Obstetrics and Gynecology

1.Explains the concepts of reproductive health and reproductive rights, the principles of woman-centred care, the organisation of perinatal care, and the main indicators of maternal and perinatal health.

2.Describes the main principles of legislation concerning reproductive health, pregnancy, childbirth and termination of pregnancy, and the importance of informed consent, confidentiality and patient autonomy.

3.Explains the anatomy and physiology of the female reproductive system across the life course, fertilisation, embryonic, fetal and placental development, and maternal physiological adaptations to pregnancy.

4.Describes the principles of preconception and antenatal care, modifiable risk factors, diagnosis of pregnancy, prenatal screening and diagnostic options, and methods for assessing fetal growth and well-being.

5.Describes the principles of diagnosis and management of early pregnancy complications, preterm labour, preterm prelabour rupture of membranes, post-term and multiple pregnancy, and methods of termination of pregnancy.

6.Explains the physiology and principles of management of normal labour, assessment of labour progress and fetal well-being, causes of labour dystocia, principles of induction of labour, and indications for operative vaginal birth and caesarean birth.

7.Describes the physiological postpartum period, principles of breastfeeding, neonatal adaptation, initial newborn care and basic resuscitation, and the principles of prevention and recognition of maternal and neonatal birth trauma.

8.Explains the principles of diagnosis and management of major complications of pregnancy, childbirth and the postpartum period, including haemorrhage, hypertensive disorders, infection, sepsis, venous thromboembolism and red cell alloimmunisation.

9.Describes the interaction of common systemic diseases and mental health conditions with pregnancy, the principles of care planning, and assessment of the benefits and risks of medication use during pregnancy and breastfeeding.

10.Explains the principles of gynaecological history-taking and examination, the significance of common symptoms at different stages of a woman’s life, and the indications and limitations of diagnostic methods.

11.Describes the normal genital tract microbiota and the aetiology, diagnosis, prevention, management and reproductive health consequences of sexually transmitted, endogenous and iatrogenic infections and pelvic inflammatory disease.

12.Explains the causes and principles of diagnosis and management of abnormal uterine bleeding, amenorrhoea, dysmenorrhoea, premenstrual syndrome, hyperandrogenism and polycystic ovary syndrome.

13.Describes family planning and contraceptive methods and the principles of method selection, investigation and treatment options for infertility, the menopausal transition, and management of conditions associated with oestrogen deficiency.

14.Describes the principles of diagnosis and management of chronic pelvic pain, endometriosis, pelvic floor dysfunction, uterine fibroids and adnexal masses, and the differential diagnosis of acute gynaecological conditions.

15.Explains the principles of prevention, diagnosis and management of precancerous lesions and malignancies of the female genital tract, and the indications for common gynaecological procedures, patient preparation and postoperative care.

16.Describes signs of violence and its impact on women’s health, the principles of sensitive communication and initial support, and the role of multidisciplinary care.

1.Obtains and structures a gynaecological and obstetric history, identifying the presenting symptoms, reproductive history and relevant risk factors.

2.Demonstrates patient preparation for gynaecological examination, speculum examination and bimanual palpation using a simulator.

3.Demonstrates collection of a cervical screening sample using a simulator and explains the principles of sample collection and submission.

4.Determines gestational age and the estimated date of delivery using history and ultrasound data.

5.Demonstrates measurement of symphysis–fundal height, Leopold’s manoeuvres and fetal heart rate auscultation using a handheld Doppler.

6.Interprets basic clinical, laboratory and screening findings in educational cases and recognises results requiring further assessment.

7.Assesses the basic parameters of labour progress records and cardiotocograms in educational examples and recognises abnormalities that require escalation.

8.Demonstrates basic techniques for assisting a normal birth and safely clamping and cutting the umbilical cord in a simulated environment.

9.Demonstrates initial newborn assessment, prevention of heat loss and initial care procedures in a simulated environment.

10.Demonstrates basic newborn resuscitation skills using a simulator and the taught algorithm.

11.Demonstrates the basic steps of postpartum haemorrhage prevention and initial response in a simulated clinical scenario.

12.Uses a contraceptive decision aid and medical eligibility criteria in a structured simulated consultation.

13.Explains the purpose and process of investigations and the options for prevention and treatment in clear language and communicates relevant clinical information to a colleague in a structured manner.

1.Integrates history, clinical examination and basic investigation findings to formulate the initial clinical problem, justify a differential diagnosis and propose further assessment in common obstetric and gynaecological situations.

2.Distinguishes physiological pregnancy, labour and postpartum recovery from abnormal findings, identifies risk factors and justifies the need for additional monitoring or specialist consultation.

3.Recognises signs of an emergency affecting the mother or newborn, prioritises initial actions, calls for help promptly and participates in a simulated team response using the taught algorithms.

4.Justifies appropriate preventive measures and initial counselling in preconception care, family planning, cervical cancer prevention and common gynaecological presentations, taking account of the woman’s life stage, health and preferences.

5.Assesses the benefits and potential risks of medication use during pregnancy and breastfeeding, uses reliable information sources and identifies situations requiring specialist advice.

6.Communicates respectfully and without judgement and maintains informed consent, confidentiality and patient autonomy, including during intimate examination and discussion of sensitive issues.

7.Supports clinical decisions with evidence taught in the course, collaborates with the team, reflects on personal performance and uses feedback for further improvement.