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OBGY715 Medical Gynaecology I

Fundamental knowledge and skills in management of a broad spectrum of women's reproductive health issues, including pubertal development, menopause, vulval conditions, menstrual disorders, sexual health and screening, and affirmation of gender and sexual diversity.

OBGY 715 gives a grounding beyond undergraduate training in women's reproductive health issues, covering adolescent health, screening for sexually transmitted infections and common presentations, such as menstrual disorders, vulval disorders and menopausal issues.

Paper title Medical Gynaecology I
Paper code OBGY715
Subject Obstetrics and Medical Gynaecology
EFTS 0.15
Points 15 points
Teaching period(s) 1st Non standard period (26 January 2021 - 11 March 2021) (Distance learning)
2nd Non standard period (22 June 2021 - 5 August 2021) (Distance learning)
Domestic Tuition Fees (NZD) $1,733.40
International Tuition Fees (NZD) $6,404.40

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Restriction
OBGX 715
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: Ask Otago: 0800 808 098

Teaching staff

Convenor: Dr Helen Paterson
Teaching Staff: Dr Karyn Johnson, Dr Celia Devenish, Dr Fali Langdana, Dr Mary Hunter

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 eight  weeks

N1: Tuesday, 26 January - Thursday, 11 March 2021
Examination: Wednesday, 24 March 2021 in the evening, online delivery

N2: Tuesday, 22 June - Thursday, 5 August 2021
Examination: Wednesday, 18 August 2021 in the evening, online delivery

Textbooks

There is no single textbook for this paper. Readings will be provided for students to access via the Library, with additional readings and other multimedia material provided via Moodle.

Graduate Attributes Emphasised
Lifelong learning.
View more information about Otago's graduate attributes.
Learning Outcomes

Sexual Health and Screening

  • Develop a working knowledge of New Zealand screening programmes and their principles and application, especially with regard to the cervical screening program.
  • Develop an understanding of sexually transmitted infections (STIs), including the pathophysiology, presentation, treatment, and long-term sequelae of common sexually transmitted infections which enables you to demonstrate evidence based clinical expertise in the medical management of sexual transmitted infections.

Vulval Disorders

  • Evaluate and manage
    • Premalignant conditions of the vulva
    • Inflammatory conditions of the vulva
    • Infective conditions of the vulva
    • Female genital mutilation
  • Evaluate and manage Women presenting with vulval pain disorders

Menstrual Disorders: Hysterectomy/ Vaginal Bleeding

  • Evaluate and manage women presenting with abnormal uterine bleeding using PALM-COEIN.

Menstrual Disorders and  Pelvic Pain

  • Describe the pathophysiology, clinical presentation, assessment and management options for premenstrual syndrome.
  • List the common abnormalities of the vaginal introitus, and describe their clinical features and management.
  • Compare the pathophysiology, clinical features and management of primary and secondary dysmenorrhoea.
  • Describe the pathology of endometriosis and adenomyosis clinical features and management options.
  • Outline the assessment of, and management options for, a woman with chronic pelvic pain.
  • Describe the complexities of chronic pelvic pain including the changes to the Central Nervous System, which explain the mismatch between pathology and pain experience.

Adolescence and Gender

Adolescence

  1. Describe the developmental stages of normal pubertal development in the female adolescent.
  2. Describe the evaluation and management of delayed and precocious puberty, including primary amenorrhoea.
  3. Outline the investigation and treatment of abnormal menstruation in the adolescent.
  4. Describe and discuss vulval conditions affecting prepubertal girls, including labial fusion and vulvovaginitis.

Gender

  1. Be familiar with LGBTIQA+ terminology.
  2. Be able to normalise and affirm sexual diversity (LGBTQIA+), same-sex relationships, and gender diverse identities, including transgender identities.
  3. Practice modelling values of fairness, empathy, acceptance, kindness, respect, and responsibility to and for all people.

Describe the care pathways for gender affirming healthcare in New Zealand.

Menopause

  1. List the physiological changes and symptoms associated with the climacteric.
  2. Outline diagnostic criteria for premature ovarian insufficiency (POI), early menopause and menopausal transition.
  3. List the investigations advised prior to a patient taking hormone therapy.
  4. Outline management strategies, both hormonal and non-hormonal for the climacteric woman.
  5. List the benefits and risks of menopause hormone therapy (MHT).
  6. Describe and give advice on the different types of MHT regimen and their indication(s) for use.

Outline advice for the climacteric woman who does not wish to use MHT.

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Timetable

1st Non standard period (26 January 2021 - 11 March 2021)

Location
Dunedin
Teaching method
This paper is taught through Distance Learning
Learning management system
Moodle

2nd Non standard period (22 June 2021 - 5 August 2021)

Location
Dunedin
Teaching method
This paper is taught through Distance Learning
Learning management system
Moodle