Post on 03-Nov-2014
BLOK 17REPRODUCTIVE SYSTEM
ISKANDAR ZULQARNAIN
Level of achievment : Recognize clinical symptoms of disease Can make clinical diagnosis based on physical
examination and other additional examination and also can reffer the patient to the relevant specialistic
Can decide and give first therapy before reffer to the specialist (not emergency case)
Can decide and solve the problem clearly by them selves
BASED CLINICAL SKILL
Area of competention
■ Get and note a fully history of disease and can also do a comprehensif examination
■ Choose a “lege artis” action and can understand many clinical procedure and laboratorium
BASED CLINICAL SKILLComponent of competention■ Explore history of disease accurately, doing
physical examination and general laboratory examination for every problem of the patient
■ Choose the right medical action and can understand the action accurately and clearly
SKILL TO PRACTICE BIOMEDIC SCIENCE, CLINICAL SCIENCE, BEHAVIORAL AND EPIDEMIOLOGY SCIENCE IN FAMILY MEDICINE PRACTICE
Area of competention Making medicine and health problem
become clearly based on biomedic science, clinical, behavioral and earliest community
Prepare the intervention plan based on scientific meaning
Practice the evidence based medicine in daily practice
SKILL TO PRACTICE BIOMEDIC SCIENCE, CLINICAL SCIENCE, BEHAVIORAL AND EPIDEMIOLOGY SCIENCE IN FAMILY MEDICINE PRACTICE
Competention component Making health problem clearly from biomedic
science, clinically and earliest behavioral Explain the concept of pathophysiology of health
problems Arrange and explain of medical action plan Explain the based of pathophysiologic thinking
that choosed and explain about the possibility result to the patient, family and colega
TARGET Decide the relevant scientific base which
connect with pathophysiology meaning of health problem
Decide the clinical problem that raise up based on case that connective to a health problem
TARGET
Can explain etiology, pathogenesis, and also prpgresivity of health problem
Explain manifestation and consequention of health problem miomolecularly, celluler and also faaly
Develop strategy of etiology control, phatogenesis and also spesific danger of health problem
TARGET
Explain the aim of medicinalis from physiology and molecular side
Understand scintific logic to choose intervention from pharmacology, physiologi, nutrient and also behavioral change
Knowing and can explain indication for specific medicine , work mechanism, dose, halftime and clinical aplication
Anticipated the possibility of drug interaction Explain health problem caused of drugs Make a parameter and indicator of therapy whether it
succed or failed Explain how important to control the therapy
SKILL TO HANDLE THE HEALTH PROBLEM INDIVIDUALY, FAMILY OR RELATIVES WITH COMPREHENSIF, HOLISTIC, CONTINUE, COORDINATE, AND WORKING TOGETHER IN CONCEPT PRIMARY HEALTH SERVICE
Competention area
■ Diagnose, controlling and preventing individual problem
■ Control the individual health problem through the clinical reasoning
SKILL TO HANDLE THE HEALTH PROBLEM INDIVIDUALY, FAMILY OR RELATIVES WITH COMPREHENSIF, HOLISTIC, CONTINU, COORDINNATE, AND WORKING TOGETHER IN CONCEPT PRIMARY HEALTH SERVICE
Component of competention : Diagnose individual health Integrated preventive action to produce
comprehensive health service Monitoring improvement in therapy Diagnose the causa of environment health
problem
SKILL TO HANDLE THE HEALTH PROBLEM INDIVIDUALY, FAMILY OR RELATIVES WITH COMPREHENSIF, HOLISTIC, CONTINU, COORDINNATE, AND WORKING TOGETHER IN CONCEPT PRIMARY HEALTH SERVICE
TARGET Evaluate data of basic examination corectly Make a differential doagnose Arrange the problem bassed on diffrential
diagnosis
SKILL TO HANDLE THE HEALTH PROBLEM INDIVIDUALY, FAMILY OR RELATIVES WITH COMPREHENSIF, HOLISTIC, CONTINU, COORDINNATE, AND WORKING TOGETHER IN CONCEPT PRIMARY HEALTH SERVICE
TARGET
Choose the right theerapy Choose action based on financial factor and
patient ability Do consulting and reffered if necessary
SKILL TO HANDLE THE HEALTH PROBLEM INDIVIDUALY, FAMILY OR RELATIVES WITH COMPREHENSIF, HOLISTIC, CONTINU, COORDINNATE, AND WORKING TOGETHER IN CONCEPT PRIMARY HEALTH SERVICE
TARGET
Decide the aim of the therapy Optimally involved the patient and their family Decide the scrining examination
SKILL TO HANDLE THE HEALTH PROBLEM INDIVIDUALY, FAMILY OR RELATIVES WITH COMPREHENSIF, HOLISTIC, CONTINU, COORDINNATE, AND WORKING TOGETHER IN CONCEPT PRIMARY HEALTH SERVICE
TARGET
Do education and other intervention if neeeded Decide indicator and parameter that will
evaluate Diagnose and control the environment that
cause disease
PLANNING OF
INTEGRATED TEACHING
1. Physiological obstetrics
Consultant : Dr. Iskandar Zulqarnain, SpOG (K)
Dr. A. Abadi , SpOG (K)
Time alocation : 2 x 50 minutes
I. OBSTETRICS AND GYNECOLOGY
1 . Physiological Obstetrics
Fertilization, implantation, and nidation Placental hormone Changing of morfology and physiology of
the fetus Changing of anatomy and physiology of
pregnant woman Antenatal care
2. Phatological Obstetric 1,2& 3
Consultant :
Prof. Dr. Syakroni DR , SpOG (K)
Prof. Dr.A.Kurdi Syamsuri ,SpOG (K)
Dr. Wim TP , Dr, SpOG (K)
Dr. Heriyadi Manan , SpOG
Dr. K. Yusuf Effendi , SpOG (K)
Dr. Marwansyah FM , SpOG
3. IT Obstetrics 3 : Phatological Obstetric 2
Consultant :
Dr. M. Hatta Ansyori , SpOG (K)
Dr.Nuswil Bernolian, SpOG
Dr. Putri Mirani , SpOG
Phatological Obstetrics
Hyperemesis gravidarum Abortus Ectopic pregnancy / disturbance ectopic
pregnancy Hypertension in pregnancy Antepartum haemorrhage
Phatological Obstetrics
Preterm and postterm pregnancy Disease and abnormality of placentae,
amniotic membrane and amniotic fluid Congenital disease Premature rupture of the membrane Twin pregnancy
Phatological Obstetric
Disturbance on fetal growth Pregnancy with infection of virus, parasit and
bacteria ( TORCHS ), Malaria, Hepatitis, TBC Pregnancy with medical abnormality
6. Physical Exam,Labour &Peurperium .
Consultant : Dr. Zaimursyaf Aziz , SpOG (K)
Dr. Fatimah Usman , SpOG
Obstetric
Diagnosis of pregnancy Situs, habitus, presentation & position of the
baby Mechanism of normal labour Intrapartum monitoring (partograph) Nifas and lactation
7. IT Obstetrics 7 : Labour Complication & Operatif Obstetrics
Consultant :
Prof. Dr. Mgs. Usman Said ,SpOG (K)
Prof. Dr. Syakroni Daud Rusydi, SpOG (K)
Dr. Amir Fauzi , SpOG (K)
Dr. Marwansyah FM , SpOG
Labour Complication & Operatif Obstetrics
Dystocia . Postpartum haemorrhage Puerperalis infection Shock in obstetric Curretage and labour induction Ephysiotomi & Suture of laceration
Labour Complication & Operatif Obstetrics
Forcipal extraction & Vacuum extraction Breech presentation Manual removal of the placentae & repotition
of uterine inversion Embryotomi LSCS & postpartum hysterectomy
Gynecology
1. Gynecology 1 : Consultant
Dr. Rizani Amran , SpOG (K)
Dr. K. Yusuf Effendi , SpOG (K)
Dr. Amir Fauzi , SpOG (K)
Gynecology 1
Anatomy abnormality and abnormality of female reproduction organ
Disturbance in female fungsional reproduction system
Gynecology 2
Consultant :
Dr. Asrol Byrin, SpOG (K)
Dr. Firmansyah Basyir , SpOG
Topics Pelvic infection Gynecology benign tumour
3. Family Planning
Consultant :
Dr. Azhari, SpOG (K)
Dr. Fatimah Usman , SpOG
Family planning
Population and the problem Method and effectivity of contraception Contraception counselling
4. Gynecology Oncolology
Consultant : Dr. Agustria Zainu Saleh , SpOG ( K)Dr. Rizal Sanif , SpOG (K) Dr. Irawan Sastradinata, SpOG (K)
Female reproduction organ carcinoma Cervix uterine intraepithelial neoplasma Cervical carcinoma Uterine carcinoma Ovarian carcinoma Vulva & vagina carcinoma Gestational trophoblast neoplasia Pain in female reproductive organ neoplasia
6. Imaging in O & G ( Ultrasound imaging , CTG , ect )
Consultant : Prof. Dr. A.Kurdi Syamsuri , SpOG (K).Dr. M . Hatta Ansyori , SpOG (K)Dr. Nuswil Bernolian , SpOG
Imaging in O & G
Monitoring of fetal heart rate, CTG Amniocentesis. Ultrasound in obstetrics gynecology MRI , CT Scan, Rontgenologi in obstetrics
gynecology
II. BIOLOGY / MEDICAL ANDROLOGY
Developmental Embryology
Consultant :
dr. Siti Hildani Thaib, MKes
Topics Growth and Development Reproductive Organs
(Male and Female). Abnormality of Reproductive Organs (Male)
II. BIOLOGY / MEDICAL ANDROLOGY
Consultant : Prof.dr. Kms. H. Arsyad, SpAnd
MALE INFERTILITY - Hormonal Regulation in male fertility - Cause of male inferIity - Manag of male infertility and sexual dysfunction - Semen analysis
MALE CONTRACEPTIONS
III. NUTRITIONAL
Consultant :
dr. Dimyati Burhanuddin, MSc.
dr. Nazly Hanim, MSc
dr. Syarif Husin , MSi
NUTRITION ON REPRODUCTION SYSTEM (OBSTETRICS & GYNECOLOGY)
Dietary management in Pregnancy and lactation (including hyperemesis gravidarum and hypertension)
Iron deficiciency & megaloblastic anemia in pregnancy
IV. PHYSIOLOGY
Consultant :
drg. Nursiah Nasution , MKes
dr. Irfanuddin , SpKO
Physiology of female reproduction system
Function of female & male reproductive system
Menstrual cycles Fisiology of hormone female reproduction
system
V. Pharmacology: Drug in pregnancy & cytostatic
Consultant :
Dr. Syahril Aziz , SpFK ,
Dr. Theodorus , MSc
VI. Internal Medicine :Internal medicine in Obstetrics & Gynecology
Consultant : dr. H. ALWI SYAHAB, SpPD,(K)
VII. Pediatric Medicine : Perinatology in
Obstetric & Gynecology
Consultant :
dr. Hj. Julniar. M. Tasli, SpA ( K)
dr. Herman Bermawi , SpA (K)
dr. Afifa Ramadanti, SpA
VIII. Anatomy Pathology : Role of Anatomy
Patholgy in Obstetrics & Gynecology
Consultant :
Dr.Henny Sulastri , SpPA
Dr.Aida Farida, SpPA
IX. Physiciatri Medicine : Psikosa & Postpartum Depression
Consultant : Dr. Deddy S , SpKJ
X. Forensic Medicine : Trauma & Sexual Crime
Consultant :
Dr. Ramli bachsin , SpF
XI. Clinical Pathology : TORCH, Tumour marker
Consultant :
Prof dr. PM Chatar , SpPK
Dr. Kms. Yakub , SpPK
XII. Hystology : Hystology of male & female
reproduction system
Consultant :
Dr. Yan Effendi Hasyim , SpHK
XIII. DERMATO & VENEROLOGY
Consultant :
1. dr. Yulia Farida Yahya , SpKK ( K )
XIV:ANESTHESIOLOGY&ANIMATION
Consultant :
1 . dr . Rose Mafiana , SpAN.
2. dr. M .Zulkifli , SpAN, Mkes.
XIV : BEDAH TUMOR
Consultant :
1. dr. Burmansyah , SpB , Sp(K)Onk
2. dr. Benny Kusuma , SpB. Sp(K)Onk
RENCANA PRAKTIKUM
BLOK REPRODUKSI
I. ANATOMY PATHOLOGY
Theme : Time alocation : 2 X Divided group : 3 Place : INDRALAYA
I. CLINICAL PATHOLOGY
Theme : Time alocation : 2 X Divided group : 3 Locations : RSMH
TUTORIAL
Abortion Pregnancy with severe preeclampsia Breech presentation Postpartum haemorrhage
SKILL LAB 5 Topic
Obstetric examination + normal delivery Gynecologic examination and IUD insertion Pap’s smear Curretage Episiotomy
SKILL LAB
Skill Lab : 1 x 50 : Plenary lecture 2 x 50 : Group : 8 - 12
Introduction
Clinical steps demo
Pratice
Discussion
EVALUATION
Log Book Absentie OSCE : About Lab Skill SOCA : About Tutorial MCQ : 120 – 200
SYARAT BOLEH MENGIKUTI EVALUASI
Log Book MCQ : Kehadiran IT 75 % OSCE : Kehadiran Skill Lab , 100 % SOCA : Kehadiran Topik tutorial 100
%
Rancangan : ContohPanduan Integrated teaching Blok.17. Reproductive System Theme : Normal pregnancy Sub theme : Physiological of pregnancy anatomic and physiological changing during pregnancy Development of morfology and fungsional of the fetus Antenatal caree Nutrition in pregnancy Imaging in pregnancy ( Ultrasonografi, etc) Amniocintesis Learning objective Method guidelines Assesment : 5 question MCQ, only one right answer between
4 choices A,B,C,& D