PORTFOLIO
DEPARTMENT OF OBSTETRICS AND
GYNAECOLOGY
Dr. BABA SAHEB AMBEDKAR
MEDICAL COLLEGE
Curriculum
Vitae
1. Name :
2. Date of Birth (DD / MM / YY):
3. Permanent Address:
4. Telephone / mobile of student:
5. Local address:
5.Telephone / mobile of the guardian:
6. Email:
7. Faculty Roll Number:
8. Batch and group for clinical posting:
Certificate
This is to certify that the candidate
Mr/ Ms ...............................................................
Reg No. ...................
Admitted in the year -------------
in (Medical College)
has satisfactorily completed / has not completed all assignments
mentioned in this logbook for MBBBS course in the subject of
Obstetrics and Gynecology during the period from..................... to
She / He is / is not eligible to appear for the summative (University)
assessment.
Signature of Date:
Faculty
Name:
Designation:
Countersigned by Head of
the Department Name: Date:
Signature and Seal
Principal/Dean Date:
List of Competencies Requiring DOAP Sessions as per
NMC Document
*This is a comprehensive list of competencies requiring DOAP sessions extracted
from the NMC document.
These can be integrated with the case presentations/ demonstrations/
seminars or may be undertaken as standalone activities.
S No. Number Competency
1. OG 8.3 Describe, demonstrate, document and perform an obstetrical
examination including a general and abdominal examination
and clinical monitoring of maternal and fetal well-being
2. OG 8.4 Describe and demonstrate clinical monitoring of maternal and
fetal well
being
3. OG 8.5 Describe and demonstrate pelvic assessment in a model
4. OG 8.6 Assess and counsel a patient in a simulated environment
regarding
appropriate nutrition in pregnancy
5. OG 9.2 Describe the steps and observe/ assist in the performance of an
MTP evacuation
6. OG 13.3 Observe/ assist in the performance of an artificial rupture of
Membranes
7. OG 13.4 Demonstrate the stages of normal labor in a simulated
environment/
mannikin
8. OG 13.5 Observe and assist the conduct of a normal vaginal delivery
OG 14.1 Enumerate and discuss the diameters of maternal pelvis and
types
9. OG 14.2 Discuss the mechanism of normal labor, define describe
obstructed
labor, clinical features prevention and management
10. OG 14.3 Describe and discuss rupture uterus, causes, diagnosis and
management
11. OG 15.2 Observe and assist in performance of episiotomy, demonstrate
correct
suturing technique of episiotomy in a simulated
environment. Forceps, CS, vaccum, breech delivery
12. OG 17.2 Counsel in a simulated environment care of the breast,
importance and
technique of breast feeding
13. OG 18.2 Demonstrate the steps of new-born care in a simulated
environment
14. OG 19.2 Counsel in a simulated environment contraception and puerperal
sterilisation
15. OG 19.3 Observe assist in performance of tubal ligation
16. OG 19.4 Enumerate the indications, describe the steps in insertion and
removal
of IUCD
17. OG 20.2 In a simulated environment administer informed consent to a
person
wishing to undergo MTP
18. OG 33.3 Describe and demonstrate the screening of cervical cancer in a
simulated environment
19. OG 35.11 Demonstrate the correct use of appropriate universal precautions
for self-protection against HIV and hepatitis and counsel patients
20. OG 35.12 Obtain a PAP smear in a stimulated environment
21. OG 35.13 Demonstrate the correct technique to perform artificial rupture of
membranes in a simulated / supervised environment
22. OG 35.14 Demonstrate the correct technique to perform and suture
episiotomies in a simulated/ supervised environment
23. OG 35.15 Demonstrate the correct technique to insert and remove an IUD
in a
simulated/ supervised environment
24. OG 35.16 Diagnose and provide emergency management of antepartum
and
postpartum hemorrhage in a simulated / guided environment
25. OG 35.17 Demonstrate the correct technique of urinary catheterisation in a
simulated/ supervised environment
26. OG 36.2 Organise antenatal, postnatal, well-baby and family welfare
clinics
27. OG 37.1 Observe and assist in the performance of a Caesarean section
28. OG 37.6 Observe and assist in the performance of outlet forceps
application
of vacuum and breech delivery
29. OG 37.7 Observe and assist in the performance of MTP in the first
trimester
and evacuation in incomplete abortion
30. AN 49.1 Describe & demonstrate the Superficial & Deep perineal pouch
(boundaries and contents)
31. AN 53.1 Identify & hold the bone in the anatomical position, Describe the
salient features, articulations & demonstrate the attachments
of muscle groups
32. AN 53.2 Demonstrate anatomical position of bony pelvis & show
boundaries of pelvic inlet, pelvic cavity, pelvic outlet
33. AN 53.3 Define true pelvis and false pelvis and demonstrate sex
determination in male & female bony pelvis
34. CM 9.2 Define, calculate and interpret demographic indices including
birth
rate, death rate, fertility rates
35. FM 3.14 Sexual offences: Describe and discuss the examination of the
victim of
an alleged case of rape, and the preparation of report, framing
the opinion and preservation and despatch of trace evidences in
such cases.
36. FM 3.15 Sexual offences: Describe and discuss examination of accused
and victim
of sodomy, preparation of report, framing of opinion, preservation
and despatch of trace evidences in such cases
37. PE 7.8 Educate mothers on ante natal breast care and prepare mothers
for
Lactation
38. PE 7.9 Educate and counsel mothers for best practices in breast feeding
39. PE 18.3 Conduct Antenatal examination of women independently and
apply
at-risk approach in antenatal care
40. PE 18.4 Provide intra-natal care and conduct a normal Delivery in a
simulated environment
41. PE 18.5 Provide intra-natal care and observe the conduct of a normal
Delivery
42. PE 20.6 Explain the follow up care for neonates including Breast feeding,
temperature maintenance, immunization, importance of
growth monitoring and red flags
43. PE 32.8 Interpret normal Karyotype and recognize the Turner Karyotype
Note: Competencies mentioned in NMC Document for horizontal and vertical
integration
requiring logbook documentation are also included in this table.
Competencies Requiring Documentation in logbook as
per
NMC Document
Number Competency Details Number
required
tO
Certify
OG 13.5 Observe and assist the conduct of normal vaginal 10
delivery
OG 37.6 Observe and assist in the performance of outlet
forceps
application of vacuum and breech delivery
PE 7.8 Educate mothers on ante natal breast care and
prepare
mothers for lactation
PE 7.9 Educate and counsel mothers for best practices in
breast
feeding
PE18.4 Provide intra-natal care and conduct a normal
Delivery in a
simulated environment
PE 18.5 Provide intra-natal care and observe the conduct of a
normal delivery
PE 20.6 Explain the follow up care for neonates including
Breast
feeding, temperature maintenance, immunization,
importance of growth monitoring and red flags
PE 32.8 Interpret normal Karyotype and recognize the Turner
Karyotype
Competencies requiring Certification in Logbook as per
NMC Document
Number Competency Details Number
required to
Certify
OG 13.5 Observe and assist the conduct of normal vaginal 10
delivery
Glossary & General
Instructions
Log Book:
Logbook is defined as a verified record of the progression of the learner
documenting the acquisition of the requisite knowledge, skills, attitude and/ or
competencies. Log book is the most important tool that will help us achieve
successful implementation of the key aspects of the new Competency Based
UG Curriculum—we hope you understand the importance of maintaining it
meticulously. It is a record of all your learning that takes place and the
competencies acquired by you. It also forms an integral part of your internal
assessment
/formative assessment and your eligibility for appearing in the final
summative assessment. Successful documentation and submission of the
logbook is a prerequisite for being allowed to take the final summative
examination (GMER 11.1.1.b.7).
Portfolio:
A portfolio is an evidence of events documented in the logbook along with
selected assignments, self-assessment, feedback, work-based and in-training
formative assessments, reflections and learnings from planned activity in the
curriculum.
Students please note:
a) The logbook is a record of the academic / co-curricular activities of
the designated student, who would be responsible for maintaining
his/her logbook.
b) The student is responsible for getting the entries in the logbook
verified by the designated faculty regularly.
c) Entries in the logbook will reflect the activities undertaken in the
department & have to be scrutinized by the Head of the concerned
department.
d) The logbook should be verified by the college before submitting the
application of the students for the University examination.
Activity:
This term refers to a predefined task performed by learners that
contributes to the achievement of stated objectives or competencies.
Remedial:
Remedial is a planned activity aimed at correcting deficits that prevent a learn
er from achieving an intended outcome.
Feedback:
Feedback is a formal active interaction performed at the completion of an
observed activity (or activities) intended to facilitate positive change, growth
and improvement of the learner through guided reflection of activities
performed.
By the end of Phase 3 part 1, students are supposed to have filled the
following:
Antenatal Case Record : 5
Normal Labour Case Record : 5
Gynae Case Records : 3
Doctors Learners Case Records : 3
Reflections : _
Suggestion:
The logbook is a document which you have to maintain right from the
beginning of Phase 2 and complete by the end of Phase 3 part 2. It will
used for determining your eligibility to appear in your final examination
apart from being a complete record of all the learning that has taken
place.
We suggest that you download the document from the departmental
website and maintain the logbook as a 2 Ring Spiral File (as shown in
picture below) and carry only pages relevant to the day’s activity with
you. This will be less cumbersome to carry, and there will be less chance
of losing your entire record in case the logbook gets misplaced besides
you will have the liberty of adding as many pages as you deem
necessary.
Antenatal Case Record
No.____
Patient Identification Data and Demography:
Chief Complaints:
History of Present Complaints: (ODP)
History of present pregnancy: (Trimester-wise)
Status of vaccination:
Menstrual History :
G_ P_ A_ L_ MTP
Obstetric History Details:
Number Month & Any high Mode of Indication if CS Baby Details Post partum/ Baby
risk or
Year, factor in Delivery/ operative (Sex/Apgar/ post abortal vaccina-
delivery
gestational pregnancy Abortion Weight) complications tion
age at If any
delivery
Contraceptive History:
Family History:
Personal & Social History:
Drug History/ Medication History / Allergy :
Past History:
General Examination:
Systemic
Examination:
Cardiovascular
system: Respiratory
system:
Nervous system:
Obstetrical Examination :
Interpretation based on palpation
Per speculum examination: (if indicated)
Per vaginal examination: (when indicated)
Pelvimetry: (if indicated)
Provisional Diagnosis :
Investigations:
Risk factors identified:
Final diagnosis:
Summary:
Advice:
Follow up :
Plan of delivery:
Normal Labor Case Record
Record Number ____
Patient identification data:
Chief Presenting Complaints:
History of Present Illness:
History of Presenting Pregnancy:
Menstrual History:
Past Obstetrical History:
Gestational Age(GA)
By L.M.P:
By U.S.G
Past History
Family History
Social and Personal History
Medication History , Allergies :
Contraceptive History:
General Examination
Systemic Examination
Abdominal Examination
Local Examination of Genitalia
Per-Speculum Examination (if required):
Per-Vaginal Examination and Pelvimetry :
Investigations
Labour notes:
Spontaneous / augmented
If induced: ARM / Syntocinon / PG/ Foley's
Indication of induction/augmentation
Stages of Labour Time Started Time Finished Duration Lasted
Stage I
Stage
II
Stage
III
Mode of Delivery (Normal/Forceps / Assisted Breech/ Caesarean) Note in
brief
AMTSL:
Date and Time:
Conducted By: Supervised Assisted By:
By: Examination of
Placenta:
Intra Partum or Postpartum Maternal Complications:
Baby Notes
No. Admission Duration
Sex of Stay In NICU
Cried Immediately after
Birth- Y/N Weight
APGAR Score at
1min APGAR Score
at Smin NICU
Date and Time
48
,. - . t.
Advice on Discharge : (pharmacological / Non pharmacological)
Follow Up:
Final Summary:
Gynecological Case Record
Case Record No.____
Patient identification data & demography:
Chief Complaints:
History of Presenting Illness: (ODP)
Past History:
Personal History:
Medication History / Allergies :
Family History:
Menstrual History:
Obstetrical History:
General Examination:
Systemic Examination:
Respiratory System:
Cardiovascular System:
Central Nervous System:
Per Abdomen Examination:
Local Genital Examination:
Per Speculum Examination:
Per Vaginal Examination:
Per-Rectal Examination (if required):
Provisional Diagnosis
Differential Diagnosis
S No. Diagnosis Points for Points Against
Investigations:
Final Diagnosis:
Treatment Plan:
Follow-Up:
Case Summary:
Learner-Doctor Method of Clinical Training
Record No. ___
Patient Identification Data & Demography
Name of the patient :
Type of admission : OPD / emergency /
referral / Booked / Unbooked
Date of Admission:
Date of Discharge:
Date of Delivery/ Surgery:
Outcome of patient:
Chief Complaints:
History of present illness in detail:
Menstrual history:
Active marriage life:
Obstetric History: G-----P-----A----MTP L
Type Gestation Live Curren Breast Vaccination
of al Age birth/ t age -
Deliver stillbirth/ of feedin
y neonata child g
l
death
1“
2nd
3rd
4 th
sth
6th
Number of live children:
History of contraception usage:
Past History:
Family History:
Personal & Social History:
Medication History:
Examination
General Examination:
Vitals:
Systemic Examination:
Per abdomen examination:
Per Speculum examination:
Per vaginal examination:
Provisional Diagnosis:
Investigations suggested:
Treatment Plan:
(Pharmacological and Non-Pharmacological including special nursing care)
Differential Diagnosis:
Treatment Received:
Daily Monitoring Chart: (to be filled by student -doctor on daily basis)
Date & Response to Any new Results of Treatment
treatment
Time in chief complaints complaints investigations /advice
modified (if
any)
Final Appraisal:
Discharge Summary
Patient Name: Age: Hospital indoor no.:
Address:
Final Diagnosis
DOA:
DOD:
Date of Procedure/ Operation:
Indication of Procedure/
Operation Patient’s condition on
admission:
Treatment Provided:
Delivery / Procedure / OT notes summary:
Condition on Discharge:
Advice on Discharge: (Pharmacological / Non-pharmacological)
Date of next follow up:
When & How to obtain Urgent care
Reflections:
(To be completed at the end of posting in Phase 3/part 1)
Feedback from the Facilitator
Signature of the Facilitator Date:
PPH Drill
OG 35.16
Diagnose and provide emergency management of postpartum hemorrhage in a
simulated
/ guided environment
Case scenario:
Mrs AS is brought to the triage with history of massive bleeding after delivery of twins at
home by a traditional birth attendant 2 hours back. Her pulse is 140, weak, low volume,
BP is 70 systolic, respiratory rate is 32 per minute. Respond to the emergency.
Reflections:
What
happened?
So what ?
What next ?
Feedback from the Facilitator
Signature of the Facilitator Date:
Activity : Counselling for Contraception
OG19.2 Counsel in a simulated environment, contraception and puerperal Sterilisation
Total: 1
Case scenario: Mrs A, 37 year old lady, G4 P3+0 with 3 living children reports for
routine antenatal care. . She says she wants to discuss post partum
contraception. She plans to breastfeed her baby.
Details of activity
Activity : Counselling for Breastfeeding
OG 17.2, PE 7.8, PE 7.9
Counsel in a simulated environment, care of the breast, importance and the
technique of breast feeding
Mrs B primi delivered a live, healthy baby 2 hours back. She requests
prescription for formula milk as she is too tired to feed her baby and says she
tried but the baby keeps on falling asleep. How will you counsel her?
Reflections:
What
happened?
So what ?
What next ?
Feedback from the Facilitator
Signature of the Facilitator Date:
Activity : Caesarean Section and Informed Consent
OG 35.7
Obtain informed consent for any
examination / procedure OG35.11
Demonstrate the correct use of appropriate universal precautions for self-protection
_ against HIV and hepatitis and counsel patients
OG:37.1
Observe and assist in the performance of a Caesarean section
The student has to observe/ assist in one case undergoing CS and document
the pre- procedure tasks including informed consent, steps of the procedure
and the post procedure tasks.
Patient details and case summary:
Indication of the operation:
Anesthesia given:
Pre procedure tasks including informed consent (see appendix )
Steps of the procedure:
Post operative tasks:
Post operative assessment:
Post operative advice:
Activity: Urinary Catheterisation
OG 35.17
Demonstrate the correct technique of urinary catheterisation in a simulated/ supervised
environment
Total: 1
Steps of procedure -
