Working-Program-for-training-Magistrates

Whileboth studies obstetrics mainly processes related to conception, pregnancy, childbirthand postpartum period, develops methods of obstetrics, prevention and treatment oflabor and chil

The Ministry of Health of the Republic of Uzbekistan.

TASHKENT MEDICAL ACADEMY

"APPROVED" Vice –rector for Educational Prof Boymuradov Sh A.

« » _2018 y

Working Program for training Magistrates

In specialty 5А510101 Obstetrics and Gynecology

on base undergraduate 5510100-treatment department

Total workload - 1398 hours

Seminars - 920 hours

Independent work - 478 hours

Master the practice of general -4050 hours

Master the practice -2748 hours

Independent work -1302 hours

The Ministry of Health of the Republic of Uzbekistan.

TASHKENT MEDICAL ACADEMY

Working Program for training Magistrates

In specialty 5А510101 Obstetrics and Gynecology

on base undergraduate 5510100-treatment department

Presented program is revised and amended in the framework of the Master*sprogram in Obstetrics and Gynecology of Royal College of Obstetrician andGynecologist (Great Britain) and program Chair, Department of Obstetrics andGynecology, Tulane University School of Medicine (New Orleans, Louisiana) In thisedition used guidelines, published and recommended by WHO for the implementation ofthe learning process.

Teaching work program reviewed and approved at a joint meeting ofDepartment Obstetrics and Gynecology ТМА protokol №5 from «15» 06 2017 y

Head of the Department Yuldasheva D.Y.

Head of the DepartmentAyupova F.M.

1 Introduction

Obstetrics and gynecology - inextricably linked clinic field of medicine Whileboth studies obstetrics mainly processes related to conception, pregnancy, childbirthand postpartum period, develops methods of obstetrics, prevention and treatment oflabor and childbirth complications, protection of the fetus and newborn, gynecologyefforts as a science, directed to study the etiology, pathogenesis, clinicalmanifestations, diagnosis and treatment of disease of the female reproductive system

In the field of obstetrics and gynecology specialists must have knowledge andskills in the medical sciences relevant female reproductive system, including all theclinical diagnosis aspects of conservative and surgical treatment and prevention ofdiseases of the reproductive system of the woman is during pregnancy

Despite the tremendous achievements of modern medicine, certain types ofpathology on the field of obstetrics and gynecology, continue to be a seriously medicaland social problem In connection with this growing need for qualified obstetrician-gynecologist who own fully at the appropriate level of knowledge and skills ofcomplex treatment of such diseases These specialist high-end designed to becomedoctors – obstetrics-gynecologists, semi ourselves to a master's degree

In addition, masters obstetricians, being skilled in the Professional will be able

to carry out not only medical and preventive work, but also research, management, medical and social, organizational and methodical work

administration-In view of the above, the master obstetrician will be fully restate today

According to the curriculum, a master's degree in the specialty "Obstetrics andGynecology" provides a three-year full-time education

Classes are held at the Department of Obstetrics and Gynecology, based in thematernity complexes, based urban and national and departmental medical andpreventive establishment In addition, training is provided in the participating ResearchInstitute and scientific center of the Ministry of Health and the Academy of Sciences

of Uzbekistan

Theoretical training in the specialty is conducted in the form of seminars in allareas of obstetrics and gynecology, and includes research methods in Obstetrics andPerinatology Physiology of childbirth and the postpartum period: pregnant vomiting,hypertension during pregnancy, miscarriage; vaginal bleeding in early and lategestation After delivery, obstetrics hemorrhagic shock, disseminated intravascularcoagulation in obstetrics; unsatisfactory progress of labor, pelvic disproportion-head, 3methods of active management of labor, maternal injuries Pregnancy and backgroundsomatic diseases, pregnancy and childbirth in some obstetric complications andsituations breech; operative obstetrics; early termination of pregnancy, induction oflabor, infection during pregnancy, childbirth and postpartum, postpartum infection:fever after delivery

Functional anatomy of the female reproductive organs and modern methods ofdiagnosis of gynecological diseases: structure and function of the female reproductivesystem and its regulation, developmental disorders of the reproductive system:amenorrhea, uterine bleeding in women different ages: neuroendocrine syndromes ingynecology, virility syndromes; inflammatory diseases Female genital mutilation: the

endometriosis Benign tumors of the uterus, ovaries malignant tumors of femalegenital mutilation; women's issues sexopatology, barren marriage, contraception,family planning, reproductive technologies.

Part of the seminars held graduate students of the third and second years ofstudy with masters of the first years, as well as graduate students of 1st year studentsparticipate in teaching 4 courses of medical faculty and graduate students of 2 and 3years of training students to participate in teaching the 5th year of the medical faculty

Practical training (master's practice) is held in the offices of maternity hospitals,specialized departments of hospitals, diagnostic departments, in the antenatal clinic, aswell as resuscitation and emergency care It includes an independent interpretation ofthe results of additional studies, the implementation of medical - diagnostic proceduresprocedures, filling medical documentation, curation of patients in accordance with thelist of skills within each rotation Part of the practical skills mastered during duty.Practical training (master's practice) is carried out under the guidance of coach andmoderator Control training is carried out by checking the daily reports with theindication of the proportion of independent participation graduate student, as well as ofthe IC and FC

The main goals and objectives of training

1.1 The aim of master degree in obstetrics and gynecology is to prepare highlyqualified specialists of Obstetricians and Gynecologists, holding in a properknowledge of the amount, skills and practical skills needed in modern obstetric andgynecological practice, the relevant requirements of certification and subsequentlicensing as professionals with a focus on research and training

1.2 Learning objectives:

- To develop at the present level of knowledge on the epidemiology, etiology,pathogenesis of gestational and postnatal complications, diseases of internal organs,

- Develop knowledge on prenatal care, use of modern methods of diagnosis ofpathological conditions related gestational and postnatal periods, gynecologicaldiseases;

-To develop skills of self-determination of the required volume and a set of therapeutic

- To learn to make the necessary and appropriate diagnostic and therapeuticmanipulations and procedures for pregnant women, women in childbirth and afterchildbirth, as well as gynecological patients in outpatient and inpatient settings;

- develop the ability to interpret the results of modern laboratory and instrumentalstudies used in everyday practice obstetrician To develop the skills of highly qualifiedassistance to date in case of emergency associated with pregnancy, childbirth and thepostpartum period, and in gynecologic patients;

- Develop skills in intensive care at a gestational complications and gynecological diseases:

-Is knowledge for the complex social and labor rehabilitation measures for pregnant and gynecological patients

-The ability to preventive measures to reduce the level of the most common gestational

complications and prevention of gynecological diseases.

By the end of the training the student will be capable of the following:-lead obstetric and gynecological condition competently, independently and flawlessly.-Use proper technique and teaching materials at various levels of training programs inobstetrics and gynecology, such as for the bachelor program, the clinical program, and

The representing and conduct research on the specialty to improve clinical practiceand medical science

1.3 Demand to knowledge, skills and experience on a subject:

Masters of specialty "Obstetrics and Gynecology" should know and be able to:-to gather obstetric and gynecological history and analyze it;-to carry out in perfect physical examination of pregnant women giving birth, women

in childbirth and gynecological patients

- to define the scope and range of necessary diagnostic and treatment measures used in

- To carry out resuscitation and care of urgent states in obstetric, perinatal andgynecology;

- To develop and implement rehabilitation measures and childbirth gynecological sick;

-Provide advice to women:

- Demonstrate caring and respectful approach to communication, education and concounseling patients and their families:

- To conduct medical health records (complete, timely, accurate and legible)

1.4 List of academic disciplines and their sections, necessary for the study of this discipline.

Training in a magistracy on a specialty "Obstetrics and Gynecology" is based on theknowledge and skills acquired in the therapeutic and clinical departments for thetraining in medical school training program for general practitioners and includefollowing:

1 Normal anatomy (structure of the internal organs)

2 Normal physiology (functional physiology of internal organs)

3 Pathological anatomy and histology (macro- and microscopic substrate in diseases complicating pregnancy and gestational related process, as well as gynecological diseases)

4 Pathological Physiology (the mechanisms of the disease, compensated Tornio and reaction patterns of disturbances of homeostasis in diseases associated withcon-female genitalia)

adaptive-5 Biochemistry (the main biochemical reactions that underlie the development of disease, complicating pregnancy, concomitant gestational process, as well as

gynecological diseases in complex adaptively compensatory mechanisms of the entire organism)

6 Microbiology (microbiological and biochemical characteristics of the etiological agents, methods for their identification and selection of the optimal methods of

antimicrobial treatment of infectious diseases associated with female reproductive system)

7 Internal Diseases (etiology, pathogenesis, classification, clinical manifestations, complications, diagnosis, differential diagnosis, comprehensive treatment,

rehabilitation and prevention of diseases of internal organs)

8.Surgical diseases the most common diseases that occur as complications or

concomitant diseases of the female reproductive system is during pregnancy, requiring

emergency or planned surgery, clinical-laboratory and instrumental criteria for the most common surgical diseases.

9 Obstetric Anesthesiology and Intensive Care To rapid initial assessment (to render emergency and resuscitation pregnant women in labor, childbirth, neonatal and

16 Psychiatry (psychosomatic syndromes in obstetric practice, iatrogenic mental disorders)

17 Nerve disease (clinical symptoms, neurological symptoms and syndrome in obstetricpractice)

18 Clinical pharmacology (mechanism of action, pharmacodynamic, pharmacokinetic, teak,drugs interaction)

1.5 Requirements for seminars

- Notes elaborated literature

- Photocopying of the literature for preparation for seminars

- Preparation of tables, charts, algorithms on the key issues seminars

- Solving complicated situation tasks on seminars

- Decision sophisticated test tasks on seminars

- Analysis of clinical cases on the subject seminars

To master the practice:

- Self-examination of inpatients and outpatients

- Supervision of patients in an independent department

- The preparation and implementation of a set of necessary medical, diagnostic and habilitation activities

re Participate in the clinical, pathological conferences, clinical analyzes of patients

- Evaluation and interpretation of the results of additional research methods

- Analysis of the "thematic" patients

- Participation in the surveys and handling patients, produced by specialist consultants

- Filling in outpatients, medical history, statistical coupons and other copper-Qing medicaldocumentation

- Registration of the daily reports with the indication of the proportion of independentparticipation graduate student

1.6 Control measures for the assessment of graduate student's knowledge.

1 Monitoring on classes in the form of interviews, testing, and evaluation activities of itsparticipation.

2 The intermediate control

3 The final inspection performed at the end of each semester in the form of oral questioning,passing tests passed on the topics of seminars and development of practical skills

4 Report by rotation (intermediate, final, semi-annual and annual) in the form of the exam onthe implementation of practical skills and theoretical answer to the questions relating to thisrotation

1.7 New learning technology

- Decision training and supervising the tests on all sections of the theoretical part

program and master the practice of using a computer

- Distributing information material (photocopies of scientific articles and abstracts,learning aids, leaflets, brochures drugs, guidelines and manuals)

- Tables and slides

- Educational video and audio films

- Videos, computer training and monitoring programs

- Role-playing games

- Work in the "Internet"

1.8 The volume of an academic load for the disciplines of the specialty.

content

Classroom work Independentwork

1 Obstetrics and Perinatology

1.1 Methods of research in

obstetrics and perinatology

Assessment of fetal well-being

during pregnancy and

childbirth

1.2 Physiological pregnancy and

fetoplacental system

Physiology of childbirth and

the postpartum period

Antenatal care

1.3 The physiology of the neonatal

period Emergencies and

neonatal problems Factors and

risk of perinatal pathology

coagulation in obstetrics Rapid

initial assessment The basic

principles of care

Unsatisfactory progress in

labor in childbirth Pelvis

-head disproportion Maternal

injuries Disproportion

1.8 Pregnancy and somatic diseases

background

1.9 Some obstetrical complications

Some obstetrical complications

and situations Wrong position

and fetal presentation

Premature rupture membranes

Shoulder dystocia Breech

presentation of the fetus

2.1

female genital mutilation and

modern methods of diagnostics

gynecological diseases

2.2 Structure and function of the

Structure and function of the

reproductive system of women

and its regulation

Developmental disorders of the

reproductive system

2.3 Amenorrhea Uterine bleeding

Background and precancerous

diseases of female genital

authorities Endometriosis

Benign tumors of the uterus and

ovaries

2.7 Malignant tumors of the

2.8 Issues of women's sexual

pathology Barren marriage

The content of educational materials for the clusters.

2.1 "Methods of research in obstetrics and perinatologii".

Assessment of fetal well-being during pregnancy and childbirth Determination ofsmall for gestational age of the fetus SFGR factors, management Methods forassessing cardiac Activity of fetus; ultrasound biometry, biophysical tests determining

SFGR CTG; assessment of fetal condition during labor; unconvincing fetal,intrapartum asphyxia Nosocomial infections (prevention).

2.2 "Physiological pregnancy and fetoplacentar system Prenatal care "

Introduction to evidence-based medicine How to improve existing practices:Strategy changes Safe motherhood and effective perinatal care whether changes areneeded? Goal Schedule visits Care at an early stage of pregnancy Monitoring offetal growth Screening for fetal malformations Assessment of obstetric risk Stagesfetal development including functional system mother-placenta-fetus: ontogenycritical periods; Changes during pregnancy; a new model of antenatal care, developed

by WHO Some preventive measures to improve the condition of the pregnantwoman

2.3 "The physiology of childbirth and the postpartum period Keeping a normal delivery "

WHO Guidelines for labor management Partnerships childbirth Secure delivery.Free

item selection Relaxation techniques Position in the second stage of labor vainattempts Management Keeping 1 and 2 delivery periods 3 Active management oflabor The use of the partograph (principles of management, cervix, head ofpromotion, maternal and fetal) Breastfeeding: benefits, the first breast-feeding,assessment, state beast glands The joint stay of mother and child Skills ofcounseling on maternal and newborn care

2.4 "Assessment of fetal well-being during pregnancy and childbirth Assessment of the newborn baby immediately after birth and newborn care principles Reanimation of newborns "

A full inspection of the newborn (stages, the main characteristics of healthy organsand systems of the child Estimation, anthropometry, and mother counseling).Thermal protection of the newborn (thermal protection, hypothermia andhyperthermia in infants, thermal protection of newborns with low birth weight andpathology, holding warmth protection) Newborn care after resuscitation (afterreanimation assessment, care in the delivery room, postpartum ward) Feeding.Oxygen therapy, infusion therapy Support hemodynamic, treatment of seizures.Criteria for discharge from the hospital Breast-feeding Postpartum for mother andchild care Newborn Resuscitation: assessment, algorithm resuscitation

2.5 "Breech presentation".

Diagnosis of breech presentation: biomechanism birth, the clinical course of labor,delivery management, hand Tsovyanovu benefits reception Lovseta Maurice-Smellie-Veit, a classic manual manual, guidelines for the preparation of pregnant women withbreech presentation to delivery nulliparous tactics delivery with breech presentation.With large fruit and others Aggravating factors Complications for the mother andfetus

2.6 "Vomiting of pregnant women Hypertensive disorders in pregnancy “

The etiology and pathogenesis of vomiting during pregnancy, clinic, complex therapy

of vomiting during pregnancy Rare form of toxicosis of pregnant women, treatment ofrare forms of prevention Classification of hypertensive disorders during pregnancy;criteria for hypertension, identification and diagnosis of preeclampsia, proteinuriacriteria, principles of management, treatment and prevention of preeclampsia.Prevention and treatment seizures Indications for and methods of delivery Keeping inthe postpartum period Etiology, pathogenesis, clinical and modern approaches totreatment and prevention of DIC HELLP-syndrome ASP et al

2.7 "Pregnancy and background somatic pathology."

Cardiovascular diseases The course of pregnancy Congenital and acquire heartdefects Hypertonic disease Hypotension pregnant Varicose disease Principles formonitoring and management of pregnant women Indications preryva¬niyu pregnancy.Liver disease (hepatitis, cirrhosis, cholestasis, etc.) Kidney disease (BMI,glomerulonephritis, ICD) The course and management of pregnancy and childbirth.Blood disorders (anemia, thrombocytopenic purpura disease, von Willebrand's,leukemia) Management of pregnancy and childbirth Endocrine diseases (obesity,diabetes, prostate disease thyroid) Eye disease Neurological and psychiatric diseases.The course and management of pregnancy and childbirth Shortness of breath duringpregnancy: acute respiratory infections, pneumonia The clinical course, diagnosis,complications, treatment, and management tactics Bronchial asthma The clinicalcourse, diagnosis, complications, treatment, and management tactics Heart failure due

to anemia, heart disease Pulmonary edema associated with preeclampsia The courseand management of pregnancy and childbirth Pregnancy and acute abdomen(appendicitis, cholelithiasis, acute intestinal obstruction, torsion of ovarian cysts,necrosis of myoma node, peritonitis) Complications Differential diagnosis

2.8 "Infections during pregnancy, childbirth and the postpartum period."

Fever during pregnancy - cystitis, acute pyelonephritis Syphilis Gonorrhea.Chlamydia Bacterial vaginosis Streptococcus group B Lisgerioz Tuberculosis Viralhepatitis B genital herpes CMV Rubella Toxoplasmosis Malaria Trichomoniasis.Candidiasis

2.9 "Integrating the prevention of HIV transmission from mother to child and effective perinatal care."

Transduction Retroviral Therapy Transmission of HIV from mother to fetus deliverymethods Care and newborn nutrition Advising Measures to prevent the transmission

of infection medical personal

2.10 "Incomplete Premature birth "

Etiopathogenesis miscarriage Premature birth, etiopathogenesis, diagnosis, treatment,prevention Surgical treatment of CIN at miscarriage Cesarean section in pretermpregnancy Premature rupture of membranes Diagnosis Management of birth up to

34 weeks of pregnancy, in term of 34-37 weeks and at term period A newborn withlow birth weight, "small" for gestational age baby " Care and feeding

Pregnancy and childbirth

2.11 "Emergency conditions and problems of the newborn."

The syndrome of sudden infant death Care for newborns with congenitalmalformations, abnormalities, birth trauma Congenital malformations, evaluation andclassification of types of injuries Respiratory disorders in the newborn child, signs ofpoor condition, the general principles of management, classification, monitoring andcare Criteria for discharge from the hospital Assessment of the newborn state.Emergency treatment, small baby, multiple signs of the disease Cramps and musclecramps, lethargy, low blood glucose, vomiting, abdominal diarrhea, bleeding, birthtrauma Bacterial neonatal infection, the ways and times of infection, diagnosis, fromthe child and the mother infection risk factors Bacteriological, radiological, clinicalresearch methods treatment separate forms Neonatal sepsis Classification, keeping,treatment Prevention nosocomial infection of newborns in the maternity hospital.Newborn Jaundice (physiological, pathological) rating the severity, complications,clinic inspection, maintenance and treatment of neonatal jaundice

2.12 "Obstetric bleeding Vaginal bleeding in later periods pregnancy, during labor and after delivery Hemorrhagic shock in obstetrics The syndrome of disseminated intravascular coagulation in obstetrics "

Obstetric tactics and PONRP prevention and placenta previa; placental abnormalities;the clinical picture and diagnosis of medical tactics in the dense attachment andplacenta accreta: clinical features, diagnosis and treatment delay tactics in parts of theafterbirth or placenta breakaway infringement; clinic, diagnosis and treatment ofhypo- and atonic bleeding; massive causes of obstetric hemorrhage, leading tohemorrhagic shock; pathogenesis, stages, diagnosis of hemorrhagic shock: theorganization of therapeutic measures in massive obstetric hemorrhage: forecastingmassive obstetric bleeding cause and trigger in the development of DIC; classificationtreatment acute disseminated intravascular coagulation, clinical picture, diagnosis,treatment, depending on the nature of obstetric pathology: chronic form of DIC,diagnosis and therapy; Prediction trombopaty in women after massive blood lossduring delivery

2.13 "Unsatisfactory progress in labor Pelvic-head disproportion Maternal injuries "

False labor (diagnostics, correction methods) Perenashivanie (diagnosis, causes,delivery methods) Induction of labor When? Why? How? Indications,contraindications, conditions, methods, cervix uterine preparation Monitoring fetalcondition, complications Functional anomaly pelvis: classification, diagnosisanatomically narrow pelvis delivery mechanism under normal and various forms ofnarrow pelvis Pelvic-head disproportion: classification diagnosis, management oflabor, complications of childbirth Causes, diagnosis, treatment, injury vulva,perineum, vagina and cervix Classification, clinical picture, diagnosis and differentialdiagnosis of uterine rupture Surgical methods of treatment and prevention of uterinerupture The clinic, diagnosis and treatment differences and ruptura symphysis pubis,obstetric fistulas: etiology, pathogenesis, diagnosis, and prevention treatment

2.14 "Pregnancy and childbirth in some obstetric complications and situations."

Childbirth at overstretched uterus The course of pregnancy and childbirth when a

multi-fetal pregnancy, polyhydramnios, with large fruit; Incorrect position andpresentation of the fetus Transverse and oblique position of the fetus The course ofpregnancy and delivery, methods of delivery; birth on a roll of cord loops,pathological changes of genitals; in the presence of uterine scar Shoulder dystocia.Diagnostics aid techniques Possible complications for mother and fetus PreventionDIC Rehabilitation.

2.15 "Operative Obstetrics

Terms of surgical interventions "Indications, conditions and equipment operation,correcting the position and fetal presentation (external and internal cephalic).Indications, conditions and equipment vaginal labor solve operations (forceps,vacuum extraction, extraction of the fetus for pelvic end): complications in the motherand fetus Indications, conditions and equipment cesarean section, postoperative care,and complications Indications, conditions and equipment fetal destroy Operations:Principles and types of anesthesia for obstetric operations

2.16 "Early termination of pregnancy."

Indications for induced birth of the mother and the fetus (severe preeclampsia, some

JV unconvincing fetal and others.) Terms and methods of labor induction.Management of labor induction in the interests of the mother and fetus Methods ofanalgesia induced labor Forecast birth outcomes for mother and fetus, depending onthe method of delivery Antenatal fetal death Causes Diagnostics Complications.Management of labor induction in view of the duration of pregnancy and the death oflimitation; methodology and the necessary conditions for labor induction

2.17 "Postpartum infection".

Classification, etiopathogenesis clinical forms, diagnosis and treatment of postpartumdiseases Features obstetric peritonitis after cesarean section, and bacterial sepsis,toxic shock, their etiology and pathogenesis, clinical course, diagnosis, treatment andprevention

2.18 "Audit of maternal and perinatal mortality."

Review of cases of perinatal mortality Review of cases of severe complications inchildbirth A review of maternal deaths Postpartum depression, tragedy and loss

2.19 "Functional anatomy of the female reproductive organs and modern

methods of diagnosis of gynecological diseases "

Functional anatomy of the female genital organs; symptomatology gynecologydiseases; The physical methods of diagnostics of gynecological diseases; laboratorymethods for diagnosis of gynecological diseases, including clinical, biochemical,bacteriological, and other methods of radioimmunoassay: Instrumental methods ofdiagnosis of gynecological diseases, including puncture, biopsy, all variants ofendoscopic and radiological methods, etc .: diagnostic gynecological diseases(craniography, hysterosalpingography, etc.) ultrasonic methods of diagnostics ofgynecological diseases, including transabdominal and transvaginal sonography:hormonal methods diagnostic gynecological diseases: medical and genetic techniquesdiagnostic diseases of female genitalia: diagnostic methods of functional disorders of

the female reproductive system.

2.20 "Structure and function of the reproductive system of a woman and her control Violations of reproductive system development "

The structure of the development and functioning of the reproductive system: periodsdevelopment and functioning of the reproductive system Classification of the maindisorders of the reproductive system: the causes of these disorders, the clinic, andtreatment diagnostic Abnormalities of sexual development violations sexualdifferentiation (PNR.ZNR): clinical features, diagnosis and treatment sexymalformations involving violation of sexual differentiation Congenital AGS DW.malformations of the uterus and vagina

2.21 "Amenorrhea Uterine bleeding at different ages of women "

Classification of primary amenorrhea, clinical forms of primary amenorrhea theirdiagnostic and treatment Classification of secondary amenorrhea: clinical forms,etiopathogenesis, diagnosis, differential diagnosis and treatment Syndromes ofexhaustion and cramps, ovarian resistant, including pathogenesis, clinical features,diagnosis and therapy Causes of uterine bleeding, their classification (abnormaluterine bleeding of organic origin) Etiopathogenesis pubertal uterine bleeding: clinicalfeatures and diagnosis, treatment, prevention, and prognosis The pathogenesis,clinical manifestations, diagnosis AMK reproductive period AMK premenopausalperiod, the principles of treatment of uterine bleeding of organic nature, causes,diagnosis, including and differential diagnosis, treatment and prognosis

2.22 "Neuroendocrine syndromes in gynecology Virile syndromes "

Premenstrual syndrome (PMS) - incidence, pathogenesis, clinical forms, diagnostic,treatment and prognosis in ICP Postcastration syndrome (PKS) – chastota,patogenez,clinical manifestations, diagnosis, treatment and prognosis of SCC Climactericsyndrome, symptoms, pathogenesis, diagnosis, non-pharmacological treatment, non-hormonal drug therapy, and hormone therapy as well as treatment metabolic violation(atrophic processes of the urogenital tract and of the oeteoporosis), and COPprevention Pathogenesis; adrenal hyperandrogenia clinic, differential diagnosis andtreatment of post-pubertal form adrenogenital syndrome: pathogenesis; primarypolycystic ovary; (Stein-Leventhal syndrome) Clinic picture, diagnosis, therapy andprevention: pathogenesis: PCOS syndrome (PCO secondary) Clinic, diagnostics, andtreatment

2.23 "Pelvic inflammatory disease".

Microbiocenosis vagina, physiological defense mechanisms that prevent

activation and participation in the inflammation of the vaginal microflora:inflammatory diseases of lower genital organs clinical forms of symptoms, diagnosis,treatment: chlamydia ureaplasmosis and viral diseases of the genital organs:nonspecific inflammatory diseases of the pelvic organs, the spread of infection,classification, clinic, diagnostics; specific inflammatory diseases (gonorrhea,tuberculosis, HIV and dr.IPPP) Clinic, diagnostics; general principles for the treatment

of inflammatory diseases of internal genital organs

2.24 "Vaginal bleeding in early pregnancy."

Classification, etiology and pathogenesis of ectopic pregnancy: Pipe

pregnancy, clinical forms Symptoms and signs interrupted and progressive ectopicpregnancy Differential diagnosis Conservative-minded and surgical treatments Therare form of ectopic pregnancy, including neck-isthmus option of treatment; resultprognosis and long-term treatment of ectopic pregnancy Threatened abortion Full andnon full abortion Abortion in the course Developing pregnancy Molar pregnancy.Choriocarcinoma Diagnostics Treatment Complications

2.25 "Background and precancerous diseases of the female genital organs Endometriosis Benign tumors of the uterus and ovaries "

Basic background and precancerous diseases of the external genitalia (vulva kraurosisand leukoplakia), diagnosis and treatment: background and precancerous cervicalcondition, clinical picture, diagnosis and treatment: endometrial precancerous disease(atypical glandular hyperplasia, recurrent glandular hyperplasia in the backgroundneyrometabolic - endocrine syndrome): clinical features, diagnosis, hormonecorrection and surgical methods of treatment, prevention of endometrial precancer;classification, the etiology of endometriosis: clinical picture, modern methods ofdiagnostics of various forms of endometriosis (including "minor" forms), principles oftreatment, prevention; uterine fibroids, including classification, pathogenesis, clinicalpresentation, diagnostic methods modern, indications for conservative and surgicaltreatment prognosis: the classification of benign ovarian tumors, clinicalcomplications, treatment, diagnostics and principles of treatment of simple ovariancysts:

2.26 "Malignant tumors of the female genital organs."

Frequency, etiopathogenesis, classification of cervical cancer, clinic, modern meth

"diagnostics, principles of treatment, prognosis, prevention: prevalence Genesis

classification endometrial cancer, the spread of hospital, modern diagnostic,

principles of treatment and prevention: classification methods; principles oftreatment of malignant ovarian tumors

2.27 "Issues of women's sexual pathology Barren marriage Methods of contraception "

Classification etiopagogenezis female infertility, etiology, modern methods;Diagnostics and treatment of endocrine infertility: tubal and peritoneal infertility,ethiology, diagnosis, treatment methods: immunological infertility: etiology,diagnosis and treatment modern methods, the principles of survey of women withinfertility; modern treatments Reproductive technologies (methods of ovulationstimulation, IVF, artificial insemination); Classification of contraceptive methods:IUD species, indications and contraindications for use, side effects, complications,methods of administration, and remove, hormonal contraception, methods andmeans of hormonal contraception (COC POK) Indications and contraindications,complications (in including emergency contraception, contraception for adolescentsolder than 35 years, etc.) barrier methods of contraception; physiological methods(LAM): DCA (tubal occlusion, vasectomy) indications, contraindications,complications, methods Note

Questions on the topics of seminars, dedicated to independent study (within 50% ofthe total theoretical material) are determined by the director of the program.

3 A list of the seminars on the thematic clusters.

Methods of research in obstetrics and perinatology:

-Methods Study fetal biophysical profile

-Hormonal Methods

- Immunological and medico-genetic methods

- Smear and bacteriological methods

Physiological pregnancy and fetoplacentar system:

- Diagnosis of pregnancy and the functional state of the FPS

- Stages of fetal development Critical periods of ontogeny

-Physiologic Changes in the body of a pregnant Prenatal care

- The physiology of childbirth Keeping a normal delivery

- Physiologic Postpartum period, the clinic, conducting Breast-feeding After-sortscare for mothers and newborns

The physiology of the neonatal period Emergency conditions and problems of neonates.

- Physiologic Neonatal period Assessment of fetal well-being during pregnancyand childbirth

- Birth Disorders in the newborn baby Birth injuries, types Resuscitation of thenewborn

-Prevention Nosocomial infection of newborns in the maternity hospital

-Syndrome Fetal growth retardation Bacterial infections of newborns Neonatalsepsis

- Jaundice newborns (physiological, pathological), assessment of gravity,complications-of, clinical examination, management and treatment of neonataljaundice Factor and the risk of perinatal pathology Care of the newborn withcongenital malformation / congenital anomaly Assessment of perinatal risk factors

Vomiting of pregnancy Hypertensive disorders in pregnancy.

- Vomiting of pregnant women

- Hypertensive Disorders during pregnancy Criteria for hypertension Current

approaches to diagnosis, treatment and prevention of preeclampsia

-eclampsia (definition, diagnosis, proteinuria criteria, monitoring) The principles

Vaginal bleeding in the gestation period Hemorrhagic shock in obstetrician The syndrome of disseminated intravascular coagulation in obstetrics.

Premature detachment of normally located placenta Placenta previa.

Anomalies of the placenta attachment

- Syndrome of disseminated intravascular coagulation in obstetrics

- Hemorrhagic Shock in obstetrics

Unsatisfactory progress in labor The disproportion of the fetal head and gas Mate maternal injuries.

-Preliminary Period Abnormalities of labor forces

-Functional anatomy of the female pelvis

-Maternal Injuries Uterine rupture

Pregnancy and background extragenital pathology.

-Cardiovascular diseases

- Liver and kidneys diseases

- Diabetes mellitus, obesity

-Labored breathing The course of pregnancy and labor management in bronchial

asthma

- Pregnancy and acute abdomen

- Acute abdomen and pregnancy

Pregnancy and childbirth in some obstetric complications and situations.

- Childbirth at overstretched uterus, uterine scar

- Premature pregnancy

- Wrong position and presentation of the fetus

- Premature rupture of membranes

- Shoulder dystocia

-Breech presentation of the fetus

Operative Obstetrics.

- Operations Correcting position and fetal presentation

- Obstetrical forceps Vacuum extraction

- Cesarean section

- fetal destroy surgery (craniotomy, kraniotsentez)

- Principles and types of anesthesia for obstetric operations

Early termination of pregnancy Induction of labor.

- Induced labor

- Induced labor

Postpartum infection Postpartum depression.

- tragedy and loss

- Local forms of the disease

- general forms of the disease

Functional anatomy of the female genital organs Modern methods of

diagno-sticks gynecological diseases.

- Functional anatomy of the female genital organs

- Symptomatology gynecological diseases

-Modern Methods of investigation (ultrasound Doppler, colposcopy) Hormone Medico-genetic and functional diagnostic methods Cytology Bacteriological and bacterioscopic methods

Structure and function of the female reproductive system and its regulation Developmental disorders of the reproductive system.

- Structure and function of the female reproductive system and its regulation

- Violations of the reproductive system

Amenorrhea Uterine bleeding at different ages of women.

-Primary Amenorrhea

-Secodary Amenorrhea

-Uterine Bleeding Abnormal uterine bleeding juvenile, reproductive and menopausal

-Uterine Bleeding organic nature

Neyroendocrin syndromes in gynecology Virile syndromes.

-Climacteric Syndrome Postkastratsion syndrome

- Hyperandrogenia suprarenal genesis

-Sindrom Polycystic ovaries

Pelvic inflammatory disease.

- Inflammatory Disease lower genital organs

- Sexually transmitted infections (Chlamydia, ureaplasmosis and viral diseases of the genital organs)

- Non-specific inflammatory diseases of the pelvic organs

-specific Pelvic inflammatory disease

Vaginal bleeding in early pregnancy.

-Ectopic Pregnancy The rare form of ectopic pregnancy

- Spontaneous abortions Molar pregnancy Horionkartsinoma

Background and precancerous diseases of female genital organs,

endometriosis Benign tumor of the uterus and ovaries.

-Background and precancerous diseases of the female genital organs

-Endometriosis

-Miomy uterus

-Benign tumors of the uterus and ovaries

Malignant tumors of the female genital organs.

-Uterine cancer Cervical cancer

- Malignant Ovarian tumors

Methods of contraception.

-MDA Physiological and barrier methods of contraception

- Hormonal contraception

-VSS

Questions female sexual pathology Barren marriage.

Some urogynecological disease.

The pathophysiological basis of primary and secondary haemostasis disorders in pregnancy.

Abnormalities of the uterus and vagina Incorrect position of the genitals.

Mastopatia.

Principles of hormone replacement therapy in women perimenoiauze.

Endometrial hyperplastic processes.

3.1 The procedure for conducting seminars.

Seminars are conducted according to the approved program and evaluated inaccordingly with the position of the ranking system control knowledge Master.Preparation for seminars carried out in the form of a compilation of summaries,diagrams, tables, training materials worked monographs, theses, articles, trainingmanuals, as well as the preparation of the report on the medical history of the patientthematic

Single issues seminars on the most important sections can be prepared by one or moreresidents in the form of a report using the demonstration material

4 The list of thematic rotations master practice.

4.1 "The consultative clinic."

Cabinets obstetrician-gynecologist, a day hospital, physiotherapy department,physician's office, colposcopy room, ultrasound room,

4.2 "Ultrasound diagnosis in obstetrics and gynecology."

Cabinet of ultrasound diagnostics, cabinets obstetrician-gynecologist, the department

of pathology of pregnant women, gynecological ward

4.3 "Methods of evaluation of fetal cardiac activity"

Cabinet of ultrasound diagnostics, functional diagnostics rooms, offices gynecologist

obstetrician-4.4 "Hormonal and medico-genetic methods of research in obstetrics,

perinatology and gynecology."

Cabinet gynecologist-endocrinologist, studies of functional diagnostics, diagnosticlaboratories, an obstetrician-gynecologist, gynecology department, the department ofpathology of pregnancy Cabinet Medical and genetic counseling

4.5 "Endoscopic and functional diagnostic methods in obstetric and gynecologic practice."

Offices of functional diagnostics, cabinets obstetrician-gynecologist, gynecologydepartment, day hospital

4.6 "Functional diagnostic methods in obstetric and gynecologic practice."

X-ray department, office NMR diagnostics, computed tomography study, officeultrasound diagnostics, cabinets obstetrician-gynecologist, gynecology department,day hospital

4.7 "Abortion".

Cabinets obstetrician-gynecologist, gynecology department, an office of ultrasonicdiagnostics diagnostic laboratory study of genetic counseling, abortion, an operatingunit gynecological department

4.8 "Small gynecological operations."

Cabinets obstetrician-gynecologist, gynecology department, an office of ultrasonicdiagnostics operating unit gynecological department, department of autopsy

4.9 "Small obstetric surgery."

Obstetrical department and a maternity unit

4.10 "labor solve and fetal destroy obstetric surgery Cesarean section".

Department of Pathology of pregnancy, obstetric department and maternity unit, only unit, intensive care unit, intensive care unit and in-intensity therapy of newborns

step-4.11 "Female genital operations".

Gynecology department, operating unit gynecological department, intensive caredepartment , offices obstetrician-gynecologist, physiotherapy office

4.12 "Stationary department."

Gynecology department, department of pathology of pregnancy, obstetric department,maternity unit, an operating unit, intensive care unit, on-the division of resuscitationand neonatal intensive care Physiotherapy cabinet

4.13 "Reanimation and intensive care."

Intensive care unit

4.14 "Methods of preparing pregnant women for childbirth induced."

Department of Pathology pregnant women, obstetric department and maternity unit,postpartum office

By the end of training the master must be able to:

To collect anamnesis, conduct a general medical, maternity and gynecologicinspection, identification of delivery terms, the determination of the degree of maturity

of the cervix, fill in partograph, perform amniotomy evaluation of the newborn state,reception birth, to evaluate blood loss, to do manual removal of placenta and isolation,manual examination of the uterus, pressing of the abdominal aorta, bimanual uterinecompression, uterine inversion correction, closure of cervical tears, episiotomy and-raffy, suturing vaginal and perineal tears, with breech Lavseta method, extracting thefetus for pelvic end, carrying out blood transfusions, laparotomy, caesarean sectionlow uterine segment on Mitchell Landahu, Stark, classical, imposing obstetric forceps,vacuum extractor, holding craniotomy Own method remains Novki-bleeding: tubal,and ovarian, uterine artery, suture on the uterus by B-Lynch suture of uterine rupture

To conduct palpation of mammary glands, function diagnosis, colposcopy.paracervical anesthesia, hysteroscopy, a manual vacuum aspiration, puncture smallcavity gas through the posterior fornix vagina, removal of cervical polyps, opening anabscess Bartholin gland, opening haematocolposa scraping the uterine cavity, theintroduction and removal of the IUD, female sterilization surgery, salpingectomy.salpingostomy, ovarian resection, cystectomy, adnexectomy, front and rearcolporrhaphy, uterine ventrofixation, hysterectomy: amputation, hysterectomy withand without appendages, vaginal hysterectomy

5 Kontrol performance.

The process of formation and learning, the acquisition of practical skills is

monitored constantly and continuously and consists of 2 stages

Stage 1 - the current control (TC)

Theoretical knowledge - during the seminars and the subsequent test con-trol

Master the practice - during a thematic rotations

Stage 2 - Final control by industry (IR) is held in the form of oral, test survey in the volume passed the theoretical section of the program and development

practical skills in the framework of the relevant thematic rotation

Criteria for evaluation of knowledge of the current The level of

assessment

() (%)

Criteria

100 The answer is original, with a creative approach, using

additional information, the job is done at a level that exceedsthe requirements of the program Practical skills in the relevantsections of the curriculum utilized in full at the highest level.Availability of raw material and a protocol of daily work in

full

Up to 95 High quality response or performing tasks on a high-level

program requirements Practical skills are mastered in full at ahigh level Availability of raw material preparation for

seminars and reports of daily work