Download MUHS MBBS 3rd year Obstetrics and Gynecology Syllabus

Download Maharashtra University of Health Sciences (MUHS) MBBS (Bachelor of Medicine, Bachelor of Surgery) 3rd year Obstetrics and Gynecology Syllabus

Course Content
Subject: Obstetrics and Gynecology
Lectures
(Based on Medical Council of India, Competency based Undergraduate curriculum for the Indian Medical Graduate, 2018. Vol. 3; page nos.
102-129)
Integration: Upto 20% of the topics are to be taken in integration with other subjects as per directives.
Second MBBS phase II (from October 2020)
Total Teaching hours :
A. Lectures: 25 hours
Serial
Competency
Integration
Lecture topics & Subtopics
Hours
number
Nos.
1.
OG 2.1
AN 48.8, 49.1, 49.2,
Anatomy of the female reproductive tract,
1
FM 3.18
2.
OG 3.1.
Physiology of menstruation
1
3.
OG 3.1
AN 77.3,77.4
Physiology of gametogenesis, Ovulation, conception, implantation , &
1
reproductive endocrinology
4.
OG 4.1
AN 80.3 80.5, 80.6
Early development of embryo and fetus, development of Placenta,
1
amniotic fluid, cord
5.
OG 2.1
AN 52. 8, 79.4
Embryology and developmental defects of female genital tract
1
6.
OG 6.1
FM3.19, PY 9.10
Diagnosis of pregnancy
1
7.
OG 7.1
PY 9.8
Physiological changes in pregnancy
1
8.
OG 1.1, 1,2
CM10.1, 10.2
Maternal and perinatal mortality
1
9.
OG- 5.1, 5.2 An
Preconceptional counseling
1
Page 1 of 26

Serial
Competency
Integration
Lecture topics & Subtopics
Hours
number
Nos.
75.5
10.
OG 8.1, 8.2(K),
Antenatal Care, birth planning, and Obstetric examination
1
8.3(K)
11.
OG 8.4, 16.3
AN 75.5
Antenatal screening, genetic counselling and antenatal monitoring of fetal
well being
12.
OG 8.7
Vaccines and medications in pregnancy, Teratology
1
13.
OG 14.1
AN 53.2, 53.3
Fetal skull, pelvis
1
14.
OG 13.1
Labor physiology
1
15.
OG 13.1
Labor mechanism
1
16.
OG 13.1
Management of labor 1st stage with, partogram, intrapartum monitoring of
1
fetal well being and labor analgesia
17.
OG 13.1
Management of labor 2nd and third stage
1
18.
Physiological changes in puerperium, Management of puerperium
1
OG 19.1
19.
OG 17.1, 17.2
CM10.3
lactation physiology and management
1
20.
OG 9.5
Hyperemesis , vomiting in pregnancy management
1
21.
1.3, 9.1
AN 78.5
Hemorrhage in early pregnancy ( abortions)
1
22.
9.3
AN 78.3
Hemorrhage in early pregnancy ( ectopic pregnancy
1
23.
9.4
Hemorrhage in early pregnancy ( Molar pregnancy)
1
24.
Recurrent pregnancy loss
1
25.
11.1
AN 80.4
Multifetal pregnancy
1
Third MBBS phase III
Total Teaching hours :
A. Lectures: 25 hours
Page 2 of 26

Serial
Competency
Integration
Topics & Subtopics
Hours
number
Nos.
1.
OG 12.1
Hypertensive disorders in pregnancy
1
2.
OG 12.1
Hypertensive disorders in pregnancy
1
3.
OG 13.2
Preterm and PROM
1
4.
OG 13.2
Prolonged pregnancy
1
5.
OG 16.3
Intrauterine growth restriction
1
6.
Disorders of amniotic fluid
1
7.
Abnormalities of placenta . cord
1
8.
Intrauterine fetal death
1
9.
OG 10.1
Antepartum hemorrhage 1 Placenta previa
1
10.
OG 10.1
Antepartum hemorrhage 2 Abruption+ vasa previa
1
11.
OG 12.8
PA 22.2
Rh negative pregnancy
1
12.
OG 12.2
Anemia ( Iron deficiency + Megaloblastic)
1
13.
OG 12.2
Anemia ( Others)
1
14.
OG 12.4
Heart disease in pregnancy
1
15.
OG 12.3
Diabetes in pregnancy
1
16.
OG 12.5
Infections in pregnancy UTI,( Incl Malaria etc)
1
17.
OG 12.6
Hepatic disorders in pregnancy
1
18.
Thyroid disorders in pregnancy
1
19.
Respiratory disorders in pregnancy including TB, COVID, Flu
1
20.
Viral infections in pregnancy ( Viral)
1
21.
OG 12.7 ,27.3
HIV in Obstetrics and Gynecology
1
22.
Gynecological disorders in pregnancy
1
23.
Surgical disorders in pregnancy
1
Page 3 of 26

Serial
Competency
Integration
Topics & Subtopics
Hours
number
Nos.
24.
CM 10.4
National Health programs-I safemotherhood, reproductive and child health
1
25.
National Health programs-II Respectful maternity care, Laqshya guidelines
1
Third MBBS phase IV
Total Teaching hours :
A. Lectures: 70 hours
Serial
Competency
Integration
Topics & Subtopics
Hou
number
Nos.
rs
1.
OG 14.4
FM 3.21
Malpositions: Occipito posterior presentation + DTA
1
2.
OG 14.4
Face, Brow Mechanism of labor in each
1
3.
OG 14.4
Malpresentations Breech
1
4.
OG 14.4
Unstable lie ( Transverse/ oblique)
1
5.
AN 79.5,
Congenital anomalies of fetus
1
6.
Shoulder dystocia
1
7.
OG 14.4
Abnormal labor,classification, diagnosis and management.
1
8.
OG 14.1
Types of pelvis, Contracted pelvis, cephalopelvic disproportion
1
9.
OG 14.2
Obstructed labor, Rupture uterus causes, diagnosis and management .
1
10.
OG 15.1
Instrumental vaginal deliveries+ Ref to destructive operations
1
11.
OG 15.1
Cesarean section
1
12.
Pregnancy with previous cesarean section .
1
13.
OG 16.1
Third stage complications PPH
1
14.
OG 16,2
Third stage complications- inversion of uterus, Injuries to birth canal
1
Page 4 of 26

15.
OG 19.1,17.3
Disorders of puerperium
1
16.
OG 13.1
Induction of labor,
1
17.
OG 13.1
Obstetric analgesia
1
18.
23.1
Physiology of Puberty and Abnormal puberty
1
19.
23.2, 23.3
Delayed puberty, precocious puberty
1
20.
Disorders of sexual development
1
21.
OG 23.1
Menstruation and common complaints ( Dymenorrhea+ PMDD)
1
22.
OG 24.1, PA
PA 30.9
Abnormal uterine Bleeding
Endometrial polyps , hyperplasia
1
30.9
23.
25.1
Amenorhea: Primary/ secondary
1
24.
OG 32.1
PY 9.11
Menopause & management , premature ovarian failure
1
25.
OG 22.1, 22.2
PA 30.6
Leucorrhea , cervical erosion,
Cervicitis, vaginitis syndromic management
1
26.
OG 27.1,27.4
PID, Chronic pelvic pain ,
1
27.
27.2
Genital tuberculosis
1
28.
OG 30.1, 30.2
PCOS
1
29.
OG 28.1, 28.2
PY 9.12
Infertilty-Cervical & Uterine & Tubal Factors
1
30.
OG 28.3
PH 1.40
Infertilty- Ovulation Factors, Endocrine Factors, Galactorrhoea, Hirsuitism
1
31.
OG 28.4
ART in infertility
1
32.
OG 28.1
Infertility- Male & Unexplained
1
33.
OG 29.1
Benign tumors: Leiomyoma and polyps
1
34.
Pa 30.7. 30.8,
PA 30.7, 30.8
Endometriosis and adenomyosis
1
OG 26.1
35.
OG 31.1
Displacements of uterus
1
36.
Urinary incontinence
1
37.
OG 26.2
Genitourinary fistulae
1
Page 5 of 26

38.
26.2
Old healed perineal tear and rectovaginal fistula
1
39.
OG 33.2
Premalignant lesions of the female genital tract , Cervical intraepithelial neoplasia
1
40.
OG 33.3, 33.4
Screening and early detection of women's cancers including breast cancer
1
41.
OG 33.1
PA 30.1
Invasive cervical cancer
1
42.
OG 32.2
Approach to a patient of Post menopausal bleeding,
1
43.
OG 34.1
PA 30.2, PA
Uterine cancers
1
30.3
44.
Benign and malignant Lesions of vulva and vagina
1
45.
OG 34.3
PA 30.5
Gestational trophoblastic neoplasia
1
46.
OG 34,2
Benign ovarian tumors+ including non neoplastic enlargements of ovary
1
47.
OG 34.2
PA 30.4
Malignant ovarian tumors
1
48.
BI 10.2
Principles of Chemotherapy and Radiotherapy in Gynecology
1
49.
21.1
Contraception: male and female barrier methods
1
50.
21.1
PH 1.39
Hormonal contraception
1
51.
21.2
IUDs, PPIUCD program
1
52.
21.1
Female sterilization, postpartum sterlization
1
53.
21.1
Reversal of sterilization male and female
1
54.
21.1
Contracepton in special populations
1
55.
OG 20.1
MTP:Act, first trimester procedures
1
56.
OG 20.2
MTP second trimester procedures
1
57.
18.1, 18.3
Neonatal Asphyxia , , convulsions in the newborn
1
58.
Neonatal resuscitation
1
59.
Neonatal Jaundice + Birth injuries
1
60.
OG 8.8
Imaging in Obstetrics
1
61.
Imaging in gynecology
1
62.
PH 1.41
Pharmacotherapeutics in obstetrics
1
63.
Principles of gyn-surgical care- (pre op)
1
Page 6 of 26

64.
Principles of gyn surgical care-(post op)
1
65.
OG 10.2
Critical care in Obstetrics , appropriate use of blood and blood products, their
1
complication and management
66.
20.3
FM 3.13-17
PC PNDT act
1
67.
FM 3.13-17
Examination of the sexual assault survivor
1
68.
Domestic Violence act and role of gynecologist
1
Gender
69.
Medicolegal issues related to Obstetrics and gynecology
1
70.
Adoption acts
1
Page 7 of 26

Course Content
Subject: Obstetrics and gynecology Gyn skills
Clinical Postings: phase II 4 weeks ? (Mon-Fri)
phase III-1 4 weeks ? (Mon-sat)
phase III-2 12 weeks ? (Mon-sat)
Competency
skill
topic
Suggested
Hours
Student should
Nos.
Teaching
complete this
learning
skill by end of
method
mentioned
phase
Phase II
OG35.1
Obtain a logical sequence of history, and perform a
History taking in
Bed side clinics 15 hours( 1
II
humane and thorough clinical examination, excluding
obstetrics
week)
internal examinations (per rectal and per-vaginal) K/S
SH
OG35.5
Determine gestational age, EDD and obstetric formula
K/S SH
Informed consent for
OG35.7
Obtain informed consent for any examination /
examination
procedure S SH
Mannequin/de
OG35.2.
Arrive at a logical provisional diagnosis after
obstetric examination
monstration on
examination K/S SH
and provisional
patient
diagnosis
OG36.2
Organise antenatal clinics K/S KH
Antenatal clinic, ( set up OPD tour,
3 hrs
II
of OPD)
Demonstration
of the set up
Routine antenatal
and how OPD
invesigations,
functioning is
carried out
Antenatal care
Page 8 of 26

OG8.6
Assess and counsel a patient in a simulated
Nutritional counselling
Case based
3 hrs
II
environment regarding appropriate nutrition in
in pregnancy
learning.
pregnancy K/S SH
OG 35.12
History taking in gynecology, demonstrate P/S,
Bed side clinic 3 hrs
II
P/V examination
/OPD
demonstration,
skill lab for PS
PV practice
OG8.5
Describe and demonstrate pelvic assessment in a model
Maternal pelvis
Model,
3 hrs
II
K/S SH
Pelvic assessment
Fetal skull
OG8.4
Describe and demonstrate clinical monitoring of
Antepartum
Demonstration 3 hrs
II
maternal and fetal well-being K/S SH
monitoring of fetal
well being- screening,
USG doppler, NST,
BPP,
OG13.4
Demonstrate the stages of normal labor in a simulated
Mechanism of labor
Skill lab
15 hrs
II
environment / mannequin
Models and
Management of Labor
mannequins
stage 1
Intrapartum
Labor room
monitoring of fetal
demonstrations
well being-
Partogram, CTG
OG35.13
Demonstrate the correct technique to perform artificial
ARM
rupture of membranes in a simulated / supervised
environment S SH
OG35.14
Demonstrate the correct technique to perform and
Management of labor
suture episiotomies in a simulated/ supervised
stage 2-
environment S SH
Episiotomy
Page 9 of 26

OG35.16
Diagnose and provide emergency management
Manage ment of labor
postpartum hemorrhage in a simulated / guided
stage 3
environment K/S SH
Emergency
management of PPH
oxytocics
Conduction of 2 exams and feedback
15 hours
Phase 2
60 hours( 4
clinical
weeks mon -fri)
posting Total
Phase III-1
OG37.6
Observe and assist in the performance of outlet forceps
Forceps and vaccum,
Mannequins
3 hrs
III-1
application of vacuum and breech delivery K/S/A/C SH
and models
breech delivery
skill lab
3 hrs
OG36.2
Organise postnatal and well-baby clinics K/S KH
Post natal clinic and
OPD visit
3 hrs
III-1
well baby clinic.
PNC case
Bed side
Normal and abnormal
clinics, case
3 hrs
Puerperium,
based learning 3 hrs
OG17.2
Counsel in a simulated environment, care of the breast,
Breast care, technique
Bed side clinic 3 hrs
III-1
importance and the technique of breast feeding S/A/C
of breast feeding
SH
OG35.17
Demonstrate the correct technique of urinary
Female urinary
Mannequin/
1 hr
III-1
catheterisation in a simulated/ supervised environment
catheterizaion
demonstration,
S SH
Video
demonstration
OG37.4
Observe and assist in the performance of Dilatation &
Dialation and
OT procedure, 2 hrs
III-1
Curettage (D&C) K/S/A/C SH
curettage
video
Page 10 of 26

demonstration
OG37.5
Observe and assist in the performance of Endometrial
Endometrial and
OT procedure, 3 hrs
III-1
aspiration - endocervical curettage (EA-ECC) K/S/A/C
endocervical curettage
video
SH
demonstration
OG36.1
Plan and institute a line of treatment, which is need
Cost effective
Case based
3 hrs
III-1
based, cost effective and appropriate for common
approach
learning
conditions taking into consideration
(a) Patient
(b) Disease
(c) Socio-economic status
(d) Institution/ Governmental guidelines. K/S SH
OG35.4
Demonstrate interpersonal and communication skills
Doctor patient
Role play,
3 hrs
III-1
befitting a physician in order to discuss illness and its
communication
OPD visit
outcome with patient and family A/C SH
OG35.6
Demonstrate ethical behavior in all aspects of medical
Ethics in medical
Case based
3 hrs
III-1
practice. A/C SH
practise
learning
OG35.10
Write a proper referral note to secondary or tertiary
Referral note
Case based
3 hrs
III-1
centres or to other physicians with all necessary details.
learning
S SH
OG38.4
Assess the need for and issue proper medical
Issue Medical
Case based
3 hrs
III-1
certificates to patients for various purposes K/S/A/C
certificates
learning
KH
Cover 6 cases
18 hrs
mentioned in III-2
Conduction of 2 exams and feedback
15 hours
Phase III-1
72 hours(4
clinical
weeks -mon -
posting
sat)
Total
Phase III-2
Revision of all topics in phase II
45 hrs
Page 11 of 26

Revision of topic 14, 15 from phase III-1
15 hrs
Obtain history and on basis of examination
Abortions
Case based
3 hrs
findings(internal examination excluded) arrive at a
learning
logical provisional diagnosis for type of abortion
OG35.8
Write a complete case record with all necessary details
Case record-.....10
III-1, III-2
S SH
cases over 3 phases,
Bed side
clinics/ case
anemia.
based
3 hrs
Drugs used in anemia
learning
Preeclampsia,
Antihypertensives in
3 hrs
prgnancy
Eclampsia
,anticonvulsants in
3 hrs
pregnancy
IUGR,fetal well
3 hrs
being tests
Multifetal gestation,
3 hrs
Breech,
3 hrs
prev caesarean,
3 hrs
preterm,
tocolytics
3 hrs
Prolonged labor
6 hrs
induction of labor and
drugs used in
induction
OG35.16
Diagnose and provide emergency management of
placenta previa case
Bed side
6 hrs
III-1/2
antepartum in a simulated / guided environment K/S
clinics/ case
Page 12 of 26

SH
abruptio placentae
based
case
learning
Emergency
management of APH
with placenta previa
case
OG35.11
Demonstrate the correct use of appropriate universal
HIV in pregnancy
Case based
3 hrs
III-2
precautions for self-protection against HIV and
learning
hepatitis and counsel patients S SH
Universal precaution,
Demonstrati
3hrs
PPTCT,
on
counselling in HIV
PPTCT
centre visit
OG35.3
Recognize situations, which call for urgent or early
Identifying a high risk
Case based
3 hrs
III-2
treatment at secondary and tertiary centres and make a
pregnancy
learning
prompt referral of such patients after giving first aid or
emergency treatment. K/S SH
OG13.5
Observe and assist the conduct of a normal vaginal
Normal vaginal
Labor room
6 hrs
III-2
delivery S P
delivery-2 cases in log
book
OG37.1
Observe and assist in the performance of a Caesarean
Caesarean section
OT
3 hrs
III-2
section K/S/A/C SH
procedure/
video
demonstrati
on
OG35.9
Write a proper discharge summary with all relevant
Discharge
Case based
3 hrs
III-2
information S SH
summary..VD, CS,
learning
gyne case
OG35.12
Obtain a PAP smear in a stimulated environment S SH
PAP smear
Cancer
3 hrs
III-2
OG36.3
Demonstrate the correct technique of punch biopsy of
Cervical biopsy
detection
III-2
uterus in a simulated/ supervised environment S SH
OPD/ video
demonstrati
OG33.3
Describe and demonstrate the screening for cervical
Cervical cancer
III-2
on
cancer in a simulated environment K/S SH
screening, VIA, VILI,
Colposcopy
OG35.15
Demonstrate the correct technique to insert and remove
Contraception
Mannequin/
6 hrs
III-2
Page 13 of 26

an IUD in a simulated/ supervised environment S SH
methods, Intrauterine
video
contraceptive device
demonstrati
insertion and removal
on/
demonstrati
on small
group
OG13.4
counsel on methods of safe abortion.
Counselling for safe
3 hrs
III-2
abortion
OG20.2
In a simulated environment administer informed
Informed consent for
Demonstrati
3 hrs
III-2
consent to a person wishing to undergo Medical
MTP, MTP act, forms
on
Termination of Pregnancy S/A/C SH
to be filled
OG37.7
Observe and assist in the performance of MTP in the
OT
Suction and
III-2
procedure
first trimester and evacuation in incomplete abortion
evacuation(
K/S/A/C SH
spontaneous abortion
, first trimester MTP)
OG38.3
Lap sterilization K/S/A/C KH
Lap sterilization-
OT
3 hrs
III-2
1 case of sterilization
procedure/
video
demonstrati
on
OG19.2
Counsel in a simulated environment, contraception and
Counselling for
Case based
3 hrs
III-2
puerperal sterilisation S/A/C SH
contraception
learning
sterilization.
Family
welfare
Puerperal
clinic
sterilization(case
based lerning)
OG36.2
Organise family welfare clinics K/S KH
Family welfare clinic
III-2
OG 35.12
History taking in gynecology,
Gynecology case
Case based
II
Reaching a provisional diagnosis
learning
Vaginitis
3 hrs
Fibroid uterus
3 hrs
Genital prolapse
3 hrs
Infertility
3 hrs
Page 14 of 26

Adenexal mass
3 hrs
Abnormal uterine
3 hrs
bleeding(O)
Post menopausal
3 hrs
bleeding
Cancer cervix
3 hrs
OG37.2
Observe and assist in the performance of Laparotomy
Exploratory
OT
3 hrs
III-2
K/S/A/C SH
laparotomy
procedure/
video
demonstrati
on
OG37.3
Observe and assist in the performance of
Vaginal
OT
6 hrs
III-2
Hysterectomy ? abdominal/vaginal K/S/A/C SH
hysterectomy,
procedure/
abdominal
video
hysterectomy
demonstrati
on
OG38.1
Laparoscopy K/S/A/C KH
laparoscopy
OT
3 hrs
III-2
procedure/
video
demonstrati
on
OG38.2
Hysteroscopy K/S/A/C KH
hysteroscopy
OT
3 hrs
III-2
procedure/
video
demonstrati
on
Revision drugs in
3 hrs
obstetrics and
gynecology
Page 15 of 26

Revision instruments
3 hrs
Revision
3 hrs
contraception
specimen
3hrs
OG18.2
Demonstrate the steps of neonatal resuscitation in a
Neonatal resuscitation
paeds
simulated environment S SH
Conduction of exams
24 hrs
and feedback
And miscellaneous

Phase III-2 clinical
216 hrs(12
posting Total
weeks mon-
sat)

Page 16 of 26

Course Content
Subject: Obstetrics and Gynecology
(Based on Indian Gazette on CBME and Medical Council of India, Competency based
Undergraduate curriculum for the Indian Medical Graduate, 2018. Vol. 3; page nos. 102-129)
Self directed learning(SDL)
Medical council directs to dedicate 5 hrs in third phase part 1 and 15 hrs in third phase
part2 for self directed learning in OBGY.

University leaves it to the discretion of institute to plan the SDL using various methods in
which students should be briefed about topic, guided towards learning resources, curiosity,
innovation, motivation, competitiveness should be inculcated.
Life long learning capacity should be built.
The record of these SDL sessions should be included in Logbook as reflections of the session
.
Small group teaching/tutorials
Medical council directs to dedicate 35 hrs in third phase part 1 and 125 hrs in third
phase part2 for small group teaching/tutorials/ integrated teaching/ seminars in OBGY.

Suggested topics:
Dummy Pelvis 4
Obst specimens 4
Gynec specimens 4
X-rays & HSG 2
NST/ CTG 2
Obst Instruments 3
Gynec Instruments 4
Forceps 1
Vacuum 1
Partograph 2
NST, CTG 2
Drugs in obstetrics 3
Gynec drug 2
Contraception 4
Sterilization 2
Minor procedures 2
Apart from this SGT, can comprise of MCQ solving, group seminars, poster making, skit
making,
Page 17 of 26

Guidelines for Electives:
Medical council directs to dedicate 2 months of elective postingbetween third phase part
1 and part2

1. Each college can put up department wise lists of electives depending on facilities n
resources available.
2. Electives modules should be designed well in advance with mention on specific
learning objectives, daily work record, report amd assessment of the same.
3. Allotment of electives will be merit based on combined marks of previous 3 yrs.
4. Medical college can have MOU with other hospitals or centers for elective courses to
student.
5. Student can opt for doing elective in any other hospital, city or abroad, provided
facility of subject of interest is not available in his/her college, with prior permission
of institute.
6. If opting for elective abroad then one month can be contact program and another
month will be online program as for one month of elective student is supposed to
attend clinical posting also.
7. Only 10% students will be allowed per subject for outside elective.
8. Student will have to apply to centre where he desires to do elective well in advance,
application must go through concerned dept n through institute. The centre where
student is doing elective must be government or semi government or teaching institute
or center affiliated by university or National association of that subject of country.
9. Responsibility of applying, getting admission, expenses incurred for tuition fees n
travel n stay will have to take care of by student.
10. At the end of electives Student should produce certificate of completing elective term
from head of the institution or centre.
AETCOM
Medical council directs to dedicate 28 hrs + 16 hrs SDL in third phase part 2 for
AETCOM. Out of these each subject gets 7 hours + 4 hrs SDL
As decided by university OBGY department will cover module 4.2 and 4.7 out of 9 modules
mentioned in AETCOM booklet for phase III part 2.
Page 18 of 26

Internal Assessment
Obst. & Gynaec.
Applicable w.e.f August 2019 onwards examination for batches admitted
from June 2019 onwards
Phase
IA ? 1 -Exam
IA ? 2 -Exam
Practical
Total
Theory
Total
Theory
Practical
(January)
EOP
Marks
(May)
Marks
Second
50
50
100
50
50
100
MBBS
Phase
IA ? 3 Exam
IA ? 4 - Exam
Practical
Total
Theory
Total
Theory
Practical
(January)
EOP
Marks
(April)
Marks
Third
MBBS
50
50
100
50
50
100
Part I
Phase
IA ? 5 - Exam
Prelim Examination
Practical
Total
Theory
Total
Theory
EOP (after 8
Practical
(May)
weeks
Marks
(November)
Marks
posting)
Third
100 x 2
200
400
MBBS
100
100
200
papers = 200
Part I
Page 19 of 26

Internal Assessment Practical Examinations
II MBBS
Internal Assessment - 1
OBGY
Subject: OBGY Practical (IA ? 1)
Journal
OSCE
Viva
Practical
Spotting
OSCE 2
& log
1
Total
book
10
10
10
10
10
50
# OSCE Stations to include Signs of General examinations, Local examinations, Psychomotor skills
and Communication skills.
Subject: OBGY Practical (IA ? 2)
Long Case
Treatment
Practical
History
Examination
Investigation
AETCOM
Total
10
10
10
10
10
50
Subject: OBGY Practical (IA ? 3)
Journal
OSCE
Viva
Practical
Spotting
OSCE 2
& log
1
Total
book
10
10
10
10
10
50
# OSCE Stations to include Signs of General examinations, Local examinations, Psychomotor skills
and Communication skills.
Page 20 of 26

Subject: OBGY Practical (IA ? 4)
Long Case
Treatment
Practical
History
Examination
Investigation
AETCOM
Total
10
10
10
10
10
50
Subject: OBGY Practical (IA ?5)
Long Case
Gynaecology
Family
Practical
Journal & log book
(Obstetrics)
Case
Planning
Total
50
20
20
10
100
Subject: OBGY Practical (Prelim)
PNC
Journal
Family
Obstetrics Gynaec Spotting
ANC
Gynaecology
/ Post
& log
Practical
Planning
Table
Table
(2 x 10
Case
Case
? Op
book
Total
Viva
Viva
Viva
spots)
Case
50
25
20
25
20
20
20
20
200
Subject: OBGY Practical (MUHS Final)
Gynaecology
PNC / Post
Case
? Op Case
Family
Obstetrics Gynaec
ANC
Spotting (4
Practical
(Diagnosis
(Diagnosis
Planning
Table
Table
Case
x 10 spots)
Total
and
and
Viva
Viva
Viva
discussion)
discussion)
50 *
25
20
25
20
20
40
200
* 10 marks each for history, examination, AETCOM, investigation &
treatment.
Page 21 of 26

Assessment in CBME is ONGOING PRCESS,
No Preparatory leave is permitted.
1.
There shall be 6 internal assessment examinations in OBGY.
2.
The suggested pattern of question paper for internal assessment, except
prelim examination is attached at the end. Pattern of the prelims examinations
should be similar to the University examinations.
3. Internal assessment marks for theory and practical will be converted to out of
50 (theory) +50 (practical). Internal assessment marks, after conversion,
should be submitted to university within the stipulated time as per directives
from the University. Conversion Formula for calculation of marks in
internal assessment examinations.

Theory
Practical
Phase II
100
100
Phase III/I
100
100
Phase III/II
300
300
Total
500
500
Conversion out of
50
50
Conversion formula
Total marks in 6 IA Total marks in 6 IA
theory

examinations Practical examinations
/10
/10
Eligibility
criteria
20
20
after conversion
Combined theory + Practical = 50
4. While preparing Final Marks of Internal Assessment, the rounding-off marks
shall done as illustrated in following table.
Total Internal Assessment Marks
Final rounded
marks
33.01 to 33.49
33
33.50 to 33.99
34
Page 22 of 26

5. Students must secure at least 50% marks of the total marks (combined in
theory and practical / clinical; not less than 40 % marks in theory and practical
separately) assigned for internal assessment in order to be eligible for
appearing at the final University examination of that subject.
6. Internal assessment marks will not to be added to marks of the University
examinations and will be shown separately in mark list.
7. Remedial measures
A. Remedial measures for non-eligible students
i) At the end of each internal assessment examination, students securing
less than 50% marks shall be identified. Such students should be
counseled at the earliest and periodically.
ii) Extra classes for such students may be arranged. If majority of the
students found to be weak in a particular area then extra classes must
be scheduled for all such students. Even after these measures, if a
student is failed to secure 50% marks combined in theory and practical
(40% separately in theory and practical) after prelim examination, the
student shall not be eligible for final examination.
iii) Non eligible candidates are offered to reappear for repeat internal
assessment examination/s, which must be conducted 2 months before
next University examination. The pattern for this repeat internal
assessment examination shall be similar to the final University
examination. Only the marks in this examination shall be considered
for deciding the eligibility criteria. Following conversion formula shall
be used for converting the marks.
Theory
Practical
Remedial examination (as per
200
200
final examination pattern)
Conversion out of
50
50
Conversion formula
Marks in remedial Marks in remedial
theory examinations Practical
/4

examinations /4
Eligibility
criteria
after
20
20
conversion
Combined theory + Practical = 50
Page 23 of 26

B. Remedial measures for absent students:
i.
If any of the students is absent for any of the 6 IA examinations due to
any reasons, following measures shall be taken.
ii.
The student is asked to apply to the academic committee of the college
for reexamination, through HOD, to ascertain the genuineness of the
reason for absentee.
iii.
If permitted by academic committee, an additional examination for
such students is to be conducted after prelims examination. Marks for
such additional examination shall be equal to the missed examination.
iv.
Even if a student has missed more than one IA examination, he/she
can appear for only one additional IA examination. In such scenario,
eligibility should be determined by marks obtained in internal
assessment examinations for which the candidate has appeared,
without changing the denominator.
Page 24 of 26

Format for Internal Assessment
Theory Examination
IA ? 1, IA ? 2, IA ? 3 & IA - 4
Question
Type of Question
No. of Questions (no.
Max. Marks
No.
To be solved)
1.
MCQ
10
10 (1 marks each)
2.
SAQ
6 (Any 5 out of 6)
25 (5 marks for each
question x 5
questions)
3.
LAQ
1 (Compulsory)
15
Total
50
Format for Internal Assessment
Theory Examination IA - 5
Question
Section
Type of
No. of Questions
Max. Marks
No.
Question
1.
A
MCQ
20
20 (1 marks
each)
2.
B
LAQ
4 (Any 3 out of 4)
45 (15 marks
for each
question x 3
LAQ )
3.
C
SAQ
7 (Any 6 out of 7)
30 (5 marks for
each question x
6 SAQ)
4.
C
SAQ
1 question from AETCOM
5
Total
100
Page 25 of 26

Format for MUHS Final Theory Examination
Paper I & II
Question
Section
Type of
No. of Questions
Max. Marks
No.
Question
1.
A
MCQ
20
20 (1 marks
each)
2.
B
LAQ
4 (Any 3 out of 4)
45 (15 marks
for each
question x 3
LAQ )
3.
C
SAQ
7 (Any 6 out of 7)
30 (5 marks for
each question x
6 SAQ)
4.
C
SAQ
1 question from AETCOM
5
Total
100
Page 26 of 26

This post was last modified on 29 June 2021