Working-Program-for-training-Magistrates

The Ministry of Health of the Republic of Uzbekistan TASHKENT MEDICAL ACADEMY "APPROVED" Vice –rector for Educational Prof Boymuradov Sh A. « » _2018 y Working Program for training Magistrates In specialty 5А510101 Obstetrics and Gynecology on base undergraduate 5510100-treatment department Total workload - 1398 hours Seminars - 920 hours Independent work - 478 hours Master the practice of general -4050 hours Master the practice -2748 hours Independent work -1302 hours The Ministry of Health of the Republic of Uzbekistan TASHKENT MEDICAL ACADEMY Working Program for training Magistrates In specialty 5А510101 Obstetrics and Gynecology on base undergraduate 5510100-treatment department AUTHORS: Saidjalilova D.D - associate professor of Department of Obstetrics and Gynecology №1 ТМА, d.m.s Magzumova N.M - Professor of Department of Obstetrics and Gynecology №2, d.m.s Reviewers: Babadjanova G.S -professor of Department of Obstetrics and Gynecology №1 ТМА, d.m.s Zufarova SH.A - Professor of Department of Obstetrics and Gynecology TashPMI, d.m.s Teaching work program drawn up on the basis of national standard, the standard program in Obstetrics and Gynecology for residents of the Master IHE, and also in accordance with the qualifying characteristic obstetrician-gynecologist Presented program is revised and amended in the framework of the Master*s program in Obstetrics and Gynecology of Royal College of Obstetrician and Gynecologist (Great Britain) and program Chair, Department of Obstetrics and Gynecology, Tulane University School of Medicine (New Orleans, Louisiana) In this edition used guidelines, published and recommended by WHO for the implementation of the learning process Teaching work program reviewed and approved at a joint meeting of Department Obstetrics and Gynecology ТМА protokol №5 from «15» 06 2017 y Head of the Department Yuldasheva D.Y Head of the DepartmentAyupova F.M Introduction Obstetrics and gynecology - inextricably linked clinic field of medicine While both studies obstetrics mainly processes related to conception, pregnancy, childbirth and postpartum period, develops methods of obstetrics, prevention and treatment of labor and childbirth complications, protection of the fetus and newborn, gynecology efforts as a science, directed to study the etiology, pathogenesis, clinical manifestations, diagnosis and treatment of disease of the female reproductive system In the field of obstetrics and gynecology specialists must have knowledge and skills in the medical sciences relevant female reproductive system, including all the clinical diagnosis aspects of conservative and surgical treatment and prevention of diseases of the reproductive system of the woman is during pregnancy Despite the tremendous achievements of modern medicine, certain types of pathology on the field of obstetrics and gynecology, continue to be a seriously medical and social problem In connection with this growing need for qualified obstetriciangynecologist who own fully at the appropriate level of knowledge and skills of complex treatment of such diseases These specialist high-end designed to become doctors – obstetrics-gynecologists, semi ourselves to a master's degree In addition, masters obstetricians, being skilled in the Professional will be able to carry out not only medical and preventive work, but also research, administrationmanagement, medical and social, organizational and methodical work In view of the above, the master obstetrician will be fully restate today According to the curriculum, a master's degree in the specialty "Obstetrics and Gynecology" provides a three-year full-time education Classes are held at the Department of Obstetrics and Gynecology, based in the maternity complexes, based urban and national and departmental medical and preventive establishment In addition, training is provided in the participating Research Institute and scientific center of the Ministry of Health and the Academy of Sciences of Uzbekistan Theoretical training in the specialty is conducted in the form of seminars in all areas of obstetrics and gynecology, and includes research methods in Obstetrics and Perinatology Physiology of childbirth and the postpartum period: pregnant vomiting, hypertension during pregnancy, miscarriage; vaginal bleeding in early and late gestation After delivery, obstetrics hemorrhagic shock, disseminated intravascular coagulation in obstetrics; unsatisfactory progress of labor, pelvic disproportion-head, methods of active management of labor, maternal injuries Pregnancy and background somatic diseases, pregnancy and childbirth in some obstetric complications and situations breech; operative obstetrics; early termination of pregnancy, induction of labor, infection during pregnancy, childbirth and postpartum, postpartum infection: fever after delivery Functional anatomy of the female reproductive organs and modern methods of diagnosis of gynecological diseases: structure and function of the female reproductive system and its regulation, developmental disorders of the reproductive system: amenorrhea, uterine bleeding in women different ages: neuroendocrine syndromes in gynecology, virility syndromes; inflammatory diseases Female genital mutilation: the endometriosis Benign tumors of the uterus, ovaries malignant tumors of female genital mutilation; women's issues sexopatology, barren marriage, contraception, family planning, reproductive technologies Part of the seminars held graduate students of the third and second years of study with masters of the first years, as well as graduate students of 1st year students participate in teaching courses of medical faculty and graduate students of and years of training students to participate in teaching the 5th year of the medical faculty Practical training (master's practice) is held in the offices of maternity hospitals, specialized departments of hospitals, diagnostic departments, in the antenatal clinic, as well as resuscitation and emergency care It includes an independent interpretation of the results of additional studies, the implementation of medical - diagnostic procedures procedures, filling medical documentation, curation of patients in accordance with the list of skills within each rotation Part of the practical skills mastered during duty Practical training (master's practice) is carried out under the guidance of coach and moderator Control training is carried out by checking the daily reports with the indication of the proportion of independent participation graduate student, as well as of the IC and FC The main goals and objectives of training 1.1 The aim of master degree in obstetrics and gynecology is to prepare highly qualified specialists of Obstetricians and Gynecologists, holding in a proper knowledge of the amount, skills and practical skills needed in modern obstetric and gynecological practice, the relevant requirements of certification and subsequent licensing as professionals with a focus on research and training 1.2 Learning objectives: - To develop at the present level of knowledge on the epidemiology, etiology, pathogenesis of gestational and postnatal complications, diseases of internal organs, accompanying pregnancy and gynecological diseases; - Develop knowledge on prenatal care, use of modern methods of diagnosis of pathological conditions related gestational and postnatal periods, gynecological diseases; -To develop skills of self-determination of the required volume and a set of therapeutic and diagnostic procedures used in obstetric practice; - To learn to make the necessary and appropriate diagnostic and therapeutic manipulations and procedures for pregnant women, women in childbirth and after childbirth, as well as gynecological patients in outpatient and inpatient settings; - develop the ability to interpret the results of modern laboratory and instrumental studies used in everyday practice obstetrician To develop the skills of highly qualified assistance to date in case of emergency associated with pregnancy, childbirth and the postpartum period, and in gynecologic patients; - Develop skills in intensive care at a gestational complications and gynecological diseases: -Is knowledge for the complex social and labor rehabilitation measures for pregnant and gynecological patients -The ability to preventive measures to reduce the level of the most common gestational complications and prevention of gynecological diseases By the end of the training the student will be capable of the following: -lead obstetric and gynecological condition competently, independently and flawlessly -Use proper technique and teaching materials at various levels of training programs in obstetrics and gynecology, such as for the bachelor program, the clinical program, and other graduate programs The representing and conduct research on the specialty to improve clinical practice and medical science 1.3 Demand to knowledge, skills and experience on a subject: Masters of specialty "Obstetrics and Gynecology" should know and be able to: -to gather obstetric and gynecological history and analyze it; -to carry out in perfect physical examination of pregnant women giving birth, women in childbirth and gynecological patients - to define the scope and range of necessary diagnostic and treatment measures used in obstetric practice -independently to carry out the necessary diagnostic and therapeutic manipulation of pregnant women in labor, childbirth and gynecological patients - Interpret the results of additional research (laboratory, functional, endoscopic hormonal, Radiology, immunological, microbiological, morphological, genetic); - Independently carry out a comprehensive individualized treatment pathology baa belt and background conditions, as well as gynecological diseases in the outpatient setting, obstetric and gynecologic hospital intensive care departments and intensive care; - To carry out resuscitation and care of urgent states in obstetric, perinatal and gynecology; - To develop and implement rehabilitation measures and childbirth gynecological sick; - Provide advice to women: - Demonstrate caring and respectful approach to communication, education and counseling patients and their families: - To conduct medical health records (complete, timely, accurate and legible) 1.4 List of academic disciplines and their sections, necessary for the study of this discipline Training in a magistracy on a specialty "Obstetrics and Gynecology" is based on the knowledge and skills acquired in the therapeutic and clinical departments for the training in medical school training program for general practitioners and include following: Normal anatomy (structure of the internal organs) Normal physiology (functional physiology of internal organs) Pathological anatomy and histology (macro- and microscopic substrate in diseases complicating pregnancy and gestational related process, as well as gynecological diseases) Pathological Physiology (the mechanisms of the disease, compensated adaptiveTornio and reaction patterns of disturbances of homeostasis in diseases associated with con-female genitalia) Biochemistry (the main biochemical reactions that underlie the development of disease, complicating pregnancy, concomitant gestational process, as well as gynecological diseases in complex adaptively compensatory mechanisms of the entire organism) Microbiology (microbiological and biochemical characteristics of the etiological agents, methods for their identification and selection of the optimal methods of antimicrobial treatment of infectious diseases associated with female reproductive system) Internal Diseases (etiology, pathogenesis, classification, clinical manifestations, complications, diagnosis, differential diagnosis, comprehensive treatment, rehabilitation and prevention of diseases of internal organs) Surgical diseases the most common diseases that occur as complications or concomitant diseases of the female reproductive system is during pregnancy, requiring emergency or planned surgery, clinical-laboratory and instrumental criteria for the most common surgical diseases Obstetric Anesthesiology and Intensive Care To rapid initial assessment (to render emergency and resuscitation pregnant women in labor, childbirth, neonatal and gynecological patients) 10 Infectious diseases (diagnostic criteria and principles of treatment of the most common infectious diseases) 11 Phthisiology (defeat of the internal organs in tuberculosis, clinical-laboratory and instrumental diagnostic criteria) 12 Endocrinology (diagnostic criteria and principles of treatment of the most common endocrine disorders, internal organ involvement with endocrine diseases) 13 Dermatology (defeat of the internal organs in skin and venereal diseases, diagnostic criteria) 14 Hematology (blood diseases occurring during pregnancy or gestational complicating process, the attacks occurring as background pathology gynecological diseases) 15 Oncology (early clinical signs of cancer of the female reproductive system, laboratory and instrumental criteria) 16 Psychiatry (psychosomatic syndromes in obstetric practice, iatrogenic mental disorders) 17 Nerve disease (clinical symptoms, neurological symptoms and syndrome in obstetric practice) 18 Clinical pharmacology (mechanism of action, pharmacodynamic, pharmacokinetic, teak, drugs interaction) 1.5 Requirements for seminars - Notes elaborated literature - Photocopying of the literature for preparation for seminars - Preparation of tables, charts, algorithms on the key issues seminars - Solving complicated situation tasks on seminars - Decision sophisticated test tasks on seminars - Analysis of clinical cases on the subject seminars To master the practice: - Self-examination of inpatients and outpatients - Supervision of patients in an independent department - The preparation and implementation of a set of necessary medical, diagnostic and rehabilitation activities - Participate in the clinical, pathological conferences, clinical analyzes of patients - Evaluation and interpretation of the results of additional research methods - Analysis of the "thematic" patients - Participation in the surveys and handling patients, produced by specialist consultants - Filling in outpatients, medical history, statistical coupons and other copper-Qing medical documentation - Registration of the daily reports with the indication of the proportion of independent participation graduate student 1.6 Control measures for the assessment of graduate student's knowledge Monitoring on classes in the form of interviews, testing, and evaluation activities of its participation The intermediate control The final inspection performed at the end of each semester in the form of oral questioning, passing tests passed on the topics of seminars and development of practical skills Report by rotation (intermediate, final, semi-annual and annual) in the form of the exam on the implementation of practical skills and theoretical answer to the questions relating to this rotation 1.7 New learning technology - Decision training and supervising the tests on all sections of the theoretical part program and master the practice of using a computer - Distributing information material (photocopies of scientific articles and abstracts, learning aids, leaflets, brochures drugs, guidelines and manuals) - Tables and slides - Educational video and audio films - Videos, computer training and monitoring programs - Role-playing games - Work in the "Internet" 1.8 The volume of an academic load for the disciplines of the specialty № Name of disciplines specialties labor content Number of hours Classroom Independent work work Obstetrics and Perinatology 1.1 Methods of research in 45 30 obstetrics and perinatology Assessment of fetal well-being during pregnancy and childbirth 1.2 Physiological pregnancy and 50 30 fetoplacental system Physiology of childbirth and the postpartum period Antenatal care 15 20 1.3 The physiology of the neonatal period Emergencies and neonatal problems Factors and risk of perinatal pathology 60 30 25 1.4 Vomiting of pregnancy Hypertensive status during pregnancy, complications hypertensive disorders 60 40 20 30 15 40 20 1.5 Incomplete Premature birth 1.6 60 Obstetric bleeding Hemorrhagic shock and disseminated intravascular coagulation in obstetrics Rapid initial assessment The basic principles of care 1.7 1.8 40 Unsatisfactory progress in labor in childbirth Pelvis -head disproportion Maternal injuries Disproportion Pregnancy and somatic diseases background 20 20 50 30 20 60 40 20 1.10 Operative Obstetrics 1.11 Premature termination of pregnancy Induction of labor 75 30 50 20 25 10 1.12 30 20 10 1.9 Some obstetrical complications Some obstetrical complications and situations Wrong position and fetal presentation Premature rupture membranes Shoulder dystocia Breech presentation of the fetus Postpartum infection Postpartum depression 53 Transmission from mother to fetus: delivery methods Care and newborn nutrition Advising Measures for the prevention of transmission to medical personnel INTERM CONTROL IV VII Bleeding in obstetrics 54 Bleeding in the late stages of pregnancy and childbirth Premature detachment of normally situated placenta (PDNSP) Clinic Diagnostics Obstetric tactics Prevention Placenta previa Clinic Diagnostics Obstetric tactics Prevention 55 Bleeding in the III and the early postpartum period Hypotonia of uterus Clinic Diagnostics Obstetric tactics Prevention 56 Bleeding in the III and the early postpartum period Delay pieces of placenta, placenta infringement Clinic Diagnostics Obstetric tactics Prevention Anomalies of the placenta attachment: tight attachment, placenta accreta Clinic Diagnostics Obstetric tactics Prevention 57 Bleeding in the III and the early postpartum period Coagulopathic bleeding Clinic Diagnostics Obstetric tactics Prevention 58 Obstetric injuries: Injuries of external genitals, vagina and cervix Diagnostics Treatment 59 Uterine rupture Causes Differential diagnosis Treatment Prevention 60 The discrepancy between the symphysis pubis and the gap Causes Diagnostics Treatment Obstetric fistulas Etiopathogenesis Diagnostics Treatment Prevention 61 Hemorrhagic shock Reasons, pathogenesis, stages Diagnostics 62 Therapeutic measures Forecasting 63 DIC Reasons trigger DIC stages, clinical, diagnostics 64 The chronic form of DIC Diagnostics Treatment Methods of treatment depending on the nature of obstetric pathology INTERMEDIATE CONTROLS V VIII Obstetric complications and situations 65 Prolonged pregnancy Etiopathogenesis Diagnostics Causes delivery methods Induced labor Indications and methods of induction 66 Abnormalities of labor: Classification Causes Diagnostics The pathological preliminary period Diagnostics Correction methods 67 The weakness of labor activity Overly strong labors Diagnostics conducting Tactics 23.03.19 23.03.19 27.03.19 30.03.19 03.04.19 06.04.19 10.04.19 13.04.19 17.04.19 20.04.19 24.04.19 27.04.19 01.05.19 01.05.19 04.05.19 08.05.19 11.05.19 68 69 70 IX 71 72 73 74 75 X 76 77 78 79 80 Cervical dystocia Diskoordinirovannaya labors Diagnostics Clinical management for different types of labor activity anomalies Narrow pelvis in obstetrics: ONT Classification Diagnostics Delivery mechanism in various forms of narrow pelvis Keeping delivery Pelvic-head disproportion Diagnostics Complications Labor management, tactics Operative obstetrics Vacuum extraction of the fetus Indications Conditions Equipment Complications for the mother and fetus 15.05.19 Obstetrical forceps Indications Conditions Equipment Complications for the mother and fetus Episiotomy, -raffy Perineotomy, -raffy Cesarean section Kinds Indications and contraindications Equipment Complications for the mother and fetus Current and postoperative care, complications Types of anesthesia for obstetric operations: maternity sleep in childbirth, medical intravenous, epidural anesthesia, intubation Indications Complications Puerperal septic diseases Local forms of puerperal septic diseases: Classification Etiopathogenesis Clinical forms Puerperal ulcer, adnexitis, mastitis Reasons Diagnostics Treatment Prophylaxis Local forms of puerperal septic diseases: endometritis, parametritis Diagnostics Treatment Prophylaxis Local forms of puerperal septic diseases: Thrombophlebitis Classification Etiopathogenesis Clinical forms Diagnostics Treatment Prophylaxis Generalized forms of puerperal septic diseases: Obstetric peritonitis Types Early diagnostics Treatment Prophylaxis 29.05.19 18.05.19 22.05.19 25.05.19 01.06.19 05.06.19 08.06.19 12.06.19 15.06.19 19.06.19 22.06.19 Generalized forms of puerperal septic diseases: Sepsis 26.06.19 Etiology Pathogenesis Clinical forms Diagnostics Treatment Prophylaxis Bacterial and toxic shock (SSVR – a syndrome of systemic inflammatory reaction) Etiology Pathogenesis Clinical forms Diagnostics Treatment Prophylaxis INTERMEDIATE CONTROLS VI 29.06.19 Final control for the year 29.06.19 Topics independent works year for graduate study Anatomy and physiology of the female reproductive system Topographic vascular anatomy and urethral pelvis Methods of screening pregnant women: basic (AD, PS, blood, urine, weighing, GMR, pelviometriya, Sat fetal Rh-factor identification, etc.) and additional Psychosocial assessment of antenatal health Education of the parents: care during pregnancy, childbirth, postpartum care child, sexual life during pregnancy Diagnosis of pregnancy 6.Stage of fetal development Critical periods of ontogeny Structure and function of the placenta Dimensions of the pelvis Fetal of the object of labor Stages of labor Biomechanics labor with cephalic presentation Path physiology offensive act of birth Evaluation of maturity of the cervix Mechanisms of cervical cancer 10 Injuries soft birth canal 11 Physiology of the postpartum period 12 Physiology of the neonatal period 13 Fetal hypoxia Birth injuries of the newborn 14 Types of breech presentation 15 Path physiology of inflammation 16 Path physiology of shock 17 Principles of drug therapy during pregnancy 18 The etiology and pathogenesis of hypertension 19 Tax classification and diagnosis Stage of activity of rheumatic fever 20 Clinic appendicitis, intestinal obstruction, cholecystitis, pancreatic peritonitis 21 Blood type and Rh factor 22 Path physiology of blood coagulation 23 Rh factor in obstetrics 24 Types of sutures in surgery 25 Anatomy of the anterior abdominal wall Anatomy of the pelvic floor 26 Stage of anesthesia Types of pain relief 27 The structure of the breast 28 Sanitar obstetric department 29 Hand hygiene, surgical field 30 Handling tools, needles, gloves, gowns, and other items № 10 11 12 13 Calendar plan of theoretical seminars for the 2nd year masters of 2017/2018 academic year The name of the seminar Functional anatomy of the female reproductive organs and modern methods of diagnosis of gynecological diseases Functional anatomy of the female reproductive organs External genitals Vagina Anatomy Blood supply Innervation Histology Blood supply Innervation The pelvic floor Functional anatomy of the female reproductive organs The uterus and appendages Anatomy Blood supply Innervation Histology Ligamentous apparatus Topographic anatomy and function Symptomatology of gynecological diseases: Pain Bleeding Isolation and characterization of cables Impaired function of adjacent organs Modern research methods: The physical Laboratory Biochemical Bacteriological Modern research methods: Hormonal methods of research Modern research methods: Endoscopic examinations Radiological methods (craniography, hysterosalpingography GHA) Modern research methods: The ultrasonic diagnostic methods Doppler study of uterine vessels Cytology Structure and function of the female reproductive system and its regulation The structure and development of the reproductive period’s system Levels regulation of reproduction functions of the system, the principles of the regulation Structure and function of the female reproductive system and its regulation Periods development and functioning of reproductive system Classification major developmental disorders of the reproductive system Developmental disorders of the reproductive system: Precocious puberty Clinic Diagnostics Treatment Developmental disorders of the reproductive system Delayed puberty Clinic Diagnostics Treatment Developmental disorders of the reproductive system anomaly of sexual development in violation of sexual differentiation: Congenital adrenal syndrome (ACS) Gonadal dysgenesis Malformations of the uterus and vagina Amenorrhea Uterine bleeding at different ages of women Amenorrhea Primary amenorrhea Etiopathogenesis Differential diagnosis Clinic Treatment Date 05.09.18 08.09.18 12.09.18 15.09.18 19.09.18 22.09.18 26.09.18 29.09.18 03.10.18 06.10.18 10.10.18 13.10.18 17.10.18 14 Amenorrhea Secondary amenorrhea Classification Clinical forms: the depletion of ovarian syndrome resistant ovary syndrome Etiopathogenesis Diagnostics Treatment Dysfunctional uterine bleeding Causes Classification Juvenile bleeding Clinic Diagnostics Treatment Prevention Forecast Dysfunctional uterine bleeding Bleeding of reproductive age Pathogenesis Clinic Diagnostics Treatment Dysfunctional uterine bleeding DUB premenopausal period Clinic Diagnostics Treatment Neuroendocrine syndromes in gynecology Virile syndromes Premenstrual syndrome Frequency Pathogenesis Clinic Diagnostics Treatment Forecast Hyperprolactinemia Frequency Pathogenesis Clinic Diagnostics Treatment Forecast Adrenal hyperandrogenism Frequency Pathogenesis Clinic Diagnostics Treatment Forecast Polycystic Ovary Syndrome Frequency Pathogenesis Clinic Diagnostics Treatment Forecasting Polycystic Ovary Syndrome Secondary PCOS Pathogenesis Clinic Diagnostics Treatment Perimenopausal period: Climacteric Syndrome 20.10.18 Perimenopausal period: post-castration syndrome Frequency Pathogenesis Clinic Diagnostics Treatment Forecast Pelvic inflammatory disease 24.11.18 25 Non-specific inflammatory diseases of the pelvic organs Clinic, diagnostics, treatment pathways, classification Physiological defense mechanisms Microbiocenosis vagina 26 Non-specific inflammatory diseases of the pelvic organs Inflammatory diseases of lower genital organs Clinic, diagnostics, treatment pathways, classification 27 Non-specific inflammatory diseases of the pelvic organs Inflammatory disease of the upper part of the genitals Clinic, diagnostics, treatment, pathways, classification 28 Specific inflammatory diseases of the pelvic organs: gonorrhea, tuberculosis Etiopathogenesis Clinic Diagnostics Treatment 29 Specific inflammatory diseases of the pelvic organs: Chlamydia Etiopathogenesis Clinic Diagnostics Treatment 30 Specific inflammatory diseases of the pelvic organs: Viral diseases of the genital organs Etiopathogenesis Clinic Diagnostics Treatment HPV vaccination 28.11.18 15 16 17 18 19 20 21 22 23 24 24.10.18 27.10.18 31.10.18 03.11.18 07.11.18 10.11.18 14.11.18 17.11.18 21.11.18 01.12.18 05.12.18 12.12.18 25.12.18 19.12.18 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 Specific inflammatory diseases of the pelvic organs: TORCH-infection The effect on pregnancy, fetus and newborn Treatment during pregnancy INTERM CONTROL Hemorrhage in early pregnancy Bleeding in early pregnancy Abortion Classification Causes Stages Complications Tactics Post-abortion rehabilitation Bleeding in early pregnancy Trophoblastic disease Clinic Diagnostics Treatment Complications Bleeding in early pregnancy Developing pregnancy clinic Diagnostics Treatment Complications Bleeding in early pregnancy Ectopic pregnancy: Classification Etiology Pathogenesis Clinic Diagnostics Complications Treatment Rehabilitation The rare form of ectopic pregnancy Small gynecological operations Indications Conditions Equipment Complications Interpretation Scraping the uterine cavity Puncture of the posterior vaginal fornix Manual Vacuum Aspiration Small gynecological operations Polypectomy, FEEC, cervical resection, cone biopsy (high, wide) and cervical ablation Cervical Cryosurgery, laser spot and a knife, low and high-intensity laser treatment Small gynecological operations Inserting and removing the IUD DHS Voluntary surgical sterilization, intrauterine devices Background and precancerous diseases of the female genital organs Endometriosis The tumors of the uterus and ovary Endometrioid disease: Classification Etiology, clinic Diagnostics Endometrioid disease: Treatment Operative, conservative, indications, contraindications and methods of prevention Uterine Fibroids: Classification Pathogenesis, clinic Diagnostics Uterine fibroids: treatment Treatment Operative, conservative, indications, contraindications and methods of prevention Complications Forecast Ovarian tumors: Classification Clinic Diagnostics Ovarian tumors: Benign ovarian tumors Transitional forms Modern diagnostic methods Complications Ovarian tumors: Malignant ovarian tumors Modern diagnostic methods Complications Ovarian tumors Cancer of the ovary 22.12.18 26.12.18 09.01.19 12.01.19 16.01.19 19.01.19 23.01.19 26.01.19 30.01.19 02.02.19 02.03.19 06.03.19 09.03.19 13.03.19 16.03.19 20.03.19 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 Background cervical disease: cervical erosion, cervicitis, cervical ectopia, kraurosis, ectropion Clinic Diagnostics Treatment Background cervical disease: leukoplakia, erythroplakia, kraurosis, cervical polyp Clinic Diagnostics Treatment Background cervical disease: cervical dysplasia, severity, differential diagnosis Methods of treatment Conservative, operative prevention Precancerous diseases of the female genital organs Benign and malignant tumors of the external genitalia Cervical cancer Precancerous diseases of the female genital organs Uterine cancer Questions female sexual pathology Barren marriage Methods of contraception Infertility Classification Endocrine infertility Methods of diagnosis Treatment, prevention Infertility Tuboperitoneal infertility Etiopathogenesis Diagnosis, treatment and prevention methods Infertility Immunological infertility The etiology, clinical features, diagnostic methods Infertility Principles survey of women with infertility Methods of stimulation of ovulation Modern reproductive technologies (IVF IISM, IISD, ICSI) Modern methods of contraception Classification Hormonal - COC POCs Indications Contraindications Complications Modern methods of contraception Navy Varieties Indications Contraindications Complications Modern methods of contraception Barrier methods Chemical Physiological methods ENP LAM) Modern methods of contraception DHS - tubal occlusion, vasectomy Indications Contraindications Complications Gynecological surgery: hysteroscopy (diagnostic, therapeutic), indications, contraindications, complications and their prevention Gynecological surgery: Laparoscopy (diagnostic, therapeutic), indications, contraindications, complications and their prevention Gynecological surgery: amputation of the uterus with appendages, without appendages, high amputation of the uterus, indications, contraindications, complications and their prevention Gynecological surgery: hysterectomy with appendages when, without appendages, vaginal hysterectomy Indications, 23.03.19 27.03.19 30.03.19 03.04.19 06.04.19 10.04.19 13.04.19 17.04.19 20.04.19 24.04.19 27.04.19 01.05.19 04.05.19 08.05.19 11.05.19 15.05.19 18.05.19 64 65 66 67 68 69 70 contraindications, complications and their prevention Conditions Complications Gynecological surgery: Front colporrhaphy, reposition the bladder, the TVT operation ventrofixation Indications Contraindications Conditions Complications and their prevention Gynecological surgery: Rear kolpoperineolevatoroplastika Indications Contraindications Conditions Complications and their prevention Gynecological operations: Opening bartholinitis autopsy hematocolpos Indications Contraindications Conditions Complications and their prevention Gynecological surgery: Plastic surgery on the cervix: cervical amputation by Schroder, Schturmdorfu and Emmett Indications Contraindications Conditions Complications and their prevention Gynecological surgery: adnexectomy Tubektomiya Plastic surgery on the tube: Tubotomiya Salpingostomy, Neofimbrioplastika, Salpingoovariolizis, salpingosalpingoanastomoz, tube implantation in the uterus Indications Contraindications Conditions Complications and their prevention Gynecological surgery: resection of the ovaries Cystectomy Oophorectomy Indications Contraindications Conditions Complications and their prevention Gynecological surgery: Plastic surgery on the external genitalia: Plastic labia, clitoris plastic, reconstruction surgery, excision of the vaginal walls INTERIM CONTROL FINAL CONTROL OF 2YEAR 22.05.19 25.05.19 29.05.19 01.06.19 05.06.19 08.06.19 12.06.19 15.06.19 Themes of independent work for the Masters two years of study (The 15 - sessions) Ligamentous apparatus of the uterus and appendages Limfosnabzhenie blood and genitals innervation FGO 2.Degree of purity vaginal contents The biological effects of estrogens, progestins, androgens in the woman's body Syndrome Shershevskogo-Turner Gonadal dysgenesis Disease Itsenga-Cushing Gigantism Acromegaly Functional hypothalamic disease 6.Functional pituitary disorders X-ray of the skull, lungs, gastrointestinal tract Syphilis Gonorrhea Tuberculosis Ureaplasmosis Chlamydia 10 Toxoplasmosis CMV 11 HIV / AIDS 12 Horionepitelioma 13 The etiology of cancer Breast cancer 14.Preoperative preparation and postoperative management of patients Placing patients on the operating table and the processing of the surgical field 15 Questions female sexual pathology Calendar plan of theoretical seminars for the 3rd year masters of 2018/2019 academic year Introduction to evidence-based medicine How to improve the current practice: strategy changes Obstetric complications and situations Prolapse of the umbilical cord Causes Clinic Diagnostics Management of pregnancy and childbirth Transverse and oblique position of the fetus The course of pregnancy and childbirth Delivery methods Extensor types insertion Parietal previa Types, diagnosis, prognosis, especially delivery mechanism Delivery methods 05.09.18 Extensor insertion types Skull previa Types, diagnosis, prognosis, especially delivery mechanism Delivery methods 19.09.18 Extensor insertion types Exterior previa Diagnosis, prognosis, especially delivery mechanism Delivery methods Childbirth at overstretched uterus Polyhydramnios Childbirth at overstretched uterus Multiple pregnancy Large fruit 10 Pregnancy and childbirth in the presence of uterine scar Diagnosis of uterine scar consistency Management of pregnancy and childbirth Indications for repeated cesarean section 11 Shoulder dystocia Diagnostics Aid techniques Possible complications for mother and fetus 12 Tumors of the genital and pregnancy Myoma Clinic, diagnostics, medical tactic Pregnancy and childbirth uterine malformations 13 Tumors of the genital and pregnancy Cystoma Clinic, diagnostics, medical tactic Pregnancy and childbirth 14 Tumors of the genital and pregnancy Cervical cancer Clinic, diagnostics, medical tactic Pregnancy and childbirth 15 Acute abdomen and pregnancy -appenditsit - peritonitis Complications Management of pregnancy and childbirth 16 Acute abdomen and pregnancy -cholelithiasis -acute ileus Complications Management of pregnancy and childbirth 22.09.18 17 27.10.18 Acute abdomen and pregnancy -torsion ovarian cysts -necrosis myoma node - Complications Management of pregnancy and childbirth 08.09.18 12.09.18 15.09.18 26.09.18 29.09.18 03.10.18 06.10.18 10.10.18 13.10.18 17.10.18 20.10.18 24.10.18 18 19 20 21 22 23 24 25 26 27 28 29 30 31 The absence of fetal movement Causes Diagnostics 31.10.18 Complications Clinical management based on gestational age and death years ago Prevention DIC Rehabilitation Operative Obstetrics and Gynecology Operations correcting the position and presentation of the 03.11.18 fetus The outer and inner cephalic (indications, conditions, surgical technique, complications) The fetal destroy operation Craniotomy Indications Conditions Operation Technology Complications The fetal destroy operation Spondylotomy Kleydotomiya Indications Conditions Operation Technology Complications The fetal destroy operation operation Embryotomy Indications Conditions Operation Technology Complications The methods to stop bleeding Vaginal: Bimanual uterine compression Pressing of the abdominal aorta The methods to stop bleeding Abdominal: Ligation of the pairs of vessels Ligation of the internal iliac arteries Amputation Hysterectomy Hemorrhagic shock in obstetrics Main reasons Stages Clinic Diagnostics Algorithm Hemorrhagic shock in obstetrics The amount of infusion-transfusion services Complications The consequences and rehabilitation of women who have had massive bleeding Septic shock in obstetrics Main reasons Stages Clinic Diagnostics Principles of antibiotic therapy Indications for surgical treatment Complications, consequences Rehabilitation of women who have had sepsis Septic shock in obstetrics Principles of infusion-transfusion therapy Indications for surgical treatment Complications, consequences Rehabilitation of women who have had sepsis Safe motherhood and effective perinatal care whether changes are needed Audit of perinatal mortality: Review of cases of perinatal mortality Maternal mortality audit: Review of cases of severe complications in childbirth A review of maternal deaths INTERIM CONTROL Topics independently conducted by graduate seminars 07.11.18 10.11.18 14.11.18 17.11.18 21.11.18 24.11.18 28.11.18 01.12.18 05.12.18 12.12.18 15.12.18 19.12.18 № Topics 32 Postpartum 33 34 Sudden Infant Death Syndrome 26.12.18 The pathophysiological bases of haemostatic disorders in 12.01.19 pregnant women Coagulation factors and anticoagulation system Emboliya amniotic fluid Causes Clinic Forecast Immediate action 35 DIC Causes Stages Clinic Forecast Immediate action Prevention Treatment TELA Causes Clinic Forecast Immediate action The anomaly of the uterus and vagina Kinds Diagnostics Operative treatment Incorrect position of the genitals Kinds Diagnostics Operative treatment Breast disease Anatomy and function of the breast Mastopatia Causes Clinic Diagnostics Prevention Breast treatment Tumors Differential diagnosis Tactics 36 37 38 39 40 depression, Date tragedy and loss 22.12.18 16.01.19 19.01.19 23.01.19 26.01.19 Perimenopauza Fazy menopause Climacteric syndrome 30.01.19 Frequency Pathogenesis Clinical forms Diagnostics Treatment Prognosis Non-medicamentosis treatments Non-hormonal drugs Principles of hormone replacement therapy in perimenopausal women Endometrial hyperplastic processes Causes Clinic Diagnostics 02.02.19 Clinical management of patients Methods of treatment Conservative and operative THEMES INDEPENDENTLY CONDUCTED BY THE RESIDENTS OF THE SEMINARS 1.Post Partum depression, tragedy and the loss of Sudden infant death Syndrome 3.Patophiziologic basics of hemostasis disorders in pregnancy Factor of coagulation and antisvertyvayuschey system -Emboliya Amniotic fluid Causes Clinic Forecast Immediate action -DVS Syndrome Causes Stages Clinic Forecast Immediate action Prevention Treatment - TELA Causes Clinic Forecast Immediate action Pathophysiological basis of violations hemostasis in pregnant women The factors of coagulation and anticoagulation system Amniotic fluid embolism The reasons The clinic The forecast Urgent interventions.DIC-syndrome The reasons The stage The clinic The forecast Urgent interventions Prevention Treatment Pulmonary embolism The reasons The clinic The forecast Urgent interventions Anomaly of development of the uterus and vagina The species Diagnostics Operative methods of treatment Incorrect position of genitals The species Diagnostics Operative methods of treatment Diseases of mammary gland The anatomy and function of the mammary gland Mastopathy The reasons The clinic Diagnostics Prevention treatment Tumor of the mammary gland Differential diagnosis The tactic Perymenopause Phases of climacteric Climacteric syndrome The frequency The pathogenesis of Clinical forms Diagnostics Treatment Prediction Nonpharmacological methods of treatment Non-steroidal drugs The principles of hormone replacement therapy for women in perimenopause Hyperplastic processes of endometrium The reasons The clinic Diagnostics The tactics of keeping patients Methods of treatment Conservative and surgical The minimum amount of practical skills in obstetrics undergraduates № 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 to achieve competence The name of the skill Numb ers General and obstetrical examination Methods of external obstetric research methods Leopold-Levitsky Auscultation fetus Determination of the estimated fetal weight Determining the degree of maturity of the cervix Filling partogram Amniotomy Active management of the stage of labor Dressing and processing of umbilical cord in newborns Determining the newborn’s state Appgar Determination of the integrity of the afterbirth Determination of volume of blood loss Manual separation and isolation of placenta Manual examination of the uterus pressing of the abdominal aorta Bimanual compression of the uterus IUD insertion Inspection of the soft birth canal Suturing the cervix ruptures Closure of the vagina and perineum breaks Episiotomy and –rafiya Benefit at breech presentation Removing the fetus for pelvic end (in phantom) Rules transfusion Laparotomy Caesarean section in the low uterine segment Caesarean section on m Stark (1994) Classical cesarean section Obstetrical forceps (in phantom) Vacuum extraction of the fetus (in phantom) Craniotomy (in phantom) Craniotomy followed by a head at breech presentation (in phantom) 20 20 the percentage of participation year year 3year 100 100 10 10 100 100 10 100 10 5 100 100 100 100 5 100 100 5 100 30 5 5 10 5 30 100 100 100 100 100 100 10 10 100 30 100 10 100 50 30 10 10 10 30 30 100 100 10 10 100 100 50 100 50 100 50 100 100 50 100 50 50 100 100 The minimum amount of practical skills in gynecology, to achieve competence № 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 The name of the skill Numb ers General examination gynecological patient Conduct a pelvic exam with the help of mirrors Bimanual (dvurochnoe) study Breast palpation Functional diagnostic tests Colposcopy Sample solution Lyugolium Paracervical anesthesia Hysteroscopy Manual vacuum aspiration Puncture of the pelvic cavity through the posterior vaginal fornix Removal of cervical polyp Opening Bartholin gland abscess Opening hematocolpos Diagnostic curettage Scraping the uterine cavity with spontaneous abortion Scraping the uterine cavity with the artificial abortion Introduction and removal of IUDs Operation female sterilization Salpingectomy ectopic pregnancy Salpingostomy Resection of ovaries Cystectomy Adnexectomy The front and rear colporrhaphy Ventrofixation Amputation of the uterus Hysterectomy with appendages Vaginal hysterectomy 20 20 the percentage of participation 1year 2year 3year 100 100 20 20 20 10 5 10 100 100 100 30 100 100 30 30 100 5 10 10 100 100 100 50 50 100 100 10 50 100 10 5 5 5 10 15 50 50 30 30 30 30 30 30 30 30 30 30 100 100 100 100 100 100 100 50 50 50 30 30 50 30 100