Final Year MBBS 2025

Study Guide
Obstetrics & Gynaecology

1
 Rawalpindi Medical University
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Final Year MBBS 2025

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The copyright of this procedure, together with all confidential information contained herein is the sole property of Rawalpindi Medical University.

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 Rawalpindi Medical University
Doc. Title:Procedure For Control of Documented Information
Document #: RMU-MR-SOP-59 Rev. #: 00 Issue #: 01 Issue Date: 25-05-2024

Document Information

Category CNS Module Study Guide

Document Procedure for Control of Documented Information

Issue 1
Rev 00
Identifier RMU-MR-SOP-59
Status Final Document
Author(s) Director Medical Education, Asst. Director Medical Education,
Reviewer(s) Curriculum Committee.
Approver(s) Vice Chancellor
Creation Date 05-05-2024
Effective Date 05-05-2024
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 Rawalpindi Medical University
Doc. Title:Procedure For Control of Documented Information
Document #: RMU-MR-SOP-59 Rev. #: 00 Issue #: 01 Issue Date: 25-05-2024

Document Approval

Prepared By Reviewed By Approved By

Director Medical Education, Curriculum Committee Vice Chancellor

Asst. Director Medical
Education,

4
 Rawalpindi Medical University
Doc. Title:Procedure For Control of Documented Information
Document #: RMU-MR-SOP-59 Rev. #: 00 Issue #: 01 Issue Date: 25-05-2024

Document Revision History

Author(s) Date Version Description
Prof NaeemAkhtar, DrIfraSaeed, Dr. Ayesha Yousaf, Dr Sidra Developed for Second Year MBBS.
Hamid, DrTehminaQamar 2017-2018 st
1 Composed of Horizontally and vertically Integrated Central Nervous System (CNS).

DrTehzeeb, DrSamiaSarwar, DrIfraSaeed, Dr. Ayesha Yousaf, Developed for Second Year MBBS.
DrTehminaQamar, Dr Sidra Hamid 2019-2020 2nd Horizontally and vertically integrated
Learning objectives updated
DrTehzeeb, DrSamiaSarwar, , DrIfraSaeed, Dr Ayesha Yousaf, Developed for Second Year MBBS.
DrTehminaQamar, Dr Sidra Hamid 2021-2022 3rd Horizontally and vertically integrated
Learning objectives updated,
Research curriculum incorporated
DrTehzeeb, DrSamiaSarwar, DrIfraSaeed, Dr Ayesha Developed for Second Year MBBS.
Yousaf,DrTehminaQamar, Dr Sidra Hamid 2022-2023 4th Horizontally and vertically integrated
Learning objectives updated,
Research, Bioethics, Family Medicine curriculum incorporated along with Professionalism

DrSamiaSarwar, DrIfraSaeed, DrAyesha Yousaf, Dr. Developed for Second Year MBBS.
AneelaJamil, Dr Sidra Hamid 2023-2024 5th Horizontally and vertically integrated
Learning objectives updated,
Research curriculum revamped Bioethics, Family Medicine curriculum incorporated along with
Professionalism.
Entrepreneurship curriculum incorporated

5
 Rawalpindi Medical University
Doc. Title:Procedure For Control of Documented Information
Document #: RMU-MR-SOP-
Rev. #: 00 Issue #: 01 Issue Date: 25-05-2024
59

List of Copy Holders

Issue # Copy Distribution Signature

Document Code Copy #
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RMU-MR-SOP-59 01/00 01 V.C Email

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6
 RMU MISSION, VISION, VALUES & GOALS R
Mission Statement
RMU Motto
To impart evidence-based research-oriented health professional education in order to provide best possible patient
care and inculcate the values of mutual respect, ethical practice of healthcare and social accountability.
Vision and Values

Highly recognized and accredited centre of excellence in Medical Education, using evidence-based training
techniques for development of highly competent health professionals, who are lifelong experiential learner and are
socially accountable.
Goals of the Undergraduate Integrated Modular Curriculum

The Undergraduate Integrated Learning Program is geared to provide you with quality medical education in an
environment designed to:
 Provide thorough grounding in the basic theoretical concepts underpinning the practice of medicine.
 Develop and polish the skills required for providing medical services at all levels of the health care delivery
system.
 Help you attain and maintain the highest possible levels of ethical and professional conduct in your future life.
 Kindle a spirit of inquiry and acquisition of knowledge to help you attain personal and professional growth &
excellence.

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 Final Year MBBS - 2025

Study Guide Obs/Gynae Block

8
 PREFACE

This study guide book is developed for Final Year MBBS students of Rawalpindi Medical University, Rawalpindi who are going through OBS and GYNAE

block. It has been compiled with consolidated efforts with intention to help the medical students of RMU to manage their learning.

The study guide gives an overview of course topics, learning objectives, and methodologies in relation to the course content. The assessment methodology tailored

to instructional strategy is provided in details. This study guide has been designed keeping in view of related PMDC guidelines. It is to be noted that this document

will be periodically reviewed and improved.

Professor TallatFarkhanda
Dean & Head of Department Gynae Unit-1
Holy Family Hospital
Rawalpindi
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 CURRICULUM COMMITTEE
Chair Person: Prof Dr Tallat Farkhanda (Dean OB/GYN)
Chief Organizer Dr Humaira Bilqis (Associate Prof OB/GYN)
Focal Person GU-I, HFH Dr Amara Arooj (Assistant Prof OB/GYN)

Members:
1. Dr Humera Noreen (Professor of OB/GYN)
2. Dr Sadia Khan (Associate Prof OB/GYN)
3. Dr Rubaba Abid (Associate Prof OB/GYN)
4. Dr Sobia Nawaz (Associate Prof OB/GYN)
5. Dr Khansa Iqbal (Assistant Prof OB/GYN)
6. Dr Maliha Sadaf (Assistant Prof OB/GYN)
7. Dr Saima Khan (Assistant Prof OB/GYN)
8. Dr Farah Deeba (Assistant Prof OB/GYN)
9. Dr. Ismat Tanveer (Assistant Prof OB/GYN)
10. Dr Nighat Naheed (Assistant Prof OB/GYN)
11. Dr Aqsa Ikram (Assistant Prof OB/GYN)
12. Dr Shama Bashir (Assistant Prof OB/GYN)

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 TABLE OF CONTENTS
Sr. No Content Page No

1. Integration of disciplines in Obs/Gynae block 13

2. Block Outcomes 14

3. Terms, Abbreviations, Tables, Figures 15

4. Porf Dr. Umer Model of integrated Lecture 17

5. Block overview 21

6. Obs/ Gynae clerkship hours 23

7. Section-I LGIS details 25

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 Section-II clinical rotation outline
8. 41

Section-III Assessment details

9. 55

Module Assessment Strategies

10 59

Module – I Assessments,
11. 62

Module – II Assessments,
12. 66

Revised TOS End block examination

13 72

Summary of Assessments
14. 95

Time table of lectures, workshops and ward activities

15. 96

Learning Resources
16. 107

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Integration of Disciplines in Obs/Gynae

Physiology

Biochemistry Anatomy

Obs/Gynae
Surgery Medicine
Block

Pathology Pharmacology

Paediatrics

13
 Block Outcomes
Knowledge

● Equip them with essential knowledge in order to enable them to diagnose common Obstetric and Gynecological problems, suggest and interpret
appropriate investigation, rationalize treatment plan and if appropriate, refer patients for specialist opinion/ management.
● Appreciate concepts & importance of
 Research
 Biomedical Ethics
 Family Medicine
 Use technology based medical education including Artificial Intelligence
specifically in relation to Gynae/Obs
Suggest preventive measure for the common public health problem in the community

Skills
● Demonstrarte various skills in Gynae/Obs
● Perform relevant procedures
Attitude
a. Convey relevant information and explanations accurately to patients, families, and other professionals
b. Participate effectively and appropriately in an inter professional health care team
c. Understand medical ethics and its application pertaining to Obstetrics and Gynaecology and maintain the confidentiality of the patint.
d. Adapt research findings appropriately to the individual patient situation or relevant patient population
e. Acknowledge the importance of artificial intelligence and biotechnology in current medical practice and its application.

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 Terms & Abbreviations
Contents

• Domains of Learning

• Teaching and Learning Methodologies/Strategies

• Large Group Interactive Session (LGIS)

• Small Group Discussion (SGD)

• Self-Directed Learning (SDL)

• Case Based Learning (CBL)

Tables & Figures

• Table1. Domains of learning according to Blooms Taxonomy

• Figure 1. Prof Umar’s Model of Integrated Lecture

• Table2. Standardization of teaching content in Small Group Discussions

• Table 3. Steps of taking Small Group Discussions

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Table1. Domains of learning according to Blooms Taxonomy

Sr. # Abbreviation Domains of learning

C Cognitive Domain: knowledge and mental skills.
 C1 Remembering
 C2 Understanding
1.  C3 Applying
 C4 Analyzing
 C5 Evaluating
 C6 Creating
P Psychomotor Domain: motor skills.
 P1 Imitation
 P2 Manipulation
2.
 P3 Precision
 P4 Articulation
 P5 Naturalization
A Affective Domain: feelings, values, dispositions, attitudes, etc
 A1 Receive
 A2 Respond
3.
 A3 Value
 A4 Organize
 A5 Internalize

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 Teaching and Learning Methodologies / Strategies
Large Group Interactive Session (LGIS)
The large group interactive session is structured format of Prof Umar Model of Integrated lecture. It will be followed for delivery of all LGIS. Lecturer will introduce a topic or
common clinical condition and explains the underlying phenomena through questions, pictures, videos of patients, interviews and exercises, etc. Students are actively involved in the
learning process.

Figure 1. Prof Umar’s Model of Integrated Lecturel Group Discussion (SGD)

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This format helps students to clarify concepts acquire skills and attitudes. Sessions are structured with the help of specific exercises such as patient case, interviews or discussion topics
or power point presentations. Students exchange opinions and apply knowledge gained from lectures, SGDs and self-study. The facilitator role is to ask probing questions, summarize
and helps to clarify the concepts.

Table 2
Standardization of teaching content in
Small Group Discussions

[Link] Topics Approximate %

1 Title Of SGD

2 Learning Objectives from Study Guides

3 Horizontal Integration 5%+5%=10%

4 Core Concepts of the topic 60%

5 Vertical Integration 20%

6 Related Advance Research points 3%

7 Related Ethical points 2%

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Table 3

Steps of taking Small Group Discussions

Step 1 Sharing of Learning objectives by using students Study guides First 5 minutes
Step 2 Asking students pre-planned questions from previous teaching session to develop co-relation (these questions will be standardized) 5minutes

Step 3 Students divided into groups of three and allocation of learning objectives 5minutes
Step 4 ACTIVITY: Students will discuss the learning objectives among themselves 15 minutes
Step 5 Each group of students will present its learning objectives 20 min
Step 6 Discussion of learning content in the main group 30min
Step 7 Clarification of concept by the facilitator by asking structured questions from learning content 15 min
Step 8 Questions on core concepts
Step 9 Questions on horizontal integration
Step 10 Questions on vertical integration
Step 11 Questions on related research article
Step 12 Questions on related ethics content
Step 13 Students Assessment on online MS teams (5 MCQs) 5 min
Step 14 Summarization of main points by the facilitator 5 min
Step 15 Students feedback on the SGD and entry into log book 5 min
Step 16 Ending remarks
● Self- directed learning is a process where students take primary charge of planning, continuing and evaluating their learning experiences.
● Time Home assignment
● Learning objectives will be defined
● Learning resources will be given to students : Text book (page no), web site
● Assessment: Will be online on LMS (Mid module/ end of Module)se Based Learning (CBL)
 It’s a learner centered model which engages students in discussion of specific scenarios that resemble typically are real world examples.
 Case scenario will be given to the students
 Will engage students in discussion of specific scenarios that resemble or typically are real-world examples.
 Learning objectives will be given to the students and will be based on
i. To provide students with a relevant opportunity to see theory in practice
ii. Require students to analyze data in order to reach a conclusion.
iii. Develop analytic, communicative and collaborative skills along with content knowledge.
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 Block Over view Obs/Gynae and Paediatrics
This block spans over 12 weeks. It will encompass both lectures and clinical clerkship sessions. During this time, students will have 8 weeks clinical clerkship in OB/GYN units and 4
weeks in Paediatrics units. Each student during the clerkship will rotate to two Gynae Units (module I and module II). At each Gynae Unit, he/she stays for four weeks.

During each week, student will have Gynae/Obs lecture on Monday, Tuesday &Thursday and paeds lecture on Friday and Saturday from 08: 00am to 09:00 am and will report to their
respective wards form 10 am to 2:00pm (09:00am to 10:00am is their transit time from New teaching block to allied hospitals including half hour break). On Wednesday, they will attend
CPC in NTB from 08:00am to 09:00am and then comes to their wards from 10:00am to 2:00pm. In wards they will have daily clinical clerkship, hands on workshops, CBL and consultant
class.

Students will be provided with learning objectives of lectures and clerkship in the form of study guide.

The block will be repeated three times during an academic year as session 1, 2 and 3.
Total duration
12 weeks

Obs/Gynae Paediatrics
8 weeks 4 weeks

Module-I Module-II Module-III

Obs/Gynae Obs/Gynae Paediatrics
4 weeks 4 weeks 4 weeks
clinical rotation Clinical rotation Clinical rotation

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Regarding evening placement, from 2 to 5pm on minimum 4 days/ month students attend Emergency/labour room of respective unit and
shadows House Officers and Post Graduate Trainees.

Each Week
Monday,Tuesday, Thursday Friday, Saturday
Wednesday
Lectures from 08:00 to 09:00am daily clinical clerkship 10:00am to
CPC 08:00 to 09:00am daily clinical 02:00pm after Paeds lecture
daily clinical clerkship 10:00am to clerkship 10:00 to 02:00pm
02:00pm CBL
(Hands on workshop)
Consultant class Consultant class

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 OBS/ GYNAE CLERKSHIP- HOURS
Schedule Duration
Schedule Duration
Monthly
Gynae ( 2 months)
3 lectures ( 1 hour) / week
Interactive LGIS 12 hours / month 36 hrs/ 3 months
OBS ( 1 month)
3 lectures (1 hour) / week
12 hours /month
CPC 08:00 -09:00am, once a week=4 hrs / month 12 hrs/ 3 months
10:00am – 02:00pm, Mon, Tues, Wedn, Thurs, Saturday = 80 hrs / month 160hrs / 2 months
Clinical Clerkship in Wards 10:00am - 12:00 pm Friday = 8 hrs / month 16hrs / 2 months

Evening duties 12 hrs /month 24 hrs/2 months

128 hours 248 hours

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 STRUCTURED TRAINING PROGRAM

Clincal
Interactive LGIS CPC Clerkship in Evening duties
12 hrs Ward 24 hrs
36 hrs
176 hrs

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 SECTION-I

LARGE GROUP INTERACTIVE

GYNAECOLOGY SESSIONS DETAILS

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 IstWeek

Level of MOA
MDT/ cognition Affective
S. No. Days Teacher specialty Topic Specific learning object (SLO)
MIT
C1 C2 C3

At the end of this lecture/session, final year students

will be able to:
● Recognize and demonstrate the structures of female A3
genital tract
● Name pelvic floor musculature
Monday Anatomy and ● Identify and describe the blood supply of perineum see
1 8:00-9:00 am Unit :1, HFH
Gynaecology embryology of pelvic ● Enumerate nerve supply of perineum LGIS √ assess
ment
organs ● Know about the lymphatic drainage of perineum section
● Compare and draw Mullerian duct anomalies
● Describe the pathologies related to the anomalies with
their diagnosis and management
● Understand the embryonic development of female
genital tract.
A3
● Understand that menstruation is a function of
Hypothalamic-Pituitary-Ovarian axis (HPO) at puberty
● Explain the Hypothalamic-Pituitary-Ovarian axis
Tuesday Physiology of see
(HPO)
2 8:00-9:00-am Unit :1, HFH Gynaecology menstrual cycle ● Describe the features of the normal menstrual cycle and
LGIS √ assess
ment
section
the accompanying ovarian and endometrial changes
● Enlist the histological layers of endometrium
● Discuss the complications associated with abnormality
in HPO function
25
 A3
● Understand several reasons to consider ethics in
professional life
● Know the ethical frame works i.e. duty based, right
Thursday
based, goal based see
Medical ethics
3
Unit :1, HFH
Gynaecology ● Understand the four principals used in ethics LGIS √ assess
ment
8:00-9:00-am ● Know common ethical dilemmas in obstetrics section
&gynaecology
● Understand how to analyze the ethical dilemmas

2nd Week
see
● Understand the clinical features of different assess
ment
types of miscarriages section
● Diagnose and discuss general and specific
Monday
Miscarriages
4 8:00-9:00 am Unit:2, HFH Gynaecology management of missed miscarriage LGIS √ A3
● Discuss expectant and medical management
of miscarriages (
● General and specific management of ruptured
miscarriages
see
assess
● Understanding of definition, epidemiology, ment
Ectopic etiology, and clinical features of ectopic section
Tuesday
5
8:00-9:00-am
Unit:2, HFH Gynaecology pregnancy/GTD pregnancy LGIS √ A3
● Know the causes of bleeding and pain in early
pregnancy
● Enlist different Investigations Understanding
26
 of different management options

 see
assess
● Define primary amenorrhea ment
● Enlist causes of primary amenorrhea. section
● Discuss symptoms, signs and important
Thursday
Primary Amenorrhea
6 8:00-9:00-am Unit:2, HFH Gynaecology ultrasound finding in patients with primary LGIS √ A3
amenorrhea.
● Discuss the possible management option
● Understanding important relative points in
counseling of such patients .-

3rd Week
 see
assess
● Define secondary amenorrhea. ment
section
Monday Secondary ● Enlist its important causes
7 8:00-9:00 am BBH Gynaecology Amenorrhea ● Discuss symptoms, signs and important LGIS √ A3

ultrasound findings
● Discuss the management options.
 see
assess
● Understand pathophysiology of PCOD and ment
Tuesday
8
8:00-9:00-am
BBH Gynaecology PCOD hirsutism LGIS √ A3 section

● Know about diagnostic criteria and clinical

27
 presentation
● Able to interpret relevant investigations
● Enlist other causes of hirsutism
see
● Define Abnormal uterine bleeding assess
ment
Thursday ● Enlist different causes of AUB section
9 8:00-9:00-am BBH Gynaecology Abnormal uterine bleeding LGIS √ A3
● Know how to investigate for cause of AUB
● Construct management plan for AUB

4th Week
● Recall Etiology pathogenesis see
Monday Endometriosis ● Describe clinical features
10
8:00-9:00-am
RTH Gynaecology ● Classification of disease, LGIS √ A3
assess
ment
● Suggest differential diagnosis
section
● Plan management

● Differentiate among the types of discharge

due to various organisms see
Tuesday ● Enumerate the specific and diagnostic tests
11 RTH Gynaecology Lower genital tract infections for each causative organisms LGIS √ A3
assess
ment
8:00-9:00-am
● Enlist the complications due to the lower section
genital tract infections
● Outline the treatment options for each types
of infection

28
 ● Enlist the causative organisms of upper
genital infection
see
● Know the clinical presentation of patient
Thurssday
with upper genital tract infection
12 RTH Gynaecology Upper genital tract infections LGIS √ A3
assess
ment
8:00-9:00-am ● Enumerate the specific and diagnostic tests
for each causative organism section
● Enlist the complications due to the upper
genital tract infections
● Outline the management plan

5th Week
● Discuss each of the long term, hormonal ,
barrier methods of contrception in terms of
their mechanism of action
● Effectiveness & failure rate see
Monday ● Describe the benefits of contraceptives assess
13 8:00-9:00 am
Unit :1, HFH
Gynaecology Contraception other than birth control LGIS √ A3 ment
sectio
● Identify the absolute and relative n
contraindications and risks of different
contraceptive methods
● Discuss the male and female surgical
sterilization methods in terms of types,
reversibility and long term follow up results

29
 ● Define subfertility and its types (C1)
● Describe relevant history and examination
(C2)
see
● Interpret signs and symptoms of subfertile assess
Tuesday
14
8:00-9:00-am
Unit :1, HFH
Gynaecology Subfertility patient (C2) LGIS √ A3 ment
sectio
● Correlate causes of female subfertility with
n
pathological processes (C2)
● Justify the investigations for the diagnosis
of female subfertility (C3)
● Formulate management
Benign diseases of ovary

● To have basic knowledge regarding

anatomy and embryology of ovaries
● Know the classification of benign ovarian see
Thursday tumors assess
15 8:00-9:00-am
Unit :1, HFH
Gynaecology ● Know the clinical features and LGIS √ A3 ment
sectio
complications n
● Enumerate the basic diagnostic tests for
ovarian disease
● Outline the management plan
Advise of follow up

6th Week
● Know incidence of fibroid uterus
see
Monday ● Understand different signs and symptoms assess
16 8:00-9:00 am Unit:2, HFH Gynaecology Benign diseases of uterus and presentation according to type of LGIS √ A3 ment
sectio
fibroids
n
● History, clinical examination and
definitive investigations to reach the
30
 diagnosis
● Treatment options according to patient
age, presenting complaints, fertility and
social circumstances
● Understanding advances in management
of fibroid uterus worldwide

● Describe common benign conditions of

cervix
● Understand their
presentation,investigations and
management
see
● Define premalignant disease of cervix assess
Tuesday
17
8:00-9:00-am
Unit:2, HFH Gynaecology
Benign and premalignant diseases
of cervix
● Enlist investigation for cervical screening LGIS √ A3 ment
sectio
of mass population
n
● Discuss role of HPV testing in cervical
screening
● Describe national cervical screening
program
● Enumerate types of CIN and management
options

● Describe the presentation of common

benign conditions of vulva and vagina.
● Describe and differentiate between
different premalignant conditions of
Thursday vulva ( VIN, lichen sclerosis, extra see
8-9am mammary Paget’s disease of vulva) assess
18 Unit:2, HFH Gynaecology Benign and malignant diseases
of vulva and vagina ● Enlist causes of superficial and deep
LGIS √ A3 ment
sectio
dyspareunia n
● Understand epidemiology and etiology of
valval cancers
● Stage the disease according to FIGO
staging
● Understand the importance of sentinel
31
 lymph node biopsy and groin
lymphadenectomy
● Discuss the management options.

7th Week

● Know the classification ,incidence,

aetiology and risk factors of malignant
see
Monday tumours of ovary assess
19 8:00-9:00 am BBH Gynaecology Malignant diseases of ovary ● Understand their clinical presentation LGIS √ A3 ment
sectio
● Understand their workup plan and FIGO n
staging
● Outline management plan
● Outline follow up plan

● Understand etiology and risk factors of

endometrial cancers
● Describe classification of uterine
malignancy
● Describe the pattern of spread of disease see
Tuesday ● Elicit relevant points on history and assess
20
8:00-9:00-am
BBH Gynaecology Malignant diseases of uterus
examination
LGIS √ A3 ment
sectio
● Enlist and justify investigations needed for n
diagnosis of endometrial cancer
● Understand FIGO Staging of Endometrial
Cancer
● Suggest a management plan according to
stage of disease
see
Thursday ● Understand etiology and risk factors of assess
21 8:00-9:00-am BBH Gynaecology Malignant diseases of cervix
cervical cancer
LGIS √ A3 ment
sectio
● Describe the pattern of spread of disease n

32
 ● Elicit relevant points on history and
examination
● Enlist and justify investigations needed for
diagnosis of endometrial cancer
● Understand FIGO Staging of cervical
Cancer
● Suggest a management plan according to
stage of disease

8th Week
Gynaecology Postmenopausal bleeding LGIS A3 see
● Define postmenopausal bleeding assess
Monday ment
● Enlist different causes of postmenopausal
22 8:00-9:00 am RTH
bleeding √ sectio
n
● Construct management plan for
postmenopausal bleeding
Gynaecology Menopause and HRT LGIS A3 see
● Define and differentiate between assess
ment
premature menopause, perimenopause and sectio
menopause n
● Understanding of physiological changes
in reproductive cycle of female from birth
to menopause
Tuesday
23
8:00-9:00-am
RTH ● Evaluation and making definitive √
diagnosis of menopause
● Counselling about lifestyle, behavior
modification and psychological aspects in
menopausal women
● Understand different options for HRT in
view of contraindications and risk factors
varying from patient to patient

33
 Gynaecology UV Prolapse LGIS A3 see
● Understand the anatomy of supporting assess
ment
ligaments and fascia of the female pelvic sectio
organs n
● Appreciate the relationship of anatomical
prolapse with urinary, bowel and sexual
dysfunction
● Identify the risk factors leading to pelvic
Thursday
24
8:00-9:00-am
RTH organ prolapse √
● Describe how to assess such patient by
history, examination and relevant
investigations
● Understand the principles of treatment of
prolapse
● Compare the effectiveness of each
treatment and potential side
effects/complications

34
 LARGE GROUP INTERACTIVE

OBSTETRICS SESSIONS DETAILS

35
 Ist Week
Specific learning object (SLO) Level of Affectiv
MDT/ cognition
S. No Days Teacher specialty Topic e MOA
MIT C1 C2 C3

At the end of one hour lecture, students will be able

to: A3
● Enlist the aims of antenatal care.
● Define the booking visit.
● Elicit the booking history and examination.
● Discuss the importance of booking investigations
● Elaborate the recommended schedule of antenatal
visits.
Monday Unit :1, HFH ● Categorize the obstetric patient into high risk and low see
1 8:00-9:00 am Obstetrics
Antenatal care and Obs history
,examination risk group. LGIS √ assessment
section
● Define EDD and its calculation.
● Define term, preterm, post term, post-dates, LBW,
VLBW, lie, presentation, position, attitude and
engagement of fetus. To describe the principle of
taking and obstetric history
● To define neagles rule to calculate EDD
● To explain the importance of past obstetrics,
gynaecology medical and surgical history.
● To understand components of obstetrical
examination

● Define anemia in pregnancy A3

Tuesday ● Discuss the importance of anemia screening in see

2
8:00-9:00-am
Unit :1, HFH
Obstetrics Anemia in pregnancy
antental period
LGIS √ √ assessment
section
● Discuss iron deficiency anemia, its causes,
complications and management

36
 ● Elaborate the management of thalasemia, anemia of
chronic illness, coagulation disorder management
A3
● Define gestational diabetes mellitus
● Explain the effects of sugar level on fetal
development
● Describe maternal and fetal complication see
Thursday
3
8-9pm
Unit :1, HFH
Obstetrics Diabetes in pregnancy (antepartum, intrapartum and postpartum ) LGIS √ assessment
● Explain the management protocol of gestational section
diabetes mellitus
● Describe the long term effect of gestational
diabetes mellitus on maternal health

2nd Week
● Describe the importance of fetal monitoring during
Antenatal period and labour.
● Enlist different methods of fetal assessment.
● Identify the 04 basic FHR parameters to be
interpreted on CTG trace.
● Differentiate between normal and pathological
CTG patterns.
Monday ● Discuss conditions in which continuous electronic see
8-9am Unit :1, HFH Assesment of fetal well being
4 Obstetrics
Prenatal diagnosis
FHR monitoring is required LGIS assessment
● Explain the importance of booking scan, anomaly section
scan and growth scan and BPP
Describe the role of umbilical artery Doppler
● Define prenatal diagnoses.
● Enlists the prenatal diagnostic tests, their risk and
benefits.
● Discuss the non-invasive methods of prenatal
diagnosis

37
 ● To understand the classification of
hypertension in pregnancy
● To understand the pathophysiology of
pre-eclampsia
● To explain the principles of management
of pre-eclampsia
Tuesday ● To understand the logn-term risks to both see
5 8:00-9:00 am
Unit :2, HFH
Obstetrics
Hypertensive disorders(except
eclampsia) and IUGR mother and baby from pre-eclampsia LGIS √ A3 assessment
section
● Discuss the aetiology and
pathophysiology of IUGR
● Outline the management plan
● Elaborate the prognosis of fetus in IUGR
● Discuss the antenatal surveillance of the
FGR fetus

● Describes the most common liver

Thursday disorder presented in pregnancy see
6 8.00-9.00 am
Unit :2, HFH
Obstetrics Liver disorders in pregnancy ● Know the risks associated with these LGIS √ A3 assessment
section
disorders
● Outline management plan

3rd Week
● Define Antepartum haemorrhage
● Enlist causes of APH
Monday ● Differentiate clinically between placenta see
7 8:00-9:00 am BBH Obstetrics APH
previa and placental abruption LGIS √ A3 assessment
section
● Elaborate the emergency approach
towards massive haemorrhage
● Discuss management plan for placenta
38
 previa and placental abruption

● Understand term PTL and PPROM

● Understand causes of PTL and PPRO
● Identify risk factors of PTL and PRO
● Fomulate a comprehensive management see
Tuessday
8
8:00-9:00am
BBH Obstetrics PTL/PPROM plan of PT LGIS √ A3 assessment
● Fomulate a comprehensive management section
plan of PRO
● know about the preventive measures of
preterm delivery

● Define multiple pegnancy and its

Incidence
● Interpret the ultrasound findings for
multiple pregnancy see
Thursday
9
8:00-9:00am
BBH Obstetrics Multiple pregnancy ● Discuss the antenatal care and risks LGIS √ A3 assessment
section
associated with multiple pregnancy
● Identify various patterns of fetus in a
twin pregnancy
● Describe the mechanism of delivery of
twins.

4th Week
Monday
● Understand the physiological principles see
10 8:00-9:00 am RTH Obstetrics
of labour and delivery
LGIS √ A3 assessment
section
● Know the steps of mechanism of normal
39
 labour
● Know how to diagnose labour
● Differentiate between different stages of
labour
Normal and abnormal labour and
its management ● Outline management plan of all three
stages of labour
● Differentiate between normal and
abnormal
● Labour
● Know different patterns of abnormal
labour
● Understand principles of management of
abnormal labour
Obstetric emergencies
(Maternal
collapse,eclampsia,amniotic fluid ● Understand the incidence,risk factors
Tuesday and early warning signs in common
embolism,umbilical cord see
11.00 am-
11
12.00 pm
RTH Obstetrics prolapsed,uterinerupture,uterinein
version,thromboembolism)
obstetric emergencies LGIS √ A3 assessment
● Diagnose the obstetric emergencies section

● Make the management plan for these

emergencies.
Postnatal complications and breast
feeding
● Understand common disorders of
Wednesday puerperium and how to manage them
12 -1 pm see
12 RTH Obstetrics ● Understand process of breast feeding LGIS √ A3 assessment
section
and its disorders
● Recognize and manage common
postpartum psychiatric disorders

40
Section-II

41
 CLINICAL CLERKSHIP

On Monday, Tuesday, Wednesday, Thursday, Saturday the students will go to clinical wards for clinical clerkship in the
respective unit from 10:00am onwards till 02:00pm.

On Friday, students will come to ward from 10:00am to till 12:00pm.

During clinical work, students will be divided into 4 sub batches and join house officer’s and post graduate trainees at their morning
stations and will closely follow their morning station routine.

Each Wednesday there will be hands on clinical workshop. There are total 8 workshops. First four will be covered in first rotation and
next four in second rotation.

On each Monday, the senior person (incharge of students) will introduce the students to postgraduate trainees and senior registrar of
respective stations. Pairing will be refreshed as the morning stations of students change.

From 10:00 am to12:00 pm they will be on clinical floor in their allotted wards to participate in morning rounds and carry out orders
given during round under direct supervision and assistant of postgraduate trainees and house officers. They will take history, perform
examination, make list of required investigations,make D/D and provisional diagnosis. Then they will discuss cases with their PGTs/SRs.
The 4 groups in batch (A,B,C,D) will rotate weekly to cover the following work stations. There will be a bed side class by consultant

42
from 12:00pm to 02:00pm, in which students will present allotted case histories. Students will be allotted cases and case presentation
schedule at the start of their rotation.

At the end of each station,Performa with written morning station targets (in log book) will be filled by each student and submitted after
signature and stamp of senior registrar of respective station. This will be included in continuous internal assessment of students and will
have weightage in final assessment.

43
 LEARNING OBJECTIVES - MORNING PLACEMENT (STATIONS)
Morning SPECIFIC LEARNING OJECTIVES (SLO) Cognition Pyscomotor Attitude MOT/MI
Sr # MOA
Station T
Cognition Skill Attitude C1 C2 C3 P1 P2 A1 A2

See

At the end of the rotation students should be assessment

section
able to
● Administer intramuscular injections to
atleasrt 5 patients
● Maintain IV line of atleast 2 patients
Bed side
1 Labour room ● Observe and monitor labour of atleast one √ √
teaching
patient
● Observe SVD with or without episiotomy
of one patient
● Deliver placenta of one patient under
supervision
● Examine one postnatal patient and submit
its progress in written form

At the end of the rotation See

At the end of the rotation students should be students should be able assessment
At the end of the rotation
to
students should be able to able to section
Bed side
2 Antenatal ward ● Take history,do examination and formulate √ √ √
teaching
management plan of atleast 1 of the cases / day  Counsel the
 Formulate the
given below patient about
management plan of one
● (PIH,GDM,PPROM, PROM, Anemia, diagnosis and
patient /day
Breech , Previous I scar with risk factors further plan

44
 )
● Submit written case of ONE patients
attended by the student per day
● Interpretation and complete labeling of
ONE CTG per day
● Observing Antenatal Ultrasounds of
ONE patients per day

At the end of the rotation At the end of the rotation See

students should be able to At the end of the rotation students should be students should be able assessment
able to to
section
 Formulate the ● Take history , do examination and make
management plan of management plan of atleast 1 of the cases/day  Counsel the Bed side
3 Gynae ward one patient /day given below patient about √ √ √
teaching
● (Benign Ovarian mass, fibroid, menstrual diagnosis and
irregularity, subfertility, UV prolapse, further plan
PID, Malignancy)
● Submit written case of ONE patients
attended by the student/day
● Pre op assessment of one patient/day
At the end of rotation See

Students should be At the end of rotation Students should assessment

be able to section
able to Bed side
4 OT ● Observe how to scrub and drape the √ √
patient teaching
 Know Indication of
● Observe proper aseptic measures
C-section ● Assist one C-Section and
/Gynaecological Gynaecological surgery from start till end

45
 surgery
 Know Importance
of preop antibiotics

At the end of rotation Students should be able At the end of rotation See

to Students should assessment

section
● Fill atleast two antenatal cards with be able to
● Complete biodata
● Mention risk factors ● Counsel for
● Detailed past obstetric history proper diet Bed side
5 OPD ● General physical examination √ √
during teaching
● Abdominal examination
● Take history, do examination and formulate pregnancy,reg
management plan of atleastONE patient with
ular antenatal
gynecological problem/day
● Interpretation of investigations care

46
 Learning Objectives (Workshops/Hands On Training)

LEARNING OJECTIVES (LOs) Cognition Psychomotor Attitude

Workshop MOA
Cognition Skill Attitude C1 C2 C3 P1 P2 A1 A2

At the end of the workshop See assessment

General physical At the end of the workshop students should be able to section
examination, students should be able to Effectively communicate with the
● Perform GPE on patient under patient during examination
Preparation of supervision
1 investigation slip, At the end of the workshop students ● Prepare investigation slip √ √
should be able to ● Write surgical notes
Documentation on ● Make discharge slip
discharge slip,
Surgical notes

At the end of the workshop See assessment

Systemic At the end of the workshop students should be able to section
At the end of the workshop students students should be able to
&Abdominal, Pelvic should be able to Perform abdominal and
2 √ √ √
examination, Pap  Know the indications of Pap smear and systemic examination on patient Counsel the patient about
HVS Perform pelvic/speculum diagnosis and further plan
smear, HVS examination on dummy
Take pap smear and HVS
on dummy
At the end of the workshop students At the end of the workshop students See assessment
should be able to At the end of the workshop should be able to section
students should be able to
● Take history of a pre OP
Pre and post
3  Formulate the management plan of patient perform examination  Counsel the Pre Op patient about √ √ √
operative care one Pre OP and one post OP patient and identify risk factors. diagnosis and further plan
● Fill the pre Op performa
● Perform examination of post
Op patient and pick the
important findings

47
 Hysteroscopy/ See assessment
At the end of workshop section
Laparoscopy/ Students should be able to
4 Diagnostic D & C/ At the end of workshop Students should be ● Identify these instruments At the end of workshop Students √ √
● Perform D&C and ERPC should be able to
ERPC, Myomectomy able to on dummy
instruments Know Indicatios ,complications of
these procedures
At the end of workshop Students should be At the end of workshop See assessment
Contraception, PPH able to Students should be able to section
● Identify different At the end of workshop Students
5 ,APH, Shoulder Know Indications method of use, contraceptive methods should be able to √ √ √
complications of contraception ● Insert IUCD and implants
dystocia,
● Perform PPH,APH, Shoulder● Counsel the patient for
dystocia drill on dummy contraception

Normal/ Abnormal At the end of workshop Students See assessment

should be able to section
labour/
Malpresentation, Draw findings on partograph
At the end of workshop Students should be Differentiate between normal
6 Mechanism of able to and abnormal progress of labour √ √
labour ,Breech, Cord Perform Mechanism of labour on
Know the management plan of patient with dummy At the end of workshop Students
Prolapse Cord prolapse Perform breech delivery on should be able to
dummy

At the end of workshop Students At the end of workshop Students See assessment
Counselling in should be able to should be able to section
7 gynaecology, At the end of workshop Students should be Identify the instruments Counsel the patient about any √ √
able to Apply forceps and vacuum on Gynae/ObS
Forceps, Vacuum
dummy
problem

At the end of workshop Students See assessment

Eclampsia / should be able to section
8
Maternal collapse / Perform eclampsia,maternal collapse √
Ultrasound Obs and At the end of workshop Students should be drill on dummy At the end of workshop Students
able to Observe USG of Gynae/OBS patients should be able to
Gynae

48
 EVENING PLACEMENT

● The sub batch doing duty in labour room in morning will do evening duty from 2 to 5 pm on Monday, Tuesday, Wednesday

Thursday.

● They will manage the emergencies under supervision of house officers, postgraduate trainees and senior registrars.

● Attendance should be signed by senior registrar on call.

49
Section-III

50
 ASSESSMENT

Assessment refers to the processes employed to make judgments about the achievements of students over a course of study, Hardlen W,2005

Lack of assessment and feedback, based on observation of performance in the workplace, is one of the most serious deficiencies in current medical education practice. John Norcini
and Vanessa Burch 2007

Assessing learners is a critical and challenging task for tutors. While students might manage to overcome subpar teaching, poor or inaccurate assessment of their abilities can have
lasting impacts on their personal and professional development. Assessment is vital not only for students but also for tutors, course organizers, and accrediting bodies (such as affiliated
universities or PMCs). Assessment data plays a crucial role in determining if learning outcomes have been met, thereby facilitating students' progression to the next course level.

Integrated assessment requires a comprehensive analysis and understanding of the process. To establish a strong foundation, key questions need to be addressed:

1. Why assess students?

o The purpose of assessment must be well-defined. It should include assessment for learning (as a strategy to enhance learning) and assessment of learning (summative
assessment) for progression, remediation, or promotion purposes.
2. Who should assess students?
o The assessment should involve multiple stakeholders, including program advisors/organizers, accrediting bodies, affiliated universities, enrolled colleges, tutors, other
healthcare professionals, and the students themselves, as well as standardized patients. The PMC will supervise the assessment process, which medical universities
will carry out in their affiliated colleges.
3. What should be assessed?
o All relevant competencies must be assessed. The objectives of the integrated curriculum should align with the content being assessed, considering the teaching
context. The chosen assessment materials should reflect valued competencies such as higher-order thinking, clinical skills, behavior/attitudes, and professionalism,
among other essential requirements.
o Assessment is the systematic basis for making inferences about the learning and development of students. It is the process of defining, selecting, designing,
collecting, analyzing,interpreting, and using information to increase students' learning and [Link] Policy

This policy is applicable to all the students of the MBBS program of RMU for all modes of teaching (on campus/online/any other) from the date of approval by the RMUAcademic
Council.

51
 1. Guiding principles
 RMU has the responsibility to ensure to all the stakeholders that students have achieved the identified outcomes of the medical degree course.
 Assessment requires a variety of methods; no single method can completely ensure that the requisite competence level has been achieved. Hence each
assessment instrument must be selected based on its utility index.
 Feedback, ensuring that the feedback loop is closed, should be provided to students following all assessments to ensure that students identify gaps in their
learning and faculty can review future curricular and assessment content.
 The quality of the entire assessment including confidentiality of the assessment process must be ensured.
 The assessment process should be clear and transparent so that students know in advance the expectations (from students) and consequences of the assessment.
 Details of the conduct of examinations are available in the Examination policy document.

2. Purposes of assessment
 Feedback to students regarding their readiness and deficiencies.
 To ensure appropriate competence has been achieved.
 Feedback to faculty to evaluate the effectiveness of the teaching program.
3. Forms of assessment
A formative assessment refers to a low-stakes assessment that does not normally contribute towards a student's final grade. A formative assessment may include summarizing
the main points in a lecture or a weekly quiz to test comprehension of the reviewed content. (assessment for learning) is carried out throughout modules and clerkships using
various strategies (at the discretion of module coordinators and clerkship directors) [Link] assessment performance may be taken as a continuous assessment.

A summative assessment is any method of evaluation performed at the end of a unit that allows a teacher to measure a student's understanding, typically against standardized
criteria. Assessment of learning takes place at the end of modules/ blocks and clerkships and comprises of:
Written assessment (50%)

52
 Multiple Choice Questions (MCQs) 40% Will be as USME format Extended Match Questions (EMQ) 10%
Short answer questions (SAQs) 50%
a. Performance (Practical) assessment (50%)

Objective Structured Practical Examination (OSPE) Years I, II and III Objective Structured Clinical Examination (OSCE) Years IV - V Short
cases will be included in OSCE

4. Assessment and their timings

 The module/ clerkship teams will be responsible for their assessment plan mentioning assessment strategies, timings, and other essentials (please
refer to the individual plans).
 Students will be briefed about the pattern and scoring of the assessments before the examination.
 Professional examination will be taken by RMU.
5. Weekly LMS (learning management system) assessment of LGIS and SDL

 There will be weekly assessment of LGIS and SDL of whole week at end of week through LMS.
 The LMS result will be shared by module coordinator and DME through vice chancellor on weekly basis.

6. Eligibility to appear in End Block Assessment (EBA)

 This will be applicable to all the blocks of undergraduate program

 80% attendance in each subject will be mandatory
 Student must pass in all LMS, mid module assessments to appear in EBA
 There will be no remedial classes for attendance compensation
 There will be no remedial of assessment after poor performance

53
7. Eligibility to appear in Pre-Annual Assessment (PAA)

 90% attendance in each block is required to appear in PAA

 It is mandatory to appear in all EBA to appear in PAA
 Appraisal letter from head of departments will be needed to appear in pre-annual assessment.
8. Attendance policy

 90% attendance in each block is required to appear in PAA

 There will be extra marks given as per rules.
 Attendance of the students will be shared by coordinator of module and DME through vice chancellor RMU on weekly basis.
 These marks will be counted in annual professional assessment.

9. Eligibility to appear in annual professional assessment

 Minimum 60% score in pre-annual assessment is required to appear in annual professional examination.
 Written and practical /OSPE/OSCE should be passed separately.
10. Passing criteria in annual professional examination

 50% marks will be needed to pass annual professional examination.

11. Total break up of assessment score

 Annual professional exam weightage 70% • Continuous internal assessment weightage 30%

54
 Internal Assessment
Continuous Internal Assessment means the assessment based on continuous internal assessment (CIA) tests and assignments given to the students during an academic
period.
 Total final Professional Marks in Gynae/OBS: 300
 Continuous Internal Assessment (30%) =90 Marks (final year: 70 marks, fourth year: 20 marks)
 Annual Marks: (70%) =210 Marks

55
 Internal Assessment Final Year- RMU
Details and Marks Distribution

Clerkship- 1st Rotation in Gynae Unit-Module I 2nd Rotation in Gynae Unit Module-II Marks %
Unit/Ward Wise
Assessment 4 workshops ( 10 marks ) 4 workshops ( 10 marks ) 35
Work Place Based 4 wards rotation and log book ( 10 marks ) 4 wards and log book ( 10 marks ) (average of two
(WPBA)
4 evening duties (05 marks) 4 evening duties (05 marks) ward rotation) 50%
Case histories write up ( 5 marks ) Case histories write up ( 5 marks )
Case presentation (5 marks) Case presentation (5 marks)
EBE marks 15 21%
It will comprise of theory (160 marks) and clinical component (240 marks) 5 7%
Module-I: It will comprise of theory (50 marks) and clinical component (70 marks) 7%
5
Module-II: It will comprise of theory (50 marks) and clinical component (70 marks)
LMS test 2.5
LMS exam consisting of 20 MCQs every week.
CPC quiz 7%
At the end of each CPC consisting of 10 MCQs
2.5
CPC
Attendance ≥ 75% 05 marks 5 7%
Attendance <75% zero mark
Total 70
*Unit/Ward assessment will be rounded

● A student having publication (Gynae/ Obs related) in non-predator Journal during Final Year MBBS period will get extra 7.5 marks. Addition of these numbers will
not be over and above total 150 numbers. Credit of these marks cannot be taken in other subjects.
● There is no compensation for attendance for missed period(s) of clerkship. Remedial learning can only be used to make up for compensation of clerkship objectives
not attendance.
56
 Internal Assessment 70 Marks Breakup (%)
Component % of Internal Assessment

End block exam (EBE), Module I & II 36% (25 marks)

Clerkship- Unit/Ward assessment-

50% (35 marks)

Work Place Based (WPBA) Assessment

CPC attendance 7% (5 marks)

LMS test, CPC quiz 7% (5 marks)

Publication 10% (extra 7 marks)

Details have been provided in previous page

57
 UNIT/WARD WORK PLACED BASED ASSESSMENT (WPBA)
MARKING DETAILS

WO WPBA Total
4 workshops 4 wards rotation with rotation targets 4 evening duties in labour
achievements and log book room rotation / case
presentations

35
10 marks 10 marks 15 marks

100
28.5% 28.5% 43%

Important Note:

Once internal assessment is compiled it CANNOT be altered under ANY circumstance unless a clerical/ human error is detected. He will
repeat classes and [Link] will be no change in calculated internal assessment scores for Supplementary University examination.

58
 MODULE/BLOCK ASSESSMENT STRATEGIES
Formative: Formative assessment is a process used by teachers during instruction that provides feedback to adjust ongoing teaching and learning to improve students'
achievement of intended instructional outcomes.

LMS (Learning Management System): Weekly LMS based assessment will be carried out in all the modules from the topics already provided in the study guide.

Summative: Summative assessment evaluates student learning at the end of a block/ professional year.
MCQs: Multiple-choice questions (MCQs) are a type of assessment item commonly used in educational settings to evaluate a person's knowledge or understanding of a topic.
In a multiple-choice question, the respondent is presented with a question or statement, known as the stem, along with several options, one of which is the correct answer
(the key), while the others are incorrect (distractors). The respondent selects the option they believe to be the correct answer.

EMQs: EMQs are designed to assess a candidate's clinical reasoning and decision-making skills by presenting a series of patient scenarios or clinical vignettes along with a list of
options.

SAQs: Short answer questions are a type of assessment item used to evaluate a person's understanding of a topic or concept. Unlike multiple-choice questions, which provide a
list of options for respondents to choose from, short answer questions require respondents to generate their own answers without the aid of options provided by the question.

SEQs: Short essay questions serve as an effective tool for assessing students' comprehension, critical thinking, and communication skills. They encourage active engagement
with course material, promote deeper understanding, and provide instructors with valuable insights into students' learning processes. As such, SEQs remain a cornerstone of
assessment in educational institutions worldwide.

Audio-Visual assisted OSPE: An audio-visual assisted OSPE (Objective Structured Practical Examination) refers to a method of assessment commonly used in medical education
and other fields where practical skills are essential. Students are shown certain videos or visuals after which they have to answer the given questions.

OSCE: Objectively structured clinical examination

Long cases: They test a candidate’s ability to handle complex or multiple medical issues in a real-world clinical context.

59
GYNAE /OBS & PAEDIATRIC BLOCK TEACHING SCHEDULE

Total duration of block

12 weeks

Gynae/Obs Paediatrics
2 modules 1 module
8 weeks 4 weeks

Module-I Module-II Module-III

Gynae/Obs Gynae/Obs Paediatrics
4 weeks 4 weeks 4 weeks

60
OBS /GYNAE & PAEDIATRIC BLOCK MODULAR ASSESSMENT

Modular Assessment
6 hrs , 10 min

Obs/Gynae Paediatrics
3 hrs, 40 min 2.5 hrs

Module-I Module-II Module-III

Obs/Gynae Obs/Gynae Paediatrics
110 min 110 min 2.5 hrs

61
 Module-I Assessment

Module I
Total marks 120
Total time 110 min

Theory component Clinical component

Total marks 50 Total marks 70
Total time 50 min Total time 60 min

20 MCQs 2 SAQs 2 SEQs 6 Ci OSCE staions

8 Av OSPE slides
1 mark/MCQ 5 marks/ SAQ 5 marks/ SEQ 1 EMQ 5 marks/ station
5 marks/ slide
Total marks 20 Total marks 10 Total marks 10 10 marks /EMQ Total marks 40 Total marks 30
1 min /MCQ 5 min/SAQ 5 min/SEQ 10 min / EMQ 3 min / slide 5 min / station
Total time 10 min Total time 10 min Total time 24 min Total time 30 min
Total time 20 min
(approx:30 min)

50 min 60 min

62
 Table of specification (TOS )-Theory component
Components MCQs SAQs SEQs EMQ

Questions 20 2 2 1

Marks 20 (1 each) 10 (5 each) 10 (5 each) 10

Time: 50 min Total Marks: 50

Topic Distribution
Topics MCQs SAQs SEQs EMQs
HTN disorders of pregnancy, PIH, preeclampsia, eclampsia, HELLP, IUGR 2

Anemia in pregnancy, cardiac and respiratory problems in pregnancy 2

1
Preterm labour (PTL) and PPROM 2
Obs 1 1 (obs)
Small and large for dates (Mistaken dates, Oligohydramnios, multiple gestations) 2

IUDs, Recurrent miscarriages (BOH) 1

Excessive vomiting and nausea (Hyperemesis Gravidarum) and other minor disorders of pregnancy e.g backache, constipation 1

Complications in early pregnancy (Miscarriages, GTD, Ectopic) 2

Abnormal uterine bleeding (HMB) 2

Menstrual irregularities (Sec-amenorrhoea, PCOD) 1 1

Gynae Abdominal mass (Fibroid uterus) 1 1

Bening ovarian masses 1

Malignant ovarian massess 1

Postmenopausal bleeding / uterine malignancy 1

Menopause and its related problems & HRT 1

63
 Table of specification (TOS) - Clinical component
f. Audio Visual objective structured practical examination (Av OSPE)

Total stations 8 Total 24 min

Total marks 40 (5 marks each) (3 min each)

[Link] Gynaecology Topic Distribution Marks [Link] Obstetrics Topic Distribution Marks

Patient with pallor+ SOB (Anemia in pregnancy, cardiac

1 Patient with bleeding and abdominal pain in early pregnancy
5 5 disease, respiratory disease)
(Miscarriage, Ectopic pregnancy & GTD) 5
Patient with menstrual irregularities or abnormal uterine bleeding 5 6 Patient presenting with high BP / Headache / Blurring of
2 5
(HMB, PMB, Secondary amenorrhoea, PCO) vision (HTN disorders of pregnancy)
3 Patient with benign genital tract tumours 5 7 Obstetric complications (PTL, PPROM) 5

4 Patient with benign genital tract tumours 5 8 Obstetric complications (mistaken dates, IUGR, 5
Oligohydramnios, multiple pregnancy, IUD, BOH)

64
b) Objective structured clinical examination (Ci OSCE)
Total stations 6 Total 30 min
Total marks 30 (5 marks each) (5 min each)
[Link] Topic Distribution Marks

05
GPE
1. 1

05
Obstetrics examination (Obstetrics)
2.

05
Abdominal examination (Gynaecology)
3.

05
Skills (Obstetrics topics covered in workshops of module 1)
4.

05
Skills (Gynaecology topics covered in workshops of module 1)
5.

05
Skills (Obstetrics topics covered in workshops of module 1)
6.

65
 Module-II Assessment

Module II
Total marks 120
Tota timel min 110

Theory component Clinical component

50 marks Total marks 70
Total time 50 min Total time 60 min

20 MCQ 8 AV OSPE slides 6 OSCE staions

2 SEQ
(20 marks) 2 SAQ 5 marks / slide
5 marks / SEQ 1 EMQ 5 marks/ stations
1 min / MCQ (10 marks ) Total marks 40
Total marks 10 (10 marks ) Total marks 30
Total 20 min 5 min / SAQ 3 min / slide 5 min / station
5 min/ SEQ 10 min / EMQ
1 min /MCQ Total time 10 min Total 24 min (Approx:30 min) Total time 30 min
Total time 10 min
Total time 20 min

50 min 60 mi
66
 Table of specification (TOS) - Theory component
MCQs SAQs SEQs EMQs
Components
Questions 20 2 2 1
Marks 20(1 each) 10 (5 each) 10 (5 each) 10
Time: 50 min Total Marks: 50

Topic Distribution

Topic distribution MCQs SAQs SEQs EMQs

Prolonged pregnancy and induction of labour 1
Deranged sugar levels (GDM), macrosomia 2
Antepartum Haemorrhage (APH) 1
Large for dates (Mistaken dates, Polyhydramnios, multiple gestation etc) 1
Rh incompatibility 1
Abnormal labour 1
Obs Primary and secondary PPH 1 1
1
Puerperal disorders 1
Liver disorders in pregnancy 1
Chronic pelvic pain (PID+ endometriosis) 2
Something coming out of vagina (UV Prolapse) 2 1
Vaginal discharge (Lower genital tract infection) 2
Gynae
Subfertility 2
Abnormal PAP smear (CIN) 1 1
Vulval and Vaginal disorders 1
1(Gynae)

67
 Table of specification (TOS) -Clinical component
a) Audio Visual assisted objective structured practical examination (Av OSPE)

Total stations 8 Total 24 min

Total marks 40 (5 marks each) (3 min each)

[Link] Gynaecology Topic Distribution Marks [Link] Obstetrics Topic Distribution Marks
1. 5 5 5

Patient with something coming out of vagina (UV Prolapse) Patient with deranged sugar levels (GDM), mistaken dates

2. Patient with pelvic pain and discharge (vaginal infections, PID, 5 6 Patient with pregnancy related bleeding (APH, Primary and 5
endometriosis) secondary PPH)

3. Management of couple presenting with inability to conceive 5 7 Pregnancy with jaundice, Puerperal disorders 5
(Subfertility)

4 pap smear, vulvul and vaginal disorders 5 8 Prolonged pregnancy ,induction of labour 5

68
b) Objective structured clinical examination (OSCE)
Total stations 6 Total 30 min
Total marks 30 (5 marks each) (5 min each)

[Link] Topic Distribution Marks

1. 05
GPE
2. 05
Obstetrics examination (Obstetrics )
3. 05
Abdominal examination (Gynaecology)
4. 05
Skills (Obstetrics topics covered in workshops of module II)
5. 05
Skills (Gynaecology topics covered in workshops of module II)
6. 05
Skills (Obstetrics topics covered in workshops of module II)

69
 END BLOCK EXAMINATION (EBE)

End Block Examination (EBE) has been devised for assessment of three months bock. It has undergone a number of modifications over last few years. A lot of effort has been done to

make it uniform and standardized keeping in mind attachment of Medical Students to more than one hospital.

70
 TOS End block examination (EBE) Old pattern
.
Total Marks 150

Theory componant Parctical componant

50 100

MCQs SAQs OSCE Long case

30 20 70 30

Total assessment hours: 3 hours

Theory component: 1 hour
Clinical component: 2 hours

71
 Revised TOS End block examination (EBE )

Total Marks
400
Total time 5.5 hours

Theory component
Total marks 160 Clinical component
Total time 3 hours (2 hours Total marks 240
40 min) Total time 2.5 hours

Paper -I Paper-II
Total marks 80s Total marks 80
Total time 80 min 16 Av OSPE 10 OSCE
Total time 80 min 2 Long cases
slides stations
30 marks/long case
5 marks / slide 10 marks/station
Total marks 80 Total marks 60
Total marks 100
3 min / slide 25 min/long case
5 min/station
Total time 48 min Total time 50 min
3 SAQs 3 SAQs 3 SEQs 1 EMQ Total time 50 min
3 SEQs 40 MCQs 1 (approx 50 min)
40 MCQs mark/ MCQ 5 marks /SEQ 10 marks/
5 marks/ SAQ 5 marks / SAQ
1 mark /MCQ5 marks/ SEQ 1 EMQ
Total marks 40 5 min / SEQ EMQ
Total marks 15 Total marks 15 10 Marks / 5 min / SAQ
Total marks 40 1 min/MCQ Total time 15 10 min/EMQ
5 min/ SAQ EMQ Total time 15
1 min / MCQ 5 min/ SEQ Total time 40 min min
Total time 15 Total time 15 10 min/EMQ
Total time 40 min min min
min

Total assessment hours: 5.5 hours

Theory component: 3 hour
Practical component: 2.5 hours

72
 Table of specification (TOS) - Theory component
Integration in theory component

Domain Components Percentage

Core Medical knowledge (CMK) Core subjects 70 %

Horizontal integration (HI) Medicine, Surgery, Neonatology (subjects of same 10 %

year)

Vertical integration (VI) Anatomy, Physiology, Biochemistry, Pharmacology, 10 %

Pathology ( subjects of other years)

Spiral integration (SI) Research, Bioethics, Family Medicine 10 %

73
 Table of specification (TOS)- Theory component (Paper 1: Obstetrics)
1: Obstetrics Paper 1: Obstetrics Paper 1: Obstetrics
S. SECTIONS Topic Distribution MCQs SAQs SEQs EMQ
No.
Prenatal, Antenatal, 4
1 1
NORMAL Intrapartum, Postnatal Care 4
1.
OBSTETRICS

Antenatal 4
OBSTETRICS 1 1
2. Intrapartum 4
COMPLICATION
Postnatal 4
Hematological disorders 4 1
Hypertensive disorder
Cardiac disease in pregnancy 4
3. MEDICAL 1 1
COMPLICATIONS Endocrinological disorders in pregnancy
Liver disease and gastroenterology disorders 4

Early pregnancy disorders, Others 4

OBSTETRICS Maternal collapse and resuscitation and others 4
4. EMERGENCY emergencies

Total marks 40 15 15 10

74
 Table of specification (TOS) - Theory component (Paper 2: Gynaecology)
Table [Link]. Topic Distribution MCQs SAQs SEQ EMQs of
specification
1. Disorders of menstruation 4
1 1
2. Miscarriages/ Ectopic gestation/ GTD 4

3. Subfertility 4

Endometriosis and adenomyosis 4

4.

5. Infections of genital tract 4

1 1
Uterovaginal prolapse
6. 4
Urogynecology and fistulae

7. Benign tumor of genital tract 4

1 1
8. Malignant diseases of genital tract 4

9. Contraception 4

1
10. Menopause and HRT 4

Total marks 40 15 15 10

75
 Table of specification (TOS) - Clinical component
 Objective structured clinical examination (OSCE)

[Link] Gynaecology Topic Distribution Marks Obstetrics Topic Distribution Marks

History taking /General physical examination Abdominal examination on patient
1 (patient, simulated patient) 10

10

Speculum examination/High vaginal swab/Pap Smear (on dummy) 10 Documentation (Writing or critical appraisal of discharge slip,
2 delivery/surgical notes, investigation slip, Antenatal card 10

3 Procedures/instruments Hysteroscopy/Laparoscopy/Diagnostic 10 Drills on dummy 10

D&C /ERPC
Myomectomy Mechanism of labour /Breech delivery/Shoulder dystocia
Pre op care including interpretation of investigations (Ultrasound 10 Drills on dummy
4 and radiological investigations) 10
Post op care PPH/Eclampsia/Maternal collapse

Interpretation, filling or critical appraisal of

Contraception, Counselling of any Gynae problem 10
5 CTG, partograph, labour care guide, lab investigations, Ultrasound 10
picture

76
  Audiovideo assisted objective structured practical examination (Av OSPE)

[Link] Gynaecology Topic Distribution Marks [Link] Obstetrics Topic Distribution Marks
05 05
1 Disorders of menstruation 9 Prenatal, Antenatal care
05 05
2 Miscarriages / Ectopic pregnancy 10 Intrapartum /postnatal care
/GTD
05 05
3 Subfertility 11 Obstetrical complications
05 05
4 Endometriosis and adenomyosis 12 Obstetrical complications
05 05

5 Infections of genital tract 13 Medical complications

05 05

6 UV prolapse/ Urogynae and fistula 14 Medical complications

05 05
7 Benign tumor of genital tract 15 Obstetrical emergencies
05 05

8 Malignant tumor of genital tract 16 Obstetrical emergencies

77
 Pre-Annual Assessment (PAA) (Send-Up)

Total Marks=150

Total time = 2 hours 10 min

Clinical (Psychomotor)
Theory (Knowledge)
OSCE
Marks 100
Marks 50
Time 1 hour 40 min
Time 30 min

Paper -I Paper-II
Marks 50 Marks 50
Time 50 min Time 50 min 5 Stations
10 marks / station
marks 50
6 min / station
Time 30 min
2 SEQs 2 SAQs
30 MCQs 2 SEQs 2 SAQs 30 MCQs
5 marks / SEQ 5 marks /SAQ
1 mark /MCQ 5 marks/ SEQ 5 marks/ SAQ 1 mark/ MCQ
Marks 10 Marks 10
Marks 30 Marks 10 Marks 10 Marks 30
5 min / SEQ 5 min / SAQ
1 min / MCQ 5 min/ SEQ 5 min/ SAQ 1 min/MCQ
Time 10 min Time 10 min
Time 30 min Time 10 min Time 10 min Time 30 min

Total assessment hours: 2 hours 10min

Theory (Knowledge): 1 hour 40 min Note: Av OSPE is omitted so ratio of
Clinical (Psychomotor): 30 min clinical and theory is changed.

78
 5 OSCE stations

Station 1 Station 2 Station 3 Station 4 Station 5

Examination of Obstetrical Examination of Gynaecological a. Basic life support

antenatal patient Procedures/Drills Gynaecological Procedures
a. General physical a. Mechanism of patient a. Dilatation and
examination labour a. General curratage
b. Abdominal b. Breech delivery physical b. Evacuation of
examination c. Shoulder dystocia examination retained products
c. Systemic d. Instrumental b. Abdominal of conception
examination delivery examination c. Pap smear
d. Speculum e. Management of 3rd c. Systemic d. High vaginal swab
examination stage of labour examination
f. PPH drill d. Speculum
g. Eclampsia drill examination
h. e. Bimanual
i. Eclampsia drill examination

79
 Integration in Theory (Knowledge)
Domain Components Percentage
Core Medical knowledge Core subjects 70 %

(CK)

Horizontal integration (HI) Medicine, Surgery, Neonatology (subjects of same 10 %

year)

Vertical integration (VI) Anatomy, Physiology, Biochemistry, Pharmacology, 10 %

Pathology (subjects of other years)

Spiral integration (SI) Research, Bioethics, Family Medicine 10 %

80
 Table of specification (TOS) - Theory (knowledge)
Paper I: Obstetrics 1: Obstetrics Paper 1: Obstetrics Paper 1: Obstetrics
S. No. SECTIONS Topic MCQs SAQs SEQs

Prenatal, Antenatal, 3

5. Intrapartum, Postnatal Care 3

Normal obstetrics

1 1
Antenatal 3
6. Obstetrics Intrapartum 2
complications
Postnatal 2
Hematological disorders 3
Hypertensive disorder
3
Cardiac disease in pregnancy 2
7.
Medical complications Endocrinological disorders in pregnancy
1
3 1
Liver disease and gastroenterology disorders 1
Early pregnancy disorders, Others 2
Obstetrics Maternal collapse and resuscitation and others 3
8. Emergency emergencies

Total marks 30 10 10

81
 TOS Distribution for MCQs of Theory Paper I according to Calgary Model
Paper I Topic Impact Frequency I×F (Impact× Weightage No of Rounded NO
Frequency) Items

Normal obstetrics Prenatal, Antenatal, 3 3 9 0.1071 3.214 3

Intrapartum, Postnatal Care 3 3 9 0.1071 3.214 3
Obstetrics Antenatal 3 3 9 0.1071 3.214 3
complication Intrapartum 3 2 6 0.0714 2.142 2
Postnatal 3 2 6 0.0714 2.142 2
Hematological disorders 3 3 9 0.1071 3.214 3
Hypertensive disorder 3 3 9 0.1071 3.214 3
Medical complications Cardiac disease in pregnancy 3 2 6 0.0714 2.142 2
Endocrinological disorders in pregnancy 3 3 9 0.1071 3.214 3
Liver disease and gastroenterology disorders 2 2 4 0.0476 1.428 1
Early pregnancy disorders, Others 2 2 4 0.0476 1.428 2
Obstetrics Maternal collapse and resuscitation and 3 2 6 0.0714 2.142 3
Emergency others emergencies

84 1 30 30

82
Paper II: Gynaecology

S. No. Topic MCQs SAQs SEQ

11. Disorders of menstruation 4

12. Miscarriages/ Ectopic gestation/ GTD 3

13. Subfertility 3
1
14. Endometriosis and adenomyosis 2 1

15. Infections of genital tract 3

Uterovaginal prolapse
16. 2
Urogynecology and fistulae 2

17. Benign tumor of genital tract 3

1
Malignant diseases of genital tract 3 1
18.

19. Contraception 3

20. Menopause and HRT 2

Total marks 30 10 10

83
 TOS Distribution for MCQs of Theory Paper II according to Calgary Model
Paper II Impact Frequency I×F (Impact× Weightage No of Items Rounded NO
Frequency)
Disorders of menstruation 3 3 9 0.1153 3.461 4
Miscarriages/ Ectopic gestation/ GTD 3 3 9 0.1153 3.461 3
Subfertility 3 2 6 0.0810 2.43 3
Endometriosis and adenomyosis 3 2 6 0.0810 2.43 2
Infections of genital tract 3 3 9 0.1153 3.461 3
Uterovaginal prolapse 2 2 4 0.0540 1.621 2
Urogynecology and fistulae 2 2 4 0.0540 1.621 2
Benign tumor of genital tract 3 3 9 0.1153 3.461 3
Malignant diseases of genital tract 3 3 9 0.1153 3.461 3
Contraception 3 3 9 0.1153 3.461 3
Menopause and HRT 2 2 4 0.0540 1.621 2
78 1 30 30
Note:
MCQ s:
should be scenario based, Should not be single liner, Referenced from USMLE, MRCOG, PLAB and text book
SAQs, SEQs:
Should be scenario based
Must have 5 stems
Referenced from text book

84
Plan for Execution
1 Block
5 Ci OSCE Stations
5 students / block

4 blocks at a time in 1 unit in 1

circuit
20 students
30 min

6 circuits / unit
Total 120 students / unit
Total time = 3 hrs

Total units = 4
480 students

85
 Final Professional MBBS Examination, RMUR: 2025
THEORY 50% CLINICALS 50%
Subject No of Items
Component No of Items Marks Component Marks Total Marks
stations
Section I-
30 30 (1 x 30)
MCQ Long case 1 20
Obstetrics
Paper I 1 5
EMQ OSCE 4 20 (4x5) 110

Av OSPE 5 15(5x3)
Section II-SAQ/SEQ 20 (5 x 4)
4
Section I-MCQ 25 25(1 x 25) Long
case 1 20
Gynaecology EMQ 1 5
Paper II OSCE 3 15 (3x5) 100

Section II-SAQ/SEQ Av OSPE 5 15(5x3)

4 20(4x 5)
Continuous Internal Assessment
Total marks with CIA Continuous Internal Assessment (30%) 45 45 90
(30%)
=210+90= 300
Total Marks 150 Total Marks 150 300

86
 Table of specification

(TOS)- Theory Component

Paper I: Obstetrics
S. No. SECTIONS Topic Distribution MCQs 30 EMQs 1 SAQs 5 SEQs - 5

Prenatal 2
Antenatal 2
Intrapartum 2
Normal obstetrics
1 Postnatal Care 2
Neonatology 1 1 1
Breast feeding 1
Antenatal 2
Obstetrics complications
2 Intrapartum 2
Postnatal 2
Early pregnancy disorders 2
Hematological disorders 2 1
Hypertensive disorder 2 (5 parts)
Medical complications
3 Cardiac disease in pregnancy 2
Endocrinological disorders in pregnancy 2
Liver disease and gastroenterology disorders 1
Others 1
Maternal collapse and resuscitation and others emergencies 2 1 1
4 Obstetrics emergencies

Total marks:55 30 5 10 10

Total time: 55 min 30 min 5 min 10 min 10 min

87
 Table of specification (TOS) – Theory Component
Paper II: Gynaecology
S. No Topic Distribution MCQs 30 EMQs 1 SAQs 5 SEQs - 5

1 Anatomy and embryology of genital tract 1

2 Disorders of puberty and ovulation 1
3 Disorders of menstruation 2
4 Miscarriages 2
5 Ectopic gestation 1 1 1
6 Subfertility 2
7 Endometriosis and adenomyosis 2
8 Infections of genital tract 2
1
9 Uterovaginal prolapse 2 (5 parts)
10 Urogynecology and fistulae 1
11 Benign tumors of genital tract 2
12 Malignant diseases of genital tract 2
1 1
13 Contraception 2
14 Menopause and HRT 1
15 Common gynecological procedures 1
16 Pre, intra and post-operative care 1

Total marks: 50 25 5 10 10
Total time:50 min 25 min 5 min 10 min 10 min

88
 Table of specification (TOS) – Clinical component
Audio Video Assisted Objective Structural Practical Examination (Av OSPE)

Paper I: Obstetrics

S. No Topics Marks

01 Scenario based: 03
prenatal and antenatal complications, management
02 Scenario based: Intrapartum and postpartum complication management 03

03 Scenario based: Medical Complications management 03

04 Obstetric ultrasound, MRI and Prenatal invasive diagnosis 03

05 CTG, portogram, labor care guide, lab investigations 03

Total marks 15

Total time 15 min

(3 min each)

89
 Table of specification (TOS) – Clinical component
Audio Video Assisted Objective Structural Practical examination (Av OSPE)

Paper II: Gynaecology

S. No. Topics Marks

1 Differential diagnosis:
03
(Mass abdomen, HMB, Dysmenorrhea, Something coming out of vagina)

2 Medication and sutures 03

3 Scenario based: case management 03

4 Ultrasound and radiological investigations (USG, HSG, CT scan, MRI, Doppler ) 03

5 Lab investigations (Anemia,Pre-Op investigations etc) 03

Total marks 15

Total time 15 min

(3 min each)

90
 Table of specification (TOS) – Clinical component
Objective Structural Clinical Examination (OSCE)

Paper I: Obstetrics

S. No. Topic Distribution Marks

Station 1
Examination of antenatal patient
01 a. General physical examination 05
b. Abdominal examination
c. Systemic examination
d. Speculum examination
Station 2
Obstetrical Procedures/Drills
02 a. Mechanism of labour 05
b. Breech delivery
c. Shoulder dystocia
d. Instrumental delivery
Station 3
Obstetrical Procedures/Drills
03 e. Management of 3rd stage of labour 05
f. PPH drill
g. Eclampsia drill
Station 4
04 05
a. Basic life support
Total marks 20
Total time 20 min
(5 min each)

91
 Table of specification (TOS) – Clinical component
Objective Structural Clinical Examination (OSCE)

Paper I: Obstetrics

S. No. Topic Distribution Station NO. Marks

Examination of antenatal patient Station 1
a. General physical examination
01 b. Abdominal examination 05
c. Systemic examination
d. Speculum examination
Obstetrical Procedures/Drills Station 2
a. Mechanism of labour
02 b. Breech delivery 05
c. Shoulder dystocia
d. Instrumental delivery
Obstetrical Procedures/Drills Station 3
a. Management of 3rd stage of labour
03 b. PPH drill 05
c. Eclampsia drill

Basic life support Station 4

04 05

Total marks 20
Total time 20 min
(5 min each)

92
 Table of specification (TOS) – Clinical component
Objective Structural Clinical Examination (OSCE)

Paper II: Gynaecology

S. No. Topic Distribution Station NO. Marks

Examination of Gynaecological patient Station 5

a. General physical examination
01 b. Abdominal examination 05
c. Systemic examination
d. Speculum examination
e. Bimanual examination
Gynaecological Procedures Station 6
a. Dilatation and curratage
02 b. Evacuation of retained products of conception 05
c. Pap smear
d. High vaginal swab
Counselling Station 7
a. Contraceptive counselling 05
03 b. Pre- Op Counselling
c. Post- op Counselling
Total marks Station 3 15
Total time 15 min
(5 min each)

93
 Table of specification (TOS) – Clinical component

Long Cases

Obstetrics Gynaecology:

Time: 30 min Time: 30 min

Total Marks: 20 Total Marks: 20

History: 05 marks History: 05 marks

Examination: 05 marks Examination: 05 marks

Investigations: 02 marks Investigations: 02 marks

Differential and Provisional diagnosis: 03 marks Differential and Provisional diagnosis: 03 marks

Management: 05 Management: 05

94
 Summary of Assessments
NAME FREQUECY Pattern TYPE SETTING
CPC Quiz After every CPC 10 MCQs Formative On line
LMS tests Every 1 weeks 20 MCQs Formative On line
Module I At end of first module Theory: 50 marks : MCQs: 20 marks (20 Items) SAQs: 10 marks (2 Items) SEQs: 10 marks (2 items) EMQ: 10marks (1 item) Formative Recpective units
Clinical: 70 marks” : Av OSPE :40 marks (8 slides) Ci OSCE: 30 marks(6 stations)
Module II At end of second Theory: 50 marks :MCQs: 20 marks (20 Items) SAQs: 10 marks (2 Items) SEQs: 10 marks (2 items) EMQ: 10marks (1 item) Formative Respective units
module Clinical: 70 marks : Av OSPE :40 marks (8 slides) Ci OSCE: 30 marks(6 stations)
Theory: 160marks On Campus
Obstetrics: MCQs: 40 marks (40 Items) SAQs: 15 marks (3 Items) SEQs: 15 marks (3 items) EMQ: 10marks (1 item)
Gynaecology:MCQs:40 marks (40 Items) SAQs: 15 marks ( 3 Items) SEQs: 15 marks (5 items) EMQ: 10marks (1 item)
Clinical: 240 marks
Ci OSCE Obstetrics: 50 marks (5 stations)
At end of Block (12
End block exam Gynaecology: 50 marks (5 stations ) Summative
weeks)
Av OSPE: Obstetrics: 40 marks (8 slides) In respective units
Gynaecology: 40 marks (8 slides )
Long cases: Obstetrics: 30 marks (1 long case)
Gynaecology: 30 marks (1 long case)

Theory: 100 marks On Campus

Obstetrics: MCQs: 30 marks (30 Items) , SAQs: 10 marks (2 Items) SEQs: 10 marks (2 Items) In respective units
Preannual Gynaecology: MCQs: 25 marks (25 Items) SAQs: 10 marks ( 2 Items ) SEQs: 10 marks (2 Items) As an eligibility
Examination At the end of year Clinical: 50 marks OSCE: 50 marks (5 Items) criteria for final
(Send Up) professional exam

Obstetrics: 110 marks Theory: 55 Clinical: 55 Written-On Campus

Profession-al exam At the end of year Gynaecology: 100 marks Theory: 50 Clinical: 50 Summative Clinical-in respective
units

95
 TIME TABLE OF 1st SESSION LECTURES
FOR FINAL YEAR MBBS AT NTB RMU (Gynae Lectures)
Monday Tuesday Thursday
Date Lecture Date Lecture Date Lecture
08.00am to 09.00am 08.00am to 09.00am 08.00am to 09.00am
03-3-25 Medical ethics 04-03-25 Physiology of menstrual cycle [Link] Khan 06-03-25 Anatomy + Embryology of pelvic organs
HFH-I Dean, Professor TallatFarkhanda / [Link] HFH-I (Assistant Professor) HFH-I [Link] Nawaz (Associate Professor)
(Assistant Professor)
Miscarriages Ectopic/GTD Primary Amenorrhea
10-03-25 [Link] , (Assistant Professor) 11-03-25 [Link], (Assistant Professor) 13-03-25 [Link] Noreen (Associate Professor) Head of
HFH-II HFH-II HFH-II Department
Secondary amenorrhea PCOD Abnormal uterine bleeding
17-03-25 [Link] Khan, Associate Professor , HOD, / 18-03-25 [Link] , Assistant Professor 20-03-25 [Link] Khan, Associate Professor , HOD, / [Link] ,
BBH [Link] , Assistant Professor BBH BBH Senior Registrar
Endometriosis Lower genital tract infection Upper genital infection
24-03-25 [Link] , Associate Professor, HOD, 25-03-25 [Link] Bashir, Assistant Professor 27-03-25 [Link], Assistant Professor
RTH RTH RTH

31-3-25 Benign disease of ovary 01-4-25 Sub-fertility 03-4-25 Contraception

HFH-I [Link] Khan , Assistant Professor HFH-I [Link] Bilqis, Assistant Professor HFH-I [Link] Nawaz, Associate Professor

07-04-25 Benign disease of Uterus 08-04-25 Benign +Pre-malignant diseases of cervix 10-04-25 Benign + Malignant disease of vulva + vagina
HFH-II HFH-II HFH-II

29-04-2024 to 05-05-2024 (Sports Week)

14-04-25 Malignant diseases of ovary 15-04-25 Malignant diseases of uterus 17-04-25 Malignant diseases of cervix
BBH BBH BBH
21-04-25 Post menopausal bleeding 22-04-25 Menopause + HRT 24-04-25 UV Prolpase
RTH RTH RTH

96
 TIME TABLE OF 1st SESSION LECTURES
FOR FINAL YEAR MBBS AT NTB RMU (Obs Lectures)

Monday Tuesday Thursday

Date Lecture Date Lecture Date Lecture
08.00am to 09.00am 08.00am to 09.00am 08.00am to 09.00am
28-04-25 Antenatal Care + Obs History 29-04-25 Anemia in Pregnancy 01-05-25 Diabetes in Pregnancy
HFH-I HFH-I HFH-I

Assessment of Fetal well being and prenatal Hypertensive disorders + IUGR Liver disorders in pregnancy
05-05-25 diagnosis 06-05-25 (Except eclampsia) 08-05-24
HFH-II HFH-II
HFH-II
12-05-25 APH 13-05-25 Preterm labour and PPROM 15-05-25 Multiple pregnancy /End Block
BBH BBH BBH
End Block

97
 TIME TABLE OF 2nd SESSION LECTURES
FOR FINAL YEAR MBBS AT NTB RMU (Gynae Lectures)
Monday Tuesday Thursday
Date Lecture Date Lecture Date Lecture
08.00am to 09.00am 08.00am to 09.00am 08.00am to 09.00am
Medical ethics Physiology of menstrual cycle Anatomy + Embryology of pelvic organs
HFH-I Dean, Professor TallatFarkhanda / HFH-I [Link] Khan (Assistant Professor) HFH-I [Link] Nawaz (Associate Professor)
[Link] (Assistant Professor)

Miscarriages Ectopic/GTD Primary Amenorrhea

HFH-II [Link] , (Assistant Professor) [Link], (Assistant Professor) [Link] Noreen (Associate Professor) Head
HFH-II HFH-II of Department
Secondary amenorrhea PCOD Abnormal uterine bleeding
BBH [Link] Khan, Associate Professor , [Link] , Assistant Professor [Link] Khan, Associate Professor , HOD, /
HOD, / [Link] , Assistant Professor BBH BBH [Link] , Senior Registrar
Endometriosis Lower genital tract infection Upper genital infection
RTH [Link] , Associate Professor, [Link] Bashir, Assistant [Link], Assistant Professor
HOD, RTH Professor RTH

Benign disease of ovary Sub-fertility Contraception

HFH-I [Link] Khan , Assistant Professor HFH-I [Link] Bilqis, Assistant HFH-I [Link] Nawaz, Associate Professor
Professor
Benign disease of Uterus Benign +Pre-malignant diseases of Benign + Malignant disease of vulva + vagina
HFH-II [Link], Assistant Professor HFH-II cervix HFH-II [Link] Noreen, (Associate Professor) HOD
[Link], Assistant Professor
Malignant diseases of ovary Malignant diseases of uterus Malignant diseases of cervix
BBH [Link] Khan, Head of Department BBH [Link], Assistant Professor BBH [Link] Khan, Assistant Professor
Post menopausal bleeding Menopause + HRT UV Prolpase
RTH [Link] Bashir, Assistant Professor RTH [Link], Assistant Professor RTH [Link] , Associate Professor, HOD

98
 TIME TABLE OF 2nd SESSION LECTURES
FOR FINAL YEAR MBBS AT NTB RMU (Obs Lectures)

Monday Tuesday Thursday

Date Lecture Date Lecture Date Lecture
08.00am to 09.00am 08.00am to 09.00am 08.00am to 09.00am
Antenatal Care + Obs History Anemia in Pregnancy Diabetes in Pregnancy
HFH-I [Link] Bilqis (Assistant Professor) HFH-I [Link] (Assistant HFH-I [Link] Nawaz Malik (Associate Professor)
Professor)

Assessment of Fetal well being and prenatal Hypertensive disorders + IUGR Liver disorders in pregnancy
diagnosis (Except eclampsia) [Link], Assistant Professor, Gynae
HFH-II [Link] Noreen , Associate Professor, [Link], Assistant HFH-II Unit-II
Head of Department
HFH-II Professor, Gynae Unit-II
APH Preterm labour and PPROM Multiple pregnancy /End Block
BBH [Link] Khan, Associate Professor, Head BBH [Link], Assistant BBH [Link] Khan, Associate Professor, Head of
of Department Professor Department
End Block of 2nd Session

99
 TIME TABLE OF 3rd SESSION LECTURES
FOR FINAL YEAR MBBS AT NTB RMU (Gynae Lectures)

Monday Tuesday Thursday

Date Lecture Date Lecture Date Lecture
08.00am to 09.00am 08.00am to 09.00am 08.00am to 09.00am
Medical ethics Physiology of menstrual cycle Anatomy + Embryology of pelvic organs
HFH-I Dean, Professor TallatFarkhanda / HFH-I [Link] Khan (Assistant Professor) HFH-I [Link] Nawaz (Associate Professor)
[Link] (Assistant Professor)

Miscarriages Ectopic/GTD Primary Amenorrhea

HFH-II [Link] , (Assistant Professor) [Link], (Assistant Professor) [Link] Noreen (Associate Professor) Head
HFH-II HFH-II of Department
Secondary amenorrhea PCOD Abnormal uterine bleeding
BBH [Link] Khan, Associate Professor , [Link] , Assistant Professor [Link] Khan, Associate Professor , HOD, /
HOD, / [Link] , Assistant Professor BBH BBH [Link] , Senior Registrar
Endometriosis Lower genital tract infection Upper genital infection
RTH [Link] , Associate Professor, [Link] Bashir, Assistant [Link], Assistant Professor
HOD, RTH Professor RTH

Benign disease of ovary Sub-fertility Contraception

HFH-I [Link] Khan , Assistant Professor HFH-I [Link] Bilqis, Assistant HFH-I [Link] Nawaz, Associate Professor
Professor
Benign disease of Uterus Benign +Pre-malignant diseases of Benign + Malignant disease of vulva + vagina
HFH-II [Link], Assistant Professor HFH-II cervix HFH-II [Link] Noreen, (Associate Professor) HOD
[Link], Assistant Professor
Malignant diseases of ovary Malignant diseases of uterus Malignant diseases of cervix
BBH [Link] Khan, Head of Department BBH [Link], Assistant Professor BBH [Link] Khan, Assistant Professor
Post menopausal bleeding Menopause + HRT UV Prolpase
RTH [Link] Bashir, Assistant Professor RTH [Link], Assistant Professor RTH [Link] , Associate Professor, HOD

100
 TIME TABLE OF 3rd SESSION LECTURES
FOR FINAL YEAR MBBS AT NTB RMU (Obs Lectures)

Monday Tuesday Thursday

Date Lecture Date Lecture Date Lecture
08.00am to 09.00am 08.00am to 09.00am 08.00am to 09.00am
Antenatal Care + Obs History Anemia in Pregnancy Diabetes in Pregnancy
HFH-I [Link] Bilqis (Assistant Professor) HFH-I [Link] (Assistant HFH-I [Link] Nawaz Malik (Associate Professor)
Professor)

Assessment of Fetal well being and prenatal Hypertensive disorders + IUGR Liver disorders in pregnancy
diagnosis (Except eclampsia) [Link], Assistant Professor, Gynae
HFH-II [Link] Noreen , Associate Professor, [Link], Assistant HFH-II Unit-II
Head of Department
HFH-II Professor, Gynae Unit-II
APH Preterm labour and PPROM Multiple pregnancy /End Block
BBH [Link] Khan, Associate Professor, Head BBH [Link], Assistant BBH [Link] Khan, Associate Professor, Head of
of Department Professor Department
End Block of 3rdSession

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TIME TABLE OF GYNAE / OBS WORKSHOPS FOR FINAL YEAR MBBS
AT RESPECTIVE UNITS ON EVERY WEDNESDAY
Timings: 10:00 am to 02:00 pm (1st Rotation)
1 General physical examination, Preparation of investigation slip, Documentation on discharge slip, Surgical notes

2 Systemic &Abdominal, Pelvic examination, Pap smear, HVS

3 Pre and post operative care

4 Hysteroscopy/ Laparoscopy/ Diagnostic D & C/ ERPC, Myomectomy instruments

TIME TABLE OF GYNAE / OBS WORKSHOPS FOR FINAL YEAR MBBS

AT RESPECTIVE UNITS ON EVERY WEDNESDAY
Timings: 10:00 am to 12:00 pm (2ndRotation)
1 Contraception, PPH ,APH, Shoulder dystocia,
Normal/ Abnormal labour/ Malpresentation, Mechanism of labour ,Breech, Cord Prolapse
2

3 Counselling in gynaecology, Forceps, Vacuum

4 Eclampsia / Maternal collapse / Ultrasound Obs and Gynae

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Consultant class/CBL Schedule, MBBS FINAL Year Batch (1st Rotation) 2025
Days Roll No Topic Week-I (OBS) Teacher
Day-1 Obs History Taking
Day-2 Patient presenting with high BP / Headache / Blurring of vision (HTN disorders of pregnancy)

Day-3 Workshop-01
Day-4 Patient with pallor+ SOB (Anemia in pregnancy)

Day-5 CBL- Patient presenting with high BP / Headache / Blurring of vision (HTN disorders of pregnancy, IUGR)

Day-6 CBL- Patient with pallor+ SOB (Anemia in pregnancy, Cardiac disease, respiratory disease)
Week-II (OBS)
Day-1 Patient with preterm labour (PTL) and PPROM

Day-2 Patient presenting with small for dates (Mistaken dates, IUGR, Oligohydramniose, PPROM)
Day-3 Workshop-02

Day-4 Patient presenting with large for dates (Multiple gestations)

Day-5 CBL- Patient with previous history of IUDs, Miscarriages (BOH)

Day-6 CBL-Patient with excessive vomiting and nausea (Hyperemesis Gravidarum) and other minor disorders of pregnancy e.g backache , constipation

Week-III (Gynae)
Day-1 History Taking (Gynae) + Patient with bleeding and abdominal pain in early pregnancy (Ectopic)

Day-2 Patient with abnormal uterine bleeding ( HMB) + Fibroid Uterus

Day-3 Workshop-03

Day-4 Patient with abdominal mass (Bening and malignant ovarian masses)

Day-5 CBL- Patient with bleeding in early pregnancy (Miscarriages+GTD) + CBL- Patient with Menstrual cycle irregularities (Sec-amennnorhoea, PCOD)
Day-6 CBL-Patient with Postmenopausal bleeding (all cases of PMB) + CBL-Patient with hot flushes (Menopause and its related problems + HRT )

Week-IV (Gynae)
Day-1 Patient with abdominal mass (Fibroid uterus )
Day-2 Patient with abdominal mass (Bening ovarian masses)
Day-3 Workshop-04
Day-4 Patient with abdominal mass (Malignant ovarian and uterine masses)
Day-5 CBL-Patient with Postmenopausal bleeding (all cases of PMB) Patient with hot flushes (Menopause and its related problems + HRT )
Day-6 Module assessment

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Consultant class/CBL Schedule, MBBS FINAL Year Batch (2nd Rotation) 2025
Days Roll No Topic Week-I (OBS) Teacher Name
Day-1 Patient with postdates (Prolonged pregnancy) and induction of labour
Day-2 Patient with deranged sugar levels (GDM)
Day-3 Workshop-05
Day-4 Patient with bleeding in second half of pregnancy (APH)
Day-5 CBL-Patient with large for dates (Mistaken dates, macrosomic baby, Polyhydramnios, multiple gestation etc)
Day-6 CBL-Management of patient Rh-ve blood group (Rh incompatibility)
Week-II (OBS)
Day-1 Abnormal labour
Day-2 Patient with bleeding after delivery (Primary and secondary PPH)

Day-3 Workshop-06
Day-4 Puerperal disorders
Day-5 CBL- Patient with Jaundice (Liver disorders in pregnancy)
Day-6 CBL- Patient with fits other than eclampsia (epilepsy and metabolic disturbances)
Week-III (Gynae)
Day-1 Patient with chronic pelvic pain (PID+endometriosis)
Day-2 Patient with something coming out of vagina (UV Prolapse)
Day-3 Workshop-07
Day-4 Management of couple presenting with inability to conceive (Subfertility)
Day-5 CBL- Management of couple presenting with inability to conceive (Subfertility)
Day-6 CBL- Patient with vaginal discharge (Lower genital tract infection)
Week-IV (Gynae)
Day-1 Patient with abnormal PAP smear (CIN)
Day-2 CBL-Vulval and Vaginal disorders
Day-3 Workshop-08
DAY 4-6 Revision and Module assessment

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 STATTION DUTY ROSTER FOR FINAL YEAR
Batch A: Batch B:
Batch C: Batch D:
Timing 10:00am – 02:00pm

OB/ GYN Clinical Clerkship Stations for weekly rotation (10.00 am to 02.00 pm) OPD DAYS/ER:
Group Week1 Week2 Week3 Week4
(4 to 5  Monday
students)  Wednesday
 Friday
A OT /OPD Gynae Ward Labor Room & Antenatal Ward
postnatal ward OT DAYS:

B Gynae Ward Labor Room & Antenatal Ward OT /OPD  Tuesday

postnatal ward  Thursday
C Labor Room & Antenatal Ward OT /OPD Gynae Ward  Saturday
postnatal ward
D Antenatal Ward OT /OPD Gynae Ward Labor Room & postnatal
ward

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 LABOUR ROOM ROTATION CYCLE FOR FINAL YEAR
EVENING BATCH TIMING02.00pm – 5:00pm
BATCH
Batch A: Batch B:
Batch C: Batch D:

Week-1 Active Phase HDU Filter HRA

Monday
Tuesday
Wednesday
Active
Thursday
HDU
Week-2
Monday
Active Phase HDU Filter HRA
Phase
Tuesday
Wednesday
Thursday
Week-3 Active Phase HDU Filter HRA
Monday
Tuesday
Wednesday
Thursday Filter HRA
Week-4 Active Phase HDU Filter HRA
Monday
Tuesday
Wednesday
Thursday

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 Learning Resources

o Obstetrics by Ten teachers 20th edition:

o Gynaecology by Ten teachers 20th edition:
o Dewhurst’s text book of Obstetrics and Gynaecolog 9th edition
o Shaw’s textbook of Gynaecology 18th edition
o Shaw’s textbook of Operative Gynaecology 7th edition
o RCOG Green-top guidelines
o Lectures available online on LMS

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