations
  • Medical eligibility criteria

Topic 10: Sexually Transmitted Infections and Genital Infections

  • Human papillomavirus (HPV)
  • Human immunodeficiency virus (HIV)
  • Syphilis
  • Gonorrhea
  • Chlamydia
  • Herpes simplex virus
  • Trichomoniasis
  • Vaginal infections
  • Prevention and partner management

Topic 11: Minimally Invasive Gynecologic Surgery

  • Principles of laparoscopy
  • Hysteroscopy
  • Electrosurgery
  • Energy devices
  • Surgical anatomy
  • Complication prevention
  • Postoperative care
  • Robotic surgery (overview)

Topic 12: Advanced Gynecologic Surgery

  • Myomectomy
  • Hysterectomy
  • Oophorectomy
  • Salpingectomy
  • Ovarian cystectomy
  • Pelvic reconstructive surgery
  • Management of surgical complications

Topic 13: Pediatric and Adolescent Gynecology

  • Disorders of puberty
  • Congenital anomalies
  • Menstrual disorders
  • Adolescent contraception
  • Sexual health education
  • Safeguarding and child protection

Topic 14: Ethics, Law, and Professional Practice

  • Medical ethics
  • Informed consent
  • Confidentiality
  • Reproductive rights
  • Gender-based violence
  • Medico-legal issues
  • Professional standards
  • Cultural competence

Topic 15: Research, Leadership, and Evidence-Based Practice

  • Research methodology
  • Epidemiology
  • Biostatistics
  • Critical appraisal
  • Clinical guidelines
  • Clinical audit
  • Quality improvement
  • Health policy
  • Leadership in women's health
  • Dissertation or thesis preparation

Clinical Skills

Students are expected to become proficient in:

  • Comprehensive gynecologic assessment
  • Pelvic examination
  • Breast examination
  • Cervical cancer screening (Pap smear and HPV testing)
  • Colposcopy
  • Hysteroscopy
  • Diagnostic laparoscopy
  • Pelvic ultrasound interpretation
  • Endometrial biopsy
  • IUD insertion and removal
  • Counseling for contraception and menopause
  • Management of gynecologic emergencies
  • Preoperative and postoperative care

Assessment Methods

  • Written examinations (MCQs, SAQs, essays)
  • Objective Structured Clinical Examination (OSCE)
  • Clinical case presentations
  • Viva voce examinations
  • Practical and procedural skills assessments
  • Clinical logbook
  • Journal club presentations
  • Research proposal
  • Dissertation or thesis
  • Clinical audit or quality improvement project

Expected Learning Outcomes

Graduates should be able to:

  • Diagnose and manage common and complex gynecologic disorders.
  • Perform advanced gynecologic procedures safely and effectively.
  • Apply evidence-based practice and current clinical guidelines.
  • Provide comprehensive reproductive and sexual healthcare across the lifespan.
  • Lead multidisciplinary teams and contribute to quality improvement in women's health.
  • Conduct, interpret, and apply research to advance gynecologic practice.
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