妇产科学英文教学大纲

The Pedagogic outline of OB/GY Curriculum(For five-year undergraduate student major in clinical medicine) Preface Obstetrics and Gynecology is the main curriculum in the field of clinical medicine. It is the subject to investigate health care of women and prevention and care of ailment on the basis of the change of reproductive system in the lifetime of woman and trait of physiological and pathological related to pregnancy and fetus. It includes obstetrics, gynecology, female healthcare, birth control and eugenism. The student will mastery of the basic theory，basic information and basic skill after learning this course and beneficial to the foundation of theory and practice for the future work as a clinician. According to the pedagogic plan, the course time is: academic time 68 hours, clinically-based learning 60 hours. Totally is 128 hours. TextBasic theory and basic informationAnatomical of female reproductive system(for review) Purpose and demand1. Be familiar with anatomy of female pudendum and inner genitalia and the relationship with organs of vicinity.2. Be familiar with the shape and configuration of female pelvic and the anatomic character related with delivery.3. Be familiar with the distribution of primary blood vessels, lymphatics and nerves and the anatomic character of female pelvic floor. Pedagogic contents1. Anatomy of female pudendum and inner genitalia and the relationship with organs of vicinity.2. The shape and configuration of female pelvic.3. The distribution of primary blood vessels, lymphatics and nerves of female external and internal reproduction system. 4. The anatomy of female pelvic floor. Pedagogic methodsClinically-based learning: look at wall map, mould and gynecological examine.Review: 1.True pelvis, types of pelves, pelvic diaphragm 2.contents of the pelvic cavityPhysiology of female reproductive system Purpose and demand 1. Be familiar with the change of reproductive endocrinology and clinical symptom at the respective stage in the female lifetime.2. Mastery of clinical symptom of regular menstrual cycle and periodical change of endometrium and other part of reproductive organs.3. Mastery of the function of ovary and physiology effects of sex hormone. Pedagogic contents1. Physiology trait of respective stage in the female lifetime.2. Clinical symptoms of menstrual and menstrual cycle.3. Ovarian function and periodical change.4. Periodical change of endometrium and other part of reproductive organs.5. Hypothalamic-pituitary-ovarian axis interrelation. Pedagogic methods Lecture, Clinically-based learning, Wall map, Pathologic slice, Lantern slide, Slice of endometrium, Cervical mucus crystal smear slide.Review:1.Reproduction function after sexual maturity 2.control of ovarian functionPhysiology of Pregnancy Purpose and demand1. Be familiar with the process of physiology of pregnancy and the growth, development and physiologic trait of fetus.2. Mastery of the development and function of the Placenta.3. Be familiar with maternal physiology during pregnancy. (emphases on reproductive system, hematologic system, cardiovascular system and urinary system). Pedagogic contents1. Fertilization and the development, transport and imbed of conceptus.2. Form of fetus adjunct and function.3. Change of maternal physiology during pregnancy. (reproductive system, hematologic system, cardiovascular system and urinary system).4. The development and physiologic trait of fetus. Pedagogic methods1. Lecture2. Clinically-based learning: educational TV on the development of conceptus and specimen of placenta, fetal membrane and umbilical cord.Review: 1. placenta and function2. Maternal physiology during pregnancy Obstetrics Normal Pregnancy Purpose and demand1. Mastery of the diagnosis methods and principle of each stage (the first, second, third trimester) on normal pregnancy.2. Mastery of three factors (birth force, birth canal and fetal) which determine delivery and effects on delivery.3. Mastery of prenatal care methods and hygiene instruction.4. Be familiar with the mechanism of normal labor.5. Be familiar with clinical process of labor and management.6. Be familiar with maternal change at puerperium and physiologic trait of neonatal. Pedagogic contents1. Diagnosis methods of the first, the second and the third trimester of pregnancy and the principle.2. Fetal lie, fetal presentation, fetal position.3. Monitoring and supervise to pregnancy woman.4. Three factors to determine labor.5. Mechanism of labor of occipital presentation.6. Clinical process and management of labor.7. Maternal change at normal puerperium and physiologic trait of neonatal. Pedagogic methods1. Lecture.2. Clinically-based learning: noviciate of antenatal care at out-patient department, model of labor and educational TV, have a sight at normal labor at delivery room, diagnosis test of pregnancy(the first, second, third trimester), observation of lying-in woman puerperium.Review:1.Diagnosis and differential Diagnosis of pregnancy2.Essentials of prenatal care Pregnancy ComplicationsAbortion, Extrauterine Pregnancy Purpose and demand Mastery of the cause, diagnosis, differentiate diagnosis and management principle of abortion and extrauterine pregnancy. Pedagogic contents1. The cause, pathology, diagnosis, differentiate diagnosis and management principle of abortion.2. The cause, pathology, diagnosis, differentiate diagnosis and management principle of extrauterine pregnancy. Pedagogic methods1. Lecture2. Clinically-based learning: case discussionReview: 1. classification of abortion and extrauterine pregnancy 2. Essential of diagnosis 3. clinical presentation Pregnancy-induced Hypertension (PIH) Syndrome Purpose and demand1. Comprehend the relevant factors of PIH pathogenesis and etiology doctrine.2. Mastery of the basic pathologic and physiologic change of PIH.3. Mastery of classification, standard of diagnosis and differentiate diagnosis of PIH.4. Comprehend the effects of PIH on mother and fetal. Pedagogic contents1. The cause, pathologic and physiologic change of PIH.2. Clinical Presentation and classification of PIH.3. Diagnosis of PIH and the effects on mother and fetal, prevention and treatment on PIH and management principle. Pedagogic methods1. Lecture2. Clinically-based learning: case discussionReview: 1. Classification of PIH 2. diagnosis and principle of treatment 3. ComplicationPlacenta Previa, Placental abruption Purpose and demand Mastery of the definition, classification, diagnosis and management principle of Placenta Previa and Placental abruption Pedagogic contents The cause, classification, clinical presentation, diagnosis, effect on the mother and fetal and management principle of Placenta Previa and Placental abruption Pedagogic methods1. Lecture2. Clinically-based learning: case discussion, watch educational TVReview: 1.classification 2.clinic presentaiton 3.the principle of treatmentPostterm Pregnancy, Multi-fetus Pregnancy, Polyhydramnios, Oligohydramnios Purpose and demand Comprehend the main diagnosis point and management principle of postterm pregnancy, polyhydramnios, oligohydramnios and multi-fetus pregnancy and prevention, treatment of complications as well. Pedagogic contents Diagnosis and management of postterm pregnancy, polyhydramnios, oligohydramnios and multi-fetus pregnancy and prevention, treatment of complications as well. Pedagogic methodsClinically-based learningReview: Diagnosis and clinic presentationMedical Conditions Complicating Pregnancy Purpose and demand1. Be familiar with the main diagnosis point and the principle of prevention and treatment of heart disease or maternal hepatitis B carrier complicating pregnancy as well as the mutual influence on pregnancy.2. Be familiar with the diagnosis and the management principle of renal disease complicating pregnancy as well as the mutual influence on pregnancy. Pedagogic contents1. Heart disease complicating pregnancy: mutual influence between heart disease and pregnancy and labor as well as prevention and treatment.2. Acute viral hepatitis complicating pregnancy: liver physiologic change with pregnancy, mutual influence between pregnancy and viral hepatitis and the way of prevention and treatment.3. The clinical presentation, diagnosis and management principle of acute pyelonephritis complicating pregnancy. Pedagogic methodsLectureReview: How to make the diagnosis and treatmentPerinatology and High-risk Pregnancy Purpose and demand1. Comprehend the effect of environment factors and inherit factors on fetal and the significance in the prenatal diagnosis.2. Comprehend the relationship of the outer environment and inner uterine condition with eugenics.3. Be familiar with system monitoring at perinatal stage and important monitoring method in high-risk pregnancy.4. Mastery of the management principle of high-risk pregnancy. Pedagogic contents1. Contents and definition of Perinatology.2. Definition, category, diagnosis and monitoring method of high-risk pregnancy.3. The effect of maternal medicine-taken on fetal. Pedagogic methodsLectureReview: 1. How to monitor the fetal condition 2. The management principle of high-risk pregnancy.Dystocia Purpose and demand1. Be familiar with the cause of dystocia - abnormalities of the powers, the passage and passenger.2. Mastery of clinical presentation, diagnosis and measure of prevention and treatment of abnormalities of the powers, the passage and passenger. Pedagogic contents1. Classification, cause, clinical presentation, effect on mother and fetal, prevention and management principle of abnormalities of the powers.2. The effect of abnormalities of the passage, especially the abnormalities of bony pelvic on mother and fetal and management principle.3. Diagnosis and management principle of abnormalities of the passengerpersistent occipito posterior, persistent occipito transverse position, breech presentation, should presentation. Fetal heteroplasiafetal macrosomia, hydrocephalus. Pedagogic methods1. Lecture2.Clinically-based learning: operation appliance of dystocia and educational TVReview: 1. the cause of dystocia2. clinical presentation, diagnosis and measure of prevention and treatment of abnormalities of the powers, the passage and passenger.Complications of Labor and DeliveryRupture of the Uterus Purpose and demand1. Comprehend the cause of uterus rupture.2. Be familiar with the clinical presentation of uterus rupture.3. Mastery of diagnosis, prevention and treatment of uterus rupture. Pedagogic contents1. Rupture of the Uterus: classification, clinical presentation and diagnosis.2. The cause and management principle of uterus rupture. Pedagogic methods LectureReview: 1. The cause of uterus rupture2. The clinical presentation of uterus rupture. 3. The principle diagnosis, prevention and treatment of uterus rupturPostpartum Hemorrhage Purpose and demand1. Mastery of the definition, cause, clinical presentation and diagnosis of postpartum hemorrhage.2. Be familiar with the prevention and treatment on postpartum hemorrhage. Pedagogic contents1. Definition and cause of postpartum hemorrhage.2. Clinical presentation and diagnosis of postpartum hemorrhage.3. Prevention and treatment on postpartum hemorrhage. Pedagogic methods LectureReview: the definition, cause, clinical presentation and diagnosis of postpartum hemorrhage.Fetal Distress Purpose and demand1. Be familiar with the cause, clinical presentation, diagnosis, prevention and treatment methods on fetal distress.2. Comprehend the significance of prevention and treatment of fetal distress to decrease the mortality of perinatal baby. Pedagogic contents1. The cause and clinical presentation of fetal distress.2. Diagnosis, prevention and treatment of fetal distress. Pedagogic methods. LectureReview: The significance of prevention and treatment of fetal distresAbnormal Puerperal, Puerperal Infection Purpose and demand1. Be familiar with common pathogen in puerperal infection, change of pathology and clinical presentation.2. Mastery of diagnosis, differentiate diagnosis, prevention and treatment on puerperal infection. Pedagogic contents1. Definition, cause and pathogen of puerperal infection.2. Pathology and clinical presentation of puerperal infection.3. Diagnosis, differentiate diagnosis, prevention and treatment on puerperal infection. Pedagogic method. LectureReview: 1.Definition, cause and pathogen of puerperal infection2. Diagnosis, differentiate diagnosis, prevention and treatment on puerperal infectionBirth Control Purpose and demand1. Comprehend the significance of birth control.2. Be familiar with various measures of contraception especially the mechanism and method of intrauterine device and the mechanism of oral contraceptive medicine.3. Be familiar with the remedial method after the failure of contraception.4. Be familiar with the indication, contraindication, complication, prevention and treatment of induced abortion and sterilization. Pedagogic contents1. Device contraception: the principle and complication of condom and intrauterine device.2. The mechanism, contraindication and treatment of side-effects of oral contraceptive medicine.3. Treatment of complication of induced abortion. Pedagogic method.1. Lecture2. Clinically-based learning: educational TV, contraceptive device, contraceptive medicineReview: 1. The mechanism and method of intrauterine device and the mechanism of oral contraceptive medicine. 2. The remedial method after the failure of contraception.Infertility Purpose and demand Comprehend the cause, check-up procedure, ways and means and the treatment principle of infertility. Pedagogic contents The cause, check-up ways, diagnosis and treatment of Infertility Pedagogic method. LectureReview: the cause, check-up procedure, ways and means and the treatment principle of infertility. The History of Gynecological Diseases and Examination Purpose and demand 1.To grasp the character to write history of gynecological diseases 2.To know the methods of gynecological examination Pedagogic contents 1 To focus on teaching the contents and procedure to write the history of gynecological as well as the special demand of gynecology2 To teach generally the methods of gynecological ,ventral ,bimanual ,trimanual examination and the problems that need to be paid attention to3 generally to teach how to be based on the history of diseases and results of examination to decide diagnosis and make the plan of essentials of diagnosis and treatment Pedagogic method.Lecture Clinical noviciate VideoInflammation of the Female Reproductive System Purpose and demand1 to know natural defence ability of the female reproductive system2 to acquaint the clinical presentations and treatment principle of inflammation of the vulva ,abscess of Bartholin gland and vaginiti 3 to acquaint the pathogeny ,pathological changes and the clinical presentations of different development course about chronic cervicitis and acute and chronic pelvic inflammatory diseases 4 To know transmitted paths , clinical presentations , diagnosis and the principle of treatment in pelvic tuberculosis Pedagogic contents1 Generally to teach the natural defence mechenism of the female reproductive system ,the pathogen of the inflammation of female reproductive system,transmitted paths and the development and outcome of inflammation2 To focus on teaching the presentations and treatment principle of the inflammation of vulve abscess of Bartholin gland and pathological diagnosis and clinial principle of chronic cervicitis3 To focus on teaching etiology, pathological changes ,clinical findings ,diagnosis ,differential diagnosis, prevention and treatment Pedagogic method.Lecture ,pictures ,clinical practice ,videoGestational Trophoblastic Diseases Purpose and demand1 To acquaint definitions ,pathology ,clinical findings,diagnosis and therapy of hydatidiform mole and invisive mole.2 To be familiar with choriocarcinoma, including: patholog， clinical findings,diagnosis, differential diagnosis and treatment. Pedagogic contents1 To play emphasis on teaching pathology, clinical findings,diagnosis,differential diagnosis,following and treatment of hydatidiform mole.2 To play emphasis on teaching definition, pathology, clinical characteristic, diagnosis, syndrome and treatment of invisive mole.3 To play emphasis on teaching pathology, clinical findings, diagnosis, treatment and prognosis of choriocarcinoma. Pedagogic method. Instruction, discussion of cases. Malignant Disorders of the Uterine Corpus Purpose and demandTo know well the clinical characteristic, diagnostic method and principle of management on endometrium cancer. Pedagogic contents1 To stress on explaining etiology and risk factors of endometrium cancer.2 To stress on explaining clinical staging and symptom of endometrium cancer.3 To stress on explaining diagnostic methods of endometrium cancer, especially the importance of fractional curettage.4 To teach principle of management on endometrium cancer.Teaching methodInstruction, pictures, clinical practice, discussion of cases.Leiomyoma of