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Course Coordinator

Name	Phone	Email	Location
Associate Professor Paul Duggan	+61 8 8313 7619	jacki.smith@adelaide.edu.au	Women’s and Children’s Hospital

Additional Acacdemic Staff

Name	Phone	Email	Location
Professor Jodie Dodd	+61 8 81617619	Jodie.dodd@adelaide.edu.au	Women’s & Children’s Hospital
Professor Ben Mol	+61 8 81617619	Ben.mol@adelaide.edu.au	Women’s & Children’s Hospital & Lyell McEwin Hospital
Professor Gus Dekker	+61 8 81829306	Gus.dekker@adelaide.edu.au	Lyell McEwin Hospital
Dr Alphonse Roex	+61 8 81829306	Alphosne.roex@adelaide.edu.au	Lyell McEwin Hospital

Administration

Name	Email	Location
WCH & CALHN Precinct Support Officers	wch@adelaide.edu.au	Women’s & Children’s Hospital
LMH Precinct Support Officers	lmh@adelaide.edu.au	Lyell McEwin Hospital

Please refer to the Learning Management System for specific teaching timetable activities.

On successful completion of this course the student will be able to:

1.   Demonstrate knowledge of:

1.1.    the physiology and pathology of the female reproductive system in childhood, adult life and old age.
1.2.    the physiology of pregnancy, parturition and the puerperium and its effect on medical and surgical disorders.
1.3.    the diagnosis and management of simple gynaecological disorders and an understanding of the principles and essential   
features of more complex gynaecological conditions.
1.4.    the application of the principles of evidence based medicine in obstetrics and gynaecology
1.5.    the epidemiology of the major health and social problems related to obstetrics and gynaecology.
1.6.    the embryology, developmental, physiological, biochemical, anatomical, endocrinological, immunological, morphological, pathological and psychological aspects underpinning obstetrics and gynaecology.
1.7.    the pharmacology of drugs commonly used during pregnancy and in gynaecology.
1.8.    the cultural, legal and social variation in attitudes towards obstetrics and gynaecology.
1.9.    the effect of the woman’s social circumstances on pregnancy or a gynaecological condition.
1.10.  the effect of drugs (prescribed or other) on pregnancy or gynaecological conditions.


2.  Demonstrate competence in the performance of:

2.1    an interview that considers the special physical, psychological and social characteristics required to take a full history relevant to human sexuality, obstetrics and gynaecology.
2.2    a physical examination which will take into account the special problems encountered in human sexuality, obstetrics and gynaecology, in order to confirm or refute an hypothesis or diagnosis.
2.3    counselling of a woman, her partner and family about common problems in human sexuality, obstetrics and gynaecology.
2.4    the provision of specific advice to the woman of the arrangements necessary for the woman to be confined in the appropriate setting including referral to a Specialist Obstetrician for further management if risk factors have been identified
2.5    the provision of specific advice to the woman on the potential hazards of drugs to the conceptus.
2.6    the requesting of appropriate laboratory, psychological or social data in order to reach an appropriate diagnosis.
2.7    observation and recording of the progress of labour, delivery and the early puerperium.
2.8    the maintenance of the dignity and privacy of the woman
2.9    the formulation of a plan for care of the patient(s).

There are no required resources. Recommended resources will be advised as appropriate.

General Texts suitable for student purchase  

Obstetrics & Gynaecology.  An evidence-based guide. Abbott Jason, Bowyer Lucy, Finn Martha. (2nd ed) 2014 Elservier.

Hacker and Moore’s Essentials of Obstetrics and Gynaecology. Hacker, Gambone and Moore. (5th edn). 2010 Saunders Elsevier. ISBN 978 1 4160 5940 0.
A student consult titles with online and print access. Medical student level (USA curriculum). 

Obstetrics and Gynaecology Impey and Child. (4th edn) .Wiley-Blackwell 2012. ISBN 978 0 470 65519 1Accompanying website with extra resources. Written for medical students (UK curriculum).

Gynaecology by Ten Teachers. Monga, Ash & Dobbs, Stephen (Ed) (2011) 19th edition, Hodder Arnold UK

Obstetrics by Ten Teachers. Monga, Ash & Dobbs, Stephen (Ed) (2011) 19th edition, Hodder Arnold UK Both books have free web resources.

Essentials of Obstetrics and Gynaecology. O’Reilly, Bottomley and Rymer. (2nd ed), 2012. Saunders Elsevier.


Electronic Based Reference

Cochrane Library - access via http://www.thecochranelibrary.com/view/0/index.html or type “Cochrane Library” in to the library catalogue and follow the links.

Sexual Health Website -

Global Library of Women's Medicine free electronic O & G textbook website at

Perinatal Practice Guidelines website –

Now also a free app – search app store for “practices guideline reader”. The correct spelling is essential.

Motherisk:

OTIS:

LACTMed :

UKMi: http://www.midlandsmedicines.nhs.uk

On line Lectures: refer to Canvas course, plus

eMedicihttp://emedici.com

There are numerous teaching and learning methods used, with the emphasis on active learning methods including, but not limited to: case based learning, large group lectures, seminars, tutorials and clinics and other sessions in hospital. There will be self-directed research and/or study, case presentations, and critical analysis.


Clinical Learning

Obstetric Duties
Attendance at antenatal clinics, conduct of normal labour and delivery and observation of abnormal cases gives insight into the spectrum of common conditions, most of which will be met at some time in practice.        

Students’ personal cases and deliveries require detailed observation of antenatal, labour and postnatal care and infant care.  Adequate postnatal care includes observation of lactation, involution and the psychological development of the mother-child relationship.

Labour Ward
Students are rostered to the labour ward four times during their rotation. These are all day sessions and include weekend and after-hours work. They aim to provide students with the opportunity to conduct spontaneous vaginal deliveries with the help of the midwifery staff in charge.

Gynaecological duties
Students are rostered to attend gynaecological outpatient sessions where there will be the opportunity to take a history and examine outpatients with the Consultant/Registrar attending the Clinic. Students should clerk patients being admitted for elective gynaecological surgery, with the opportunity to attend theatre sessions when a patient they have clerked is having an operation. Students should also attend enough other theatre sessions to ensure a familiarity with the commonly performed gynaecological procedures. The postoperative progress of the patient(s) who have been clerked should be followed and the pathology reports should be examined before discharge

Neonatal Medicine
Students will have weekly neonatal tutorials and will also be rostered to follow the neonatal registrar for one morning.  It is expected that students will be able to demonstrate skills in the examination of the normal neonate and knowledge of common problems that occur in the neonatal period.

Friday Afternoon Tutorials
Members of the academic and visiting staff will run whole-of-class tutorials in weeks 3-8 in selected topics, between 2:00pm and 5:00pm in the seminar room in the Robinson Institute, 55 King William Rd North Adelaide. The tutorials will be interactive.


e-Learning
Students without their own devices may borrow an iPad for use during the 9 weeks of their attachment. iPads provided by the Discipline must be used to undertake on-line written assessments.

On Line Lectures
A series of on line lectures is available in the Canvas course. 

The site includes optional multi-choice questions based on these topics.  There is no restriction on the number of attempts at the MCQ's, which are intended to stimulate students’ thinking about the topics.

eMedici
eMedici now includes case material and related formative assessment in Obstetrics and Gynaecology.

Workload for the individual students will vary from week to week but students can assume that on average they will work a 45 hour week which will include clinic sessions, lectures (both delivered and online), seminars, tutorials and private study. After hours and weekend work may also be required to meet clinical requirements.

The thematic structure of the Year 5 MBBS Program will be provided and discussed at the start of the program and is discussed in detail in the student handbook (provided to students on the first day of their rotation). Please note that the following applies only to the metropolitan students undertaking Human Reproductive Health. Students attached to the Discipline of Rural Health undergo separate orientation and clinical learning opportunities.

Week	Topic	Lecture
Week 1	Warm up week	Introduction to the course including whole-of-class tutorials covering the basicsand including small group clinical skillssessions.
Weeks  2 - 9	Students are allocated to specific hospital-based attachments and have individual learning timetables for the clinical component of the course.	On line lectures are available in Intellilearnand additional on line resources areavailable in eMedici and MyUni, includingaccess to on line formative assessments.A separate lecture timetable for Friday afternoon tutorials held in the RobinsonInstitute seminar room will be announced.
Week 9	Summative assessment week	Assessment of knowledge, reasoning and clinical skills will be undertaken from mid week onwards in week 9.

All students will be allocated to Lyell McEwin Hospital or the Women’s and Children’s Hospital in the metropolitan area.   Although allocated to one hospital all students should expect to travel to other hospitals (Modbury, The Queen Elizabeth Hospital, Royal Adelaide Hospital) and places for specialty sessions.  

All students require a current National Criminal History Record Check for children and vulnerable adults.  A Criminal History Check is valid for 3 years and students MUST have the original with them on the first day of term.

All students will be required to do some after-hours and weekend work (see above). Any other requirements will be advised.

Students are assigned to small groups for the Contraception component of this course. A “Flipped Classroom” approach is used – requiring participation in an eLecture prior to small group participation. Under the supervision of an experienced clinician, students will individually demonstrate their knowledge of a randomly selected method of contraception. The small group will then address a complex clinical problem before reconvening at the end of the day to sit a formative quiz.

Assessment Task	Task Type	Weighting	Learning Outcome
Single best answer written examination end of week 5	Formative and Summative	15%	1 and 2
Clinical Portfolio end of week 8	Summative	30%	1
Single best answer written examination week 9	Summative	25%	1
OSCE examination week 9	Summative	30%	2

“Clinical tasks requiring mastery” is a hurdle requirement, which must be completed satisfactorily in order to pass the course. Failure to complete all components will result in a Fail No Submission report to the MBBS Board of Examiners.

For details of assessment in this course please refer to Canvas.

For details please refer to Canvas.

In addition, students will receive a banded result upon completion of their attachment.

Five bands are available to determine the assessment for the Human Reproductive Health rotation in fifth year of MBBS.  The Bands available for determining student performance are: 

A  Above expected competency for Year 5
B  Clearly at expected competency for Year 5
C  Just reaches expected competency for Year 5
D  Below expected competency for Year 5
E  Far below expected competency for Year 5

Calculation of Grades
A candidate MUST pass the core competencies (mastery) by the end of the course or will fail with an E. Otherwise, the calculation of grades is as follows:

Written and practical examinations are held at the end of the year to assess competence in the MBBS Program. Included in these exams will be some Obstetrics & Gynaecology questions.

If a replacement or additional assessment is required, this will normally take the form of a clinical viva assessment, which may include an observed long case and oral assessment covering both the long case and a range of other topics.

A student course evaluation is completed online by all students at the end of the rotation.  SELTS of individual teaching are done on a regular basis.

Not applicable

Please read the MBBS Program Code of Conduct