Objectives and Contextualisation

The subject corresponds to the last year of the Degree in Medicine (6th year), once the students already know the scientific foundations of Gynecology/Obstetrics.

The general objective is for students to consolidate previous knowledge and achieve clinical, communication and research and handling skills for scientific information related to Gynecology-Obstetrics:

We classify the objectives in general and specific:

Generals

• Make a diagnosis by knowing how to take a history and establish a differential diagnosis, under the supervision of the teaching staff.
• Make a diagnosis and establish the treatment of a specific pathology, under the supervision of the teaching staff.
• Establish good interpersonal communication that enables you to address patients, relatives, companions, medical team and other healthcare professionals with efficiency and empathy.

Specific

• Know the clinical characteristics and controls and protocols in the control of normal pregnancy. Studying the appropriate controls in pathological pregnancy: high-risk monographic consultations.
• Understand the ultrasound study in normal and pathological pregnancy: be able to interpret an ultrasound in the 3 trimesters of pregnancy.
• Know normality as well as the most frequent pathologies in Fetal Medicine.
• Know the delivery assistance mechanism: be able to attend a eutectic delivery in an emergency situation.
• Study the process of the normal puerperium and the detection of the pathology of the puerperium as well as the recommendations on breastfeeding.
• Study the basic concepts of female and male infertility: be able to interpret the basic infertility study.
• Know the process of assisted reproduction: be able to understand the processes of artificial insemination and in vitro fertilization.
• Knowthe appropriatecontrols to perform preventive medicine in gynecology: be able to perform a cervico-vaginal cytologicalsample, a gynecological examination as well as know the recommendations on breast cancer screening.
• Know the basic ultrasound in Gynecology: be able to interpret a gynecological ultrasound.
• Study and learn cervical pathology: be able to interpret a colposcopy, know the basic protocols of cervical pathology as well as the most frequent surgical treatments
• Know the mechanisms of action of the vaccine against the papillomavirus (HPV) as well as the recommendations accepted at national and international level regarding its indications according to age groups.
• Study the basic control of the menopause as well as the recommended controls and the basic treatment guidelines: be able to interpret the controls that are asked of the menopausal woman.
• Know the most common methods of contraception, their indications and contraindications. Be able to recommend the appropriate treatment for a given patient.
• Study the most common benign gynecological pathologies in gynecology: diagnostic and therapeutic protocols.
• Know the lapatology of the pelvic floor and urinary incontinence: the diagnosis, the indications for rehabilitation as well as the most frequent surgical techniques including mesh placement techniques.
• Know the most common sexually transmitted diseases: epidemiology, diagnosis and treatment and the prevention of each of them.
• Know the most frequent gynecological neoplasms, including breast pathology: diagnostic and therapeutic protocols as well as follow-up.
• Study the clinical characteristics, the imaging and clinical diagnosis and the surgical treatment guidelines including the study of the sentinel node.
• Know and understand surgical techniques: hysteroscopy, laparoscopy, pelvic floor surgery, benign gynecological surgery, gynecological and breast oncological surgery.

- Competences (listed according to degree report)

• Communicate clearly, both orally and in writing, with other professionals and the media.
• Communicate effectively and clearly, both orally and in writing, with patients, relatives and companions, to facilitate their decision-making, informed consent and compliance with prescriptions.
• Demonstrate adequate clinical experience in hospital, health center, or other health care institutions, under supervision, as well as basic knowledge of patient-centered clinical management and appropriate use of tests, medications, and other health system resources.
• Develop professional practice with respect for patient autonomy, their beliefs and culture, with respect for other health professionals, demonstrating teamwork skills.
• Listen carefully, obtain and synthesize relevant information about the problems that afflict the patient and understand the content of this information.
• Establish good interpersonal communication that enables you to address patients, relatives, companions, doctors and other healthcare professionals with efficiency and empathy.
• Maintain and update your professional competence, giving special importance to independent learning of new knowledge and techniques and to motivation for quality.
• Maintain and use records with patient information for subsequent analysis, preserving data confidentiality.
• Have the ability to work in an international context.
• Use information and communication technologies in professional activity.
• Critically evaluate and use clinical and biomedical information sources to obtain, organize, interpret and communicate scientific and health information.

- Learning outcomes (listed according to degree report)

1. Real access to the care protocols of the different entities that make up the set of pathologies.
2. Analyze medical records systematically.
3. Analyze the limitations thatexist in the interpretation of behavior through non-verbal communication.
4. Apply the theoretical knowledge of pathology that has been acquired during the degree to clinical practice.
5. Apply the essential elements of bioethics (patient rights, doctor's obligations).
6. Collaborate in simple clinical and surgical maneuvers that have been practiced with simulators, always under supervision.
7. Communicate appropriately with the patient and their relatives.
8. Communicate clearly, both orally and in writing, with other professionals and the media.
9. Adequately consult and keep patient information records in order.
10. Know the basic elements of communicating the results of clinical research.
11. Be able to correctly describe the criteria for hospitalization.
12. Describe the communication process and its effect on the professional-patient relationship.
13. Distinguishing basic emotions in primary care patients through the interaction between the various non-verbal components.
14. Have the opportunity to take a history and complete physical examination by devices and systems, under supervision.
15. Identify the basic elements of the doctor-patient interview in an environment of high accessibility and presence, with longitudinal attention.
16. Identify the forms of presentation of the different pathological processes.
17. Identify the basic rules of pharmacotherapy.
18. Maintain and update your professional competence, giving special importance to independent learning of new knowledge and techniques and to motivation for quality.
19. Observe the therapeutic attitude, the evolutionary course and its prevention in cases where possible.
20. Being able to actively participate in care tasks, taking clinical histories, requesting complementary studies (laboratory, imaging techniques) when necessary and under supervision, and which help guide the clinical history.
21. Participate in discussions to solve theclinical problems raised.
22. They can write medical orders undersupervision, as well as consultation and assistance reports.
23. Write a complete clinical history in a systematized way.
24. Respect patient participation in decisions about the health and illness process.
25. Have the ability to work in an international context.
26. Use information and communication technologies in professional activity.