Obstetrics & Gynecology


The program aims to train and graduate competent, safe, skilled and knowledgeable specialists. This is a six year program of structured training in Obstetrics and Gynecology. At its completion, the trainee is expected to be a competent specialist capable of functioning independently in Obstetrics and Gynecology comparable to International Standards.

To provide safe, skilled and competent specialists in the field of Obstetrics and Gynecology who will be leaders in providing quality health care to women all over Oman and also envision and implement National programs towards achieving excellence in women’s health issues.

ACGME - I Competencies
Patient Care (PC)
Medical knowledge (MK)
Practice based learning and improvement (PBLI)
Interpersonal and communication skills (ICS)
Professionalism (P)
Systems-based practice (SBP)
1. Patient Care
To provide appropriate, compassionate and effective care for treatment of various problems relating to obstetrics and gynecology and promote women’s health.
Demonstrate caring and respectful behavior when interacting with patients and their families (PC,P,ICS).
Gather essential information about patients by performing a complete and accurate medical history and physical examination. (PC,ICS,MK).
Make informed decisions about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence and clinical judgment. (PC,PBLI,MK).
Develop, negotiate and implement effective patient management plans. (PC,ICS,P,SBP).
Counsel and educate patients and their families. (PC,PBLI,ICS,P,MK).
Use information technology to support patient care decisions and patient education. (PC,PBLI,SBP).
Perform competently all medical and invasive procedures considered essential for generalist practice in the discipline of Obstetrics and Gynecology. (PC,MK).
Understands the differences between screening and diagnostic tests essential for generalist practice in Obstetrics and Gynecology. (PC,MK)
2. Medical knowledge
Demonstrate knowledge of established, current and evolving knowledge in the field of obstetrics & gynecology and related sciences and apply this knowledge to patient care.
Demonstrate an investigatory and analytic thinking approach to clinical situations (MK,PBLI).
Demonstrate a sound understanding of the basic science background of women’s health and apply this knowledge to clinical problem solving, clinical decision making and critical thinking (MK,PBLI,PC,SBP).
3. Practice Based Learning and Improvement (PBLI)
Identify areas for personal and practice improvement and implement strategies to enhance knowledge, skills, attitudes and processes of care, as well as making a commitment to life-long learning. (MK,P,SBP,PBLI)
Analyze and evaluate personal practice experience and implement strategies to continually improve the quality of patient care. (PBLI, SBP,P,MK,PC)
Locate, appraise and assimilate evidence from scientific studies related to patients health problems (PBLI,MK,PC)Obtain and use information about their population of patients (PBLI, SBP, PC)Demonstrate receptiveness to instruction and feedback (PBLI, ICS,P)
Apply knowledge of study designs and statistical methods to the appraisal of clinical studies. (PBLI,MK,PC).
Use information technology to manage information, access online medical information, and support their education (PBLI,P,MK).
Facilitate the learning of students and other health care professionals (PBLI, ICS, SBP,MK).
4. Interpersonal and Communication Skills (ICS)
Demonstrate effective interpersonal and communication skills and achieve a high level of competence in communicating with patients and relatives. Residents must also develop effective oral and written communication skills with other members of the health care team.
5. Professionalism (P)
Demonstrate a commitment to carrying out professional responsibilities, adherence to ethical principles and sensitivity to a diverse population.
Demonstrate respect, compassion, integrity and responsiveness to the needs of patients and society that supersedes self-interest (P,ICS)
Demonstrate accountability to patients, society and the profession – uncompromised honesty (P,ICS), punctuality and efficiency(P) good work ethics, positive attitude and high initiative levels (P)
Demonstrate a commitment to excellence and ongoing professional development (P,PBLI)
Demonstrate a commitment to ethical principles of clinical care (P,PC)
Describe basic ethical concepts like autonomy, beneficence, justice and non-malfeasance (P,ICS)
Describe the process of informed healthcare decision making including specific components of informed consent decisions (P,ICS,PC)
Discuss surrogate decision making for incapacitated patients, who can act as proxy decision makers in healthcare choices (P,PC,ICS)
Describe legal, ethical and emotional issues surrounding withholding and withdrawing medical therapies (P,MK,SBP,PC)
Discuss appropriateness of using or limiting all available technology to sustain life and when it is appropriate to limit treatment (P,ICS,SBP,PC)
Discuss ethical implications of commonly used technologies in Obstetrics & Gynecology (P,MK,SBP,PC)
Analyze an ethical conflict and develop a ethically defensible and medically reasonable course of action (P,PC,MK,ICS)
Discuss important issues regarding stress management, substance abuse and sleep deprivation (P,MK,ICS,PC)
Maintain confidentiality of patient information and understand sources of loss of privacy in the health care system (P,SBP,ICS)
Demonstrate sensitivity and responsiveness to culture, age, socioeconomic status, beliefs and disabilities of patients and colleagues (P,ICS)
6. Systems Based Practice (SBP)
Demonstrate an awareness and responsiveness to the larger context of the health care system and the ability to effectively call on system resources to provide optimal care.
Understand how their patient care and professional practices affect other health care professionals, their health care organization and society and how these in turn affect them and their practice. (SBP,PC,P,ICS)
Practice cost-effective health care and resource allocation that does not compromise quality of care. (SBP,PC,P)
Advocate for quality patient care and assist patients in dealing with system complexities (SBP,ICS,P)
Acknowledge that patient safety is always the first concern of the physician, demonstrate ability to discuss errors in management and learn from errors to improve patient care, participate in Quality improvement activities and patient safety initiatives, participate in disclosure and discussion of adverse events with patients (SBP,ICS,P,PBLI,PC,MK)
Partner with health care managers and providers to assess and improve health care (SBP,ICS,P,PBLI,PC)
Describe a systematic plan for minimizing the risk of professional liability claims in clinical practice and medico-legal concepts regarding professional liability. (P,SBP,PC&ICS)


LIST OF TRAINING CENTERS

Sultan Qaboos University Hospital

Royal Hospital

Khoula Hospital

Nizwa Hospital

Sohar Hospital

Armed Forces Hospital

Local Health Centers 

This is a six year program of structured training in Obstetrics & Gynecology.

Outline of rotations

R1

Residents will be introduced to general Obstetrics and Gynecology:
Core Program

General Obstetrics

6 blocks

General Gynecology

6 blocks

Annual Leave

1 block

R2

Residents will be introduced to allied specialty rotations:

General Obstetrics

4 blocks

General Gynecology

4 blocks

Neonatal Intensive Care Unit (NICU)

1 block

Obstetrical Ultrasound

1 block

Emergency Medicine

1 block

Research

1 block

Annual Leave

1 block

R3

Residents will undergo in different departments as follows:

 General Obstetrics

 5 blocks

General Gynecology

 4 blocks

 Intensive Care Unit (ICU)

 1 block

 Birth Spacing/ Family Planning CLinic

 1 block

 Research

 1 block

 Annual Leave

 1 block

R4

Residents will undergo rotations in different departments as follows:

Gynecologic Pathology

1 block

Genetics

1 block

Obstetrical Ultrasound

1 block

Maternal Fetal Medicine (MFM)

3 blocks

Urogynecology

3 blocks

Reproductive Endocrinology & Infertility (REI)/Minimally Invasive Surgery (MIS)

3 blocks

Annual Leave

1 block

R5

Senior Obstetrics Rotation

4 blocks

Senior Gynecology Rotation

4 blocks

Gynecologic Oncology Rotation

3 blocks

Research

1 block

Annual Leave

1 block

R6

Residents will assume responsibility, under supervision, approximating and consolidating specialist skills. Residents will provide care for out-patients and in-patients with complex problems and will have administrative and educational responsibilities for a significant portion of the year.

Senior Obstetrics Rotation

6 blocks

Senior Gynecology Rotation

6 blocks

Annual Leave

1 block

General OMSB Evaluation Tools:

In-Training Assessment Report (ITAR)

 Multisource Feedback Report (360-Degree Evaluation)

Mini-Clinical Evaluation Exercise (MINI-CEX)

Presentation Evaluation

Procedural Skills Evaluation

Case-Based Discussion

Faculty Evaluation

Rotation Evaluation

Program Evaluation Report by Faculty and Residents

Research Block Evaluation

Research Mentor Evaluation

Resident Professionalism

ACGME-I Milestone Evaluation

Final In Training Assessment Report (FITAR)

Program Specific Evaluation Tool:

Research Progress Evaluation Report

Progression Examinations

R1 - R5 - End of Year Exam (Written)

R2 – OMSB Part I (mandatory to pass to be able to progress to R4)

R6 - Exempted from written end of year examination. Should pass OMSB Part II.

Exit Qualification

OMSB Part II (written and clinical)

Recommended International Examinations

MRCOG/MRCPI/ARAB BOARD Part I and II

I. OMSB Resident Development Workshops (Mandatory)

Infection Prevention and Control

Professionalism

Evidence-Based Medicine

Communication Skills

Patient Safety and Quality Management

Resident as Teacher

Medical Ethics and the law

II. General Workshops

Basic Life Support (BLS) – R1, if not done within the last 2 years; recertification every 2 years

Advanced Cardiac Life Support (ACLS) – R2; recertification every 2 years

Basic Surgical Skills Course (BSSC) – R1

Neonatal Resuscitation Course (Provider’s) – R1; recertification every 2 years

III. Specialty Specific Activities

 Teaching Methods

Case presentations by residents

Didactic Lectures

Simulation Activities

Drills

Journal Clubs

Mortality and Morbidity Meetings

Departmental Meetings

Perinatal Statistics Meetings

Fetal Medicine Rounds

Grand Rounds

IV. Simulation Sessions

IUCD insertion workshop – R2/R3

Obstetric Emergency Drills (e.g. A. Crisis Resource Management in Maternity Ward; B. Postpartum Hemorrhage course and hands-on Workshop (PROMPT); C. Conservative Management of PPH; D. Surgical Management of Massive PPH especially due to abnormal Placentation; E. Shoulder Dystocia; F. Breech Delivery, G. Instrumental Vaginal Delivery)– R3/R4

Perineal Repair of Obstetrics Tears episiotomy and 3rd / 4th degree (e.g. OASIS or equivalent) – R4/R5

Obstetrics Ultrasound workshop – R2/R3

Gyne Ultrasound Workshop – R2/R3

CTG workshop – R2/R3 

Hysteroscopy operative and diagnostic – R4/R5 (every 3 yr cycle

Laparoscopy operative and diagnostic – R4/R5 (every 3 yr cycle)

Program Director

Dr. Nihal Mohamed Amur Al Riyami - Associate Professor, Sr. Consultant/Head of Department (OBGYN) at SQUH /ACGME-I International Review Committee

Associate Program Directors

Dr. Lovina Machado -  (SQUH & AFH), Sr. Consultant at SQUH

Dr. Shamsa Mohammad Adi Al Hinai -  (Nizwa Hospital & Sohar Hospital), Sr. Consultant at Royal Hospital

Dr. Devyani Narayan -  (Khoula Hospital) Sr. Consultant

Dr. Rahma Salem Hamood Al Ghabshi -  (Royal Hospital) Sr. Consultant

Members

Dr. Lamiya Ahmed Ali Al Kharusi - Member (SQUH) Sr. Consultant

Dr. Wadha Mohamed Hamed Al Ghafri - Member (SQUH) Sr. Consultant

Dr. Maha Mubarak Saleh Al Khaduri - Member (SQUH) Sr. Consultant

Dr. Maryam Nasser Mahysh Al Shukri - Member (SQUH) Sr. Consultant

Dr. Tamima Rashid Hamood Al Dughaishi - Member (SQUH) Sr. Consultant

Dr. Attuveppal Raman Vijayalakshmy - Member (KH)Sr. Consultant

Dr. Sheikha Ali Mohammed Al Abri - Member (AFH) Sr. Consultant

Program Medical Executive:

Maria Cecilia Alpano Levina

Program e-mail: obgyn@omsb.org

Office number: (968) 24181613

OMSB Website: www.omsb.org