Obstetrics \ Grade 4

Code: OBST405    Credits: 5

Fertilization, Implantation and Early Fetal Development

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST1.1	Define the process of fertilization, including the role of the sperm, ovum, and site of fertilization.	K	Large Group Teaching	Short answer questions & MCQ
OBST1.2	Describe the sequence of events during implantation and how the blastocyst interacts with the endometrium.	K	Large Group Teaching	Short answer questions & MCQ
OBST1.3	Identify the hormonal and structural changes that support early pregnancy after implantation.	K	Large Group Teaching	Short answer questions & MCQ
OBST1.4	Outline the stages of early fetal development during the first trimester, including the formation of germ layers.	K	Large Group Teaching	Short answer questions & MCQ
OBST1.5	Recognize factors affecting implantation and early development, such as hormonal balance, uterine health, and genetic influences, which are critical for a successful pregnancy.	K	Large Group Teaching	Short answer questions & MCQ

Development and Function of Placenta

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST2.1	Explain the embryological origin and structural components of the placenta, including the contribution of fetal tissues (chorion frondosum) and maternal tissues (decidua basalis).	K	Large Group Teaching	Short answer questions & MCQ
OBST2.2	Understand the role of the placenta in nutrient and gas exchange between the mother and fetus.	K	Large Group Teaching	Short answer questions & MCQ
OBST2.3	Identify the immune protective role of the placenta in providing passive immunity to the fetus.	K	Large Group Teaching	Short answer questions & MCQ
OBST2.4	Recognize the metabolic and excretory functions of the placenta in fetal development.	K	Large Group Teaching	Short answer questions & MCQ

Physiological Changes of Pregnancy

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST3.1	Understand cardiovascular changes in pregnancy, including increased blood volume, cardiac output, and heart rate to support fetal growth.	K	Large Group Teaching	Short answer questions & MCQ
OBST3.2	Describe respiratory adaptations, such as increased oxygen demand, enhanced tidal volume, and reduced lung capacity due to uterine expansion.	K	Large Group Teaching	Short answer questions & MCQ
OBST3.3	Identify hormonal and metabolic changes, including higher levels of progesterone, estrogen, and hCG, as well as insulin resistance to support fetal energy needs.	K	Large Group Teaching	Short answer questions & MCQ
OBST3.4	Recognize musculoskeletal and gastrointestinal changes, such as ligament relaxation, postural shifts, delayed gastric emptying, and reflux due to hormonal effects.	K	Large Group Teaching	Short answer questions & MCQ

Diagnoses Of Pregnancy

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST4.1	Understand the clinical signs of pregnancy, including missed periods, breast changes, nausea, and fatigue, which may suggest pregnancy.	K	Large Group Teaching	Short answer questions & MCQ
OBST4.2	Describe the role of blood and urine tests for detecting human chorionic gonadotropin (hCG), the primary hormone used for confirming pregnancy.	K	Large Group Teaching	Short answer questions & MCQ
OBST4.3	Identify the use of ultrasound in early pregnancy to confirm fetal heart activity, determine gestational age, and rule out ectopic pregnancies.	K	Large Group Teaching	Short answer questions & MCQ
OBST4.4	Recognize physical examination findings, such as a softening of the cervix (Goodell’s sign) and changes in the uterus, which are additional indicators of pregnancy.	K/S	Large group, Bedside, Clinical skills lab & Practical learning	Short answer question, MCQ & OSCE

Antennal Care

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST5.1	Define and understand the importance of antenatal care, which aims to monitor maternal and fetal health, prevent complications, and promote a healthy pregnancy.	K	Large Group Teaching	Short answer questions & MCQ
OBST5.2	Describe the key components of antenatal visits, including Obstetric history/examination, regular check-ups, blood pressure monitoring, weight tracking, urine tests, and screening for conditions like anemia, diabetes, and infections.	K/S	Large group, Bedside, Clinical skills lab & Practical learning	Short answer question, MCQ & OSCE
OBST5.3	Identify the role of ultrasounds and diagnostic tests, used to assess fetal growth, detect anomalies, and estimate gestational age.	K	Large Group Teaching	Short answer questions & MCQ
OBST5.4	Recognize the importance of maternal education and Health Promotion including guidance on nutrition, exercise, vaccination, and recognizing danger signs like bleeding, severe headaches, or reduced fetal movements.	K/A	Large Group Teaching	Short answer questions & MCQ

Antenatal Assessment of Fetal Wellbeing

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST6.1	Understand the purpose of antenatal assessment, including regular monitoring of maternal and fetal health to detect any potential complications during pregnancy.	K	Large Group Teaching	Short answer questions & MCQ
OBST6.2	Describe the key components of antenatal care, such as measuring blood pressure, urine tests, monitoring fetal heart rate, and checking for signs of preeclampsia or gestational diabetes.	K	Large Group Teaching	Short answer questions & MCQ
OBST6.3	Identify the use of diagnostic tests like ultrasound for fetal growth and development, screening for genetic conditions (e.g., Down syndrome), and blood tests to assess maternal health.	K	Large Group Teaching	Short answer questions & MCQ
OBST6.4	Recognize the role of antenatal fetal wellbeing assessments as a health promotion strategy aimed at preventing fetal morbidity and mortality through early detection and timely intervention.	K/A	Large Group Teaching	Short answer questions & MCQ

Prenatal Diagnoses

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST7.1	Define prenatal diagnosis and identify its main clinical indications.	K	Large Group Teaching	Short answer questions & MCQ
OBST7.2	List the common methods used in prenatal diagnosis, such as ultrasound, amniocentesis, and chorionic villus sampling.	K	Large Group Teaching	Short answer questions & MCQ
OBST7.3	Differentiate between prenatal screening and diagnostic tests based on purpose and timing.	K	Large Group Teaching	Short answer questions & MCQ
OBST7.4	Describe the appropriate timing and procedure for each prenatal diagnostic method.	K	Large Group Teaching	Short answer questions & MCQ
OBST7.5	Explain the potential risks and benefits associated with prenatal diagnostic procedures.	K	Large Group Teaching	Short answer questions & MCQ

Introduction to Labour and Physiology

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST8.1	Understand the physiological changes during pregnancy, including how the cardiovascular, respiratory, hormonal, and musculoskeletal systems adapt to support fetal growth and prepare for labor.	K	Large Group Teaching	Short answer questions & MCQ
OBST8.2	Recognize the stages and key mechanisms of labor.	K	Large Group Teaching	Short answer questions & MCQ
OBST8.3	Identify the phases of labor (latent, active, and delivery), the role of uterine contractions, cervical changes, and fetal descent through the birth canal.	K	Large Group Teaching	Short answer questions & MCQ
OBST8.4	Explore the hormonal and mechanical factors involved in labor initiation in which role of oxytocin, prostaglandins, and fetal signals in triggering labor and maintaining effective contractions.	K/A	Large Group Teaching	Short answer questions & MCQ

Anatomy of Female Pelvis and Fetal Skull

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST9.1	Understand the structure and function of the female pelvis.	K	Large Group Teaching	Short answer questions & MCQ
OBST9.2	Learn about the different pelvic types, bony landmarks, and their role in childbirth.	K	Large Group Teaching	Short answer questions & MCQ
OBST9.3	Recognize the anatomy of the fetal skull and its adaptations for birth.	K	Large Group Teaching	Short answer questions & MCQ
OBST9.4	Identify the sutures, fontanelles, and diameters of the fetal skull.	K	Large Group Teaching	Short answer questions & MCQ
OBST9.5	Understand how the anatomical features of the female pelvis and fetal skull interact to facilitate passage of the fetus through the birth canal during labor.	K	Large Group Teaching	Short answer questions & MCQ
OBST9.6	Explore the relationship between the maternal pelvis and fetal skull during labor.	K	Large Group Teaching	Short answer questions & MCQ
OBST9.7	Understand the mechanisms of labor, including engagement, descent, and rotation, and how pelvic dimensions affect delivery outcomes.	K	Large Group Teaching	Short answer questions & MCQ

Mechanism of Labour

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST10.1	Define the key terms related to fetal orientation during labor, including lie, presentation, position, and attitude.	K	Large Group Teaching	Short answer questions & MCQ
OBST10.2	Identify the cardinal movements of labor and describe their physiological sequence.	K	Large Group Teaching	Short answer questions & MCQ
OBST10.3	Distinguish between different fetal positions and presentations using clinical examination methods such as abdominal palpation and vaginal examination.	K	Large Group Teaching	Short answer questions & MCQ
OBST10.4	Explain the mechanism of labor in occiput anterior presentation through its associated positional changes.	K	Large Group Teaching	Short answer questions & MCQ

Diagnosis and Stages of Labour

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST11.1	Understand the criteria for diagnosing the onset of labor.	K	Large Group Teaching	Short answer questions & MCQ
OBST11.2	Learn how to identify true labor based on regular contractions, cervical changes, and the rupture of membranes.	K	Large Group Teaching	Short answer questions & MCQ
OBST11.3	Recognize the three stages of labor and their key features.	K	Large Group Teaching	Short answer questions & MCQ
OBST11.4	Understand the progression from cervical dilation (first stage), fetal delivery (second stage), and placental expulsion (third stage).	K	Large Group Teaching	Short answer questions & MCQ
OBST11.5	Explore the physiological and clinical management of each stage.	K	Large Group Teaching	Short answer questions & MCQ
OBST11.6	Learn about monitoring labor progress, pain relief options, and interventions to ensure safe delivery for both mother and baby.	K	Large Group Teaching	Short answer questions & MCQ

Management of Labour and Partogram

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST12.1	Identify the essential elements of admission history and physical examination in laboring women.	S	Large group, Bedside, Clinical skills lab & Practical learning	Short answer question, MCQ, OSCE & CIVA
OBST12.2	Describe the proper technique for abdominal and vaginal examinations during labor.	K/S	Large group, Bedside, Clinical skills lab & Practical learning	Short answer question, MCQ, OSCE & CIVA
OBST12.3	Explain the clinical management steps during each stage of labor (latent, active, second, third, and fourth).	K/S	Large group, Bedside, Clinical skills lab & Practical learning	Short answer question, MCQ, OSCE & CIVA
OBST12.4	List the key maternal and fetal parameters that should be assessed during labor.	K	Large group, Bedside, Clinical skills lab & Practical learning	Short answer question, MCQ, OSCE & CIVA
OBST12.5	Recognize signs of abnormal labor or fetal distress requiring medical intervention.	K	Large group, Bedside, Clinical skills lab & Practical learning	Short answer question, MCQ, OSCE & CIVA
OBST12.6	Interpret the partogram to evaluate cervical dilatation and labor progression.	S	Large group, Bedside, Clinical skills lab & Practical learning	Short answer question, MCQ, OSCE & CIVA

Abnormal Labour: Prolonged and Precipitated Labour 1

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST13.1	Describe the criteria that define abnormal labour, including prolonged, precipitous, obstructed labour, and fetal distress.	K/S	Large group, small group, Bedside, Clinical skills lab & Case Based Learning	Short answer question, MCQ, OSCE & CIVA
OBST13.2	Explain the distinctions between different types of abnormal labour.	K	Large group, small group, Bedside, Clinical skills lab & Case Based Learning	Short answer question, MCQ, OSCE & CIVA
OBST13.3	Identify the maternal and fetal risks associated with abnormal labour.	K	Large group, small group, Bedside, Clinical skills lab & Case Based Learning	Short answer question, MCQ, OSCE & CIVA
OBST13.4	Clarify how uterine contractions (powers), pelvic structure (passages), and fetal positioning (passenger) influence labour progression.	K	Large group, small group, Bedside, Clinical skills lab & Case Based Learning	Short answer question, MCQ, OSCE & CIVA
OBST13.5	Outline the patterns that suggest deviations from normal labour.	K	Large group, small group, Bedside, Clinical skills lab & Case Based Learning	Short answer question, MCQ, OSCE & CIVA
OBST13.6	Describe the clinical reasoning behind choosing appropriate management options for abnormal labour.	K/S	Large group, small group, Bedside, Clinical skills lab & Case Based Learning	Short answer question, MCQ, OSCE & CIVA

Abnormal Labour: Prolonged and Precipitated Labour 2

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST14.1	Identify the causes and consequences of prolonged and precipitous labour for both mother and fetus.	K	Large group, small group, Bedside, Clinical skills lab, Case Based Learning & Practical learning	Short answer question, MCQ, OSCE & CIVA
OBST14.2	Explain the factors contributing to delayed labour progression.	K	Large group, small group, Bedside, Clinical skills lab, Case Based Learning & Practical learning	Short answer question, MCQ, OSCE & CIVA
OBST14.3	Describe the role of fetal malpresentation, uterine and cervical abnormalities, and pelvic structure in labour delay.	K	Large group, small group, Bedside, Clinical skills lab, Case Based Learning & Practical learning	Short answer question, MCQ, OSCE & CIVA
OBST14.4	Outline the management approaches for second-stage labour delay.	K/S	Large group, small group, Bedside, Clinical skills lab, Case Based Learning & Practical learning	Short answer question, MCQ, OSCE & CIVA
OBST14.5	Explain the indications for interventions such as oxytocin augmentation, instrumental vaginal delivery, and cesarean section.	K	Large group, small group, Bedside, Clinical skills lab, Case Based Learning & Practical learning	Short answer question, MCQ, OSCE & CIVA

Shoulder Dystocia

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST15.1	Define shoulder dystocia and explain its clinical relevance as an obstetric emergency.	K	Large Group Teaching	Short answer question, MCQ & OSCE
OBST15.2	List the major risk factors for shoulder dystocia.	K	Large Group Teaching	Short answer question, MCQ, OSCE & CIVA
OBST15.3	Explain the mechanism of normal shoulder delivery and how shoulder dystocia interrupts this process.	K	Large Group Teaching	Short answer question, MCQ, OSCE & CIVA
OBST15.4	Describe key warning signs such as the “turtle sign” and lack of spontaneous shoulder delivery.	K	Large Group Teaching	Short answer question, MCQ, OSCE & CIVA
OBST15.5	Identify the initial management steps in shoulder dystocia, including McRoberts maneuver, suprapubic pressure, and maternal position changes to release the impacted shoulder.	K/S	Large group, small group, Bedside, Clinical skills lab, Case Based Learning	Short answer question, MCQ, OSCE & CIVA
OBST15.6	Understand advanced techniques such as Woods’ screw maneuver, delivery of the posterior arm, or episiotomy when basic methods fail, with attention to minimizing trauma.	S	Learning & Practical learning	Short answer question, MCQ, OSCE & CIVA
OBST15.7	Describe the maternal and neonatal complications associated with shoulder dystocia.	K	Large Group Teaching	Short answer question, MCQ, OSCE & CIVA

Bleeding During Pregnancy (Antepartum Hemorrhage)

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST16.1	Define antepartum hemorrhage (APH) and state its incidence, common causes, and associated maternal and fetal risks.	K	Large group, small group, Bedside, Clinical skills lab, Case Based Learning & Practical learning	Short answer question, MCQ, OSCE & CIVA
OBST16.2	List the major causes of APH and summarize their potential complications.	K	Large group, small group, Bedside, Clinical skills lab, Case Based Learning & Practical learning	Short answer question, MCQ, OSCE & CIVA
OBST16.3	Classify APH into placental, fetal, and maternal causes, with examples for each.	K	Large group, small group, Bedside, Clinical skills lab, Case Based Learning & Practical learning	Short answer question, MCQ, OSCE & CIVA
OBST16.4	Describe the different types of placenta previa and their clinical relevance.	K	Large group, small group, Bedside, Clinical skills lab, Case Based Learning & Practical learning	Short answer question, MCQ, OSCE & CIVA
OBST16.5	Explain the key steps in assessing and managing a patient presenting with APH.	K/S	Large group, small group, Bedside, Clinical skills lab, Case Based Learning & Practical learning	Short answer question, MCQ, OSCE & CIVA
OBST16.6	Recognize the clinical signs and recommended interventions for placenta previa and placental abruption.	K	Large group, small group, Bedside, Clinical skills lab, Case Based Learning & Practical learning	Short answer question, MCQ, OSCE & CIVA

Hypertensive Disorders

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST17.1	Classify and differentiate the various hypertensive disorders, including gestational hypertension, pre-eclampsia, eclampsia, and chronic hypertension, with an emphasis on their definitions, degrees of hypertension (mild, moderate, severe), and associated risks.	K	Large Group Teaching	Short answer questions & MCQ
OBST17.2	Explain the pathophysiology of pre-eclampsia, detailing the factors that contribute to its development, and the resulting vascular endothelial cell activation and dysfunction.	K	Large Group Teaching	Short answer questions & MCQ
OBST17.3	Identify the clinical manifestations and diagnostic criteria of pre-eclampsia and eclampsia, covering the range of symptoms from hypertension and proteinuria to severe features like headache, visual problems, epigastric pain, and the occurrence of tonic - clonic convulsions.	K	Large group, small group, Bedside & Case Based Learning	Short answer question, MCQ & OSCE
OBST17.4	Outline the principles of management for hypertensive disorders of pregnancy, including monitoring, pharmacological interventions, and delivery considerations, with a focus on the management of pre-eclampsia and the prevention and treatment of its complications.	K	Large group, small group, Bedside & Case Based Learning	Short answer question, MCQ & OSCE
OBST17.5	Recognize the role of health promotion in hypertensive disorders of pregnancy by understanding the importance of early detection, regular antenatal monitoring, patient education, and lifestyle modifications to reduce maternal and fetal complications.	A	Large Group Teaching	Short answer questions & MCQ

Obstetric Shock

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST18.1	Describe the mechanisms and common features of obstetric shock, including hypovolemic, cardiogenic, and distributive shock, and the progression of shock leading to irreversible damage.	K	Large Group Teaching	Short answer questions & MCQ
OBST18.2	Identify the causes, symptoms, and diagnosis of specific types of obstetric shock, such as amniotic fluid embolism and septic shock, and understand the importance of early recognition and management.	K	Large Group Teaching	Short answer questions & MCQ
OBST18.3	Differentiate between the early and late symptoms of septic shock in obstetric patients and recognize the importance of timely diagnosis to prevent progression to irreversible shock and associated complications like ARDS and DIC.	K	Large Group Teaching	Short answer questions & MCQ
OBST18.4	Outline the management strategies for obstetric shock, emphasizing the priorities in maternal care, including resuscitation, circulatory support, and addressing the underlying causes, such as infection or hemorrhage.	K/A	Large Group Teaching	Short answer questions & MCQ

Postpartum Hemorrhage

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST19.1	Define postpartum hemorrhage (PPH) and differentiate between early (within 24 hours) and late (after 24 hours up to 6 weeks postpartum) PPH, emphasizing the importance of accurate blood loss estimation.	K	Large group, small group, Bedside, Clinical skills lab, Case Based Learning & Practical learning	Short answer question, MCQ, OSCE & CIVA
OBST19.2	Identify the main causes and types of postpartum hemorrhage, including uterine atony, retained placenta, genital tract trauma, and coagulation disorders.	K	Large group, small group, Bedside, Clinical skills lab, Case Based Learning & Practical learning	Short answer question, MCQ, OSCE & CIVA
OBST19.3	Recognize the clinical signs of PPH, such as excessive vaginal bleeding, hypotension, tachycardia, and signs of hypovolemic shock.	K/S	Large group, small group, Bedside, Clinical skills lab, Case Based Learning & Practical learning	Short answer question, MCQ, OSCE & CIVA
OBST19.4	Explain the diagnostic approach to PPH, including physical examination, vital signs monitoring, and investigations to determine the underlying cause and guide management.	K/S	Large group, small group, Bedside, Clinical skills lab, Case Based Learning & Practical learning	Short answer question, MCQ, OSCE & CIVA
OBST19.5	Learn about the immediate steps to manage PPH, including uterine massage, administration of uterotonics, surgical interventions like curettage, and blood transfusion, as well as preventive measures like active management of the third stage of labor.	K	Large group, small group, Bedside, Clinical skills lab, Case Based Learning & Practical learning	Short answer question, MCQ, OSCE & CIVA

Preterm Labour and Premature Rupture of Membrane

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST20.1	Explain the definitions and distinctions between preterm labor, late miscarriage, classifications of preterm birth, as well as the differences between PROM, preterm PROM, and spontaneous rupture of membranes.	K	Large group, small group, Bedside, Clinical skills lab, Case Based Learning & Practical learning	Short answer question, MCQ, OSCE & CIVA
OBST20.2	Recognize both modifiable and non-modifiable factors that increase the risk of preterm labor and PROM.	K	Large group, small group, Bedside, Clinical skills lab, Case Based Learning & Practical learning	Short answer question, MCQ, OSCE & CIVA
OBST20.3	Outline the clinical assessment including history, physical examination, and diagnostic tools such as ultrasound, fetal fibronectin, and sterile speculum examination.	K	Large group, small group, Bedside, Clinical skills lab, Case Based Learning & Practical learning	Short answer question, MCQ, OSCE & CIVA
OBST20.4	Recognize the potential complications of preterm labor and PROM, such as respiratory distress syndrome, neonatal sepsis, and long-term developmental issues, and the importance of managing these risks through timely interventions and specialized neonatal care.	K	Large group, small group, Bedside, Clinical skills lab, Case Based Learning & Practical learning	Short answer question, MCQ, OSCE & CIVA
OBST20.5	Outline the management strategies for, detailing the use of tocolytics, steroids for lung maturity, antibiotics for GBS prophylaxis, and cervical cerclage, as well as the considerations for delivery of preterm fetuses.	K	Large group, small group, Bedside, Clinical skills lab, Case Based Learning & Practical learning	Short answer question, MCQ, OSCE & CIVA
OBST20.6	Enhance health promotion by guiding pregnant women to recognize warning signs of preterm labor and PROM, understand contributing risk factors, and seek timely medical care to support better maternal and neonatal outcomes.	A	Large group, small group, Bedside, Clinical skills lab, Case Based Learning & Practical learning	Short answer question, MCQ, OSCE & CIVA

Diabetes Mellitus in Pregnancy

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST21.1	Understand the physiological changes in carbohydrate metabolism during pregnancy and how they contribute to gestational diabetes.	K	Large group, small group, Bedside, Clinical skills lab & Case Based Learning	Short answer question, MCQ, OSCE & CIVA
OBST21.2	Classify the types of diabetes seen in pregnancy: pre-existing type 1, pre-existing type 2, and gestational diabetes.	K	Large group, small group, Bedside, Clinical skills lab & Case Based Learning	Short answer question, MCQ, OSCE & CIVA
OBST21.3	Identify the maternal, fetal, and neonatal complications associated with diabetes mellitus in pregnancy.	K	Large group, small group, Bedside, Clinical skills lab & Case Based Learning	Short answer question, MCQ, OSCE & CIVA
OBST21.4	Recognize the importance of taking a detailed history, performing a physical examination, and conducting appropriate evaluations to assess and support maternal and fetal well-being during pregnancy.	K/S	Large group, small group, Bedside, Clinical skills lab & Case Based Learning	Short answer question, MCQ, OSCE & CIVA
OBST21.5	Learn the management strategies for diabetes in pregnancy, including preconception care, antenatal monitoring, and postpartum management.	K	Large group, small group, Bedside, Clinical skills lab & Case Based Learning	Short answer question, MCQ, OSCE & CIVA
OBST21.6	Analyze the management of glycemic control during labor and birth, including monitoring and controlling blood glucose levels, and adjusting insulin or oral hypoglycemic therapy to ensure optimal maternal and fetal outcomes.	K	Large group, small group, Bedside, Clinical skills lab & Case Based Learning	Short answer question, MCQ, OSCE & CIVA

Gestational Diabetes Mellitus

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST22.1	Understand the risk factors and pathophysiology of GDM.	K	Large Group Teaching	Short answer questions & MCQ
OBST22.2	Learn the hormonal and metabolic changes in pregnancy that lead to insulin resistance and identify risk factors such as obesity, family history, and previous GDM.	K	Large Group Teaching	Short answer questions & MCQ
OBST22.3	Recognize the clinical features of gestational diabetes mellitus (GDM), including symptoms such as increased thirst, frequent urination, and fatigue.	K	Large group, Bedside & Case Based Learning	Short answer questions & MCQ
OBST22.4	Identify the diagnostic criteria and methods for GDM, including the use of oral glucose tolerance testing (OGTT) and blood sugar monitoring.	K	Short answer questions & MCQ	Short answer questions & MCQ
OBST22.5	Understand the potential complications associated with GDM, such as macrosomia, preterm birth, and increased risk of developing type 2 diabetes in the future.	K	Short answer questions & MCQ	Short answer questions & MCQ
OBST22.6	Understand the screening methods (e.g., oral glucose tolerance test), symptoms, and potential complications for both mother and baby, such as macrosomia and neonatal hypoglycemia.	K	Short answer questions & MCQ	Short answer questions & MCQ
OBST22.7	Learn about health promotion including dietary modifications, exercise, blood glucose monitoring, and the role of medications (e.g., insulin) in controlling GDM, as well as strategies to reduce future diabetes risk.	K	Large Group Teaching	Short answer questions & MCQ

RH-Isoimmunization

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST23.1	Define the concept and pathophysiology of Rh isoimmunization.	K	Large Group Teaching	Short answer questions & MCQ
OBST23.2	Identify the risk factors and circumstances that lead to maternal sensitization.	K	Large Group Teaching	Short answer questions & MCQ
OBST23.3	Explain the methods used to diagnose Rh isoimmunization, including relevant blood tests.	K	Large Group Teaching	Short answer questions & MCQ
OBST23.4	Outline the strategies for preventing Rh isoimmunization during and after pregnancy.	K	Large Group Teaching	Short answer questions & MCQ
OBST23.5	Describe the management approaches for both sensitized and non-sensitized Rh-negative pregnant women.	K	Large Group Teaching	Short answer questions & MCQ
OBST23.6	Promote health education and awareness as part of health promotion to ensure timely administration of anti-D immunoglobulin and reduce the incidence of Rh isoimmunization.	K	Large Group Teaching	Short answer questions & MCQ

Minor Problems in Pregnancy

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST24.1	Identify common minor complications of pregnancy, like nausea and vomiting (NVP) and hyperemesis gravidarum (HG), gastroesophageal reflux, varicose veins and hemorrhoids, edema, backache, etc.	K	Large Group Teaching	Short answer questions & MCQ
OBST24.2	Understand the causes and risk factors of common minor complications of pregnancy, and other pregnancy-related conditions and how other factors like hormonal changes, maternal age, multiple pregnancies, and pre-existing medical conditions may increase the likelihood of these complications.	K	Large Group Teaching	Short answer questions & MCQ
OBST24.3	Describe appropriate management strategies for common minor complications of pregnancy.	K	Large Group Teaching	Short answer questions & MCQ

Hyperemesis Gravidarum

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST25.1	Understand the definition, causes, and risk factors of hyperemesis gravidarum.	K	Large Group Teaching	Short answer questions & MCQ
OBST25.2	Identify the clinical features and diagnostic criteria, including persistent vomiting and significant weight loss.	K	Large Group Teaching	Short answer questions & MCQ
OBST25.3	Recognize the management approaches, including hydration, antiemetic therapy, and, in severe cases, hospitalization.	K	Large Group Teaching	Short answer questions & MCQ
OBST25.4	Understand the key strategies for health promotion in managing hyperemesis gravidarum, including symptom recognition, nutritional management, lifestyle changes, and the importance of timely medical intervention.	A	Large Group Teaching	Short answer questions & MCQ

Urinary Tract Disorders in Pregnancy

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST26.1	Describe the physiological and anatomical changes of the urinary tract during pregnancy.	K	Large Group Teaching	Short answer questions & MCQ
OBST26.2	Explain the impact of chronic kidney disease (CKD) on pregnancy outcomes and maternal renal function.	K	Large Group Teaching	Short answer questions & MCQ
OBST26.3	Identify the risk factors, diagnosis, and treatment strategies for urinary tract infections in pregnancy.	K	Large Group Teaching	Short answer questions & MCQ
OBST26.4	Recognize the importance of preconception counseling and safe medication use as part of health promotion to improve maternal and fetal outcomes.	A	Large Group Teaching	Short answer questions & MCQ
OBST26.5	Summarize the antenatal management and follow-up recommendations for pregnant women with renal transplants or on dialysis.	K/A	Large Group Teaching	Short answer questions & MCQ

Liver Disease in Pregnancy

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST27.1	Understand common liver and gallbladder diseases in pregnancy, including gallstones, hepatitis, and primary biliary cirrhosis, and how pregnancy affects their progression.	K	Large Group Teaching & Bedside	Short answer questions & MCQ
OBST27.2	Identify the clinical features and diagnostic approach and abnormal liver function tests, along with imaging and serological tests for diagnosis.	K	Large Group Teaching & Bedside	Short answer questions & MCQ
OBST27.3	Recognize the management strategies, such as supportive care for viral hepatitis, safe surgical or medical treatment options for gallstones, and monitoring autoimmune liver conditions to prevent complications for the mother and fetus.	K	Large Group Teaching & Bedside	Short answer questions & MCQ
OBST27.4	Understand the role of health promotion in managing liver disease during pregnancy by educating patients on early detection, the importance of regular monitoring, and adherence to treatment to reduce complications.	A	Large Group Teaching & Bedside	Short answer questions & MCQ

Abdominal Pain in Pregnancy

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST28.1	Identify the common obstetric and non-obstetric causes of abdominal pain during different trimesters of pregnancy.	K	Large Group Teaching & Bedside	Short answer questions & MCQ
OBST28.2	Describe the physiological changes in pregnancy that may alter the presentation and diagnosis of abdominal pain.	K	Large Group Teaching & Bedside	Short answer questions & MCQ
OBST28.3	Differentiate between physiological and pathological abdominal pain using clinical features and warning signs.	K	Large Group Teaching & Bedside	Short answer questions & MCQ
OBST28.4	Interpret appropriate diagnostic investigations (e.g., ultrasound, MRI, lab tests) for evaluating abdominal pain in pregnant patients.	K	Large Group Teaching & Bedside	Short answer questions & MCQ

Heart Disease in Pregnancy

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST29.1	Understand the impact of heart disease on pregnancy, including congenital and acquired cardiac conditions that can complicate maternal and fetal health.	K	Large Group Teaching	Short answer questions & MCQ
OBST29.2	Identify the clinical presentation and diagnostic approach, including symptoms like breathlessness, fatigue, and chest pain, along with ECG, echocardiography, and risk stratification.	K	Large Group Teaching	Short answer questions & MCQ
OBST29.3	Recognize the management strategies, including risk assessment, medical therapy adjustments, multidisciplinary care, and planning for labor and delivery to minimize complications.	K	Large Group Teaching	Short answer questions & MCQ
OBST29.4	Understand the principles of health promotion for pregnant women with heart disease, including risk recognition, prenatal care, symptom management, and lifestyle modifications.	K	Large Group Teaching	Short answer questions & MCQ

Anemia in Pregnancy

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST30.1	Recognize the clinical signs and symptoms of anemia in pregnancy, such as fatigue, pallor, and shortness of breath.	K/S	Large Group Teaching & Bedside	Short answer question, MCQ & OSCE
OBST30.2	Identify the common causes of anemia in pregnancy, including iron deficiency, folate deficiency, and blood loss.	K	Large Group Teaching & Bedside	Short answer question, MCQ & OSCE
OBST30.3	Identify the effects of anemia on pregnancy and fetal development, including risks such as preterm birth, low birth weight, and developmental delays.	K	Large Group Teaching & Bedside	Short answer question, MCQ & OSCE
OBST30.4	Understand the diagnostic approach for anemia in pregnancy, including blood tests like hemoglobin levels and iron studies.	K	Large Group Teaching & Bedside	Short answer question, MCQ & OSCE
OBST30.5	Evaluate management strategies for anemia in pregnancy, including iron supplementation, folic acid, and treatment for underlying causes.	K	Large Group Teaching & Bedside	Short answer questions & MCQ
OBST30.6	Learn about health promotion strategies including dietary modifications, iron and folate supplementation, and when to consider blood transfusion or further investigations in severe cases.	A	Large Group Teaching & Bedside	Short answer questions & MCQ

Coagulation Disorders in Pregnancy

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST31.1	Define common coagulation disorders in pregnancy, such as DIC, APS, VTE, and PE.	K	Large Group Teaching & Bedside	Short answer questions & MCQ
OBST31.2	Understand the pathophysiological mechanisms underlying these disorders.	K	Large Group Teaching & Bedside	Short answer questions & MCQ
OBST31.3	Identify the clinical signs, symptoms, and diagnostic tools used in detecting coagulation disorders during pregnancy.	K	Large Group Teaching & Bedside	Short answer questions & MCQ
OBST31.4	Describe the management strategies, including anticoagulant use and monitoring protocols.	K	Large Group Teaching & Bedside	Short answer questions & MCQ
OBST31.5	Explain the potential maternal and fetal complications associated with untreated coagulation disorders.	K	Large Group Teaching & Bedside	Short answer questions & MCQ
OBST31.6	Understand the role of health promotion by educating pregnant women with coagulation disorders about the importance of early diagnosis, regular monitoring, and adherence to treatment plans to minimize risks and complications during pregnancy and childbirth.	A	Large Group Teaching & Bedside	Short answer questions & MCQ

Asthma, Epilepsy and Thyroid disorders In Pregnancy

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST32.1	Understand the impact of asthma, epilepsy, and thyroid disorders on pregnancy, including their effects on maternal and fetal health such as preterm birth, fetal growth restriction, and other complications.	K	Large Group Teaching & Bedside	Short answer questions & MCQ
OBST32.2	Recognize the clinical features, diagnostic criteria, and potential complications of asthma, epilepsy, and thyroid disorders in pregnancy.	K	Large Group Teaching & Bedside	Short answer questions & MCQ
OBST32.3	Identify the specific symptoms and appropriate diagnostic tools for each condition, including lung function tests for asthma, seizure characterization for epilepsy, and thyroid function tests for hypo- and hyperthyroidism.	K	Large Group Teaching & Bedside	Short answer questions & MCQ
OBST32.4	Explore the management and treatment strategies for asthma, epilepsy, and thyroid disorders during pregnancy, including pharmacological and non-pharmacological approaches.	K	Large Group Teaching & Bedside	Short answer questions & MCQ
OBST32.5	Analyze the relationship between medication safety, disease control, and maternal-fetal outcomes in pregnant patients with asthma, epilepsy, and thyroid disorders, considering the role of regular monitoring in reducing complications.	K	Large Group Teaching & Bedside	Short answer questions & MCQ

Autoimmune Diseases in Pregnancy

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST33.1	Understand the impact of autoimmune diseases on pregnancy, including conditions such as systemic lupus erythematosus (SLE), rheumatoid arthritis, and antiphospholipid syndrome (APS), and how pregnancy can affect disease activity.	K	Large Group Teaching	Short answer questions & MCQ
OBST33.2	Identify the clinical presentation of autoimmune diseases during pregnancy, including common symptoms like joint pain, rash, thrombosis, and fetal complications.	K	Large Group Teaching	Short answer questions & MCQ
OBST33.3	Recognize the appropriate diagnostic approach including the use of diagnostic tools such as autoantibody screening, inflammatory markers, and fetal monitoring.	K	Large Group Teaching	Short answer questions & MCQ
OBST33.4	Recognize the management strategies, including the use of safe immunosuppressive medications, anticoagulation for APS, close maternal-fetal monitoring, and multidisciplinary care to minimize risks for both mother and baby.	K	Large Group Teaching	Short answer questions & MCQ
OBST33.5	Understand the role of health promotion in educating pregnant women with autoimmune diseases, emphasizing the importance of regular prenatal care, effective disease management, and adherence to prescribed treatments to minimize complications and enhance pregnancy outcomes.	A	Large Group Teaching	Short answer questions & MCQ

Amniotic Fluid and Its Abnormalities

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST34.1	Define the physical and chemical characteristics of normal amniotic fluid.	K	Large Group Teaching & Bedside	Short answer questions & MCQ
OBST34.2	Explain the physiological functions of amniotic fluid during pregnancy and labor.	K	Large Group Teaching & Bedside	Short answer questions & MCQ
OBST34.3	Differentiate between the causes of polyhydramnios and oligohydramnios.	K	Large Group Teaching & Bedside	Short answer questions & MCQ
OBST34.4	Identify the diagnostic criteria used in ultrasound to assess abnormal amniotic fluid volumes.	K	Large Group Teaching & Bedside	Short answer questions & MCQ
OBST34.5	Evaluate the maternal and fetal complications associated with amniotic fluid abnormalities.	K	Large Group Teaching & Bedside	Short answer questions & MCQ
OBST34.6	Outline appropriate management strategies for cases of polyhydramnios and oligohydramnios.	K	Large Group Teaching & Bedside	Short answer questions & MCQ

Multiple Pregnancy

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST35.1	Define the different types of multiple pregnancies based on zygosity, chorionicity, and amnionicity.	K	Large Group Teaching & Bedside	Short answer question, MCQ & CIVA
OBST35.2	Identify the maternal and fetal complications associated with multiple gestation.	K	Large Group Teaching & Bedside	Short answer question, MCQ & CIVA
OBST35.3	Explain the unique complications and management approaches in monochorionic twin pregnancies, including TTTS.	K	Large Group Teaching	Short answer question, MCQ & CIVA
OBST35.4	Describe the recommended antenatal care and delivery planning for women with multiple pregnancies.	K	Large Group Teaching	Short answer questions & MCQ
OBST35.5	Recognize the importance of nutritional support and anemia screening as part of health promotion in multiple pregnancies.	K	Large Group Teaching	Short answer questions & MCQ

Intrauterine Growth Restriction

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST36.1	Define intrauterine growth restriction (IUGR) and distinguish between symmetrical and asymmetrical types.	K	Large Group Teaching	Short answer questions & MCQ
OBST36.2	Describe the maternal, placental, and fetal factors contributing to the development of IUGR.	K	Large Group Teaching	Short answer questions & MCQ
OBST36.3	Explain the diagnostic methods used in the evaluation of IUGR, including ultrasound and Doppler flow studies.	K	Large Group Teaching	Short answer questions & MCQ
OBST36.4	Compare the clinical features and underlying causes of symmetrical versus asymmetrical IUGR.	K	Large Group Teaching	Short answer questions & MCQ
OBST36.5	Interpret different clinical findings to assess the severity and management options of IUGR.	K/A	Large Group Teaching	Short answer questions & MCQ

Intrauterine Growth Demise

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST37.1	Recognize the clinical definition and incidence of intrauterine fetal death (IUFD).	K	Large Group Teaching	Short answer questions & MCQ
OBST37.2	List the maternal, fetal, and placental causes and risk factors associated with IUFD.	K	Large Group Teaching	Short answer questions & MCQ
OBST37.3	Identify the clinical signs and ultrasound features used in diagnosing IUFD.	K	Large Group Teaching	Short answer questions & MCQ
OBST37.4	Explain the appropriate investigations to determine the cause of IUFD and assess maternal well-being.	K	Large Group Teaching	Short answer questions & MCQ
OBST37.5	Discuss the post-IUFD care including emotional support, counseling, and preventive strategies for future pregnancies.	A	Large Group Teaching	Short answer questions & MCQ
OBST37.6	Describe the proper approach to breaking bad news to the mother, with attention to emotional support and health promotion during the grieving process.	A	Large Group Teaching	Short answer questions & MCQ

Post-Term Pregnancy

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST38.1	Define the term “post term pregnancy” based on the WHO definition and differentiate it from normal term pregnancy.	K	Large Group Teaching	Short answer questions & MCQ
OBST38.2	Describe the physiological changes associated with prolonged pregnancy, including fetal, placental, and amniotic fluid alterations.	K	Large Group Teaching	Short answer questions & MCQ
OBST38.3	Analyze different case presentations of prolonged pregnancy to determine appropriate management options.	K	Large Group Teaching	Short answer questions & MCQ
OBST38.4	Predict the potential fetal and maternal complications that can arise from post term pregnancy.	K	Large Group Teaching	Short answer questions & MCQ
OBST38.5	Evaluate the effectiveness of various fetal monitoring techniques in managing post term pregnancy cases.	K	Large Group Teaching	Short answer questions & MCQ

Malpresentation

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST39.1	Define the different types of malpresentation, including breech, transverse, and face/brow presentations with their risk factors and distinguish them from normal cephalic presentation.	K	Large Group Teaching & Bedside	Short answer question, MCQ, OSCE & CIVA
OBST39.2	Describe the clinical signs and diagnostic methods used to detect malpresentation, such as Leopold’s maneuvers and ultrasound.	K	Large Group Teaching & Bedside	Short answer question, MCQ, OSCE & CIVA
OBST39.3	Explain the maternal and fetal complications associated with various types of malpresentation.	K	Large Group Teaching & Bedside	Short answer question, MCQ, OSCE & CIVA
OBST39.4	Explore the available management approaches for each condition.	K	Large Group Teaching & Bedside	Short answer question, MCQ, OSCE & CIVA
OBST39.5	Identify the risk factors and clinical signs of umbilical cord prolapse.	K	Large Group Teaching & Bedside	Short answer question, MCQ, OSCE & CIVA
OBST39.6	Explain the immediate management steps to prevent fetal complications.	K	Large Group Teaching & Bedside	Short answer question, MCQ, OSCE & CIVA

Breech Presentation

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST40.1	Classify the types of breech presentation into frank, complete, and footling based on fetal leg and hip positioning.	K	Large Group Teaching & Bedside	Short answer question, MCQ, OSCE & CIVA
OBST40.2	Identify the causes of breech presentation, including prematurity, uterine anomalies, and fetal abnormalities.	K	Large Group Teaching & Bedside	Short answer question, MCQ, OSCE & CIVA
OBST40.3	Recognize the methods of diagnosing breech presentation clinically and through imaging such as ultrasound.	K	Large Group Teaching & Bedside	Short answer question, MCQ, OSCE & CIVA
OBST40.4	Describe the management options for breech presentation, including external cephalic version (ECV), its indications, and contraindications as well as the criteria for selecting the mode of delivery.	K	Large Group Teaching & Bedside	Short answer question, MCQ, OSCE & CIVA
OBST40.5	Identify the indications and safety criteria for vaginal breech delivery.	K	Large Group Teaching & Bedside	Short answer question, MCQ, OSCE & CIVA

Malposition

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST41.1	Classify the different types of malposition, including occiput posterior (OP) and occiput transverse (OT), in contrast to the ideal occiput anterior (OA) position.	K	Large Group Teaching & Bedside	Short answer question, MCQ, OSCE & CIVA
OBST41.2	Explain the etiology and diagnostic approach to fetal malposition, including abdominal and vaginal examination findings.	K	Large Group Teaching & Bedside	Short answer question, MCQ, OSCE & CIVA
OBST41.3	Describe the mechanism of labor in both favorable and unfavorable circumstances associated with malposition.	K	Large Group Teaching & Bedside	Short answer question, MCQ, OSCE & CIVA
OBST41.4	Identify the complications of malposition, such as prolonged labor and deep transverse arrest.	K	Large Group Teaching & Bedside	Short answer question, MCQ, OSCE & CIVA
OBST41.5	Summarize the management strategies for deep transverse arrest, including manual rotation, instrumental delivery, and cesarean section when indicated.	K	Large Group Teaching & Bedside	Short answer question, MCQ, OSCE & CIVA

Operative Vaginal Delivery

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST42.1	Identify the clinical situations requiring operative vaginal delivery, including maternal and fetal indications.	K	Large Group, Small group, Bedside & Clinical skills lab	Short answer question, MCQ, OSCE & CIVA
OBST42.2	Explain the prerequisites for safe instrumental delivery, such as full cervical dilation, fetal head position, and operator expertise.	K	Large Group, Small group, Bedside & Clinical skills lab	Short answer question, MCQ, OSCE & CIVA
OBST42.3	Differentiate between Forceps and Vacuum Assist Delivery, including mechanisms, indications, advantages, and contraindications of forceps versus vacuum extraction and different types of forceps and vacuum cups used in assisted vaginal delivery.	K	Large Group, Small group, Bedside & Clinical skills lab	Short answer question, MCQ, OSCE & CIVA
OBST42.4	Identify maternal and fetal complications associated with operative vaginal delivery, including perineal trauma, cephalhematoma, and postpartum hemorrhage.	K	Large Group, Small group, Bedside & Clinical skills lab	Short answer question, MCQ, OSCE & CIVA
OBST42.5	Outline contingency plans for failed operative vaginal delivery, including the decision to proceed with cesarean section when necessary.	K	Large Group, Small group, Bedside & Clinical skills lab	Short answer question, MCQ, OSCE & CIVA
OBST42.6	Demonstrate the importance of informed consent and patient education in operative vaginal delivery, promoting health by ensuring the mother is aware of the risks and benefits of the procedure.	A	Large Group, Small group, Bedside & Clinical skills lab	Short answer questions & MCQ

Operative Interventions in Obstetrics

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST43.1	Define the types and indications of cesarean section, including elective and emergency categories.	K	Large Group, Small Group & Bedside	Short answer questions & MCQ
OBST43.2	Compare the advantages and disadvantages of lower segment versus classical cesarean section.	K	Large Group, Small Group & Bedside	Short answer question, MCQ, OSCE & CIVA
OBST43.3	Identify common intraoperative and postoperative complications associated with cesarean section.	K	Large Group, Small Group & Bedside	Short answer questions & MCQ
OBST44.4	Describe the steps of preoperative preparation and postoperative care for cesarean section.	K	Large Group, Small Group & Bedside	Short answer question, MCQ, OSCE & CIVA
OBST43.5	Explain the indications, technique, and complications of episiotomy and perineal repair.	K	Large Group, Small Group & Bedside	Short answer questions & MCQ
OBST44.6	Emphasize the role of health promotion in reducing the need for operative delivery through antenatal care and early risk assessment.	A	Large Group, Small Group & Bedside	MCQ

Induction of Labour

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST44.1	Understand the indications for induction of labor, learn about the medical conditions and situations where labor induction is necessary.	K	Large Group Teaching	Short answer question, MCQ, OSCE & CIVA
OBST44.2	Understand the different techniques used for induction, including the use of prostaglandins, oxytocin, membrane stripping, and mechanical methods like balloon catheters.	K	Large Group Teaching	Short answer question, MCQ, OSCE & CIVA
OBST44.3	Identify the potential risks and appropriate monitoring during labor induction.	K	Large Group Teaching	Short answer question, MCQ, OSCE & CIVA
OBST44.4	Describe the management strategies used to optimize outcomes during labor induction.	K	Large Group Teaching	Short answer question, MCQ, OSCE & CIVA
OBST44.5	Learn about the potential complications of induction, such as uterine hyperstimulation or infection, and the monitoring strategies to ensure maternal and fetal safety during the process.	K	Large Group Teaching	Short answer question, MCQ, OSCE & CIVA

Pain Relief in Labour

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST45.1	Describe the different pharmacological and non-pharmacological methods used for pain relief during labour.	K	Large Group Teaching	Short answer questions & MCQ
OBST45.2	Explain the indications, contraindications, and complications of epidural analgesia.	K	Large Group Teaching	Short answer questions & MCQ
OBST45.3	Compare the advantages and disadvantages of inhalational analgesia versus opioid use in labour.	K	Large Group Teaching	Short answer questions & MCQ
OBST45.4	Identify the appropriate method of analgesia based on clinical scenarios and patient factors.	K	Large Group Teaching	Short answer questions & MCQ
OBST45.5	Recognize the management strategies for common complications associated with epidural and spinal analgesia.	K	Large Group Teaching	Short answer questions & MCQ

Uterine Inversion and Rupture

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST46.1	Define uterine inversion and recognize its degrees and key risk factors.	K	Large group, small group, Bedside & Case Based	Short answer question, MCQ, OSCE & CIVA
OBST46.2	Describe appropriate management strategies for uterine inversion, including manual and hydrostatic techniques to reduce maternal morbidity.	K	Large group, small group, Bedside & Case Based Learning	Short answer question, MCQ, OSCE & CIVA
OBST46.3	Explain the causes of uterine rupture, particularly in patients with a scarred uterus.	K	Large group, small group, Bedside & Case Based Learning	Short answer question, MCQ, OSCE & CIVA
OBST46.4	Identify the clinical presentation and early warning signs of uterine rupture to aid in timely diagnosis.	K	Large group, small group, Bedside & Case Based Learning	Short answer question, MCQ, OSCE & CIVA
OBST46.5	Analyze preventive strategies for uterine inversion and rupture, including careful management during labor and delivery.	K	Large group, small group, Bedside & Case Based Learning	Short answer question, MCQ, OSCE & CIVA
OBST46.6	Formulate effective intervention plans for managing uterine inversion and rupture, including surgical options.	K	Large group, small group, Bedside & Case Based Learning	Short answer question, MCQ, OSCE & CIVA

Genital Tract Injuries

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST47.1	Classify perineal injuries based on tissue involvement and summarize their appropriate management approaches.	K	Large Group Teaching	Short answer question, MCQ, OSCE & CIVA
OBST47.2	Understand the principles of perineal tear repair, including suitable techniques and suture materials based on the severity of the injury.	K	Large Group Teaching	Short answer question, MCQ, OSCE & CIVA
OBST47.3	Identify the types of genital tract hematomas and their clinical features and determine appropriate management strategies based on size and location.	K	Large Group Teaching	Short answer question, MCQ, OSCE & CIVA
OBST47.4	Apply knowledge of cervical lacerations following vaginal delivery to assess clinical signs and determine appropriate management strategies, including suturing techniques and follow-up care.	S	Large Group Teaching	Short answer question, MCQ, OSCE & CIVA
OBST47.5	Understand the importance of examining the uterus when unexplained bleeding occurs and describe the proper techniques for managing deep cervical lacerations.	K/S	Large Group Teaching	Short answer question, MCQ, OSCE & CIVA

Puerperium

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST48.1	Define the puerperium period and identify its physiological timeline.	K	Large Group Teaching	Short answer questions & MCQ
OBST48.2	Describe the normal involution changes in the uterus, cervix, and vagina postpartum.	K	Large Group Teaching	Short answer questions & MCQ
OBST48.3	List the common causes and risk factors of puerperal pyrexia and infection.	K	Large Group Teaching	Short answer questions & MCQ
OBST48.4	Identify the clinical signs and complications of puerperal pelvic infections.	K	Large Group Teaching	Short answer questions & MCQ
OBST48.5	Outline the management strategies for different puerperal infections based on the underlying cause.	K	Large Group Teaching	Short answer questions & MCQ
OBST48.6	Summarize the components and goals of the post-natal examination, including mental health and contraception counseling.	K	Large Group Teaching	Short answer questions & MCQ

Perinatal Infections

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST49.1	List the common causes of perinatal infections, including TORCH and other agents such as syphilis, HIV, hepatitis B/C, and GBS.	K	Large Group Teaching	Short answer questions & MCQ
OBST49.2	Describe the maternal symptoms and fetal complications associated with perinatal infections.	K	Large Group Teaching	Short answer questions & MCQ
OBST49.3	Explain the relationship between gestational age at infection and the severity of fetal outcomes.	K	Large Group Teaching	Short answer questions & MCQ
OBST49.4	Identify the main diagnostic tests used for each infection affecting pregnant women and neonates.	K	Large Group Teaching	Short answer questions & MCQ
OBST49.5	Compare the features of congenital infections caused by rubella, toxoplasmosis, and CMV.	K	Large Group Teaching	Short answer questions & MCQ
OBST49.6	Interpret serological and clinical findings related to perinatal infections.	K	Large Group Teaching	Short answer questions & MCQ
OBST49.7	Describe the role of prevention and health promotion strategies — including vaccination, antiviral therapy, and safe delivery planning — in reducing vertical transmission of infections.	K	Large Group Teaching	Short answer questions & MCQ

Practical

History

Week	Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
1	OBST1.1	Establish rapport and ensure a comfortable environment for history taking.	A	Clinical Skill Lab, Bedside Teaching & Practical Learning	OSCE
	OBST1.2	Explore the presenting complaint using a structured method (e.g., SOCRATES), considering obstetric symptoms.	S	Clinical Skill Lab, Bedside Teaching & Practical Learning	OSCE
	OBST1.3	Collect past medical, surgical, and drug history relevant to pregnancy outcomes.	S	Clinical Skill Lab, Bedside Teaching & Practical Learning	OSCE
	OBST1.4	Document obstetric and menstrual history, including gravida, para, delivery modes, and gestational age.	S	Clinical Skill Lab, Bedside Teaching & Practical Learning	OSCE
	OBST1.5	Assess social, family, and lifestyle factors impacting maternal and fetal health.	S	Clinical Skill Lab, Bedside Teaching & Practical Learning	OSCE
	OBST1.6	Review antenatal care, including scans, lab results, and current pregnancy issues.	S	Clinical Skill Lab, Bedside Teaching & Practical Learning	OSCE
	OBST1.7	Identify high-risk pregnancy factors (e.g., preterm labor, recurrent miscarriage).	S	Clinical Skill Lab, Bedside Teaching & Practical Learning	OSCE
	OBST1.8	Evaluate fetal well-being through maternal symptoms (e.g., movements, fluid leak).	S	Clinical Skill Lab, Bedside Teaching & Practical Learning	OSCE
	OBST1.9	Recognize warning signs of emergencies like bleeding, headache, or severe pain.	K/S	Clinical Skill Lab, Bedside Teaching & Practical Learning	OSCE
	OBST1.10	Summarize findings and propose a differential diagnosis to guide next steps.	S	Clinical Skill Lab, Bedside Teaching & Practical Learning	OSCE

General Examination

Week	Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
2	OBST2.1	Ensure proper safety and communication, including handwashing, obtaining patient consent, and introducing oneself professionally.	S/A	Clinical Skill Lab, Bedside Teaching & Practical Learning	OSCE
	OBST2.2	Perform a comprehensive general assessment, including consciousness level, body build, age, gender, posture, and skin color to identify signs like jaundice, cyanosis, or anemia.	S	Clinical Skill Lab, Bedside Teaching & Practical Learning	OSCE
	OBST2.3	Evaluate peripheral signs of systemic diseases, such as edema, lymphadenopathy, dehydration, or clubbing.	S	Clinical Skill Lab, Bedside Teaching & Practical Learning	OSCE
	OBST2.4	Assess skin, nails, and mucous membranes for clinical indicators of nutritional deficiencies, infections, or chronic diseases.	S	Clinical Skill Lab, Bedside Teaching & Practical Learning	OSCE

Vital Signs

Week	Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
3	OBST3.1	Measure and interpret blood pressure, identifying normal and abnormal values and their clinical implications.	S	Clinical Skill Lab, Bedside Teaching & Practical Learning	OSCE
	OBST3.2	Assess pulse characteristics, including rate, rhythm, volume, and character, to detect cardiovascular abnormalities.	S	Clinical Skill Lab, Bedside Teaching & Practical Learning	OSCE
	OBST3.3	Evaluate respiratory rate and patterns, recognizing signs of respiratory distress or dysfunction.	S	Clinical Skill Lab, Bedside Teaching & Practical Learning	OSCE
	OBST3.4	Measure body temperature accurately and correlate findings with possible infections or systemic conditions.	S	Clinical Skill Lab, Bedside Teaching & Practical Learning	OSCE
	OBST3.5	Assess oxygen saturation (SpO₂) using pulse oximetry, identifying hypoxia and its potential causes.	S	Clinical Skill Lab, Bedside Teaching & Practical Learning	OSCE

Obstetrical Abdominal Examination

Week	Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
4	OBST4.1	Ensure effective patient communication and safety by obtaining consent, explaining procedures, and maintaining hygiene	S/A	Clinical Skill Lab, Bedside Teaching & Practical Learning	OSCE
	OBST4.2	Perform a systematic obstetric abdominal examination, including inspection, palpation, auscultation, and measurement techniques.	S	Clinical Skill Lab, Bedside Teaching & Practical Learning	OSCE
	OBST4.3	Assess fetal wellbeing by evaluating fetal heart sounds and performing Leopold’s maneuvers	S	Clinical Skill Lab, Bedside Teaching & Practical Learning	OSCE
	OBST4.4	Measure symphysis-fundal height to estimate fetal growth and gestational age.	S	Clinical Skill Lab, Bedside Teaching & Practical Learning	OSCE
	OBST4.5	Identify abnormal findings that may indicate complications such as fetal malpresentation or growth restriction	S	Clinical Skill Lab, Bedside Teaching & Practical Learning	OSCE

Assessment of Labour Progress and Fetal Wellbeing (CTG)

week	Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
5	OBST5.1	Explain the role of CTG in assessing fetal well-being and distinguish between external and internal monitoring methods.	S	Clinical Skill Lab, Bedside Teaching & Practical Learning	OSCE & CIVA
	OBST5.2	Identify the main CTG features, including baseline FHR, variability, accelerations, decelerations, and uterine contractions.	S	Clinical Skill Lab, Bedside Teaching & Practical Learning	OSCE & CIVA
	OBST5.3	Differentiate between reassuring, suspicious, and pathological CTG patterns.	S	Clinical Skill Lab, Bedside Teaching & Practical Learning	OSCE & CIVA
	OBST5.4	Correlate abnormal CTG findings with potential maternal or fetal conditions such as hypoxia or uterine hyperstimulation.	S	Clinical Skill Lab, Bedside Teaching & Practical Learning	OSCE & CIVA
	OBST5.5	Formulate appropriate management decisions based on CTG interpretation, including when to escalate care or proceed to delivery.	S	Clinical Skill Lab, Bedside Teaching & Practical Learning	OSCE & CIVA

Assessment of Labour Progress and Fetal Wellbeing (Partogram)

Week	Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
6	OBST6.1	Explain the role of the partogram in monitoring labor and its benefits for maternal and neonatal outcomes.	S	Clinical Skill Lab, Bedside Teaching & Practical Learning	OSCE & CIVA
	OBST6.2	Identify key parameters documented on a partogram, including cervical dilation, fetal descent, contractions, FHR, and maternal vitals.	S	Clinical Skill Lab, Bedside Teaching & Practical Learning	OSCE & CIVA
	OBST6.3	Demonstrate proper documentation of partogram data during simulated labor scenarios.	S	Clinical Skill Lab, Bedside Teaching & Practical Learning	OSCE & CIVA
	OBST6.4	Analyze labor trends using the partogram to detect abnormal progress or complications.	S	Clinical Skill Lab, Bedside Teaching & Practical Learning	OSCE & CIVA
	OBST6.5	Formulate appropriate management plans based on partogram interpretation, including timely interventions.	S	Clinical Skill Lab, Bedside Teaching & Practical Learning	OSCE & CIVA

Abnormal Labour

Week	Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
7	OBST7.1	Identify the indications for instrumental delivery and understand when it is necessary.	S	Clinical Skill Lab, Bedside Teaching & Practical Learning	OSCE & CIVA
	OBST7.2	Perform a clinical pelvic assessment to determine fetal position, station, and suitability for ventouse or forceps delivery.	S	Clinical Skill Lab, Bedside Teaching & Practical Learning	OSCE & CIVA
	OBST7.3	Explain the principles and techniques of ventouse delivery, including its risks and benefits.	S	Clinical Skill Lab, Bedside Teaching & Practical Learning	OSCE & CIVA
	OBST7.4	Describe the procedure and indications for forceps delivery, ensuring safe maternal and fetal outcomes.	S	Clinical Skill Lab, Bedside Teaching & Practical Learning	OSCE & CIVA
	OBST7.5	Recognize and respond to complications in real-time, such as detecting failed instrumental delivery, excessive maternal trauma, or fetal distress, and deciding when to escalate to the cesarean section.	S/A	Clinical Skill Lab, Bedside Teaching & Practical Learning	OSCE & CIVA
8	Examination Week

Gynecology/Grade 5

Code: OBST502    Credits: 8

Embryology and Anatomy of Genital Tract

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST1.1	Outline the embryological origins of the female genital tract, including Müllerian and Wolffian ducts, to understand the basis of congenital anomalies.	K	Large Group Teaching	Short answer questions & MCQ
OBST1.2	Describe the process of vaginal development from the sinovaginal bulb and outline its timeline of canalization.	K	Large Group Teaching	Short answer questions & MCQ
OBST1.3	Identify the anatomical structures of the uterus, fallopian tubes, and ovaries and understand their significance in clinical practice.	K	Large Group Teaching	Short answer questions & MCQ
OBST1.4	Compare anatomical and histological changes in the genital tract before and after menopause to recognize age-related clinical variations.	K	Large Group Teaching	Short answer questions & MCQ
OBST1.5	Analyze the role of hormonal signals in external genitalia development during embryogenesis, important for understanding intersex conditions.	K	Large Group Teaching	Short answer questions & MCQ

Maldevelopments of Female Genital Tract

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST2.1	Describe the embryological development of the female genital tract, with emphasis on the roles of the Müllerian and Wolffian ducts.	K	Large Group Teaching	Short answer questions & MCQ
OBST2.2	Explain how disruptions in Müllerian duct development result in congenital anomalies of the uterus and upper vagina.	K	Large Group Teaching	Short answer questions & MCQ
OBST2.3	Identify the most common congenital malformations of the female genital tract and their clinical presentation.	K	Large Group Teaching	Short answer questions & MCQ
OBST2.4	Differentiate between types of uterine anomalies based on anatomical and reproductive implications.	K	Large Group Teaching	Short answer questions & MCQ
OBST2.5	Recognize the impact of genital tract malformations on menstruation, fertility, and pregnancy outcomes.	K	Large Group Teaching	Short answer questions & MCQ
OBST2.6	Evaluate the diagnostic approaches used to confirm these anomalies, including imaging and clinical criteria.	K	Large Group Teaching	Short answer questions & MCQ
OBST2.7	Understand appropriate management strategies, both surgical and non-surgical, tailored to patient needs.	K	Large Group Teaching	Short answer questions & MCQ

Disorders of Sexual Development (Intersex)

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST3.1	Understand the concept of DSDs by explaining their definitions, underlying causes, and the role of genetic and hormonal factors in sexual differentiation.	K	Large Group Teaching	Short answer questions & MCQ
OBST3.2	Classify the types of DSDs, including 46,XX DSD, 46,XY DSD, and ovotesticular DSD, based on chromosomal, gonadal, and phenotypic characteristics.	K	Large Group Teaching	Short answer questions & MCQ
OBST3.3	Recognize common clinical features of specific DSDs such as congenital adrenal hyperplasia and androgen insensitivity syndrome.	K	Large Group Teaching	Short answer questions & MCQ
OBST3.4	Explain the diagnostic approach to DSDs, including hormonal assays, imaging, genetic testing, and physical examination findings.	K	Large Group Teaching	Short answer questions & MCQ
OBST3.5	Describe the available management options for DSDs, including medical treatment, surgical considerations, and long-term follow-up.	K	Large Group Teaching	Short answer questions & MCQ
OBST3.6	Advocate for health promotion strategies in individuals with DSDs by supporting early detection, access to psychological care, and community-based support to reduce stigma and improve outcomes.	K	Large Group Teaching	Short answer questions & MCQ

Puberty and Disorders of Pubertal Development

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST4.1	Understand the normal process of puberty, including the hormonal regulation by the hypothalamic-pituitary-gonadal (HPG) axis, the sequence of physical changes (Tanner stages), and the expected age range for puberty in males and females.	K	Large Group & Bedside	Short answer questions & MCQ
OBST4.2	Identify common disorders of pubertal development, such as precocious puberty (early puberty), delayed puberty, and disorders like central vs. peripheral causes of pubertal abnormalities.	K	Large Group & Bedside	Short answer questions & MCQ
OBST4.3	Describe the clinical features and diagnostic approach for disorders like precocious puberty, delayed puberty, and pubertal abnormalities.	K	Large Group & Bedside	Short answer questions & MCQ
OBST4.4	Recognize the clinical implications of pubertal disorders, such as their impact on growth, fertility, and psychosocial well-being.	K/S	Large Group & Bedside	Short answer question, MCQ & OSCE
OBST4.5	Analyze the management strategies for pubertal disorders, including available treatment options.	K	Large Group & Bedside	Short answer questions & MCQ

Dysmenorrhea and Premenstrual Syndrome

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST5.1	Explain the hormonal changes and inflammatory processes that contribute to painful menstruation, including both primary and secondary dysmenorrhea, as well as the underlying mechanisms of PMS symptoms.	K	Large Group Teaching	Short answer question, MCQ & OSCE
OBST5.2	Identify the timing, severity, and nature of symptoms such as cramping, fatigue, mood swings, and bloating, and distinguish between dysmenorrhea and PMS based on symptom presentation.	K	Large group, small group, Bedside, Clinical skills lab, case-based learning & Practical learning	Short answer question, MCQ, logbook & OSCE
OBST5.3	Describe the causes, risk factors, and clinical presentation of primary versus secondary dysmenorrhea, and differentiate them based on underlying conditions or pathophysiology.	K
OBST5.4	Recognize the range of treatments for dysmenorrhea and PMS, including non-pharmacological options like heat therapy, exercise, and stress management, as well as pharmacological treatments such as NSAIDs and hormonal therapies.	K	Large group, small group, Bedside, Clinical skills lab, case-based learning & Practical learning	Short answer question, MCQ & OSCE
OBST5.5	Evaluate the importance of health promotion by lifestyle modifications, including exercise, dietary adjustments, and stress management, in managing dysmenorrhea and PMS symptoms, and improving overall well-being.	K

Normal Physiology of Menstrual Cycle

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST6.1	Explain the hormonal regulation of the menstrual cycle, focusing on the interactions between the hypothalamus, pituitary gland, and ovaries.	K	Large Group Teaching	Short answer questions & MCQ
OBST6.2	Identify the roles of GnRH, FSH, LH, estrogen, and progesterone in regulating the menstrual cycle.	K	Large Group Teaching	Short answer questions & MCQ
OBST6.3	Describe the physiological events occurring during each phase of the menstrual cycle: follicular phase, ovulation, luteal phase, and menstruation.	K	Large Group Teaching	Short answer questions & MCQ
OBST6.4	Recognize the clinical relevance of normal menstrual cycle physiology in maintaining reproductive health and fertility.	K	Large Group Teaching	Short answer questions & MCQ
OBST6.5	Analyze how hormonal imbalances can affect the menstrual cycle and contribute to common menstrual disorders.	K	Large Group Teaching	Short answer questions & MCQ

Disorders of Menstrual cycle (Abnormal Uterine Bleeding)

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST7.1	Identify the key terms used to describe various patterns of abnormal uterine bleeding.	K	Large group, small group, Bedside, Clinical skills lab & case-based learning	Short answer questions & MCQ
OBST7.2	Describe the difference between organic and non-organic causes of abnormal uterine bleeding.	K	Short answer questions	MCQ
OBST7.3	Outline the essential components of a patient's history and physical examination when evaluating abnormal uterine bleeding.	K	Large group, small group, Bedside, Clinical skills lab & case-based learning	Short answer question, MCQ, logbook & OSCE, CIVA
OBST7.4	Summarize the role of different investigations, including imaging and laboratory tests, in diagnosing the causes of AUB.	K	Large group, small group, Bedside, Clinical skills lab & case-based learning	Short answer questions & MCQ
OBST7.5	Describe the general treatment approaches for abnormal uterine bleeding, considering potential underlying causes.	K	Large group, small group, Bedside, Clinical skills lab & case-based learning	Short answer questions & MCQ
OBST7.6	Outline the acute management strategies for heavy uterine bleeding, including both medical and supportive measures.	S	Large group, small group, Bedside, Clinical skills lab & case-based learning	Short answer questions & MCQ

Amenorrhea

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST8.1	Classify the types of amenorrhea into primary and secondary forms, based on age of onset and menstrual history.	K/S	Large group, small group, Bedside, Clinical skills lab, case-based learning & Practical learning	Short answer question, MCQ, logbook & OSCE, CIVA
OBST8.2	Identify the common causes of amenorrhea, including hormonal, structural, and lifestyle-related factors.	K	Large group, small group, Bedside, Clinical skills lab, case-based learning & Practical learning	Short answer question, MCQ & OSCE
OBST8.3	Describe the diagnostic approach for amenorrhea, including history taking, physical examination, laboratory tests, and imaging studies.	K/S	Large group, small group, Bedside, Clinical skills lab, case-based learning & Practical learning	Short answer question, MCQ & OSCE
OBST8.4	Recognize common conditions associated with amenorrhea, such as polycystic ovary syndrome (PCOS) and thyroid dysfunction.	K	Large group, small group, Bedside, Clinical skills lab, case-based learning & Practical learning	Short answer question, MCQ & OSCE
OBST8.5	Support health promotion by encouraging early evaluation, raising awareness contributing to lifestyle and psychological factors, and guiding appropriate treatment strategies for amenorrhea.	A	Large group, small group, Bedside, Clinical skills lab, case-based learning & Practical learning	Short answer question & MCQ

Polycystic Ovarian Syndrome (PCOS)

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST9.1	Define Polycystic Ovary Syndrome (PCOS) using the Rotterdam criteria.	K	Large Group Teaching	Short answer questions & MCQ
OBST9.2	Explain the pathophysiology of PCOS, including the roles of hyperandrogenism, LH hypersecretion, and insulin resistance.	K	Large group, small group, Bedside, Clinical skills lab, case-based learning & Practical learning	Short answer question, MCQ, logbook & OSCE, CIVA
OBST9.3	Identify the common clinical features and symptoms associated with PCOS.	K	Large group, small group, Bedside, Clinical skills lab, case-based learning & Practical learning	Short answer question, MCQ, logbook & OSCE, CIVA
OBST9.4	Describe the key investigations used in the diagnosis of PCOS, including ultrasound findings and hormonal assessments.	K	Large group, small group, Bedside, Clinical skills lab, case-based learning & Practical learning	Short answer questions, MCQ, OSCE & CIVA
OBST9.5	Outline the various treatment options available for managing PCOS, considering the different clinical manifestations.	K	Large group, small group, Bedside, Clinical skills lab, case-based learning & Practical learning	Short answer questions, MCQ, OSCE & CIVA
OBST9.6	Summarize the potential long-term health sequelae associated with PCOS.	K	Large group, small group, Bedside, Clinical skills lab, case-based learning & Practical learning	Short answer questions, MCQ, OSCE & CIVA

Hyperprolactinemia

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST10.1	Define hyperprolactinemia focusing on pathophysiology, including physiological, pathological, and drug-induced factors.	K	Large Group & Bedside	Short answer questions & MCQ
OBST10.2	Identify the key presenting symptoms that come with hyperprolactinemia.	K/S	Large Group & Bedside	Short answer questions & MCQ
OBST10.3	Describe the diagnostic approach to hyperprolactinemia, including relevant laboratory tests and imaging studies.	K	Large Group & Bedside	Short answer questions & MCQ
OBST10.4	Summarize the treatment options for hyperprolactinemia, considering the etiology and the presence of micro- or macroadenomas.	K	Large Group & Bedside	Short answer questions & MCQ

Secondary Amenorrhea

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST11.1	Describe the key historical and physical examination findings relevant to the diagnosis of secondary amenorrhea.	S	Bedside & Small group	OSCE
OBST11.2	Explain how to select appropriate initial laboratory investigations for a patient presenting with secondary amenorrhea.	K	Large group, small group, Bedside, Clinical skills lab, case-based learning & Practical learning	Short answer question, MCQ, OSCE & CIVA
OBST11.3	Differentiate between common causes of secondary amenorrhea based on clinical presentation and diagnostic test results.	K	Large group, small group, Bedside, Clinical skills lab, case-based learning & Practical learning	Short answer question, MCQ, OSCE & CIVA
OBST11.4	Outline general management principles for secondary amenorrhea, recognizing the need for etiology-specific treatment.	K	Large group, small group, Bedside, Clinical skills lab, case-based learning & Practical learning	Short answer question, MCQ, OSCE & CIVA

Ultrasound In Gynecology

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST12.1	List the indications for using ultrasound in gynecology, such as infertility, ectopic pregnancy, and ovarian masses.	K	Large Group & Bedside	Short answer question, MCQ & OSCE
OBST12.2	Explain the difference in frequency used between transabdominal and transvaginal ultrasound and its effect on image resolution and tissue penetration.	K	Large Group & Bedside	Short answer question, MCQ & OSCE
OBST12.3	Describe the required preparation for a transabdominal ultrasound, including the need for a full bladder.	K	Large Group & Bedside	Short answer question, MCQ & OSCE
OBST12.4	Identify the key anatomical structures observed during a gynecological ultrasound, such as the uterus, ovaries, and endometrium.	K/S	Large Group & Bedside	Short answer question, MCQ & OSCE

Infertility

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST13.1	Define infertility and distinguish between primary and secondary types based on the couple’s reproductive history.	K	Large Group & Bedside	Short answer question & MCQ
OBST13.2	Classify ovulation disorders using WHO criteria and relate each category to relevant clinical conditions.	K	Large Group & Bedside	Short answer question & MCQ
OBST13.3	Describe the essential steps in clinical evaluation of infertility, including history taking and physical examination for both partners.	S	Large group, small group, Bedside, Clinical skills lab, Case Based Learning & Practical learning	Short answer question, MCQ, OSCE & CIVA
OBST13.4	Identify abnormal findings in investigations related to ovulation, tubal patency, and semen analysis, and link them to possible causes.	K	Large group, small group, Bedside, Clinical skills lab, Case Based Learning & Practical learning	Short answer question, MCQ & OSCE
OBST13.5	Explain the role of different diagnostic tools in assessing uterine and tubal factors affecting fertility.	K	Large group, small group, Bedside, Clinical skills lab, Case Based Learning & Practical learning	Short answer question, MCQ & OSCE
OBST13.6	Summarize the management strategies for different infertility causes, including ovulation induction, surgery, and ART.	K/S	Large group, small group, Bedside, Clinical skills lab, Case Based Learning & Practical learning	Short answer question, MCQ & OSCE
OBST13.7	Describe briefly the classification, risk factors, clinical features, and management of ovarian hyperstimulation syndrome (OHSS).	K/S	Large group, small group, Bedside, Clinical skills lab, Case Based Learning & Practical learning	Short answer question, MCQ & OSCE

Assisted Reproductive Technologies

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST14.1	List the essential investigations required before any form of assisted conception treatment.	K	Large group, Bedside, Clinical skills lab, Case Based & Practical Learning	Short answer question, MCQ, OSCE & CIVA
OBST14.2	Describe the intrauterine insemination (IUI) procedure and its common indications.	K	Large group, Bedside, Clinical skills lab, Case Based & Practical Learning	Short answer question, MCQ, OSCE & CIVA
OBST14.3	Outline the steps involved in the in vitro fertilization (IVF) process, from pituitary down-regulation to embryo transfer.	K	Large group, Bedside, Clinical skills lab, Case Based & Practical Learning	Short answer question, MCQ, OSCE & CIVA
OBST14.4	Compare the indications and success rates of IUI and IVF.	K/S	Large group, Bedside, Clinical skills lab, Case Based & Practical Learning	Short answer question, MCQ, OSCE & CIVA
OBST14.5	Explain the pathophysiology and risk factors of ovarian hyperstimulation syndrome (OHSS).	K	Large group, Bedside, Clinical skills lab, Case Based & Practical Learning	Short answer question, MCQ, OSCE & CIVA
OBST14.6	Describe the management strategies for ovarian hyperstimulation syndrome (OHSS).	K	Large group, Bedside, Clinical skills lab, Case Based & Practical Learning	Short answer question, MCQ, OSCE & CIVA
OBST14.7	Examine the role of health promotion (ART) by educating individuals about available treatment options, addressing factors influencing treatment success and emphasizing the importance of mental and emotional support to enhance outcomes and overall well-being.	A	Large group, Bedside, Clinical skills lab, Case Based & Practical Learning	Short answer question, MCQ, OSCE & CIVA

Fertility Control

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST15.1	Understand the different methods of contraception, including hormonal methods (e.g., oral contraceptives, IUDs, implants, patches), barrier methods (e.g., condoms, diaphragms), permanent methods (e.g., tubal ligation, vasectomy), and natural methods (e.g., fertility awareness).	K	Large group, small group, Bedside, Clinical skills lab, Case Based Learning & Practical learning	Short answer question, MCQ, & OSCE
OBST15.2	Learn how each method works to prevent pregnancy, including their mechanisms of action, such as inhibiting ovulation, thickening cervical mucus, or altering the uterine lining.	K	Large group, small group, Bedside	Short answer question, MCQ, OSCE & CIVA
OBST15.3	Identify the advantages, disadvantages, and contraindications of various contraceptive methods, focusing on effectiveness, convenience, side effects (e.g., weight gain, mood changes), and risks (e.g., blood clots, hormonal imbalances).	K	Clinical skills lab, Case Based Learning & Practical learning	Short answer question, MCQ & OSCE
OBST15.4	Evaluate how patient age, health conditions, lifestyle, and reproductive plans influence the selection of an appropriate contraceptive method.	K	Clinical skills lab, Case Based Learning & Practical learning	Short answer question, MCQ & OSCE
OBST15.5	Recognize the role of healthcare providers in contraception counseling, including the importance of health promotion on educating patients about various options, addressing concerns, and supporting informed decision-making.	A	Large group	Short answer question, MCQ & OSCE
OBST15.6	Understand the need for follow-up care to monitor side effects, manage complications, and ensure ongoing contraceptive effectiveness.	A	Large group	Short answer question, MCQ & OSCE

Disorder of Early Pregnancy (Miscarriage)

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST16.1	Describe the causes and types of miscarriage, including factors such as chromosomal abnormalities, maternal health conditions, and environmental influences.	K	Large group, small group, Bedside, Clinical skills lab, Case Based & Practical learning	Short answer question, MCQ, logbook & OSCE, CIVA
OBST16.2	Identify the clinical signs and diagnostic tools used to evaluate miscarriage, such as vaginal bleeding, cramping, ultrasound findings, and hCG levels.	K	Large group, Bedside, Clinical skills lab	Short answer question, MCQ, OSCE
OBST16.3	Recognize the available management options for miscarriages, including expectant, medical, and surgical approaches.	K	Large group, Bedside, Clinical skills lab	Short answer question, MCQ & OSCE
OBST16.4	Explain the importance of providing emotional support to patients with miscarriage, including how emotional well-being can impact recovery.	K	Large group, Bedside	Short answer question, MCQ & OSCE
OBST16.5	Understand the key components of follow-up care after miscarriage, such as physical assessment, patient education, and guidance on future pregnancy planning.	A	Large group	Short answer question & MCQ

Recurrent Miscarriage

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST17.1	Understand the causes of recurrent miscarriage, including genetic factors, uterine abnormalities, hormonal disorders, immune dysfunction, and thrombophilia.	K	Large group, small group, Bedside, Clinical skills lab, Case Based & Practical learning	Short answer question, MCQ, logbook & OSCE, CIVA
OBST17.2	Identify the diagnostic approach, including history-taking, imaging (e.g., ultrasound, hysteroscopy), genetic testing, and blood tests for hormonal and clotting disorders.	K	Large group, small group, Bedside & Case Based Learning	Short answer question, MCQ, OSCE
OBST17.3	Recognize management strategies for recurrent miscarriage, such as hormonal support, anticoagulants for thrombophilia, and surgical correction of uterine abnormalities.	K	Large group, small group, Bedside, Clinical skills lab, Case Based & Practical learning	Short answer question, MCQ, OSCE & CIVA
OBST17.4	Understanding the role of health promotion by educating individuals on underlying causes, encouraging early medical evaluation, lifestyle modification and supporting emotional and psychological well-being to prevent future losses and enhance reproductive health.	K	Large group, small group, Bedside, Clinical skills lab, Case Based & Practical learning	Short answer question, MCQ & OSCE

Disorders of Early Pregnancy (Ectopic Pregnancy)

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST18.1	Explain the causes and risk factors for ectopic pregnancy, including conditions that impair normal implantation such as pelvic inflammatory disease, prior ectopic pregnancy, tubal surgery, or endometriosis.	K	Large group, small group, Bedside, Clinical skills lab, Case Based & Practical learning	Short answer question, MCQ, logbook & OSCE, CIVA
OBST18.2	Identify the clinical presentation of ectopic pregnancy, including common symptoms and signs of hemodynamic instability in severe cases.	K/S	Large group, small group, Bedside, Clinical skills lab, Case Based & Practical learning	Short answer question, MCQ, OSCE & CIVA
OBST18.3	Describe the diagnostic approach for ectopic pregnancy, including the use of transvaginal ultrasound, serum hCG levels, and physical examination.	K	Large group, small group	Short answer question, MCQ, OSCE & CIVA
OBST18.4	Recognize the available management options for ectopic pregnancy, including medical therapy (e.g., methotrexate) and surgical interventions (e.g., laparoscopic salpingectomy or salpingostomy).	K	Bedside & Case Based Learning	Short answer question, MCQ, OSCE & CIVA
OBST18.5	Emphasize the importance of early diagnosis and timely treatment in preventing complications and preserving fertility.	A	Large group, Bedside	Short answer question, MCQ & OSCE

Gestational Trophoblastic Disease

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST19.1	Describe the types and causes of gestational trophoblastic disease (GTD), including complete and partial hydatidiform mole, invasive mole, choriocarcinoma, and placental site trophoblastic tumor (PSTT), in relation to abnormal trophoblastic proliferation.	K	Large group, small group, Bedside, Clinical skills lab, Case Based Learning & Practical learning	Short answer question, MCQ, OSCE & CIVA
OBST19.2	Identify the clinical features of GTD, such as abnormal vaginal bleeding, excessive nausea and vomiting, and uterine enlargement.	K	Large group, small group, Bedside, Clinical skills lab, Case Based Learning & Practical learning	Short answer question, MCQ, OSCE & CIVA
OBST19.3	Outline the diagnostic approach for GTD, including the role of β-hCG measurement, ultrasound imaging (e.g., “snowstorm” appearance), and histopathological examination.	K/S	Large group, small group, Bedside	Short answer question, MCQ, OSCE & CIVA
OBST19.4	Recognize the management strategies for GTD, such as suction evacuation in molar pregnancies, serial β-hCG monitoring, and chemotherapy for malignant forms.	K/S	Large group, small group, Bedside	Short answer question, MCQ, OSCE & CIVA
OBST19.5	Understand the role of health promotion in Gestational Trophoblastic Disease (GTD) by raising awareness about the importance of early detection, encouraging regular follow-ups, and providing emotional and psychological support to enhance treatment outcomes and protect reproductive health.	K	Large group, small group, Bedside, Clinical skills lab, Case Based Learning & Practical learning	Short answer question, MCQ, OSCE & CIVA

Termination of Pregnancy (Induced Abortion)

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST20.1	Describe the types and methods of induced abortion, including medical methods (e.g., mifepristone and misoprostol) and surgical methods (e.g., aspiration, dilation and curettage, or dilation and evacuation).	K	Large Group Teaching	Short answer questions & MCQ
OBST20.2	Identify the factors influencing the choice of abortion method, such as gestational age and the patient’s health condition.	K	Large Group Teaching	Short answer questions & MCQ
OBST20.3	Recognize the indications and risks associated with induced abortion, including maternal health issues, fetal abnormalities, psychosocial factors, and potential complications like infection, bleeding, and emotional responses.	K	Large Group Teaching	Short answer questions & MCQ
OBST20.4	Understand the ethical, legal, and psychological considerations related to induced abortion, focusing on informed consent, patient counseling, and support services before and after the procedure, and adherence to legal regulations in different regions.	A	Large Group Teaching	Short answer questions & MCQ

Genitourinary Fistula

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST21.1	Identify the types and causes of genitourinary fistulas, including prolonged labor, surgical complications, radiation therapy, infections, and malignancies.	K	Large Group & Bedside	Short answer questions & MCQ
OBST21.2	Recognize the clinical features of genitourinary fistulas, such as continuous urinary or fecal leakage, recurrent infections, and irritation.	K	Large Group & Bedside	Short answer questions & MCQ
OBST21.3	Describe the diagnostic approach for genitourinary fistulas, including dye tests, cystoscopy, contrast‑enhanced CT, and MRI to determine their location and extent.	K	Large Group & Bedside	Short answer questions & MCQ
OBST21.4	Outline management strategies for genitourinary fistulas, covering conservative methods (e.g., catheterization) and surgical repair techniques aimed at restoring continence and quality of life.	K/S	Large Group & Bedside	Short answer questions & MCQ

Second Trimester Miscarriage

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST22.1	Recall the definition and basic facts related to second-trimester miscarriage.	K	Large Group Teaching	Short answer question, MCQ, OSCE & CIVA
OBST22.2	Understand the causes and management options for second-trimester miscarriage.	K	Large Group Teaching	Short answer question, MCQ, OSCE & CIVA
OBST22.3	Compare and contrast the different management options for second-trimester miscarriage, including expectant, medical, and surgical approaches.	K	Large group, Bedside & Case Based Learning	Short answer question, MCQ, OSCE & CIVA
OBST22.4	Analyze the risk factors and diagnostic methods for cervical incompetence.	K	Large group, Bedside & Case Based Learning	Short answer question, MCQ, OSCE & CIVA
OBST22.5	Outline the management plan for cervical incompetence.	K	Large group, Bedside & Case Based Learning	Short answer question, MCQ, OSCE & CIVA

Endometriosis And Adenomyosis

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST23.1	Describe the pathophysiology of endometriosis and adenomyosis, including the location of ectopic endometrial tissue and its effects on pelvic organs.	K	Large group, small group, Bedside, Clinical skills lab, Case Based Learning & Practical learning	Short answer question, MCQ, logbook & OSCE, CIVA
OBST23.2	Identify common symptoms of endometriosis and adenomyosis such as pelvic pain, dysmenorrhea, dyspareunia, and abnormal uterine bleeding.	K/S	Large group, small group, Bedside, Clinical skills lab, Case Based Learning & Practical learning	Short answer question, MCQ, logbook & OSCE, CIVA
OBST23.3	Recognize the diagnostic tools used in confirming endometriosis and adenomyosis, including ultrasound, MRI, and laparoscopy.	K	Large group, small group, Bedside, Clinical skills lab, Case Based Learning & Practical learning	Short answer question, MCQ, OSCE & CIVA
OBST23.4	List the main medical treatment options, including hormonal therapy and pain relief measures.	K	Large group, small group, Bedside, Clinical skills lab, Case Based Learning & Practical learning	Short answer question, MCQ, OSCE & CIVA
OBST23.5	Outline the surgical interventions available, such as excision of lesions and hysterectomy, based on disease severity.	K	Large group, small group, Bedside, Clinical skills lab, Case Based Learning & Practical learning	Short answer question, MCQ, OSCE & CIVA
OBST23.6	Explain the importance of early recognition and appropriate management to improve reproductive health and quality of life.	K	Large group, small group, Bedside, Clinical skills lab, Case Based Learning & Practical learning	Short answer question, MCQ, OSCE & CIVA

Benign Diseases of the Cervix and Uterus

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST24.1	Classify benign diseases of the uterus and cervix based on tissue of origin.	K	Large Group Teaching	Short answer questions & MCQ
OBST24.2	Describe the causes, symptoms, and signs of common benign cervical conditions.	K	Large Group Teaching	Short answer questions & MCQ
OBST24.3	Summarize the options treatments of benign cervical conditions.	K	Large Group Teaching	Short answer questions & MCQ
OBST24.4	Identify the risk factors, symptoms, and treatment options for endometrial polyps.	K	Large group, Bedside & Case Based Learning	Short answer question, MCQ, logbook & OSCE, CIVA
OBST24.5	Explain the FIGO classification, incidence, symptoms, and diagnosis of uterine leiomyomata (fibroids).	K	Large group, Bedside & Case Based Learning	Short answer question, MCQ, OSCE & CIVA
OBST24.6	Compare medical and surgical management options for uterine fibroids, including their indications and complications.	K	Large group, Bedside & Case Based Learning	Short answer question, MCQ, OSCE & CIVA

Post Menopausal Bleeding

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST25.1	Describe the causes of postmenopausal bleeding, including benign (e.g., endometrial atrophy, polyps) and serious conditions (e.g., endometrial hyperplasia, cancer), and explain the role of hormonal changes.	K	Large group, small group, Bedside, Clinical skills lab, Case Based Learning & Practical learning	Short answer question, MCQ, logbook & OSCE, CIVA
OBST25.2	Identify the initial steps in evaluating postmenopausal bleeding, including history-taking and physical examination.	K/S	Large group, Bedside	Short answer question, MCQ, OSCE & CIVA
OBST25.3	Recognize the main diagnostic tools such as transvaginal ultrasound, hysteroscopy, and endometrial biopsy.	K	Large group, Bedside	Short answer question, MCQ, OSCE & CIVA
OBST25.4	Differentiate between common causes of postmenopausal bleeding based on diagnostic findings.	K	Large group, Bedside	Short answer question, MCQ, OSCE & CIVA
OBST25.5	Explain the treatment options and when medical or surgical interventions are appropriate.	K	Large group, Bedside	Short answer question, MCQ, OSCE & CIVA

Endometrial Hyperplasia

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST26.1	Describe the pathophysiology of endometrial hyperplasia, focusing on the role of prolonged unopposed estrogen in the abnormal thickening of the endometrium and its potential progression to malignancy.	K	Large group, small group, Bedside, Clinical skills lab, Case Based & Practical learning	Short answer question, MCQ, logbook & OSCE, CIVA
OBST26.2	Identify common clinical features and risk factors of endometrial hyperplasia, including abnormal uterine bleeding, obesity, PCOS, and use of estrogen-only therapy.	K	Large group, small group, Bedside, Clinical skills lab, Case Based Learning & Practical learning	Short answer question, MCQ, OSCE & CIVA
OBST26.3	Explain the diagnostic tools used to evaluate endometrial hyperplasia, such as transvaginal ultrasound and endometrial biopsy.	K	Large group, small group, Bedside, Clinical skills lab, Case Based Learning & Practical learning	Short answer question, MCQ, OSCE & CIVA
OBST26.4	Outline the treatment strategies, including hormonal therapy (e.g., progestins), regular monitoring, and surgical options when indicated.	K	Large group, small group, Bedside, Clinical skills lab, Case Based Learning & Practical learning	Short answer question, MCQ, OSCE & CIVA
OBST26.5	Recognize the role of health promotion in endometrial hyperplasia by emphasizing lifestyle modifications, early detection through regular screenings, and awareness of abnormal bleeding to reduce risks and improve long-term health outcomes.	A	Large group, small group, Bedside, Clinical skills lab, Case Based Learning & Practical learning	Short answer question, MCQ, OSCE & CIVA

Malignant Disease of the Uterus

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST27.1	Classify the types of uterine malignancies, including endometrial carcinoma and uterine sarcomas.	K	Large Group Teaching	Short answer questions, MCQ & CIVA
OBST27.2	Identify the risk factors associated with uterine malignancies, such as obesity, diabetes, prolonged estrogen exposure, and history of endometrial hyperplasia.	K	Large Group Teaching	Short answer questions, MCQ & CIVA
OBST27.3	Recognize the clinical features of uterine malignancies, including postmenopausal bleeding and pelvic pain.	K	Large Group Teaching	Short answer questions, MCQ & CIVA
OBST27.4	Explain the diagnostic methods used in uterine cancer, including ultrasound, endometrial biopsy, hysteroscopy, and imaging for metastasis.	K	Large Group Teaching	Short answer questions, MCQ & CIVA
OBST27.5	Describe the treatment options for uterine malignancies, including surgery, chemotherapy, radiation, and the role of staging.	K	Large Group Teaching	Short answer questions & MCQ

Sexual Transmitted Disease

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST28.1	Classify the common types of sexually transmitted diseases (STDs) based on causative agents (bacterial, viral, parasitic) and describe their modes of transmission and associated risk factors.	K	Large Group Teaching & Bedside	Short answer questions & MCQ
OBST28.2	Identify the clinical features of common STDs, including genital ulcers, abnormal discharge, pelvic pain, and systemic symptoms.	K	Large Group Teaching & Bedside	Short answer questions & MCQ
OBST28.3	Explain the diagnostic approaches used for STDs, such as serological tests, NAATs, and microscopic examination.	K	Large Group Teaching & Bedside	Short answer questions & MCQ
OBST28.4	Describe the treatment and prevention strategies for STDs, including pharmacological therapy, vaccination, partner treatment, and education on safe sexual practices.	K	Large Group Teaching & Bedside	Short answer questions & MCQ
OBST28.5	Recognize the role of health promotion in the prevention and control of STDs by educating individuals on safe sexual practices, the importance of regular screening, early diagnosis, partner notification, and reducing stigma associated with STDs.	K	Large Group Teaching & Bedside	Short answer questions & MCQ

Benign Tumors of the Ovary

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST29.1	Understand the types of benign ovarian tumors, including functional cysts, epithelial tumors, and germ cell tumors, based on origin, growth patterns, and clinical presentation.	K	Large Group Teaching	Short answer questions, MCQ & CIVA
OBST29.2	Identify the clinical features of benign ovarian tumors, such as pelvic pain, bloating, or incidental findings on imaging.	K	Large Group Teaching	Short answer questions, MCQ & CIVA
OBST29.3	Describe the diagnostic approach for benign ovarian tumors using imaging techniques and tumor markers.	K	Large Group Teaching	Short answer questions, MCQ & CIVA
OBST29.4	Explain the management options for benign ovarian tumors, including observation, medical therapy, and surgical intervention, while considering ovarian preservation and recurrence.	K	Large Group Teaching	Short answer questions, MCQ & CIVA
OBST29.5	Understand the importance of health promotion in benign ovarian tumors by encouraging awareness of early symptoms, promoting routine gynecological check-ups, and educating women about when to seek medical evaluation to prevent complications and support timely management.	K	Large Group Teaching	Short answer questions, MCQ & CIVA

Malignant Tumors of Ovary and Fallopian Tube

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST30.1	Understand the types of ovarian cancer, including epithelial ovarian cancers, germ cell tumors, and sex cord-stromal tumors.	K/S	Large Group Teaching	Short answer questions, MCQ & CIVA
OBST30.2	Describe the risk factors for ovarian cancer, including family history, age, and genetic mutations (e.g., BRCA1/2).	K	Large Group Teaching	Short answer questions, MCQ & CIVA
OBST30.3	Identify the clinical features of ovarian cancer, such as abdominal bloating, pelvic pain, early satiety, and changes in bowel habits.	K	Large Group Teaching	Short answer questions, MCQ & CIVA
OBST30.4	Recognize the diagnostic approach for ovarian cancer, including imaging (ultrasound, CT, MRI), blood tests (e.g., CA-125), and biopsy or surgical exploration.	K	Large Group Teaching	Short answer questions, MCQ & CIVA
OBST30.5	Outline the management strategies for ovarian cancer, including surgery, chemotherapy, and targeted therapies, emphasizing the importance of early detection, staging, and treatment.	K	Large Group Teaching	Short answer questions, MCQ & CIVA

Premalignant Diseases of the Cervix

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST31.1	Understand the types of cervical dysplasia, including LSIL and HSIL, and the role of persistent high-risk HPV infection as a primary cause.	K	Large Group Teaching & Bedside	Short answer questions, MCQ & CIVA
OBST31.2	Describe the causes of cervical dysplasia, focusing on the mechanism of HPV-induced cellular changes.	K	Large Group Teaching & Bedside	Short answer questions, MCQ & CIVA
OBST31.3	Identify the clinical features of cervical dysplasia, noting that it is often asymptomatic.	K	Large Group Teaching & Bedside	Short answer questions, MCQ & CIVA
OBST31.4	Explain the diagnostic approach, including Pap smear, HPV testing, colposcopy, and biopsy.	K	Large Group Teaching & Bedside	Short answer questions, MCQ & CIVA
OBST31.5	Recognize the management strategies for cervical dysplasia, such as monitoring, cryotherapy, LEEP, and conization.	K	Large Group Teaching & Bedside	Short answer questions, MCQ & CIVA
OBST31.6	Recognize the importance of health promotion in premalignant cervical diseases by emphasizing patient education on HPV prevention, the value of regular Pap smears, HPV vaccination, and early follow-up to reduce progression to cervical cancer.	A	Large Group Teaching & Bedside	Short answer questions & MCQ

Malignant Diseases of the Cervix

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST32.1	Differentiate between types of cervical cancer based on histological features and associated high-risk factors, particularly HPV subtypes.	K	Large Group Teaching & Bedside	Short answer questions, MCQ & CIVA
OBST32.2	Analyze how behavioral and clinical risk factors contribute to the pathogenesis and progression of cervical cancer.	K	Large Group Teaching & Bedside	Short answer questions, MCQ & CIVA
OBST32.3	Identify the clinical features and diagnostic steps of cervical cancer, including the use of Pap smear, HPV testing, colposcopy, and biopsy.	K	Large Group Teaching & Bedside	Short answer questions, MCQ & CIVA
OBST32.4	Recognize the available treatment strategies based on cancer stage, such as surgery, radiotherapy, and chemotherapy, emphasizing the value of early detection.	K/A	Large Group Teaching & Bedside	Short answer questions & MCQ

Benign And Malignant Condition of the Vagina

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST33.1	Classify common benign and malignant vaginal conditions based on their histological types and clinical relevance.	K	Large Group Teaching	Short answer questions, MCQ & CIVA
OBST33.2	Identify the clinical manifestations and appropriate diagnostic tools used in evaluating vaginal lesions.	K	Large Group Teaching	Short answer questions & MCQ
OBST33.3	Describe the treatment options for both benign and malignant vaginal conditions according to severity and diagnosis.	K	Large Group Teaching	Short answer questions & MCQ
OBST33.4	Recognize the role of health promotion in both benign and malignant vaginal conditions by understanding the importance of patient education, early symptom awareness, regular screening, and encouraging timely medical consultation to support early detection and better outcomes.	A	Large Group Teaching	Short answer questions & MCQ

Benign Conditions of The Vulva

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST34.1	Define the common benign conditions of the vulva, such as Bartholin’s cyst, lichen sclerosus, vulvar intraepithelial neoplasia (VIN), and benign tumors like fibromas and papillomas.	K	Large Group Teaching & Bedside	Short answer questions, MCQ & CIVA
OBST34.2	Analyze the clinical manifestations of vulvar lesions to determine potential causes based on symptom patterns such as itching, pain, swelling, or visible masses.	K	Large Group Teaching & Bedside	Short answer questions, MCQ & CIVA
OBST34.3	Explain the diagnostic approach to vulvar conditions, including physical examination, biopsy, and imaging when necessary.	K	Short answer questions	MCQ & CIVA
OBST34.4	Outline the management options including medical therapy, drainage procedures, and surgical excision.	K	Large Group Teaching	Short answer questions, MCQ & CIVA
OBST34.5	Recognize the role of health promotion—the importance of patient education, personal hygiene, early symptom recognition, and reducing stigma to encourage timely medical consultation and improve women’s quality of life.	A	Short answer questions	MCQ

Invasive Diseases of the Vulva

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST35.1	Describe the epidemiology of vulval cancer accurately, including age-related trends, histological types, and key etiological pathways such as HPV infection and lichen sclerosus.	K	Large Group Teaching & Bedside	Short answer question, MCQ & CIVA
OBST35.2	Explain the risk factors and etiology of vulval cancer, focusing on associations with HPV, chronic skin conditions, and age-related differences.	K	Large Group Teaching & Bedside	Short answer question, MCQ & CIVA
OBST35.3	Identify the clinical features of vulval cancer, including symptoms, lesion appearances, and patterns of local and distant spread.	K	Large Group Teaching	Short answer question, MCQ & CIVA
OBST35.4	Summarize the FIGO staging system for vulval cancer, emphasizing the criteria for each stage and its impact on treatment decisions.	K	Large Group Teaching	Short answer questions & MCQ
OBST35.5	Explore the treatment options for vulval cancer, considering surgical techniques, the role of radiotherapy, and prognostic indicators like lymph node involvement.	K	Large Group Teaching	Short answer questions & MCQ

Infection In Gynecology (The Lower Genital Tract Infection)

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST36.1	Differentiate between the common causes and types of lower genital tract infections (LGTIs), including bacterial, fungal, viral, and parasitic origins.	K	Large Group Teaching & Bedside	Short answer question, MCQ, logbook & OSCE, CIVA
OBST36.2	Identify the clinical features of LGTIs and outline the diagnostic methods used, such as microscopy, cultures, PCR, and pH testing.	K	Large Group & Bedside	Short answer questions, MCQ & CIVA
OBST36.3	Recognize the appropriate treatment strategies for different LGTIs, including the use of antimicrobial, antifungal, and antiviral agents.	K	Large Group Teaching & Bedside	Short answer question, MCQ, OSCE & CIVA
OBST36.4	Explain preventive approaches for LGTIs, emphasizing patient education, safe sexual practices, hygiene, and partner treatment.	K	Large Group & Bedside	Short answer questions, MCQ

Infection In Gynecology (The Upper Genital Tract Infection)

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST37.1	Describe the common causes and types of upper genital tract infections (UGTIs), including PID, endometritis, and tubo-ovarian abscess, along with their typical microbial origins.	K	Large Group Teaching & Bedside	Short answer question, MCQ & CIVA
OBST37.2	Identify the clinical features and diagnostic tools used in evaluating UGTIs, including physical findings and investigations like ultrasound or laparoscopy.	K	Large Group Teaching & Bedside	Short answer question, MCQ & CIVA
OBST37.3	Recognize appropriate management options for UGTIs, including medical and surgical interventions.	K	Large Group & Bedside	Short answer questions, MCQ & CIVA
OBST37.4	Explain the potential complications of untreated UGTIs and the importance of timely treatment to preserve reproductive health.	K	Large Group Teaching & Bedside	Short answer question, MCQ & CIVA
OBST37.5	Understand the role of health promotion in gynecological infections by understanding methods of prevention, importance of patient education, safe sexual practices, and early diagnosis to reduce complications and protect reproductive health.	A	Large Group Teaching & Bedside	Short answer questions & MCQ

Urogenital Prolapse

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST38.1	Understand the types and causes of urogenital prolapse, including cystocele, rectocele, uterine prolapse, and vaginal vault prolapse, and their contributing factors such as childbirth, aging, and obesity.	K	Large Group Teaching & Bedside	Short answer question, MCQ, OSCE & CIVA
OBST38.2	Identify the clinical features and diagnostic approach for urogenital prolapse.	K	Large Group Teaching	Short answer questions & MCQ
OBST38.3	Recognize the diagnostic approach to urogenital prolapse, including pelvic examination, POP-Q staging, and imaging studies like MRI or ultrasound.	K	Large Group Teaching & Bedside	Short answer question, MCQ, OSCE & CIVA
OBST38.4	Describe the management strategies including conservative treatments like pelvic floor exercises and pessary use for mild cases, and surgical interventions such as vaginal or abdominal repair for severe cases.	K	Large Group Teaching & Bedside	Short answer question, MCQ, OSCE & CIVA
OBST38.5	Emphasize health promotion by educating women on the risk factors, importance of pelvic floor exercises, and early symptom recognition to prevent and manage urogenital prolapse.	A	Large Group Teaching & Bedside	Short answer questions & MCQ

Urinary Incontinence

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST39.1	Understand the types and causes of urinary incontinence, including stress, urge, overflow, and mixed incontinence, and the associated risk factors such as age, pregnancy, menopause, and obesity.	K	Large Group Teaching & Bedside	Short answer question, MCQ, OSCE & CIVA
OBST39.2	Identify the clinical features and diagnostic approach, including history taking, bladder diaries, physical examination, and diagnostic tools such as urinalysis, urodynamic studies, and post-void residual assessment.	K	Large Group Teaching & Bedside	Short answer questions & MCQ
OBST39.3	Describe the management strategies for urinary incontinence, including behavioral therapies, pharmacological treatments, and surgical interventions based on incontinence type and severity.	K	Large Group Teaching & Bedside	Short answer question, MCQ, OSCE & CIVA
OBST39.4	Recognize the role of health promotion and lifestyle modifications in preventing or minimizing urinary incontinence, such as weight loss, fluid adjustment, bladder training, and pelvic floor exercises.	A	Large Group Teaching & Bedside	Short answer questions & MCQ

Chronic Pelvic Pain

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST40.1	Understand the definition and common causes of chronic pelvic pain (CPP), including gynecological, urological, gastrointestinal, musculoskeletal, and psychological origins.	K	Large Group Teaching & Bedside	Short answer question, MCQ, OSCE & CIVA
OBST40.2	Identify the clinical features and diagnostic approach, including history taking, pelvic examination, imaging techniques, and diagnostic laparoscopy.	K	Large Group Teaching & Bedside	Short answer question, MCQ, OSCE & CIVA
OBST40.3	Describe the management strategies for CPP, such as medical therapy, physiotherapy, psychological support, and surgical intervention when appropriate.	K	Large Group Teaching & Bedside	Short answer question, MCQ, OSCE & CIVA
OBST40.4	Recognize the importance of a multidisciplinary approach in evaluating and managing chronic pelvic pain to improve patient outcomes.	A	Large Group Teaching & Bedside	Short answer question, MCQ, OSCE & CIVA

Menopause and Hormone Replacement Therapy

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST41.1	Explain how hormonal changes during menopause lead to physiological and symptomatic changes in the body.	K	Large Group Teaching & Bedside	Short answer question, MCQ, OSCE & CIVA
OBST41.2	Describe the common manifestations of menopause, including vasomotor symptoms and genitourinary changes.	K	Large Group Teaching & Bedside	Short answer question, MCQ, OSCE & CIVA
OBST41.3	Recognize the clinical methods used to evaluate menopause, including hormonal assays and patient history.	K	Large Group Teaching & Bedside	Short answer question, MCQ, OSCE & CIVA
OBST41.4	Outline the indications and types of hormone replacement therapy used in menopausal women.	K	Large Group Teaching & Bedside	Short answer question, MCQ, OSCE & CIVA
OBST41.5	Compare the advantages and potential complications of HRT based on individual risk factors.	K	Large Group Teaching & Bedside	Short answer question, MCQ, OSCE & CIVA
OBST41.6	Differentiate between hormonal and non-hormonal management strategies for menopausal symptoms.	K	Large Group Teaching & Bedside	Short answer question, MCQ, OSCE & CIVA

Gynecological Operations

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST42.1	Identify the types of gynecological operations, including diagnostic procedures (hysteroscopy, laparoscopy), minor surgeries (D&C, cervical cerclage), and major surgeries (hysterectomy, myomectomy, ovarian cystectomy).	K	Large Group, Small group, Bedside & Clinical skills lab	Short answer question, MCQ, OSCE & CIVA
OBST42.2	Explain the indications and surgical approaches for gynecological surgeries, such as laparoscopic, hysteroscopic, and open surgeries, based on conditions like fibroids, endometriosis, abnormal bleeding, and malignancies.	K	Short answer question	MCQ, OSCE & CIVA
OBST42.3	Describe the preoperative and postoperative considerations, including patient evaluation, anesthesia choices, postoperative care, and potential complications like infection, bleeding, and adhesions.	K	Large Group, Small group, Bedside & Clinical skills lab	Short answer question, MCQ, OSCE & CIVA
OBST42.4	Understand the potential complications of gynecological surgeries, such as infection, bleeding, and adhesions, and how to minimize them through careful surgical planning and postoperative care.	K	Large Group, Small group, Bedside & Clinical skills lab	Short answer question, MCQ, OSCE & CIVA

Gynecological Endoscopy

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST43.1	Understand the types and applications of gynecological endoscopy, including hysteroscopy, laparoscopy, and colposcopy, used for various gynecological conditions.	K	Large Group, Small group, Bedside & Clinical skills lab	Short answer questions & MCQ
OBST43.2	Identify the indications for gynecological endoscopy, such as for abnormal uterine bleeding, infertility, pelvic pain, endometriosis, and ovarian cysts.	K	Short answer question	MCQ, OSCE & CIVA
OBST43.3	Recognize the potential complications of gynecological endoscopy, such as bleeding, infection, injury to surrounding organs, and anesthesia risks.	K	Large Group, Small Group & Bedside	Short answer question, MCQ, OSCE & CIVA
OBST43.4	Evaluate the therapeutic benefits and outcomes of gynecological endoscopy, including faster recovery times, fewer complications, and better surgical results.	K	Large Group, Small Group & Bedside	Short answer question, MCQ, OSCE & CIVA

Gynecological Problems in Adolescence and Childhood

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST44.1	Understand common gynecological problems in adolescence and childhood, including menstruation-related issues such as primary amenorrhea and dysmenorrhea.	K	Large Group Teaching	Short answer questions & MCQ
OBST44.2	Identify congenital gynecological conditions, such as Müllerian duct anomalies and ovarian cysts, and their implications.	K	Large Group Teaching	Short answer questions & MCQ
OBST44.3	Apply diagnostic techniques for gynecological problems in younger patients, including taking a thorough history such as menstrual history and sexual activity.	K	Large Group Teaching	Short answer questions & MCQ
OBST44.4	Utilize physical examination and diagnostic tools, such as ultrasound and laboratory tests, to assess gynecological conditions in adolescence and childhood.	K	Large Group Teaching	Short answer questions & MCQ
OBST44.5	Analyze management strategies for menstrual disorders in adolescence, including medical treatments and hormone therapy for conditions like polycystic ovary syndrome (PCOS).	K	Large Group Teaching	Short answer questions & MCQ

Gynecological Disorders in Pregnancy and Breast Disease in Pregnancy

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST45.1	Identify different gynecological conditions that may occur during pregnancy, their causes, and their potential impact on maternal and fetal health.	K	Large Group Teaching	Short answer questions & MCQ
OBST45.2	Recognize and manage breast diseases in gynecology, differentiate between benign and malignant breast conditions, their clinical presentations, and appropriate diagnostic and treatment approaches.	K	Large Group Teaching	Short answer questions & MCQ
OBST45.3	Plan an evidence-based approach to diagnose and treat common gynecological and breast disorders to ensure optimal patient outcomes.	K	Large Group Teaching	Short answer questions & MCQ
OBST45.4	Apply health promotion strategies to educate pregnant women about the prevention and early detection of gynecological and breast disorders, with a focus on maintaining reproductive health, ensuring a safe pregnancy, and seeking timely medical care for early intervention.	A	Large Group Teaching	Short answer questions & MCQ

Drugs in Gynae

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST46.1	Understand the mechanisms of gynecological drugs and their role in managing conditions.	K	Large Group, Small group, Bedside & Clinical skills lab	Short answer question, MCQ, OSCE & CIVA
OBST46.2	Identify the side effects and contraindications of gynecological medications to ensure patient safety.	K	Large Group, Small group, Bedside & Clinical skills lab	Short answer question, MCQ, OSCE & CIVA
OBST46.3	Differentiate clinical presentations and select the most effective pharmacological treatment for gynecological disorders.	K	Large Group, Small group, Bedside & Clinical skills lab	Short answer question, MCQ, OSCE & CIVA

Radiotherapy and Chemotherapy

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST47.1	Understand the principles and applications of radiotherapy and chemotherapy in gynecological cancers, including their roles in treating cervical, ovarian, endometrial, and vulvar cancers.	K	Large Group Teaching	Short answer question, MCQ, OSCE & CIVA
OBST47.2	Identify the different types of radiotherapy (external beam and brachytherapy) and chemotherapy used based on cancer type, stage, and patient factors.	K	Large Group Teaching	Short answer question, MCQ, OSCE & CIVA
OBST47.3	Recognize the potential side effects and management strategies, including nausea, bone marrow suppression, radiation-induced damage, and long-term complications, with emphasis on supportive care and patient monitoring.	K	Large Group Teaching	Short answer question, MCQ, OSCE & CIVA

Female Sexual Health

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST48.1	Understand the components of female sexual health, including physical, psychological, and hormonal factors that influence sexual function, desire, and satisfaction.	K	Large Group Teaching	Short answer questions & MCQ
OBST48.2	Identify common sexual health concerns, such as hypoactive sexual desire disorder, dyspareunia, vaginismus, and the impact of conditions like menopause, hormonal imbalances, and psychological stress.	K	Large Group Teaching	Short answer questions & MCQ
OBST48.3	Recognize management strategies, including counseling, hormonal and non-hormonal treatments, pelvic floor therapy, and lifestyle modifications to improve overall sexual well-being.	A	Large Group Teaching	Short answer questions & MCQ

Practical

1st Week Day 1

Introduction To History

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST1.1	Identify the key components of a comprehensive medical history.	K/S/C	Small group & Bedside teaching	OSCE & CIVA
OBST1.2	Demonstrate effective communication skills in patient consultations.	S/C/A	Small group & Bedside teaching	OSCE & CIVA

Gynecological History

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST2.1	Recognize common gynecological symptoms and their clinical significance.	K/S/C	Small group & Bedside teaching	OSCE & CIVA
OBST2.2	Obtain a detailed and structured gynecological history.	K/S/C	Small group & Bedside teaching	OSCE & CIVA

History of Menarche, Menstrual History and Assessment of Pubertal Signs

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST3.1	Obtain a detailed history of menarche and menstrual patterns and identify irregularities.	K/S/C	Small group & Bedside teaching	OSCE & CIVA
OBST3.2	Assess pubertal signs and their correlation with normal developmental stages.	K/S/C	Small group & Bedside teaching	OSCE & CIVA

Gynecological Bimanual Examination

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST4.1	Perform to assess the size, shape, and mobility of the uterus and adnexa and differentiate them from pathological conditions.	K/S/C	Small group & Bedside teaching	OSCE & CIVA
OBST4.2	Develop the ability to correlate findings from the bimanual examination with clinical symptoms to guide further diagnostic steps.	K/S/C	Small group & Bedside teaching	OSCE & CIVA

1st Week Day 2

Abnormal Menstruation and Clinical Assessment

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST5.1	Correlate abnormal menstrual patterns with potential underlying gynecological and systemic conditions.	S	Small group & Bedside teaching	OSCE & CIVA
OBST5.2	Interpret clinical findings and diagnostic tests to guide management decisions.	C/S	Small group & Bedside teaching	OSCE & CIVA

Types of Contraceptives

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST6.1	Assess patient-specific factors to determine the most appropriate contraceptive method.	S	Small group, Bedside teaching & Clinical skills lab	OSCE & CIVA
OBST6.2	Evaluate the benefits, risks, and contraindications of different contraceptive options in clinical practice.	S/A	Small group, Bedside teaching & Clinical skills lab	OSCE & CIVA

History Taking Related to Fertility Disorders and Clinical Assessment & Investigations

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST7.1	Conduct a detailed clinical evaluation and analyze diagnostic findings to identify underlying causes of infertility.	S	Small group & Bedside teaching	OSCE & CIVA
OBST7.2	Develop an appropriate investigative plan for fertility assessment.	S/A	Small group & Bedside teaching	OSCE & CIVA

Clinical Presentation of Ectopic Pregnancy and Management of Acute Abdomen

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST8.1	Identify the clinical signs and symptoms of ectopic pregnancy and assess risk factors for timely diagnosis.	S	Small group & Bedside teaching	OSCE & CIVA
OBST8.2	Develop a management strategy for acute abdomen, prioritizing urgent interventions and surgical referrals when necessary.	S/A	Small group & Bedside teaching	OSCE & CIVA

1st Week Day 3

Clinical Presentation of Miscarriage and Management of Woman with Bleeding

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST9.1	Identify the clinical signs and symptoms of miscarriage and assess the severity of bleeding.	K/S/C	Small group & Bedside teaching	OSCE & CIVA
OBST9.2	Formulate an appropriate management plan for a woman with bleeding, including both conservative and surgical options when necessary.	S/C/A	Small group & Bedside teaching	OSCE & CIVA

Clinical Presentation of Molar Pregnancy

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST10.1	Recognize the clinical presentation including characteristic symptoms like abnormal bleeding and elevated hCG levels.	K/S/C	Small group & Bedside teaching	OSCE & CIVA
OBST10.2	Develop an approach for the management of molar pregnancy, including appropriate diagnostic steps and treatment options.	K/S/C	Small group & Bedside teaching	OSCE & CIVA

Skills of Dilatation and Curettage (D&C)

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST11.1	Perform and demonstrate the correct technique for dilation and curettage (D&C) under supervision, ensuring sterile procedures and patient safety.	K/S/C	Small group, Bedside teaching & Clinical skills lab	OSCE & CIVA
OBST11.2	Recognize the indications for D&C, including incomplete miscarriage, diagnostic purposes, and managing uterine abnormalities, and understand the potential complications involved.	K/S/C	Small group, Bedside teaching & Clinical skills lab	OSCE & CIVA

Uterine Fibroid (Clinical Assessment and Presentation)

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST12.1	a) Elicit a focused history from a patient presenting with abnormal uterine bleeding or pelvic pain. b) Perform abdominal and bimanual pelvic examination to assess uterine size, contour, mobility, and tenderness.	K/S/C	Small group, Bedside teaching & Clinical skills lab	OSCE & CIVA
OBST12.2	Differentiate uterine fibroids from other pelvic masses through clinical assessment and imaging interpretation.	K/S/C	Small group, Bedside teaching & Clinical skills lab	OSCE & CIVA

1st Week Day 4

How to Suspect Malignant Adnexal Mass and Investigations

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST13.1	Recognize clinical signs that may indicate a malignant adnexal mass, such as pain, bloating, and irregularities in the mass characteristics.	K/S	Small group, Bedside teaching & Clinical skills lab	OSCE & CIVA
OBST13.2	Select and interpret key diagnostic investigations, including ultrasound, CA-125, and further imaging for definitive assessment.	S/C	Small group, Bedside teaching & Clinical skills lab	OSCE & CIVA

Clinical Examination of Woman with Vulval Disease

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST14.1	Perform a systematic clinical examination of women presenting with vulval disease, including inspection for lesions, redness, and swelling.	S/C	Small group, Bedside teaching & Clinical skills lab	OSCE & CIVA
OBST14.2	Identify and differentiate common vulval conditions and initiate appropriate investigations for diagnosis and management.	K/S/A	Small group, Bedside teaching & Clinical skills lab	OSCE & CIVA

Clinical Examination of Woman with Vaginal Disease

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST15.1	Conduct a detailed clinical examination of women with vaginal disease, focusing on inspection, palpation, and vaginal speculum examination.	S/C	Small group, Bedside teaching & Clinical skills lab	OSCE & CIVA
OBST15.2	Identify common vaginal conditions and determine appropriate diagnostic steps for further evaluation.	K/S	Small group, Bedside teaching & Clinical skills lab	OSCE & CIVA

Ultrasound, X-ray, MRI & CT Scan Demonstration

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST16.1	Demonstrate the ability to interpret ultrasound, X-ray, MRI, and CT scans in diagnosing gynecological conditions.	S	Small group, Bedside teaching & Clinical skills lab	OSCE & CIVA
OBST16.2	Understand the clinical indications and limitations of each imaging modality for effective patient management.	K/S	Small group, Bedside teaching & Clinical skills lab	OSCE & CIVA

1st Week Day 5

Clinical Diagnosis of Endometriosis & Laparoscopy Role

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST17.1	Identify the clinical features of endometriosis, such as chronic pelvic pain and painful menstruation, and differentiate it from other pelvic disorders.	K/S/C	Small group, Bedside teaching & Clinical skills lab	OSCE & CIVA
OBST17.2	Understand the indications for laparoscopy in the diagnosis and treatment of endometriosis, including staging, removal of lesions, and fertility preservation.	K/S/C	Small group, Bedside teaching & Clinical skills lab	OSCE & CIVA

Differential Diagnosis of Adnexal Mass and Workup

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST18.1	Formulate a differential diagnosis for adnexal masses, considering common conditions like functional cysts, fibromas, and malignancies.	K/S	Small group, Bedside teaching & Clinical skills lab	OSCE & CIVA
OBST18.2	Develop an appropriate workup strategy, including imaging studies, laboratory tests, and clinical evaluation to determine the nature of the mass.	S	Small group, Bedside teaching & Clinical skills lab	OSCE & CIVA

Skill: Pap Smear, Colposcopy and Biopsy

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST19.1	Perform and interpret Pap smear and colposcopy to identify cervical abnormalities and demonstrate proficiency in guiding biopsy when needed.	S/C	Small group, Bedside teaching & Clinical skills lab	OSCE & CIVA
OBST19.2	Understand the indications, techniques, and interpretation of results for Pap smear, colposcopy, and cervical biopsy in the diagnosis and management of cervical pathology.	K/S	Small group, Bedside teaching & Clinical skills lab	OSCE & CIVA

Skill: Hysteroscopy and Endometrial Biopsy

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST20.1	Demonstrate the technique of performing hysteroscopy to visually assess the uterine cavity for abnormalities and guide biopsy when necessary.	S/C	Small group, teaching Practical learning & Clinical skills lab	OSCE & CIVA
OBST20.2	Understand the indications, procedures, and interpretation of endometrial biopsy for diagnosing uterine conditions, malignancy, or hyperplasia.	S/A	Small group, teaching Practical learning & Clinical skills lab	OSCE & CIVA

2nd Week - Day 1

Vaginal Discharge

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST21.1	Diagnose and differentiate causes of vaginal discharge by categorizing it as physiological or pathological (infective and non-infective) and identifying key clinical and diagnostic criteria.	K/S	Small group, teaching Practical learning & Clinical skills lab	OSCE & CIVA
OBST21.2	Formulate an evidence-based management plan for vaginal discharge by conducting a thorough history and examination, interpreting diagnostic tests, selecting appropriate treatment, and determining the need for further investigations.	S/C/A	Small group, teaching Practical learning & Clinical skills lab	OSCE & CIVA

2nd Week - Day 2

High Vaginal Swab

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
OBST22.1	Perform and interpret HVS to diagnose common vaginal infections.	S/C	Small group, teaching Practical learning & Clinical skills lab	OSCE & CIVA
OBST22.2	Correlate microbiological findings with clinical symptoms to guide appropriate treatment.	S/C	Small group, teaching Practical learning & Clinical skills lab	OSCE & CIVA

Number	Learning Objective	Domain K/S/A/C	Teaching Learning Methods	Assessment Methods
3	Slideshow and images being presented and discussed in Small Group. It features a variety of clinical images and medical instruments related specifically to gynecology. The presentation aims to familiarize students with real-life cases, including visual examples of common gynecological conditions, anatomical variations, and diagnostic findings. Additionally, it showcases essential tools used in gynecological exams and procedures, helping students build their clinical observation skills and prepare for practical assessments.	K/S/A/C	Small group teaching & Practical learning	OSCE & CIVA
4	Examination	K/S/A/C	Small group teaching & Practical learning	OSCE & CIVA
5	Examination	K/S/A/C	Small group teaching & Practical learning	OSCE & CIVA

Obstetric and Gynecology 6th stage

Code: OBST 603    Credits: 12

6th Year Weekly Timetable in Obstetrics and Gynecology

Day	Topic	Objectives
Day 1	History Taking	Discussion about history & how to present the cases (the students will present their cases)
Day 2	Skill Lab	Obstetrical history taking and examination
Day 3	General Examination	a) History Taking b) Bedside Teaching (History presentations + General examination) c) Seminar
Day 4	General Examination	a) History taking & self-study b) Presenting the cases + how to examine patients with gravid uterus and those after delivery. c) Seminar
Day 5	Obstetric Emergencies	a) History taking & self-study b) Bedside case presentation + physical examination c) Presenting a case and how to examine shocked patient and ABC measures in cases of obstetric shock
Day 6	APH and PPH	Bedside teaching
Day 7	Skill Lab	a) CTG b) Partogram
Day 8	Normal Labour	a) History taking & self-study b) Bedside case presentation + physical examination c) Seminar presentation with discussion about normal and abnormal progress of labor
Day 9	Normal Labour	a) History taking & self-study b) Bedside case presentation + physical examination highlights the progress of normal labor and causes of abnormal ones. c) Seminar
Day 10	PPH	a) Morning tour and history taking b) Bedside Teaching (examining pt. with history of normal vaginal delivery and PPH with emergency measurements and management) c) Quiz
Day 11	Medical Problems Complicating Pregnancy	a) Morning tour and history taking - Bedside Teaching b) Gestational HT and PE
Day 12	Skill Lab	Instrumental delivery
Day 13	Medical Problems Complicating Pregnancy	a) Morning tour and history taking - Bedside Teaching b) Type 2 DM and gestational DM c) Seminar
Day 14	Medical Problems Complicating Pregnancy	a) Morning tour and history taking - Bedside Teaching b) Heart disease and pregnancy c) Seminar
Day 15	Medical Problems Complicating Pregnancy	a) Morning tour and history taking - Bedside Teaching b) Anemias in pregnancy
Day 16	Skill Lab	Mechanism of labor
Day 17	APH	a) Morning tour and history taking b) Bedside Teaching (examining pt. with history of antepartum hemorrhage caused by placenta previa with all emergency measures and treatments) c) Seminar
Day 18	APH	a) Morning tour and history taking b) Bedside Teaching (examining patient with history of antepartum hemorrhage caused by placental abruption with all emergency measures and treatments) c) Seminar
Day 19	APH	a) Morning tour and history taking b) Bedside Teaching (examining patient with history of antepartum hemorrhage caused by placenta previa accrete with all emergency measures including emergency hysterectomy)
Day 20	IUFD and IUGR	a) Morning tour and history taking - Bedside Teaching b) Quiz
Day 21	Gyn. History	Discussion about history taking & how to present the cases (the students will present their cases)
Day 22	Skill lab.	History taking and gynecological pelvic examination
Day 23	Early pregnancy bleeding	a) Morning tour and history taking - Bedside Teaching (examining patient with history of bleeding in early pregnancy with all measures and treatment – ectopic pregnancy –) b) Seminar
Day 24	Early pregnancy bleeding	a) Morning tour and history taking b) Bedside Teaching (examining patient with history of bleeding in early pregnancy with all measures and treatment – miscarriage –)
Day 25	Early pregnancy bleeding	a) Morning tour and history taking - Bedside Teaching (examining patient with history of bleeding in early pregnancy with all measures and treatment – molar pregnancy –) b) Seminar
Day 26	Endometrial hyperplasia and CA of endometrium	History Taking - Bedside Teaching (History presentations + General examination)
Day 27	Skill lab.	Types of contraception and IUCD insertion
Day 28	Ovarian benign and malignant cyst	History taking & examination morning tour with advisor senior - Bedside Teaching (history + clinical examination, causes, presentation of ovarian cyst) + Seminar
Day 29	Premalignant and malignant condition of the cervix	a) History taking and ward round to follow the cases beside history and case presentation b) Seminar
Day 30	PMS	a) History taking and ward round to follow the cases beside history and case presentation highlighting different presentation, causes and treatment of PMS b) Quiz
Day 31	Minimal excess surgeries in Gyn.	History taking and ward round to follow the cases beside history and case presentation
Day 32	Skill lab.	Type of suturing materials and skills of suturing
Day 33	Dysmenorrhea	a) History taking and ward round to follow the cases beside history and case presentation highlighting types of dysmenorrhea and treatment b) Seminar
Day 34	Endometriosis	a) History taking - Bedside Teaching to present the cases (highlight important points in the history & physical examination in patient with endometriosis, causes & management) b) Seminar
Day 35	HRT	a) History taking and ward round to follow the cases beside history and case presentation b) Quiz

Sixth Year Training At Primary Health Care Center

1st Week

Day & Time	Topic	Learning Objectives	Domain
Saturday 8 AM – 2 PM	Antenatal care	a. Introduction to the PHC Center: Meet the staff, understand the center's organization, patient flow, and available resources. Review relevant patient records and data collection methods (with appropriate patient confidentiality). b. Antenatal Clinic Observation: Observe history taking (including obstetric history, risk factors), physical examinations (vitals, abdominal examination, fetal heart sounds), and routine antenatal investigations. Pay attention to patient education on nutrition, hygiene, danger signs, and preparation for delivery. c. Case Discussion: Discuss 2-3 antenatal cases observed, focusing on risk assessment, management plans, and patient counseling strategies, Familiarize themselves with the recommended schedule of visits, essential investigations, and interventions	K/S/A/C
Sunday 8 AM – 2 PM	Postnatal care	a. Postnatal Clinic Observation: Observe postnatal check-ups, including maternal physical examination, assessment of well-being, and counseling on breastfeeding, nutrition, hygiene, and postnatal danger signs. b. Newborn Examination: perform basic newborn physical examinations, including Apgar scoring (if applicable), assessment for jaundice, congenital anomalies, and feeding. c. Case Discussion: Discuss 1-2 postnatal cases and newborn assessments, focusing on identifying potential complications and providing appropriate advice. Postnatal Care and Newborn Screening Guidelines: Understand the recommended postnatal visits, essential advice, and any routine newborn screening programs in place.	K/S/A/C
Monday 8 AM – 2 PM	Contraception and Family Planning	a. Family Planning Counseling Observation: Observe counseling sessions on various contraceptive methods (pills, injectables, implants, IUDs, barrier methods, natural family planning). Pay attention to how providers assess patient needs, explain different options, address concerns and misconceptions, and obtain informed consent. b. Practical Demonstration (if available and appropriate): Observe or assist (under direct supervision) with the administration of certain contraceptive methods (e.g., oral pills, injectables). c. Role-Playing: Practice counseling patients on different contraceptive options, addressing common questions and concerns. d. Review of National Family Planning Guidelines and Available Methods: Understand the national policies on family planning, eligibility criteria for different methods, and referral pathways.	K/S/A/C
Tuesday 8 AM – 2 PM	Vaccinations	a. Vaccination Clinic Observation: Observe the vaccination process for infants, children, and pregnant women. Understand the vaccine schedule, proper storage and administration techniques, record-keeping, and management of adverse events. b. Review of the National Immunization Schedule and Maternal Disease Management Protocols: Familiarize themselves with the recommended vaccines, target populations, contraindications, and basic management guidelines for common maternal diseases at the primary care level.	K/S/A/C
Wednesday 8 AM – 2 PM	Maternal Diseases During Pregnancy	a. Discussion on Common Maternal Diseases: Engage with the healthcare providers to discuss the prevalence, presentation, and management of common maternal diseases encountered in primary care (e.g., gestational diabetes, hypertensive disorders of pregnancy, anemia, infections). b. Case Study Analysis: Analyze case studies of pregnant or postpartum women with common medical conditions, focusing on the role of primary care in early detection, management, and referral.	K/S/A/C

Sixth Year Training At Primary Health Care Center

2nd Week

Day & Time	Topic	Learning Objectives	Domain
Saturday 8 AM – 2 PM	Gynecological Health	a. Menstrual Health Issues: Learning about the assessment and initial management of common menstrual problems like dysmenorrhea (painful periods), menorrhagia (heavy periods), and oligomenorrhea (infrequent periods). Understanding when hormonal management or referral to a specialist is indicated, and interventions. b. Polycystic Ovary Syndrome (PCOS) Awareness: Recognizing common symptoms suggestive of PCOS (e.g., irregular periods, hirsutism, acne) and understanding the role of primary care in initial counseling and referral for diagnosis and management. c. Menopause and Perimenopause: Gaining awareness of the symptoms of menopause and perimenopause and understanding the basic advice and support that can be offered at the primary care level.	K/S/A/C
Sunday 8 AM – 2 PM	Reproductive Health	a. Infertility Awareness and Initial Counseling: Understanding the common causes of infertility and providing initial counseling and guidance to couples seeking to conceive. b. Preconception Counseling: Learning about the importance of preconception health, including advice on nutrition, lifestyle modifications, and folic acid supplementation for women planning pregnancy. d. Sexually Transmitted Infections (STIs): Understanding the importance of STI screening (if available or through referral), recognizing common STI symptoms, and providing basic counseling on prevention and treatment.	K/S/A/C
Monday 8 AM – 2 PM	Screening	a. Screening Activities Observation: Observe any routine screening activities conducted at the PHC center relevant to maternal and child health (e.g., screening for anemia, gestational diabetes, hypertension, malnutrition, developmental delays). Understand the protocols, referral criteria, and follow-up mechanisms. b. Discussion on Health Promotion and Disease Prevention: Discuss the role of primary care in promoting healthy behaviors and preventing diseases related to maternal and child health. c. Integrated Case Discussion: Discuss complex cases that involve multiple aspects learned during the week (e.g., a pregnant woman with gestational diabetes requiring antenatal care, family planning counseling for after delivery, and ensuring her infant receives timely vaccinations). d. Reflection and Feedback: Reflect on the learning experience, discuss challenges and key takeaways with the supervising physician, and provide feedback on the rotation.	K/S/A/C
Tuesday 8 AM – 2 PM	Urinary Tract Infections (UTIs) in Pregnancy	Diagnosis and management of common UTIs in pregnant women, considering their potential complications.	K/S/A/C
Wednesday 8 AM – 2 PM	Hypertensive Disorders of Pregnancy (Pre-eclampsia, Eclampsia)	a. Identify the prevalence of HDP in the local context and recognize key risk factors such as primigravida, multiple gestation, pre-existing hypertension, diabetes, obesity, and family history. b. Familiarize with the local protocols for screening, monitoring, and initial management of HDP in primary care settings, including referral criteria.	K/S/A/C