Swiss Catalogue of Learning Objectives for Undergraduate Medical Training

Under a mandate of the Joint Commission of the Swiss Medical Schools

6. Discipline Related Objectives

Gynaecology - Obstetrics

Clinical Pictures

... adnexae

Objective ID Level D T E P G

C GO 1   benign adnexal tumors 2

C GO 2   carcinoma of ovary 2

C GO 3   pregnancy, ectopic 2 E

C GO 4   pelvic inflammatory disease (PID: adnexitis / salpingitis / tubo-ovarian abscess) 2 P G

C GO 5   torsion / rupture of adnexal tumor / of ovarian cyst 2

C GO 6   urinary retention 2 D T E G

... body of the uterus

Objective ID Level D T E P G

C GO 7   trophoblast disorders (hydatidiform mole, choriocarcinoma) 1

C GO 8   congenital malformations of body of the uterus 1

C GO 9   endometrial carcinoma 2

C GO 10   benign uterine tumors (fibroids, polyps) 2

C GO 11   uterine descent, descensus of uterus 2

C GO 12   uterine prolaps / vaginal vault prolaps 2 D G

... cervix

Objective ID Level D T E P G

C GO 13   carcinoma of cervix 2

C GO 14   pre-malignant disorders of cervix 2

C GO 15   cervicitis (herpes, chlamydia, gonorrhea) 2 P G

... vagina

Objective ID Level D T E P G

C GO 16   cystocele / cysto-urethrocele / rectocele / enterocele 1

C GO 17   fistula of vagina (vesico-vaginal / uretero-vaginal / recto-vaginal) 1

C GO 18   vaginal carcinoma 2

C GO 19   vaginitis, atrophic 1

C GO 20   vaginitis / colpitis (candidiasis, bacterial vaginosis, trichomoniasis) 2 G

... vulva

Objective ID Level D T E P G

C GO 21   abscess of hair follicle / of sebaceous gland 2 D G

C GO 22   carcinoma of vulva 2

C GO 23   condylomata acuminata anal / perianal / penis / vulva / vagina / cervix 2 D P G

C GO 24   cyst of Bartholin / abscess of Bartholin's gland 2 D

C GO 25   vulva, dystrophy of (craurosis vulvae) 2 D

C GO 26   vulvitis (candidiasis / herpes-simplex / pediculosis pubis) 2 D T G

... breasts

Objective ID Level D T E P G

C GO 27   breast, cysts / benign breast tumors 2 G

C GO 28   breast, malignant disorders of 2 G

C GO 29   breast, inflammation of 2 D G

... endocrine gynecological disorders

Objective ID Level D T E P G

C GO 30   endometriosis 2

C GO 31   hirsutism and virilization 1

C GO 32   hyperprolactinemia and galactorrhea 1

C GO 33   menopause, climacteric syndrome and osteoporosis 2 D T G

C GO 34   polycystic ovary syndrome (metabolic syndrome) 2

C GO 35   premenstrual disorders / amenorrhea / oligomenorrhea / dysmenorrhea 2 D

... genetic disorders

Objective ID Level D T E P G

C GO 36 genitalia, ambiguous, mixed gonadal dysgenesis 1

C GO 37 Turner syndrome, gonadal dysgenesis 1

... miscellaneous gynecological disorders

Objective ID Level D T E P G

C GO 38   foreign body in female internal genitalia 1

C GO 39   traumatic gynecological injuries 1

C GO 40   infertility, subfertility (female and male) 1

... pregnancy

Objective ID Level D T E P G

C GO 41   abortion, spontaneous 2

C GO 42   abruptio placentae 2

C GO 43   blood group incompatibility in pregnancy 2

C GO 44   cervical incompetence in pregnancy 2

C GO 45   intrauterine fetal demise 1

C GO 46   gestational diabetes mellitus 2 D G

C GO 47   hyperemesis gravidarum 2 D

C GO 48   ascending intra-amniotic infection (chorioamnionitis) 1

C GO 49   iron deficiency anemia in pregnancy 2 D T P G

C GO 50   multiple pregnancy 2

C GO 51   placenta previa 2

C GO 52   placental insufficiency 2

C GO 53   hydramnios 1

C GO 54   oligohydramnios 1

C GO 55   pregnancy induced hypertensive disorders (pregnancy induced hypertension, preeclampsia, eclampsia) 2 D E G

C GO 56   urinary tract infection in pregnancy 2 D T G

C GO 57   pyelitis in pregnancy 2 G

C GO 58   threatened abortion 2

... delivery

Objective ID Level D T E P G

C GO 59   fetus, unstable lie of / malposition after 36 weeks 2

C GO 60   hypoxia of fetus during delivery 2 E

C GO 61   placenta, retained in delivery / postpartum 2

C GO 62   postdate delivery (placental insufficieny) 2

C GO 63   preterm delivery (PTD) / preterm premature rupture of membranes (PPROM) 2 D E

C GO 64   rupture of perineum / of cervic uteri / of uters in delivery 2

C GO 65   shoulder-dystocia in delivery 2 E

C GO 66   umbilical cord presentation / umbilical cord prolapse 1 E

... postpartum and puerperium

Objective ID Level D T E P G

C GO 67   postpartum hemorrhage from uterus 2 D E

C GO 68   thrombophlebitis 2 D T G

C GO 69   deep vein thrombosis 2 D T P G

C GO 70   pulmonary embolism 2 P

C GO 71   arterial embolism 2

C GO 72   incontinence of feces / of urine in puerperium 2 D

C GO 73   mastitis in puerperium 2 D T G

C GO 74   nipple, cracked in puerperium 2 D T

C GO 75   inflammation of pelvis postpartum and in puerperium (including endo-myo-metritis, salpingitis, pelvoperitonitis, perimetritis) 2

C GO 76   involution and subinvolution of puerperal uterus 1

C GO 77   postpartum depression 2 G

C GO 78   postpartum psychosis 2

Further Knowledge

... contraception / pregnancy / delivery

Objective ID Level D T E P G

C GO 79   prevention of neural tube defects (NTD) 2 P G

C GO 80   contraception 2 G

C GO 81   basal temperature curve 1

C GO 82   screening for infectious diseases in pregnancy 1

C GO 83   prenatal screening for chromosomal disorders 1

C GO 84   prenatal ultrasound screening for malformations, intrauterine growth retardation 1

C GO 85   invasive prenatal diagnosis of genetic disorders, infections, anemia 1

C GO 86   pregnancy complications due to pre-existing maternal disease (diabetes mellitus, hypertension, epilepsy) 2

C GO 87   pregnancy induced maternal disease (gestational diabetes mellitus, cholestasis, dermatosis) 2

C GO 88   pregnancy, complications due to infectious diseases (toxoplasmosis, other infectious microorganisms, rubella, cytomegaly, herpes simplex = TORCH) 1 P

C GO 89   physiology of delivery 2

C GO 90   pathological course of delivery 1

C GO 91   termination of pregnancy 2

... examination

Objective ID Level D T E P G

C GO 92   combined recto-vaginal examination: palpation of recto-vaginal septum 1

C GO 93   internal examination in early pregnancy 1

C GO 94   obstetric examination (assessment of cervix, dilatation, membranes, presentation of fetus, descent) 1

C GO 95   palpation of abdomen in pregnancy: fundal height, Leopold's manœuvre, external assessment of position 1

C GO 96   physical examination of newborn and infant 1

C GO 97   inspection of placenta and examination of umbilical cord 1

C GO 98   postpartum examination: fundal height, placenta loose / retained 1

C GO 99   estimate of blood loss after delivery 1

C GO 100   assessment of lochia 1

C GO 101   breasts in puerperium: inspection, lactation 1

... procedures

Objective ID Level D T E P G

C GO 102   preparation and assessment of Gram stain 1

C GO 103   genital discharge: vaginal swab, microscopic examination with saline or potassium hydroxide 1 G

C GO 104   insertion of intrauterine device (IUD) 1

C GO 105   examination of male genitalia and interpretation of semen examination in infertility 1

C GO 106   curettage 1

C GO 107   laparoscopy 1

C GO 108   pregnancy test in urine 1 G

C GO 109   ultrasound examination during pregnancy 1

C GO 110   pelvic examination during pregnancy 1

C GO 111   attending woman in labor 1

C GO 112   inspection and support of perineum 1

C GO 113   induction of labor by drugs or by artificial rupture of membranes 1

C GO 114   cardiotocography (CTG): performance and interpretation 1

C GO 115   cesarean section 1

C GO 116   episiotomy 1

C GO 117   assisted vaginal delivery 1

C GO 118   fetal blood sampling 1

C GO 119   receive / hold newborn 1

C GO 120   aspiration of mouth / throat of newborn infant 1

C GO 121   delivery of placenta 1

C GO 122   assist and check mother and newborn 1

Objective ID		Level	D	T	E	P	G
C GO 1	benign adnexal tumors	2
C GO 2	carcinoma of ovary	2
C GO 3	pregnancy, ectopic	2			E
C GO 4	pelvic inflammatory disease (PID: adnexitis / salpingitis / tubo-ovarian abscess)	2				P	G
C GO 5	torsion / rupture of adnexal tumor / of ovarian cyst	2
C GO 6	urinary retention	2	D	T	E		G

Objective ID		Level	D	T	E	P	G
C GO 7	trophoblast disorders (hydatidiform mole, choriocarcinoma)	1
C GO 8	congenital malformations of body of the uterus	1
C GO 9	endometrial carcinoma	2
C GO 10	benign uterine tumors (fibroids, polyps)	2
C GO 11	uterine descent, descensus of uterus	2
C GO 12	uterine prolaps / vaginal vault prolaps	2	D				G

Objective ID		Level	D	T	E	P	G
C GO 13	carcinoma of cervix	2
C GO 14	pre-malignant disorders of cervix	2
C GO 15	cervicitis (herpes, chlamydia, gonorrhea)	2				P	G

Objective ID		Level	D	T	E	P	G
C GO 16	cystocele / cysto-urethrocele / rectocele / enterocele	1
C GO 17	fistula of vagina (vesico-vaginal / uretero-vaginal / recto-vaginal)	1
C GO 18	vaginal carcinoma	2
C GO 19	vaginitis, atrophic	1
C GO 20	vaginitis / colpitis (candidiasis, bacterial vaginosis, trichomoniasis)	2					G

Objective ID		Level	D	T	E	P	G
C GO 21	abscess of hair follicle / of sebaceous gland	2	D				G
C GO 22	carcinoma of vulva	2
C GO 23	condylomata acuminata anal / perianal / penis / vulva / vagina / cervix	2	D			P	G
C GO 24	cyst of Bartholin / abscess of Bartholin's gland	2	D
C GO 25	vulva, dystrophy of (craurosis vulvae)	2	D
C GO 26	vulvitis (candidiasis / herpes-simplex / pediculosis pubis)	2	D	T			G

Objective ID		Level	D	T	E	P	G
C GO 27	breast, cysts / benign breast tumors	2					G
C GO 28	breast, malignant disorders of	2					G
C GO 29	breast, inflammation of	2	D				G

Objective ID		Level	D	T	E	P	G
C GO 30	endometriosis	2
C GO 31	hirsutism and virilization	1
C GO 32	hyperprolactinemia and galactorrhea	1
C GO 33	menopause, climacteric syndrome and osteoporosis	2	D	T			G
C GO 34	polycystic ovary syndrome (metabolic syndrome)	2
C GO 35	premenstrual disorders / amenorrhea / oligomenorrhea / dysmenorrhea	2	D

Objective ID		Level	D	T	E	P	G
C GO 36	genitalia, ambiguous, mixed gonadal dysgenesis	1
C GO 37	Turner syndrome, gonadal dysgenesis	1

Objective ID		Level	D	T	E	P	G
C GO 38	foreign body in female internal genitalia	1
C GO 39	traumatic gynecological injuries	1
C GO 40	infertility, subfertility (female and male)	1

Objective ID		Level	D	T	E	P	G
C GO 41	abortion, spontaneous	2
C GO 42	abruptio placentae	2
C GO 43	blood group incompatibility in pregnancy	2
C GO 44	cervical incompetence in pregnancy	2
C GO 45	intrauterine fetal demise	1
C GO 46	gestational diabetes mellitus	2	D				G
C GO 47	hyperemesis gravidarum	2	D
C GO 48	ascending intra-amniotic infection (chorioamnionitis)	1
C GO 49	iron deficiency anemia in pregnancy	2	D	T		P	G
C GO 50	multiple pregnancy	2
C GO 51	placenta previa	2
C GO 52	placental insufficiency	2
C GO 53	hydramnios	1
C GO 54	oligohydramnios	1
C GO 55	pregnancy induced hypertensive disorders (pregnancy induced hypertension, preeclampsia, eclampsia)	2	D		E		G
C GO 56	urinary tract infection in pregnancy	2	D	T			G
C GO 57	pyelitis in pregnancy	2					G
C GO 58	threatened abortion	2

Objective ID		Level	D	T	E	P	G
C GO 59	fetus, unstable lie of / malposition after 36 weeks	2
C GO 60	hypoxia of fetus during delivery	2			E
C GO 61	placenta, retained in delivery / postpartum	2
C GO 62	postdate delivery (placental insufficieny)	2
C GO 63	preterm delivery (PTD) / preterm premature rupture of membranes (PPROM)	2	D		E
C GO 64	rupture of perineum / of cervic uteri / of uters in delivery	2
C GO 65	shoulder-dystocia in delivery	2			E
C GO 66	umbilical cord presentation / umbilical cord prolapse	1			E

Objective ID		Level	D	T	E	P	G
C GO 67	postpartum hemorrhage from uterus	2	D		E
C GO 68	thrombophlebitis	2	D	T			G
C GO 69	deep vein thrombosis	2	D	T		P	G
C GO 70	pulmonary embolism	2				P
C GO 71	arterial embolism	2
C GO 72	incontinence of feces / of urine in puerperium	2	D
C GO 73	mastitis in puerperium	2	D	T			G
C GO 74	nipple, cracked in puerperium	2	D	T
C GO 75	inflammation of pelvis postpartum and in puerperium (including endo-myo-metritis, salpingitis, pelvoperitonitis, perimetritis)	2
C GO 76	involution and subinvolution of puerperal uterus	1
C GO 77	postpartum depression	2					G
C GO 78	postpartum psychosis	2

Objective ID		Level	D	T	E	P	G
C GO 79	prevention of neural tube defects (NTD)	2				P	G
C GO 80	contraception	2					G
C GO 81	basal temperature curve	1
C GO 82	screening for infectious diseases in pregnancy	1
C GO 83	prenatal screening for chromosomal disorders	1
C GO 84	prenatal ultrasound screening for malformations, intrauterine growth retardation	1
C GO 85	invasive prenatal diagnosis of genetic disorders, infections, anemia	1
C GO 86	pregnancy complications due to pre-existing maternal disease (diabetes mellitus, hypertension, epilepsy)	2
C GO 87	pregnancy induced maternal disease (gestational diabetes mellitus, cholestasis, dermatosis)	2
C GO 88	pregnancy, complications due to infectious diseases (toxoplasmosis, other infectious microorganisms, rubella, cytomegaly, herpes simplex = TORCH)	1				P
C GO 89	physiology of delivery	2
C GO 90	pathological course of delivery	1
C GO 91	termination of pregnancy	2

Objective ID		Level	D	T	E	P	G
C GO 92	combined recto-vaginal examination: palpation of recto-vaginal septum	1
C GO 93	internal examination in early pregnancy	1
C GO 94	obstetric examination (assessment of cervix, dilatation, membranes, presentation of fetus, descent)	1
C GO 95	palpation of abdomen in pregnancy: fundal height, Leopold's manœuvre, external assessment of position	1
C GO 96	physical examination of newborn and infant	1
C GO 97	inspection of placenta and examination of umbilical cord	1
C GO 98	postpartum examination: fundal height, placenta loose / retained	1
C GO 99	estimate of blood loss after delivery	1
C GO 100	assessment of lochia	1
C GO 101	breasts in puerperium: inspection, lactation	1

Objective ID		Level	D	T	E	P	G
C GO 102	preparation and assessment of Gram stain	1
C GO 103	genital discharge: vaginal swab, microscopic examination with saline or potassium hydroxide	1					G
C GO 104	insertion of intrauterine device (IUD)	1
C GO 105	examination of male genitalia and interpretation of semen examination in infertility	1
C GO 106	curettage	1
C GO 107	laparoscopy	1
C GO 108	pregnancy test in urine	1					G
C GO 109	ultrasound examination during pregnancy	1
C GO 110	pelvic examination during pregnancy	1
C GO 111	attending woman in labor	1
C GO 112	inspection and support of perineum	1
C GO 113	induction of labor by drugs or by artificial rupture of membranes	1
C GO 114	cardiotocography (CTG): performance and interpretation	1
C GO 115	cesarean section	1
C GO 116	episiotomy	1
C GO 117	assisted vaginal delivery	1
C GO 118	fetal blood sampling	1
C GO 119	receive / hold newborn	1
C GO 120	aspiration of mouth / throat of newborn infant	1
C GO 121	delivery of placenta	1
C GO 122	assist and check mother and newborn	1