BLOK 17

REPRODUCTIVE 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 SKILL

Component 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

I. OBSTETRICS AND GYNECOLOGY

1. Physiological obstetrics Consultant : Dr. Iskandar Zulqarnain, SpOG (K) Dr. A. Abadi , SpOG (K) Time alocation : 2 x 50 minutes

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 Divided group Locations

: 2X :3 : RSMH

TUTORIAL

Abortion Pregnancy with severe preeclampsia Breech presentation Postpartum haemorrhage

SKILL LAB 5 Topic

Obstetric examination + normal delivery Gynecologic examination and IUD insertion Paps 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 SOCA MCQ

: : :

About Lab Skill About Tutorial 120 200

SYARAT BOLEH MENGIKUTI EVALUASI

Log Book MCQ : Kehadiran IT 75 % OSCE : Kehadiran Skill Lab , 100 % SOCA : Kehadiran Topik tutorial 100 %

Rancangan : Contoh Panduan 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