Obstetrics and Gynecology

Obstetrics and Gynecology department recognizes the Uganda’s Crane Qualification to the Africa Cup of Nations that took 39 years in conjuction with the departmental Achievements on the 16^th January 2017,

DESCRIPTION OF THE DEPARTMENT/INTRODUCTION

One of the departments in the faculty of medicine mandated with offering clinical services, education and research in the field of reproductive health. It had seven faculty at different ranks with a departmental head. There are 6 MoH specialists OBGYN who share the responsibilities. We have 16 midwives at different levels of seniority.

The Maternal Child Health (MCH) section cares for over 10,000 pregnant women annually and the labour suit supervises over 11000 deliveries 38% of which are by Caesarean section. We offer referral services to the population in 10 districts of the South Western Uganda and beyond.

It is organized in different clinical divisions including the Maternal Fetal Medicine, Urogynecology, Gynecological Oncology, Family Planning , Reproductive Endocrinology and Infertility, General Gynecology and Minimally Invasive Surgery.

The department offers courses to 3^rd and 5^th year medical students from MUST and postgraduate program leading to the award Master of Medicine in Obstetrics and Gynaecology with several. Several candidates are currently pursuing their PhD programs.

Every semester we host an average of 50 3^rd year and 5^th year students. We currently have 25 post graduate students spread over the 3 years of training. We also offer clinical practicum sites for several institutions in Uganda and internationally.

MISSION

Contribute to training of health-care providers through education in participation in clinical skills sessions, best research and community-based activities in the area of reproductive health so as to address shortage of health professionals, reduce mortality and morbidity related to maternal, newborn and gynecological conditions.

VISION

To be recognized as a center of excellence in maternal and reproductive health education, clinical care, research and community service. We seek to become the most competitive maternal and reproductive health training department in the region with deliverables by responsible, accountable and committed staff.

OBJECTIVES OF THE DEPARTMENT

To produce quality and relevant health care professional doctors in the area of maternal, newborn and reproductive health.

SERVICES AND ACTIVITIES/FACILITIES

The services and activities offered by the department are summarized in three broad categories of Clinical service, Education/Training and Research

FACULTY IN THE DEPARTMENT

Emilio Ceasar Sanchez, Associate Professor

Joseph Ngozi, Senior Lecturer

Godfrey Rwambuka Mugyenyi, Senior Lecturer

Ronald Mayanja, Lecturer

Musa Kayondo, Lecturer

Julius Mugisha, Lecturer

Hamson Kanyesigye, Lecturer

Undergraduate Courses

Course Name	Obstetrics and Gynaecology – Theory I
Course Code	OBG 3201
Course Lever	Year III
Contact Hours	45
Credit Units	3

Detailed Course Outline

No		Topic	Hours
UNIT 1	Anatomy and physiology (7.5 CH)
	1	Anatomy and embryological development of the female genital tract	1.5
	2	Physiology of reproduction: the menstrual cycle	1.5
	3	Physiological changes during pregnancy	1.5
	4	Fertilization, implantation and development of the embryo	1.5
	5	Placenta, membranes and amniotic fluid: functions and disorders	1.5
UNIT 2	Ante partum care (4.5 CH)
	6	Diagnosis of pregnancy, pregnancy	1.5
	7	Multifetal gestation	1.5
	8	Gestational trophoblastic diseases: Molar Pregnancy	1.5
UNIT 3	Normal labour (3 CH)
	9	Normal labor: Mechanisms and diagnosis	1.5
	10	Normal labor: Progress, stages and spontaneous delivery	1.5
UNIT 4	Abnormal labour and delivery (4.5 CH)
	11	Malposition and malpresentation	1.5
	12	Induction and Augmentation of labour	1.5
	13	Postpartum haemorrhage	1.5
UNIT 5	Puerperium (3.0 CH)
	14	Normal puerperium, Lactation and breast feeding	1.5
	15	Abnormalities of the peurperium: puerperal pyrexia and sepsis	1.5
UNIT 6	Common obstetric complications (21.0 CH)
	16	Anaemia in pregnancy	1.5
	17	Malaria in pregnancy	1.5
	18	Hypertensive disorders in pregnancy I	1.5
	19	Hypertensive disorders in pregnancy II	1.5
	20	Premature labour and PROM	1.5
	21	Ante Partum haemorrhage I: Placenta preavia	1.5
	22	Ante Partum haemorrhage II	1.5
	23	Intra Uterine Growth Restriction	1.5
	24	Post maturity and pregnancy dating	1.5
	25	Intra Uterine Fetal Demise	1.5
	26	Obstructed labour and Ruptured Uterus	1.5
	27	Caesarean Section	1.5
	28	UTI and Renal disease in pregnancy	1.5
	29	Abortion and Post Abortion Care	1.5
	Leadership and Management (2.0 CH)
	30	Principles and practices of leadership in the context of reproductive health	1.5
TOTAL			45

Course Name	Obstetrics and Gynaecology-Clinical Methods I
Course Code	OBG 3102
Course Lever	Year III
Contact Hours	75
Credit Units	5

Course Description/List of tutorials:

No	Topic	Hours
1	History taking and examination	2
2	Infection Prevention/control	2
3	Antenatal care	2
4	Post natal care	2
5	Wound healing and Abdominal Incisions	2
6	The Partogramme	2
7	Breech Delivery	2
8	Hypertensive disorders in pregnancy: Pre eclampsia and eclampsia	2
9	Episiotomy and perineal tears	2
10	PPH	2
11	Newborn care and assessment	2
12	Interpretation of laboratory and imaging results	2
13	HIV/AIDS in Pregnancy, PMTCT	2
14	Maternal mortality and Audit	2
15	Antepartum haemorrhage	2

Course Name	Obstetrics and Gynaecology – Theory II
Course Code	OBG 5101
Course Lever	Year V
Contact Hours	60
Credit Units	4

Detailed Course Outline

No		Topic	Hours
UNIT 1	Introduction (6 CH)
	1	Infection Prevention	2
	2	HIV/AIDS in Pregnancy	2
	3	Maternal and Perinatal morbidity and mortality	2
UNIT 2	Common Obstetrics conditions (9.0 CH)
	4	Normal labour	2
	5	Family Planning
	6	Abortion and Post abortion care
	7	Diabetes Mellitus in Pregnancy	2
	8	Cardiac disease in Pregnancy	2
	9	Fistulae in Obstetrics and Gynaecology	2
UNIT 3	Common Gynaecological conditions (15.0 CH)
	10	Sexually Transmitted Diseases	2
	11	Pelvic Inflammatory Diseases	2
	12	Endometriosis	2
	13	Menopause and its management	2
	14	Genital Prolapse	2
	15	Infertility and Seminology I	2
	16	Infertility and Seminology II
	17	Menstrual disorders
	18	Premenstrual syndrome	2
	19	Dysfunctional Uterine Bleeding	2
UNIT 4	Benign and malignant conditions of the female reproductive system (6.0 CH)
	20	Tumours and lesions of vulva and vagina	2
	21	Bengin tumours of cervix and uterus	2
	22	Premalignant lesions of cervix	2
	23	Malignant tumours of cervix	2
	24	Malignant tumours of uterus	2
	25	Tumours of the ovary I	2
	26	Tumours of the ovary II	2
	27	Choriocarcinoma	2
UNIT 5	Operative obstetrics and Gynaecology (9.0 CH)
	28	Pre and post-operative care principles	2
	29	Common Obstetrics and Gynaecological operations	2
UNIT 5	Leadership and Management (2.0 CH)
	30	Principles and practices of leadership in the context of reproductive health	2
TOTAL			60

Course Name	Obstetrics and Gynaecology-Clinical Methods II
Course Code	OBG 5102
Course Lever	Year V
Contact Hours	75
Credit Units	5

Course Description/List of tutorials:

No	Topic	Hours
1	History taking and examination of a gynaecological patient	1.5
2	Shock in obstetrics	1.5
3	Normal labour and management	1.5
4	Birth Asphyxia and Neonatal resuscitation,	1.5
5	Antepartum Haemorrhage	1.5
6	Post-partum Haemorrhage	1.5
7	Malaria in pregnancy	1.5
8	HIV/AIDS in Pregnancy, eMTCT	1.5
9	Hypertensive disorders in pregnancy: Pre eclampsia and eclampsia	1.5
10	Infertility and Seminology	1.5
11	Haemorrhage in early pregnancy	1.5
12	Family Planning	1.5
13	Interpretation of laboratory and imaging results	1.5
14	Multiple pregnancy	1.5
15	Maternal mortality and Audit	1.5
16	Cancer cervix	1.5
17	Genital prolapse	1.5
18	Ovarian tumours	1.5
19	Fistula	1.5
20	Cancer of endometrium	1.5

Postgraduate Courses

The department offers a program leading to the award of Master of Medicine in Obstetrics and Gynaecology to doctors comprising Ugandan nationals, East African and International community

Introduction: This is a 3 year training program of Master of Medicine in Obstetrics and Gynaecology. The Course is full time and aimed at helping a student in;

Increasing skills and ability to integrate knowledge to Clinical situations at an advanced level.
Acquiring appropriate attitudes towards his/her colleagues, Patients, relatives and communities.
Acquiring appropriate attitudes towards his/her colleagues, patients and situations at an advanced level.
Acquiring managerial skills which other than being a Clinician could help him/her in executing his/her duties as he/she interacts in this world.

Rationale

The current population of Uganda is estimated to be 35 million. The current population growth rate is 3% per year. Maternal mortality rate is 438/100,000 (2011, UDHS) and as high as 1200/100,000 in some areas within Uganda. Infant Mortality rate of 97/1,000 live birth remains high. Total fertility rate of 6.9 remains high with a low contraceptive rate of 23% Teenage Pregnancy rate remains high at 43% with the scourge of HIV/AIDS; all the gains that had been achieved in maternal and infant health have been reversed. Most of the factors which lead to bad health indicators are preventable conditions. Currently we have about 130 Gynaecologists in our Country, and about 75% of them are urban based. It is against this background that there is need to train more Obstetricians and Gynaecologists to meet the maternal health demands of our population.

General Objective/Overall Aim

Top overall goal of the program is to train specialists who are competent in Clinical operative emergency and elective obstetric and Gynaecological surgery, well equipped with knowledge in Obstetrics and Gynaecology.

Specific Objective

A broad working knowledge of obstetrics and Gynaecology and related disciplines.
Specialized skills in Clinical data gathering, and sound clinical judgment.
Ability to perform specialized diagnostic procedure.
Proficiency in performing the obstetric and Gynaecological surgery.
Acquire communication skills and ability to teach.
Develop further an appropriate positive attitude towards patients and their families as individuals with right and needs and exercise professional as well as ethical conduct.
Ensure proficiency in patient care and critical case analysis and presentation.
Acquire the epidemiologic principals and methods of clinical research.
Promote commitment towards personal and professional growth.
Demonstrate research capability through production of an acceptable dissertation.

Admission/Entry requirements

For admission to the master of medicine in Obstetrics and Gynecology course the candidate must.

Prospective candidates will respond to the advertisement by the office of the Academic registrar MUST
Be a registered medical practitioner with a minimum qualification of MBChB or an equivalent degree. The qualification must be registered by the Uganda medical and dental practitioner’s council (UMDPC).
Has been in recognizable institution for at least one year after full registration.
Should possess a current annual practicing license
Should not have failed in obstetrics and Gynecology at undergraduate level
May be requested to apply, sit and pass entry examination

Course Description

SEMESTER 1

CODE	COURSE TITLE	LH	PH/TH	CH	CU
MPH 1101	Epidemiology	45	30	60	4
MPH 1102	Biostatistics	45	30	60	4
MPH 1103	Survey Design and Research Methodology	30	30	45	3
PHY 1101	Advanced General Physiology	45	30	60	4
ANAT 1101	Advanced Anatomy and Embryology	45	30	60	4
OBG 6101	Structured operative obstetrics (SOO)	0	90	45	3
OBG 6102	Reproductive Endocrinology I	0	90	45	3
TOTAL					25

SEMESTER 2

MPH 1204	Health Policy, Planning and Health systems Management	45	30	60	4
OBG 6202	Reproductive Endocrinology II	0	90	45	3
OBG 6303	Physiology of Pregnancy	0	90	45	3
PAT 1201	Reproductive Pathology, Immunology and Genetics	45	30	60	4
MICRO 1201	Reproductive Microbiology	45	30	60	4
PHARM 1201	Applied Pharmacology and Therapeutics	45	30	60	4
OBG 6204	Clinical Practicum in Obstetrics and Gynecology I	0	150	75	5
TOTAL					27

SEMESTER 3

YEAR II

OBG 6405	Safe Motherhood & Peri-natal medicine	0	90	45	3
OBG 6406	Emergency Obstetrics and Gynecology	0	90	45	3
OBG 6407	High risk Obstetrics I (Medical diseases in obstetrics	0	90	45	3
OBG 6408	High risk Obstetrics II (Abnormalities of pregnancy)	0	90	45	3
OBG 6409	Clinical theory and Practicum in Obstetrics and Gynecology Imaging	0	90	45	3
TOTAL					15

SEMESTER 4

OBG 6510	Operative Obstetrics & Gynecology	0	150	75	5
OBG 6511	Family Planning Theory	0	150	75	5
OBG 6512	Family Planning Practical course	0	90	45	3
OBG 6513	Community Obstetrics & Gynecology	0	150	75	5
OBG 6514	Clinical Practicum in Obstetrics and Gynecology II	0	150	75	5
OBG 6615	Proposal development and presentation	0	150	75	5
TOTAL					28

OBG 6715	Benign disorders in Gynecology	0	150	75	5
OBG 6716	Gynecological Oncology & Palliative Care	0	150	75	5
OBG 6417	Abdominal Surgery, essential urology, pelvic floor surgery	0	1500	75	5

SEMESTER 5

YEAR III

OBG 6418	Reproductive Health Leadership Training	0	150	75	5
TOTAL					20

SEMESTER 6

OBG 6816	Development and presentation of the Dissertation	0	150	75	5
OBG 6817	Clinical Practicum in Obstetrics and Gynecology III	0	150	75	5
OBG 6818	Defense of the Dissertation	0	150	75	5
TOTAL					15

TOTAL GRADUATION LOAD=130

Research (still being constructed)

News and Upcoming Events (still being constructed)

Partnerships and Collaborations (descriptions and links) (still being constructed)

Contact Us - Email: obgyn@must.ac.ug

Head of Department - Dr. Joseph Ngonzi, jngonzi@must.ac.ug

ICT contact person – Dr. Godfrey Mugyenyi Rwambuka, gmugyenyi@must.ac.ug Tel +256 772 543238

Celebrating the Obstetrics and Gynecology departmental Achievements on the 16^th January 2017, these include;

The best performance department in whole Regional in terms of delivery and Surgery, 10,000 women every year (last year’s indication), Increased the number of Postgraduate from 01 to 30, Training students for the whole region. Namely

Southern Sudan, Somalia, Democratic Republic of Congo, Burundi, Kenya and Kigali.

Increased the numbers of Interns from 02 to 07. It has become a super department with super specialists in urogynecology and reconstructive surgery, Family Planning and Fetal Maternal medicine, and Cancer of the female reproductive system. Increased the number of specialist from 1 to 14 specialists.

The reason to why the department is celebrating, is to recognize the Uganda’s Crane Qualification to the Africa Cup of Nations that took 39 years.

Head of Department being the Captain 14 Specialists being the defenders, 07 Interns being strikers and the Postgraduates being midfielders.

Obstetrics & Gynecology Staff

UNDERGRADUATE

POSTGRADUATE

INTERNATIONAL STUDENTS