MCPS Obs Gyn CRCLM (PBLSHD 2015, LST Updtd 12-1-24)
MCPS Obs Gyn CRCLM (PBLSHD 2015, LST Updtd 12-1-24)
PY
O
Membership of College of Physicians & Surgeons Pakistan
OBSTETRICS E
C
IC
& GYNAECOLOGY
FF
O
Prospectus
COLLEGE OF
PHYSICIANS AND
SURGEONS
PAKISTAN
TABLE OF
CONTENTS
Introduction 3
MCPS examination 4
General Regulations 5
Examination schedule 7
Training programme 10
Syllabus 14
1
PROSPECTUS MCPS
O The average number of candidates taking CPSP
B
examinations each year is to a minimum of 25,000. The
S
T College conducts examinations for FCPS I (11 groups of
E disciplines), IMM, FCPS II (72 disciplines), MCPS (22
T disciplines), including MCPS in HPE and MCPS in
R
I
HCSM. A large number of Fellows and senior medical
C teachers from within the country and overseas are
S involved at various levels of examinations of the College.
&
To coordinate the training and examination, and to
G provide assistance to the candidates stationed at places
Y other than Karachi; College has established 14 Regional
N
Centers Including five Provincial Headquarter Centres in
A
E the country. The five Provincial Headquarter Centers in
C addition to organizing the capacity building
O workshops/short courses also have facilities of libraries
L
O
and I.T.
G
Y It is important to note that in the overall scenario of
health care delivery service, out of the total functioning
and registered health care specialists in the country,
over 85% have been provided by the CPSP. The College
strives to continue its efforts in making its courses and
training programs evidence and need based so as to
meet international standards as well as to cater to the
specialist healthcare needs not only for this country but
also for the entire region.
2
PROSPECTUS MCPS
O
INTRODUCTION B
S
The College of Physicians and Surgeons Pakistan has T
E
always designed its postgraduate training programs T
keeping in consideration the national and international R
needs. In Pakistan attempts have been made to improve I
C
the health status of the people through availability of S
trained personnel, adequate supply of medicines and
establishment of greater number of health facilities. &
3
PROSPECTUS MCPS
O
B
MCPS EXAMINATION
S The College conducts MCPS examination in the
T following 22 disciplines:
E
T
1. Anaesthesiology 13. Oral Surgery
R
I
2. Clinical Pathology 14. Orthodontics
C
S
3. Community Medicine 15. Otorhinolaryngology
&
4. Dermatology 16. Paediatrics
G
5. Diagnostic Radiology 17. Periodontology
Y
N
6. Family Dentistry
A 18. Prosthodontics
E
7. Family Medicine
C 19. Psychiatry
O
8. Forensic Medicine
L 20. Pulmonology
O
9. Military Medicine
G
Y
21. Health Professions
10. Obstetrics & Gynaecology Education (HPE)
11. Operative Dentistry
22. Health Care Systems
12. Ophthalmology Management (HCSM)
4
PROSPECTUS MCPS
O
GENERAL REGULATIONS B
The following regulations apply to all candidates entering S
for MCPS examination: T
E
T
Candidate will be admitted to the examination in the R
name (surname and other names) as given in the MBBS I
degree. CPSP will not entertain any application for C
S
change of name on the basis of marriage/ divorce / deed.
&
REGISTRATION AND SUPERVISION
G
All trainings must be supervised, and trainees are
Y
required to register with the RTMC within 30 days of the N
start of the training for MCPS. In case of delay in A
registration, the start of training will be considered from E
C
the date of receipt of application by the RTMC.
O
Registration forms are available with RTMC and at the L
Regional Centers. They can also be downloaded from O
the CPSP Website. Training is compulsorily monitored G
Y
by an approved supervisor who is a CPSP fellow or a
specialist with relevant postgraduate qualifications and
requisite experience, registered with the RTMC.
DURATION OF TRAINING
The duration of training for MCPS is two years; MCPS
examination is taken on completion of the specified
training and other requirements. 5
PROSPECTUS MCPS
O
B
MANDATORY WORKSHOPS
S All candidates will attend following Mandatory
T
E
Workshops and present certificate of attandence before
T they can be allowed to take the MCPS examination:
R
I 1. Introduction to Computer and Internet
C 2. Primary Surgical Skills
S
3. Communication Skills
& 4. Basic Life Support (BLS)
G
Y ELIGIBILITY REQUIREMENTS FOR
N
MCPS EXAMINATION
A
E
C MBBS or equivalent qualification registered with the
PMDC.
l
O
L
O One year house job in an institution recognized by
G
the CPSP.
l
E
T
Theory examinations are held in different cities of the R
country depending on the number of candidates at a I
l
C
center. Presently the centres are Abbottabad,
S
Bahawalpur, Faisalabad, Hyderabad, Islamabad,
Karachi, Lahore, Larkana, Nawabshah, Multan, &
Peshawar and Quetta. The College’s decision to hold
theory/clinical examinations depends on the number G
of candidates in a city and candidates will be Y
N
informed accordingly. A
E
Clinical examination will held for those candidates C
who have qualified in theory. O
l
L
O
English is the medium of examination for the
G
theory/practical/clinical and viva examinations.
l
examination.
T
R
withdrawal/absence/exclusion.
I
C Application along with the prescribed examination fee
S and required documents should be submitted latest
l
N
A examination.
E
C
All fee are payable by bank draft/pay order made out
O
to the “College of Physicians & Surgeons Pakistan”.
l
L
O Personal cheques and postal orders are not
G accepted. However fee can be paid in cash at the
Y accounts department of the CPSP at Karachi or at
specified branches of UBL in most cities.
Refund of fee
After submitting an application for examination, if a
candidate decides not to appear, a written request for
l
PROSPECTUS MCPS
O
FORMAT OF EXAMINATION B
The MCPS examination comprises of: S
I. Theory: T
E
Paper I 10 SAQs 3 hours T
Paper II 100 MCQs 3 hours R
75 Single Best I
MCQs and 25 EMQs C
S
9
PROSPECTUS MCPS
O
B TRAINING PROGRAMME
S
T
Objectives of the training programme
E At the end of the training for MCPS in Obstetrics &
T Gynaecology the candidate shall be able to:
R
I Manage correctly pregnant women from conception
C
to post natal period which includes:
l
S
- Counselling individuals in the preconception
& period.
- Examining the pregnant women correctly and
G skillfully at appropriate intervals.
Y
N
- Counseling for breast feeding.
A - Detecting pre-existing problems in pregnant
E women e.g. heart disease, diabetes etc.
C - Detailed knowledge of heath status of mothers
O
and neonates in Pakistan.
L
O
- Knowledge of Millenium Development Goods
G (MDGs) 4 & 5, and Pakistanis progress towards
Y them.
- Detecting and treating any complications
occurring during the course of pregnancy which
may be hazardous to the health of the mother
or child.
- Conducting the delivery at the most appropriate
time and by the most appropriate method
keeping in view the best interests of both
mother and child.
- Dealing with the problems of mother and child
occurring in the post natal period.
- Advising mothers regarding child spacing and
family limitation, postpartum and post abortion
family planing including PPIUCD.
- Understanding the issues of nutrition,
adolescence child abuse and domestic violence
10 and take appropriate actions where indicated.
PROSPECTUS MCPS
Manage cases with symptoms relating to the female O
B
genital tract by:
l
S
- Obtaining pertinent history. T
E
- Performing physical examination correctly and
T
skillfully. R
I
- Requesting appropriate investigations. C
- Interpreting the results of investigations S
correctly. G
- Distinguishing those that require medical Y
N
treatment from those requiring surgical A
treatment. E
C
- Performing those surgical procedures O
L
competently which an MCPS in Obstetrics &
O
Gynaecology is expected to perform. G
Y
(see overleaf).
- Dealing with complications that may arise
during or following treatment and especially
acute obstetrical emergencies.
- Asking for the advice of other specialists
whenever necessary.
- Advising patients post treatment.
Obstetrical
12
PROSPECTUS MCPS
Lower segment caesarean section O
Repair of ruptured uterus B
S
Application of B-Lynch suture T
Obstetric hysterectomy E
Manual removal of placenta. T
Resuscitation of the new born. R
I
Post partum tubal ligation. C
S
&
G
Y
N
A
E
C
O
L
O
G
Y
13
PROSPECTUS MCPS
O
B
SYLLABUS
S
T The outline of various topics given in this syllabus is a
E guide to what at the moment are considered to be
T important topics which the candidate is expected to
R know. This is to help both the candidate and the
I examiner in defining the minimum boundaries of MCPS
C examination.
S
Anatomy
&
G
Female genital tract: vulva, vagina, uterus, fallopian
Y tubes, ovaries, broad ligament, pelvic cellular tissues,
N pelvic musculature, pelvic blood vessels, lymphatic
A system, nerve supply.
E Bony pelvis: normal and abnormal.
C Foetal skull.
O Breast.
L
O
G Physiology
Y
The student should have general knowledge of applied
Physiology with particular emphasis on physiology of
menstruation, conception, pregnancy, lactation,
endocrinology and Cardiovascular system.
General Pathology
Pharmacology
Knowledge of medicines used in conditions relating to
Obstetrics & Gneacology.
PROSPECTUS MCPS
- Mothers of breast-fed babies O
Gynaecology B
Normal anatomy of the female genital tract and S
T
congenital malformations. Diseases of vulva, vagina,
E
cervix, body of the uterus, fallopian tubes and ovaries, T
both benign and malignant. Displacements of the uterus R
and uterovaginal prolapse. Infections and injuries of the I
female genital tact. C
S
Complications of early pregnancy e.g. abortions, ectopic
&
pregnancy and trophoblastic disease. Endometriosis and
adenomyosis. Gynaecological endocrinology. Adolescent G
gynaecology. Infertility and contraception. Disorders of Y
menstruation. Urinary Problems. N
A
Gynaecological operations and principles of endoscopies E
C
and cytopathology, principles of chemotherapy and O
radiotherapy in Gynaecological cancers. Diagnosis of L
Gynaecological cancer. O
G
Y
Obstetrics
Antenatal care
Risk Scoring
Obstetrical complications of pregnancy e.g. multiple
pregnancy, hydramnios, PET, eclampsia, IUD,
l
T
E Normal and abnormal puerperium, obstetric
T procedures, breast disorders (inverted and cracked
l
R
I
nipples, breast engorgement, breast abscess)
C resuscitation of the newborn, neonatal jaundice,
S Respiratory Distress Syndrome (RDS), care of low
birth weight neonate.
&
1. Observer status
2. Assistant status
3. Performed under direct supervision
4. Performed independently
16
PROSPECTUS MCPS
O
A candidate is expected to attain the given level of B
competence by the end of each year as follows: S
T
OBSTETRICS E
A. Antenatal (OPD and ward) T
R
Level of competence I
6 12 24 minimum C
mth mth mth number S
Eliciting pertinent history 4 4 4 200
&
Performing physical examination 3 4 4 200
Requesting appropriate investigations 3 3 4 200
G
Interpreting the results of investigations 3 3 4 100 Y
Deciding and implementing appropriate 2 3 4 100 N
treatment A
Managing immediate complications 2 3 4 50 E
Maintaining follow up 3 4 4 100 C
Using ultrasound (basic) 1 2 3 50 O
L
Foetal monitoring (including 25 CTG) 3 3 4 100
O
G
B. Intrapartum (labour room) Y
Level of competence
6 12 24 minimum
mth mth mth number
Assessment on admission 2 3 4 200
Induction of labour 2 3 4 30
Management of normal labour 3 4 4 100
Performing and repairing episiotomy 3 4 4 30
Repair of vaginal and perineal tears 2 3 4 10
(including 3rd degree tears)
Repair of cervical tears 1 2 3 -
Immediate management of post partum 2 3 4 10
haemorrahage
Outlet forceps delivery 2 3 4 5
Vacuum extraction 2 3 4 5
Caesarian section 2 3 4 20
Repair of ruptured uterus* 1 1 2 -
Obstetric hysterectomy* 1 1 2 -
Correction of inverted uterus (acute)* 1 1 2 - 17
PROSPECTUS MCPS
O * The candidates should be rotated through other institutions if required
B
S
C. Postnatal
T Level of competence
E 6 12 24 minimum
T mth mth mth number
R Resuscitation of neonate 3 4 4 50
I Examination of neonate 3 4 4 50
C
Contraception advice 3 4 4 50
S
Insertion of IUCD 2 4 4 10
& PPIUCD
18
PROSPECTUS MCPS
O
B. Operative skills B
S
B1 - General skills T
Level of competence E
6 12 24 minimum T
mth mth mth number R
Scrubbing 4 4 4 30 I
Preoperative preparation of patients 4 4 4 30 C
Opening and closing abdomen 2 4 4 15 S
B2 - Operations &
Level of competence
6 12 24 minimum
G
mth mth mth number
Y
Evacuation of retained products of 3 4 4 05 N
conception A
Dilatation and curettage 3 4 4 05 E
Cervical biopsy 2 4 4 02 C
Polypectomy 2 4 4 02 O
Marsupialization / drainage of 1 2 4 01 L
Bartholin’s cyst O
Mini laparotomy (for tubal ligation) 2 3 4 01 G
Post partum tubal ligation at C-section 2 4 4 03 Y
Laparotomy for ectopic pregnancy 2 3 4 02
E-LOGBOOK
The CPSP council has made e-logbook mandatory for all
residency program trainees, including membership,
inducted from July 2011 onwards. Upon registration with
RTMC each trainee is allotted a registration number and
a password to log on to the e-logbook on the CPSP
website. The trainee is required to enter all work
performed and the academic activities undertaken in the
e-logbook on daily basis. The concerned supervisor is
required to verify the entries made by the trainee. This
system ensures timely entries by the trainee and prompt
verification by the supervisor. It also helps in monitoring
the progress of trainees and vigilance of supervisors.
Y Email: rc_peshawar@cpsp.edu.pk
Bahawalpur
TEL: 062-9250461
P.I.M.S, Ravi Road, Sector G- 8/ 3 Email: rc_bahawalpur@cpsp.edu.pk
ISLAMABAD
Islamabad.
UAN: 051-111-666-666
Peoples Medical College for Girls
NAWABSHAH
TEL: 051-9262590-1,
FAX: 051-9262592 Nawabshah
Email: rc_islamabad@cpsp.edu.pk TEL: 0244-9370271, 9370479
FAX: 0244-9370471
Email: rc_nawabshah@cpsp.edu.pk
Punjab Medical College
FAISALABAD
Faisalabad
UAN: 041-111-666-666 Chandka Medical College
LARKANA
20
PROSPECTUS MCPS
O
Adjacent to Sir Cowasji Jehangir
HYDERABAD
Near Cenar Hospital, B
QUETTA
O
G
Registration, Training &
Y
4. Nepal
Monitoring Cell
l
21
PROSPECTUS MCPS