Gynecology III (MMed) Course Outline
Course Title: Gynecology III – Advanced Gynecology and Gynecologic Surgery
Duration: One semester (16 weeks)
Credits: 8–10
Course Description
This course provides advanced training in the diagnosis and management of complex gynecological disorders. It emphasizes minimally invasive surgery, gynecologic oncology, urogynecology, reproductive medicine, pelvic reconstructive surgery, and evidence-based decision-making. Residents progressively develop the competencies required for independent specialist practice.
Learning Outcomes
By the end of the course, residents should be able to:
* Diagnose and manage complex benign gynecologic disorders.
* Perform advanced gynecologic surgical procedures safely.
* Evaluate and manage gynecologic malignancies.
* Manage infertility using evidence-based approaches.
* Diagnose and treat female pelvic floor disorders.
* Perform advanced hysteroscopy and laparoscopy.
* Apply multidisciplinary principles in gynecologic care.
* Critically appraise scientific evidence for clinical practice.
Course topics
Topic 1: Advanced Benign Gynecology
* Chronic pelvic pain
* Endometriosis
* Adenomyosis
* Uterine fibroids
* Ovarian cysts
* Pelvic inflammatory disease
* Pelvic adhesions
Topic 2: Gynecologic Oncology
* Cervical cancer
* Endometrial cancer
* Ovarian cancer
* Vulvar cancer
* Vaginal cancer
* Gestational trophoblastic neoplasia
* Screening and prevention
* Principles of chemotherapy and radiotherapy
* Palliative care
Topic 3: Reproductive Endocrinology and Infertility
* Ovulatory disorders
* Polycystic ovary syndrome
* Diminished ovarian reserve
* Male infertility
* Tubal disease
* Assisted reproductive technologies
* Fertility preservation
* Recurrent pregnancy loss
Topic 4: Minimally Invasive Gynecologic Surgery
* Diagnostic laparoscopy
* Operative laparoscopy
* Basic and advanced hysteroscopy
* Laparoscopic hysterectomy
* Laparoscopic myomectomy
* Adhesiolysis
* Complication prevention and management
Topic 5: Urogynecology and Pelvic Floor Disorders
* Urinary incontinence
* Pelvic organ prolapse
* Overactive bladder
* Vesicovaginal fistula
* Urodynamics
* Pelvic floor rehabilitation
* Reconstructive surgery
Topic 6: Advanced Gynecologic Imaging
* Pelvic ultrasound
* Doppler studies
* Saline infusion sonography
* MRI in gynecology
* CT imaging
* Hysterosalpingography
Topic 7: Menopause and Midlife Women’s Health
* Menopausal symptoms
* Hormone replacement therapy
* Osteoporosis
* Sexual dysfunction
* Cardiovascular health
* Healthy ageing
Topic 8: Pediatric and Adolescent Gynecology
* Puberty disorders
* Müllerian anomalies
* Amenorrhea
* Abnormal uterine bleeding
* Adolescent contraception
* Sexual and reproductive health
Topic 9: Ambulatory Gynecology
* Colposcopy
* Cervical biopsy
* LEEP
* Cone biopsy
* Endometrial biopsy
* Office hysteroscopy
* Minor gynecologic procedures
Topic 10: Ethics, Research, and Quality Improvement
* Ethical issues in gynecology
* Clinical audit
* Patient safety
* Evidence-based medicine
* Research appraisal
* Clinical governance
Practical Skills
Residents should demonstrate competence in:
* Total abdominal hysterectomy
* Vaginal hysterectomy
* Myomectomy
* Oophorectomy
* Salpingectomy
* Colposcopy
* LEEP and cold knife conization
* Endometrial biopsy
* Bartholin gland procedures
* Basic gynecologic ultrasound
Teaching Methods
* Interactive lectures
* Case-based discussions
* Problem-based learning
* Operating theatre teaching
* Outpatient clinics
* Skills laboratory and simulation
* Journal club
* Morbidity and mortality meetings
* Multidisciplinary tumor board discussions
Assessment
Continuous Assessment (40%)
* Case presentations – 10%
* Journal club – 10%
* Logbook and professionalism – 10%
Final Assessment (60%)
* Written examination (MCQs/SAQs/Essays) – 30%
* OSCE – 20%
* Viva voce – 10%
Recommended References
* Williams Gynecology
* Berek & Novak’s Gynecology
* Te Linde’s Operative Gynecology
* Clinical Gynecologic Oncology
* ACOG Practice Bulletins
* RCOG Green-top Guidelines
* ESGE Guidelines
* FIGO Guidelines