Training in Obstetrics and Gynaecology - the essential curriculum

1 Non-clinical professional skills
1.1 Communication with patients and confidentiality
1.2 Consent and chaperones
1.3 Teamwork
1.4 Keeping up to date
1.5 Clinical governance
1.6 Risk management
1.7 Confidential Enquiry into Maternal Death
1.8 Bereavement
1.9 Domestic violence
1.10 When things go wrong
1.11 Legal issues in obstetrics and gynaecology
1.12 Ethics in obstetrics and gynaecology

2 Reproductive transitions: development, adolescence, and menopause
Development
2.1 Embryology of the genital tract
2.2 Ambiguous genitalia at birth
2.3 Syndromes causing ambiguous genitalia at birth
2.4 Congenital uterine and vaginal anomalies
2.5 Vulval disorders in prepubertal girls
Adolescence
2.6 Puberty and menarche
2.7 Delayed puberty
2.8 Menstrual dysfunction in adolescence
2.9 Dysfunctional uterine bleeding and dysmenorrhoea in adolescence
Menopause
2.10 Menopause
2.11 Hormone replacement therapy
2.12 Postmenopausal bleeding

3 Sexual health
3.1 Vaginal discharge-general approach
3.2 Vaginal discharge-bacterial vaginosis and thrush
3.3 Vaginal discharge-gonorrhoea, trichomonas, and chlamydia
3.4 Vulval ulceration
3.5 Herpes simplex virus (HSV)
3.6 Syphilis
3.7 Genital warts
3.8 Molluscum contagiosum, pubic lice, and scabies
3.9 Pelvic inflammatory disease
3.10 Hepatitis virus
3.11 Human immunodeficiency virus and AIDS
3.12 Forensic gynaecology and sexual assault
3.13 Psychosexual dysfunction in women

4 Contraception
4.1 General principles of contraception
4.2 Oral hormonal contraception- Part I
4.3 Oral hormonal contraception- Part II
4.4 Progestogen injections and implants
4.5 Barrier methods
4.6 Intrauterine device and system
4.7 Natural family planning and emergency contraception
4.8 Sterilization

5 Starting and tentative pregnancy: preconception care, infertility, miscarriage, and termination
5.1 General preconception care
5.2 Infertility
5.3 Infertility assessment
5.4 Tubal investigations and surgery
5.5 Assisted conception
5.6 Miscarriage and recurrent miscarriage
5.7 Ectopic pregnancy
5.8 Gestational trophoblastic disease (GTD)
5.9 Termination of pregnancy

6 Routine care and screening in pregnancy
6.1 The normal physiological changes of pregnancy-cardiovascular and respiratory
6.2 The normal physiological changes of pregnancy-haematological, gastrointestinal, renal, metabolic, and endocrine
6.3 The first antenatal appointment
6.4 Managing common symptoms in pregnancy
6.5 Screening for haematological conditions
6.6 Screening for infections
6.7 Screening for bloodborne infections
6.8 Screening for clinical conditions
6.9 Routine tests of fetal wellbeing
6.10 Abnormal growth and wellbeing
6.11 Classification of multiple pregnancy
6.12 Screening for fetal chromosomal anomalies
6.13 Screening for fetal structural anomalies
6.14 Invasive tests

7 Medical problems prior to pregnancy
7.1 Psychiatric disorders
7.2 Substance abuse
7.3 Illicit drug abuse
7.4 Chronic hypertension
7.5 Endocrine causes of hypertension
7.6 Cardiac disease
7.7 Congenital heart disease
7.8 Valvular heart disease
7.9 Acquired heart disease
7.10 Respiratory disease
7.11 Granulomatous disease
7.12 Cystic fibrosis
7.13 Neurological disease
7.14 Epilepsy
7.15 Diabetes in pregnancy
7.16 Thyroid and pregnancy-1
7.17 Thyroid and pregnancy-2
7.18 Parathyroid disease
7.19 Other endocrine disorders
7.20 Renal disease
7.21 Specific renal diseases
7.22 Transfusion-dependent anaemias an thalassaemia
7.23 Sickle cell disease
7.24 Bleeding disorders
7.25 Systemic lupus erythematosus
7.26 Neonatal lupus erythematosus and rheumatoid arthritis
7.27 Antiphospholipid antibodies and syndrome
7.28 Inflammatory bowel disease

8 Problems arising during pregnancy
8.1 Antepartum haemorrhage
8.2 Placental abruption
8.3 Placenta praevia
8.4 Placenta accreta, increta, and percreta
8.5 Abdominal pain in pregnancy-obstetric causes
8.6 Abdominal pain in pregnancy-non-obstetric causes
8.7 Abdominal pain in pregnancy-surgical causes
8.8 Mononeuropathies
8.9 Headaches in pregnancy
8.10 Pregnancy-induced hypertension
8.11 Pre-eclampsia
8.12 Management of mild pre-eclampsia
8.13 Management of severe pre-eclampsia
8.14 Differential diagnosis of severe variants of pre-eclampsia (HELLP, AFLP,TTP, HUS)
8.15 Platelet disorders
8.16 Thromboembolism
8.17 Management of thromboembolism
8.18 Preterm labour and birth
8.19 Management of preterm labour and birth
8.20 Preterm labour and birth-outcomes
8.21 Preterm prelabour rupture of membranes
8.22 Obstetric cholestasis
8.23 Skin changes and dermatoses of pregnancy
8.24 Infections in pregnancy-varicella zoster and cytomegalovirus
8.25 Infections in pregnancy-herpes simplex and parvovirus
8.26 Infections in pregnancy-toxoplasma and listeria
8.27 Malpresentation
8.28 External cephalic version
8.29 Multiple pregnancy-maternal and pregnancy complications
8.30 Multiple pregnancy-fetal risks
8.31 Intrauterine death
8.32 Management of intrauterine death

9 Care in labour
9.1 Normal labour
9.2 Risk assessment, home delivery, and water birth
9.3 Analgesia and anaesthesia
9.4 Poor labour progress
9.5 Induction of labour
9.6 Fetal monitoring
9.7 Cardiotocograph features
9.8 Cardiotocograph interpretation
9.9 Fetal distress in labour
9.10 Malpresentations and malpositions in labour
9.11 Labour management of breech presentation
9.12 Instrumental delivery
9.13 Technique of instrumental delivery
9.14 Caesarean section
9.15 Caesarean section-technical aspects and care
9.16 Vaginal birth after Caesarean section
9.17 Multiple pregnancy-labour and delivery

10 Obstetric emergencies
10.1 Maternal collapse-obstetric causes
10.2 Maternal collapse-non-obstetric causes
10.3 Eclampsia
10.4 Shoulder dystocia
10.5 Cord prolapse

11 Postpartum care
11.1 Postpartum haemorrhage
11.2 Retained placenta and uterine inversion
11.3 Perineal trauma
11.4 Repair of a second degree perineal tear
11.5 Medical problems postpartum
11.6 Mental health in the puerperium
11.7 Infant feeding
11.8 Neonatal assessment and resuscitation
11.9 Neonatal resuscitation algorithm

12 Menstrual disorders
12.1 Physiology of the menstrual cycle
12.2 Basic anatomy
12.3 Heavy menstrual bleeding-menorrhagia
12.4 Management of heavy menstrual bleeding
12.5 Fibroids and endometrial polyps
12.6 Management of fibroids
12.7 Hysteroscopy
12.8 Endometrial ablation
12.9 Causes of amenorrhoea
12.10 Clinical evaluation and management of amenorrhea
12.11 Polycystic ovary syndrome
12.12 Premenstrual syndrome

13 Benign gynaecology
13.1 Pelvic pain
13.2 Endometriosis and adenomyosis
13.3 Benign ovarian cysts
13.4 Complications and management of benign ovarian cysts
13.5 Laparoscopy
13.6 Hysterectomy-part 1
13.7 Hysterectomy-part 2
13.8 Benign disease of the cervix
13.9 Benign disease of the vulva and the vagina
13.10 Vulva[ pain syndromes
13.11 Infections and benign tumours of the vulva and vagina
13.12 Urinary tract infection
13.13 Management of urinary tract infection

14 The pelvic floor and continence
14.1 Pelvic organ prolapse-background information
14.2 Clinical evaluation of pelvic organ prolapse
14.3 Types of prolapse
14.4 Management of the anterior compartment and uterine prolapse
14.5 Management of the posterior compartment and vault prolapse
14.6 Urinary incontinence
14.7 Clinical evaluation of urinary incontinence
14.8 Urodynamics
14.9 Conservative management of urinary incontinence
14.10 Pharmacological management of urinary incontinence
14.11 Surgical management of stress urinary incontinence
14.12 Surgical management of intractable urge urinary incontinence and overactive bladder syndrome

15 Malignancy
15.1 Background
15.2 Cervical screening and cervical intraepithelial neoplasia
15.3 Cervical carcinoma
15.4 Management of cervical carcinoma
15.5 Endometrial carcinoma
15.6 Management of endometrial carcinoma
15.7 Ovarian carcinoma
15.8 Management of ovarian carcinoma
15.9 Fallopian tube carcinoma
15.10 Uterine sarcomas
15.11 Vulval intraepithelial neoplasia and vulva[ cancer
15.12 Vaginal intraepithelial neoplasia and vaginal cancer

16 Case-based discussions
16.1 Case-based discussion questions
16.2 Case-based discussion answers