Dividers and Tab Headers :Layout 1 16/5/07 18:02 Page 22 MA TERN AL MEDICINE 9
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1 MATERNAL MEDICINE
2 Mdule 9 : Maternal Medicine Learning utcmes: T understand and demnstrate apprpriate knwledge, skills and attitudes in relatin t maternal medicine. Knwledge criteria Clinical cmpetency Prfessinal skills and attitudes Training supprt Evidence/assessment Understand the epidemilgy, aetilgy, pathphysilgy, clinical characteristics, prgnstic features and management f: hypertensin kidney disease heart disease liver disease circulatry disrders disrders f carbhydrate metablism ther endcrinpathies gastrintestinal disrders pulmnary diseases cnnective tissue diseases bne and jint disrders psychiatric disrders infectius diseases neurlgical diseases maternal cmplicatins due t pregnancy Diagnse, investigate and manage, with direct supervisin: pregnancy-induced hypertensin thrmbemblism impaired glucse tlerance insulin-dependent diabetes essential hypertensin kidney disease liver disease maternal haemglbinpathy cagulatin disrders acute abdminal pain asthma inflammatry bwel disease intercurrent infectin psychlgical disrders infectius disease epilepsy endcrinpathies Have the ability t recgnise the nrmal frm the abnrmal Develp the skills t cmpetently frmulate a list f differential diagnses Have the skills t request the relevant investigatins t supprt the differential diagnses Cmpetently demnstrate the skills t frmulate a management plan Have the ability t implement a plan f management and mdify if necessary Develp the skills t liaise effectively with clleagues in ther disciplines, bth clinical and nnclinical Lcal and reginal curses Attendance at medical disrders antenatal clinic StratOG.net: Maternal Medicine e-tutrials Useful websites: spcerh Lgbk SOE MRCOG Part 2 Case reprts Audit prjects Mdule 9 Maternal Medicine Curriculum
3 Appendix t Curriculum Mdule 9: details f knwledge criteria Understand the epidemilgy, aetilgy, pathphysilgy, clinical characteristics, prgnstic features and management f: Hypertensin: Definitins Aetilgical theries Organ invlvement (mther, fetus) Diagnsis Drug therapy Kidney disease: Urinary tract infectin Pyelnephritis Glmerulnephritides Nephrtic syndrme Tubular necrsis Crtical necrsis Transplantatin Pulmnary diseases: Asthma Infectin Emblism Aspiratin syndrme Neurlgical disrders: Epilepsy Cerebrvascular disease Multiple sclersis Migraine Neurpathies Myasthenia gravis Paraplegia Bne and jint disrders: Backache Symphyseal separatin Metablic bne disease Neplasms (benign and malignant): Genital tract Breast Other Psychiatric disrders: Manic depressive disrders Psychneursis Puerperal disrders (blues, depressin) Md disrders Schizphrenia Reactin t pregnancy lss Gastrintestinal disrders: Nausea Vmiting Hyperemesis Gastric reflux Abdminal pain Appendicitis Inflammatry bwel disease Mdule 9 Maternal Medicine Curriculum
4 Appendix t Curriculum Mdule 9: details f knwledge criteria Intestinal bstructin Heart disease: Cngenital Rheumatic Ischaemic Cardimypathy Heart failure Liver disease: Chlestasis Hepatitis Acute fatty degeneratin Circulatry disrders: Anaemia Sickle cell disease Thalassaemias Cagulatin defects Thrmbcytpenias Thrmbemblism Transfusin Replacement f bld cnstituents Varicse veins (legs, vulva, haemrrhids) Cnnective tissue diseases: Systemic lupus erythematsus Rheumatid arthritis Immunsupressant drugs Disrders f carbhydrate metablism: Diagnsis Type 1 and type 2 diabetes Hazards (maternal, fetal, nenatal) Ketacidsis Diet Drugs (insulins, ral hypglycaemic agents and pregnancy) Other endcrinpathies: Thyrid (diagnsis, assessment, antibdies, therapy, fetal hazards) Adrenal (Addisn s disease, acute adrenal failure, cngenital adrenal hyperplasia, phaechrmacytma) Pituitary (prlactinma, hyppituitarism, diabetes insipidus) Infectius diseases: Investigatin f pyrexia Serlgical tests Principles (preventin, detectin, islatin) Therapy (prphylaxis, immunizatin, antibitics, antiviral agents) Maternal (preterm prelabur rupture f membranes, preterm labur, chriamninitis, puerperal sepsis, mastitis, urinary tract infectin, wund infectins, septic shck, malaria, ther trpical infectins and infestatins) Fetus and nenate (streptcccus, gncccus, syphilis, txplasma, listeria, haemphilus, chlamydia, mycplasma, ureaplasma, herpes hminis, rubella, cytmegalvirus, varicella, hepatitis A, hepatitis B, hepatitis C, parvvirus, influenza, human immundeficiency virus, nenatal sepsis) Maternal cmplicatins due t pregnancy: Antepartum haemrrhage Amnitic fluid emblism Sheehan syndrme Mdule 9 Maternal Medicine Curriculum
5 Fill in as a recrd f experience. Mdule 9 : Maternal Medicine Skills Cmpetence level Basic Intermediate Advanced Nt required Observatin Direct supervisin Independent practice Diagnse, investigate and manage with apprpriate cnsultatin: Chrnic hypertensin Pre eclampsia with HELLP Pre eclampsia with renal failure Pre eclampsia with severe liver disease Pre eclampsia with pulmnary edema Pre eclampsia with eclampsia Renal disease hydrnephrsis Renal disease reflux nephrpathy Renal disease renal transplantatin Acute renal failure (nt PET) Cardiac disease cngenital heart disease Cardiac disease rheumatic heart disease Cardiac disease ischaemic heart disease Cardiac disease artificial heart valve Cardiac disease arrhythmia Cardiac disease peripartum cardimypathy Date Signature f trainer Date Signature f trainer Date Signature f trainer Mdule 9 Maternal Medicine Lgbk
6 Fill in as a recrd f experience. Mdule 9 : Maternal Medicine Skills Cmpetence level Basic Intermediate Advanced Nt required Observatin Direct supervisin Independent practice Date Signature f trainer Date Signature f trainer Date Signature f trainer Liver disease bstetric chlestasis Liver disease acute fatty liver f pregnancy Respiratry disease asthma Respiratry disease acute respiratry distress syndrme Respiratry disease pneumthrax Gastrintestinal disease ulcerative clitis Gastrintestinal disease irritable bwel disease Gastrintestinal disease reflex esphagitis Gastrintestinal disease hyperemesis gravidarum Diabetes-impaired glucse tlerance Insulin-dependent diabetes, n cmplicatins Insulin-dependent diabetes, cmplicatins Hypthyrdism Hyperthyridsm Mdule 9 Maternal Medicine Lgbk
7 Fill in as a recrd f experience. Mdule 9 : Maternal Medicine Skills Cmpetence level Basic Intermediate Advanced Nt required Observatin Direct supervisin Independent practice Date Signature f trainer Date Signature f trainer Date Signature f trainer Micrprlactinma Adrenal disease Pstpartum thyriditis Neurlgical disease epilepsy Neurlgical disease migraine Neurlgical disease multiple sclersis Neurlgical disease previus CVA Neurlgical disease Bell s palsy Neurlgical disease carpel tunnel syndrme Systemic lupus erythematsis Rheumatid arthritis APS, n cmplicatins APS with cmplicatins Sickle cell disease & ther haemglbinpathies Haemphilia & vn Willebrand s disease ITP Previus deep vein thrmbsis Mdule 9 Maternal Medicine Lgbk
8 Fill in as a recrd f experience. Mdule 9 : Maternal Medicine Skills Cmpetence level Basic Intermediate Advanced Nt required Observatin Direct supervisin Independent practice Date Signature f trainer Date Signature f trainer Date Signature f trainer Thrmbphilias Acute DVT Nn massive pulmnary emblism Psychiatric disrders anxiety Psychiatric disrders depressin Psychiatric disrders biplar affective disrder Psychiatric disrders schizphrenia Psychiatric disrders pstnatal depressin Substance abuse alchl Substance abuse Skin disease eczema Skin disease psriasis Skin disease plymrphic eruptin f pregnancy Skin disease pemphigid gestatins Breast cancer HIV Mdule 9 Maternal Medicine Lgbk
9 Authrisatin f signatures (t be cmpleted by the clinical trainers) Name f clinical trainer (please print) Signature f clinical trainer COMPLETION OF MODULE 9 I cnfirm that all cmpnents f the mdule have been successfully cmpleted: Date Name f educatinal supervisr Signature f educatinal supervisr Mdule 9 Maternal Medicine Lgbk
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