Urinary incontinence, prolapse, malignancy of the genital tract, adolescent gynaecology, domestic violence, sexual assault, abortion, infertility and quality assurance.
OBGY 716 gives a foundation on topics such as adolescent gynaecology, termination of pregnancy, continence, fertility, gynaecology oncology and violence and abuse issues.
| Paper title | Medical Gynaecology II |
|---|---|
| Paper code | OBGY716 |
| Subject | Obstetrics and Medical Gynaecology |
| EFTS | 0.1500 |
| Points | 18 points 18 points |
| Teaching period(s) | 1st Non standard period (7 April 2020 - 10 June 2020), 2nd Non standard period (1 September 2020 - 4 November 2020) |
| Domestic Tuition Fees (NZD) | $1,714.50 |
| International Tuition Fees (NZD) | $6,217.80 |
- Restriction
- OBGX 716
- Limited to
- PGCertWHlth, PGDipOMG
- Notes
- (i) This paper is designed for the continuing professional education of health professionals involved in the provision of women's health care, and is also a compulsory paper for the Postgraduate Diploma in Obstetrics and Medical Gynaecology. (ii) Limited to 30 students per semester. (iii) For more information: www.otago.ac.nz/womens-health-postg
- Eligibility
Recommended for general practitioners (GPs) and GP registrars and sexual health physicians, and those doctors considering a future in sexual and reproductive health, general practice, obstetrics and gynaecology, paediatrics or emergency medicine. Suitable for midwives, practice nurses, family planning and public health nurses.
Enrolments for this paper are limited and require departmental permission. View more information about limitations of enrolment.- Contact
- Amanda Phillips: Women's and Children's Health Distance Learning Co-ordinator
Email wch.distancelearning@otago.ac.nz
Tel 03 470 9688 - More information link
- View more information on the Postgraduate Programmes in Women's Health website
- Teaching staff
Convenor: Associate Professor Michael Stitley
Teaching Staff: Dr Kate Van Harselaar, A/P Michael Stitley, Dr Mary Hunter, Dr Janet Downs, A/P Peter Sykes- Paper Structure
- One of four distance-taught papers that are offered as part of Postgraduate Certificate in Women's Health (PGCertWHlth) and Postgraduate Diploma in Obstetrics and Medical Gynaecology (PGDipOMG) programmes
- Teaching Arrangements
Consists of six 2-hour Tuesday evening audioconferences on Zoom conducted fortnightly over twelve weeks.
N1: Tuesday, 7 April - Thursday, 4 June, 2020
Examination: Wednesday, 17 June 2020 in the evening, in the town/city you nominated as your semester address
N2: Tuesday, 1 September - Monday, 3 November, 2020
Examination: Wednesday, 11 November 2020 in the evening, in the town/city you nominated as your semester address- Textbooks
- Introduction to Obstetrics and Gynaecology, by Professor Cindy Farquhar and Associate Professor Helen Roberts
- Graduate Attributes Emphasised
- Global perspective, Interdisciplinary perspective, Lifelong learning, Scholarship,
Cultural understanding, Ethics.
View more information about Otago's graduate attributes. - Learning Outcomes
Infertility
- Define infertility and describe its prevalence.
- Define fecundity and the factors that influence it.
- List the main causes of infertility and describe why they cause it.
- Discuss the emotional and social impact on infertile couples.
- Describe the investigation of infertility in primary care.
- Describe the investigation of infertility in secondary care.
- Describe the role of primary care in the management of infertility.
- Describe the role of secondary and tertiary providers in the management of infertility.
- Describe the ethical issues that confront infertile couples and infertility providers.
Urogynaecology/Incontinence and Prolapse
- List the normal anatomical supports of the vagina, uterus, and bladder.
- List the mechanisms for normal continence in the female.
- List possible aetiological factors in the pathogenesis of pelvic organ prolapse and urinary incontinence.
- Classify the types of female incontinence.
- Define the types of pelvic organ prolapse.
- List the clinical features of each type of prolapse and incontinence.
- Describe how to conduct a vaginal examination for suspected pelvic organ prolapse and incontinence.
- List the tests used in general practice for the investigation of incontinence.
- List the indications for specialist referral for urinary incontinence.
- List the information you would provide when teaching pelvic floor exercises or bladder retraining.
- List the information you would provide when counselling for urodynamic investigation and management of the different types of incontinence and pelvic organ prolapse
Adolescent Gynaecology/ Family Violence/ Sexual Assault
- Describe the developmental stages of normal pubertal development in the female adolescent.
- Discuss possible causes of delayed and precocious puberty.
- Outline the investigation and treatment of abnormal menstruation in the adolescent.
- Outline the investigation of primary amenorrhoea.
- Describe and discuss vulval conditions affecting prepubertal girls, including labial fusion and vulvovaginitis.
- Describe the range of contraceptive options suitable for the adolescent and demonstrate an appreciation of measures required to optimise compliance with any contraceptive method.
- Specify the legal responsibilities of a medical practitioner with regard to contraception and pregnancy in the adolescent.
- Demonstrate an understanding of the aetiology of pelvic pain and appropriate methods of investigating and treating pain in the adolescent.
- Demonstrate knowledge of appropriate referral services with regard to STIs and pregnancy.
- Define partner abuse.
- Describe the prevalence and incidence of partner abuse in New Zealand and list the health consequences for women and children.
- Recognise the signs that partner abuse may be occurring.
- Describe screening and intervention principles.
- Manage the first disclosure of family violence.
- Explain the process of applying for a protection order and how to make it work.
- Make a list of referral and support agencies in your area.
- Take a sensitive limited history and examination in order to deal with the immediate mental and physical needs of the patient.
- Describe the process of a full examination as done by DSAC.
- List the legal implications of sexual assault.
- Counsel an assault victim.
- Manage a patient who is the victim of sexual assault.
- Manage the long-term sequelae of sexual assault.
Abortion:
- Describe the impact of legalisation of abortion on maternal health.
- Describe the legal issues around abortion in New Zealand, including the duties of the medical practitioner under the law.
- Describe the referral process for women requesting consideration for an abortion.
- List and describe the procedures available for first and second trimester abortions.
- Outline the risk of complications following an abortion, and how to manage them appropriately.
Gynaecology Oncology 1
- Describe the epidemiology, aetiology, pathology, clinical presentation and natural history of the following conditions: genital HPV infection, cervical intraepithelial neoplasia, adenocarcinoma-in-situ of the cervix, vulval intraepithelial neoplasia, lichen sclerosus, invasive carcinoma of the cervix,invasive carcinoma of the vulva, invasive carcinoma of the vagina.
- Describe the role of cytological screening in the prevention of cervical malignancy.
- Counsel women on the pros and cons of participating in the National Cervical Screening Programme (NCSP).
- Describe the current recommendations for cervical screening.
- Describe the management of the abnormal smear.
- Describe the procedure of colposcopy to a patient.
- Demonstrate an understanding of the psychological impact of an abnormal smear and colposcopy.
- Describe the role of colposcopy in the management of pre-invasive and invasive disease of the female genital tract.
- Describe the common procedures for the treatment of pre-invasive disease of the female genital tract.
- Describe the role of, the results of, and complications of these procedures.
- Describe the symptoms and signs typical of invasive carcinoma of the cervix, vulva, and vagina.
- Arrange appropriate investigation of the above symptoms and signs.
- Describe the principles of FIGO staging for invasive carcinoma of the cervix and vulva.
- Describe the principles of treatment of invasive carcinoma of the cervix, vulva, and vagina.
- Describe the common side effects of treatment for carcinoma of the cervix.
- Describe the prognosis of women treated for invasive carcinoma of the cervix and vulva.
- Describe symptoms and signs of recurrent cervical cancer.
Gynaecology Oncology 2
- Discuss the epidemiology and aetiology of uterine and ovarian cancer.
- Discuss the role of screening and prevention in women at high risk of endometrial and ovarian cancer.
- Describe common symptoms in the presentation of endometrial cancer.
- Discuss the differential diagnosis of a woman presenting with post-menopausal bleeding.
- Describe procedures for endometrial biopsy, and their sensitivity and specificity.
- Discuss the differential diagnosis of a pelvic mass.
- Discuss the role of pelvic radiology in the investigation of women with post-menopausal bleeding or a pelvic mass.
- Describe the tumour markers commonly used in the investigation and management of women with pelvic malignancy, and their appropriate use.
- Describe the pathology and malignant potential of different types of endometrial hyperplasia.
- Classify the pathology of uterine malignancy.
- Classify the pathology of ovarian tumours.
- Describe the natural history of uterine and ovarian epithelial malignancy.
- Describe the principles of FIGO staging in endometrial and ovarian malignancy.
- Describe the principles of treatment for endometrial and ovarian cancer.
- Describe the post-operative care required by a woman who has had a laparotomy for pelvic malignancy.
- Describe to a patient the role of chemotherapy for ovarian cancer, its administration, and common side effects.
- Describe the principles of palliative care of women with advanced pelvic malignancy.
- Communicate sensitively and effectively with patients and their relatives in matters relating to prognosis and quality of life.
