Fifth Year Program for Human Reproductive Health

Description of Fifth Year Course

Introduction | Academic Staff | Aims of the Course | Objectives of the Course | Teaching Methods | Timetabling | Special Clinics | Human Sexuality |  National Police Check | Appendix A

Please click on the Fifth Year Course in Human Reproductive Health link to view and print this page as a Word document.

Please click on the Ultrasound Information link to view and print the related PDF document.

Introduction

The course in Human Reproductive Health is intended to provide students with an introduction to normal human reproduction and its disorders.A working knowledge of this subject is a necessity for practitioners in all fields of medicine as reproductive function and sexuality may impinge upon manifestations of disease or function, in any other bodily system.

Although pathological processes will be addressed in the Course, many aspects of obstetrics and gynaecology differ from other branches of medicine in that normal events, rather than only pathological processes, are being observed. Most students, therefore, find the term enjoyable as well as practical.

The activities of the term require the attainment of a level of sophistication in certain new professional skills, principally in history-taking relevant to, and examination of, the female reproductive system. The integration of knowledge of basic sciences related to reproduction from disciplines such as anatomy, biochemistry, endocrinology, embryology, cell biology and physiology to the clinical problems occurring in obstetrics and gynaecology will be emphasised.

All medical graduates should be capable of assisting the delivery of a baby in an emergency, however, it is not intended that the undergraduate course will produce obstetric practitioners. For those wishing to consider this subject further, a period of three to twelve months in a resident obstetric appointment is the minimum requirement. The amount of further training required by general practitioners depends on the extent of their role in obstetrics. Three months is required for a certificate recognising training suitable for shared care, six months for the Diploma of the Royal Australian College of Obstetricians and Gynaecologists.

Rural practitioners may undergo further training to prepare them for operative obstetrics. Specialist practice in obstetrics and gynaecology requires four years in approved posts to obtain Membership of the Royal Australian College of Obstetricians and Gynaecologists and another two years in approved elective posts for the Fellowship of the College (FRANZCOG). The FRANZCOG is required for Specialist recognition in Australia. Further training is required for subspecialisation in Gynaecological Oncology, Urogynaecology, Maternal-Fetal Medicine, Obstetrical and Gynaecological Ultrasound and Reproductive Medicine.

Academic Staff

Academic Staff at Women's and Children's Hospital

Professor Alastair MacLennan (Head of Discipline)
Professor Caroline Crowther
Prof Jodie Dodd
Dr Louise Hull
A/Prof Dominic Wilikinson (Neonatology)

Academic Staff at Lyell McEwin Hospital

Professor Gus Dekker
Dr Alphonse Roex

Academic Staff at Royal Adelaide Hospital

Dr Paul Duggan (Deputy Head of Discipline)
Dr Alan Down
Professor Rob Norman

Academic Staff at The Queen Elizabeth Hospital

There are no University – employed clinical academics at TQEH. We are indebted to Dr Watson, Dr Singla for their help with teaching.

Academic Staff at Modbury Hospital

Professor Gus Dekker

We are indebted to Dr Jeff Hillen for his help with teaching.

Aims of the Course

To facilitate:

• knowledge of the physiology and pathology of the female reproductive system in childhood, adult life and old age.
• knowledge of the physiology of pregnancy, parturition and the puerperium and its effect on medical and surgical disorders.
• the development of the skills required to become competent in the diagnosis and management of simple gynaecological disorders and an understanding of the principles and essential features of more complex gynaecological conditions.
• the application of the principles of evidence based medicine in obstetrics and gynaecology.

Objectives of the Course

To enable the student to:

• undertake an interview that considers the special physical, psychological and social characteristics required to take a full history relevant to human sexuality, obstetrics and gynaecology.
• conduct a physical examination which will take into account the special problems encountered in human sexuality, obstetrics and gynaecology, in order to confirm or refute an hypothesis or diagnosis.
• counsel a woman, her partner and family about common problems in human sexuality, obstetrics and gynaecology
• request appropriate laboratory, psychological or social data in order to reach an appropriate diagnosis.
• formulate a plan for care of the patient(s).

To be able to implement the following aspects of care for the pregnant woman:

• Explanation and advice to the woman and her family
• Advice to the woman on the potential hazards of drugs to the conceptus.
• Advice to the woman of the arrangements necessary for the woman to be confined in the appropriate setting.
• Observing and recording the progress of labour, delivery and the early puerperium.
• Referral to a Specialist Obstetrician for further management if risk factors have been identified.

To be able to implement the following aspects of care for a woman with a gynaecological condition:

• Explanation and advice to the woman and (with permission) to her family.
• Maintaining the dignity and privacy of the woman.

To achieve these objectives the student should be able to demonstrate knowledge & understanding of:

• epidemiology of the major health and social problems related to obstetrics and gynaecology.
• embryology, developmental, physiological, biochemical, anatomical, endocrinological, immunological, morphological, pathological and psychological aspects underpinning obstetrics and gynaecology.
• pharmacology of drugs commonly used during pregnancy and in gynaecology
• cultural, legal and social variation in attitudes towards obstetrics and gynaecology.
• effect of the woman’s social circumstances on pregnancy or a gynaecological condition.
• effect of drugs (prescribed or other) on pregnancy or gynaecological conditions.

Teaching Methods

Teaching methods used in the course include:

Case Based Learning

Case Based Learning and interactive discussion are used in the Course to teach core aspects of Obstetrics and Gynaecology.Six to twelve students are allocated to a group. The group meets once or twice a week. Tutors will designate the topics for each week. It is essential to prepare for each topic before the meeting. The timing of group sessions varies at each hospital and will depend on the availability of the tutor (see separate timetables).

The following list of topics is suggested for consideration, however, individual groups may feel that other topics need to be addressed.

Suggested Topics

• Maternal/perinatal mortality/morbidity
• Menstrual Dysfunction
• Preconception/early pregnancy
• Fertility and Contraception
• Prematurity/Pregnancy Hypertension
• Menopause and beyond
• Fetal growth, diabetes, APH
• Gynaecological cancers
• Intrapartum care and delivery
• Prolapse and incontinence
• Postpartum care
• Gynaecological endocrinology

Timetabling

Every week you will attend:

0. Neonatal Tutorial
0. Gynaecology Ward Round/discussion group
0. Obstetrics ward round
0. Antenatal Clinic
0. Gynaecology clinic
0. CBL - once/ twice a week for a total of 3 hours

As well as this you should attend special clinics eg menopause, colposcopy theatre at least once.

As there will always be some conflict of obligations, the hierarchy for your attendance is:

• Specialty sessions: Special external one-off teaching sessions (e.g. pelvic examination teaching program, STD, Shine.)
• Labour Ward
• CBLs (which are programmed not to conflict with other regular sessions but may clash with specialty sessions, labour ward)
• Tutorials/Ward rounds with nominated tutors
• Clinics
• Theatre sessions
• Library, study time etc.
• Football, golf, external employment come last!

If a tutorial session is missed due to other course commitments it is polite to let the tutor know. When a tutorial has to be missed please read up on that topic in greater detail than normal.

Special Clinics

Students are rostered to attend special clinics such as Family Planning, Family Advisory, Menopause, Sexuality and Colposcopy to ensure as broad an experience as possible during their term of Obstetrics & Gynaecology.

Pelvic Examination Teaching Program

This training program’s tutors teach the skills necessary to perform a gynaecological pelvic examination by allowing students to examine them. (NB: The pelvic examination is on a trained teaching associate who will give you feedback). The objectives of the program are to introduce students to the conduct of an accurate and comfortable pelvic examination, to increase the students’ confidence in their ability to perform a pelvic examination and to encourage effective communication between patient and the examiner. The program involves a rostered late afternoon session of 3 hours in the Maternity Outpatients Clinic, Ground Floor, Maternity Building, at The Queen Elizabeth Hospital early in the Course. If you are unable to come please ring Kathyrn Marshall Mob 0400 211 252.

Sexually Transmitted Diseases (STD) Attachment

Students are rostered to the STD Clinic (Clinic 275) for 2 sessions for a total of 6 hours contact time. The Clinic is on the first floor, above the Chest Clinic, at 275 North Terrace. This activity takes precedence over any other teaching commitment. Absence from other scheduled teaching sessions should be notified to the teacher concerned.

Course Coordinator
Dr. Russell Waddell
Telephone: 8222 5075
Email address: russell.waddell@dhs.sa.gov.au

Dr. Waddell must be contacted if there are any changes to rosters or to attend extra clinical sessions, or for any assistance with STD related projects.

Primary Aim

To provide an introduction to the scope of a public health STD program and an appreciation of the skills and training necessary to work as a Venereologist. It is not possible to provide students with clinical experience due to constraints of time and student numbers, however, interested students may make arrangements for clinical observation on another occasion.

Activities

• Discussion of the role and function of the STD Control Branch and how the Service can be utilised by medical practitioners.
• Consideration of the notification systems for syphilis, gonorrhoea, chlamydia and HIV/AIDS. Understanding the objectives of notification and how the system works and the responsibilities of the medical practitioner in notification.
• Case management of STD. A clinical framework for managing any STD, focussing on STD history taking, signs and symptoms of STD and risk assessment in STD.
• Contact tracing, counselling and health education strategies for STD.

Resources Available

• Resource room which has self learning, tape slide presentations and video packages.
• Computer assisted instruction programs.
• Limited library, to be used on site only.
• SA Sexually Transmitted Diseases Services Homepage - over 100 pages of resource material

Outcome

At the end of this introduction to STD, the student will:

• understand the nature of the STD Service provided to patients at Clinic 275.
• be aware of the support service provided to medical practitioners by STD Control Branch.
• be able to decide whether to apply for an RMO appointment to Clinic 275 (four three month attachments per year are available via the FMP training program).
• have some indication of an interest in a career in Venereology.(There is a two year Registrar attachment available which is accredited training for the Australian College of Venereologists).

Human Sexuality

Students are rostered to the Sexual Concerns Unit, Relationships Australia, 49A Orsmond St, Hindmarsh, for two sessions with a total of 3 1/2 hours contact time. This activity takes precedence over any other teaching commitment.

Course Coordinator
Mr John Hambledon
Telephone: 8340 2022

Objectives

• to become more comfortable with the language of sexuality and sexual concerns.
• to develop an assessment protocol for addressing these concerns.
• to consider both medical and psycho/contextual approaches to the presenting concern(s).
• to locate resources relevant to the concern(s), including Consultants, literature and videos.

In the longer term, as future general practitioners and specialists:

• to develop a knowledge of medical conditions and treatments which may cause or influence sexual difficulties.
• to be able to refer to an appropriate clinic or specialist.
• to view human sexuality and intimacy as an important aspect of health and healing.

Obstetric Duties

Attendance at antenatal clinics, conduct of normal labour and delivery and observation of abnormal cases gives insight into the spectrum of common conditions, most of which will be met at some time in practice.

Students' personal cases and deliveries require detailed observation of antenatal, labour and postnatal care and infant care. Adequate postnatal care includes observation of lactation, involution and the psychological development of the mother-child relationship.

Cleanliness and neat attire are requisites at all hospital attendances. When attending a ward, clinic or theatre, students should introduce themselves to the nurse-in-charge.

Labour Ward Duties

Sometimes students will be allocated to a woman in labour during their labour ward roster. You are expected to stay with that woman during her labour and where possible to take part in the delivery of her child. Other times you follow a RMO or Registrar. You will be rostered to the Labour ward 5 times during your rotation. Please get the form signed by the midwife in charge each time you participate in a delivery. Where possible we would like you to conduct the spontaneous vaginal deliveries with the help of the staff in charge. It is your responsibility to remember to have your form signed on the day. You cannot expect staff to sign the form days after the event. The form is Appendix D and should be handed in at the OSCE.

Delivery Suite attendance is for 24 hours when following a patient and 12 hours when following a RMO or Registrar.You can negotiate with the shift coordinator for down (rest) time if you do not have a patient allocation.You must be contactable as many normal deliveries happen at night.This is your best chance to deliver a baby.We may not able to offer a place to sleep however you are allowed to miss the following day if you wish.

Students who are required to work late in hospitals are instructed, regardless of gender, to contact hospital security via the switchboard for an escort to their car or public transport on leaving the hospital premises.This is necessary to minimise the risk of assault. Students who work a 24-hour roster are instructed not to drive on completion of their duties.This is necessary to minimise the risk of a motor vehicle accident.If you utilise personal transportation and are too tired to drive safely, leave your vehicle for collection the following day and take public transportation or have a colleague drive you. Alternatively, use public transportation when you are rostered on 24- hour shifts.

Gynaecological Duties

Students are rostered to attend gynaecological outpatient sessions where there will be opportunity to take a history and examine outpatients with the Consultant/Registrar attending the Clinic.If possible, the patient’s progress should be followed after admission to hospital.

Students should organise a roster for clerking of patients being admitted for elective gynaecological surgery.The history and general examination should be recorded in the hospital case notes and signed by the student.Pelvic examinations are to be performed with a Consultant/Registrar AND ONLY WHEN A CHAPERONE IS PRESENT.If the student is to carry out pelvic examination in the theatre, patient consent must be obtained and the signed consent form must be included in the patient’s notes before the theatre session.The way in which elective admissions are handled differs in the five Teaching Hospitals.The patient may be clerked in the Outpatient Clinic on the day on which the decision to admit is made or on another day a week or so, prior to being admitted, early on the day of surgery.A minimum of patients is admitted on the day before surgery. Early in the Course students must establish what the logistics are and arrange rosters so that they can undertake this task.Investigations, management and drug orders should be discussed with the Resident/Registrar but may NOT be ordered by the student.

Students should attend theatre sessions when the patient they have clerked is having an operation and at enough other sessions to assure a familiarity with the commonly performed gynaecological procedures.The postoperative progress of the patient(s) who have been clerked should be followed and the pathology reports should be examined before discharge.Patient permission is to be sought to attend their operation and patient examination under anaesthesia requires their clear permission.

A roster should also be arranged for clerking of patients admitted as emergency admissions to the ward and attendance in theatre, where appropriate for emergency surgery.

Neonatal Medicine

All students should attend their rostered session with a neonatal paediatrician.It is expected that students will be able to demonstrate skills in the examination of the normal neonate and knowledge of common problems that occur in the neonatal period.

NB: since it is policy not to carry anything into the nursery students should not bring bags etc to the neonatal tutorials.

Attendance at Clinics and Tutorials

Clinical Tutors, specialty sessions and special clinics all keep a record of your attendance.Normal University of Adelaide rules apply about attendance.It is essential and courteous to inform your tutor (or Midwife in Charge) if you cannot attend on the day you are rostered eg due to illness or the rostering of a conflicting session.

Ultrasound in O&G

Students should attend an ultrasound session in their hospital.Tutorials relating to common problems and ultrasound findings may be offered.

Gynaecological Oncology

Students from any hospital are welcome to attend the gynaecological oncology meetings at which patient management is discussed and formulated.RAH students see timetable.The meetings are held:

Wednesday, 8am, Videoconference Room, Ground Floor, East Wing, Royal Adelaide Hospital

Lectures

Online Lectures

A series of on line lectures covering some core topics in Obstetrics and Gynaecology is available through the Response Education web site.You will be automatically enrolled at the beginning of the term and must register with the site.You will need to check your student email regularly in the first week of term to do this.The URL for accessing the lectures is:

http://test.response-online.com/moodle/login/index.php

There is no restriction on the number of attempts at the MCQ's, which are intended to stimulate your thinking about the topics.

References

A list of general and specialised material is given in Appendix A.

Libraries

Students must register with the library at the hospital to which they have been assigned.Librarians must be contacted before using literature search hardware.

Assessments

Formative Assessment (voluntary for feedback)

Students are encouraged to participate in the MCQ at the end of each online lecture.  In addition, the MyUni course has a number of sequential, written tests of clinical topics available in the “Assessment” section with model answers provided.

Summative Assessment (compulsory for grading)

Five bands are available to determine the assessment for the Human Reproductive Health rotation in fifth year of MB,BS.

A - Above expected competency for Year
B - Clearly at expected competency for Year 5
C - Just reaches expected competency for Year 5
D - Below expected competency for Year 5
E - Far below expected competency for Year 5

As this is a competency-based assessment, covering areas such as professional behaviour and clinical skills, it is not possible to allocate absolute percentage numbers. However, as a guide, a student achieving an A grade would be above 65% in all areas, a B from 55-65%, C 50-55%, D 45-50% and E <45%.

Your final grade in this attachment is determined by a four part assessment:

0. Clinical Case & Viva Examination
0. Multiple choice aQuestions & Script Concordance Test

See appendix C for the calculation of the overall grade based on performance in each part of the assessment.

Clinical Case (See appendix B for marking sheet)

This is conducted late in the term.The women chosen to assist in the examination may be experiencing a normal or abnormal pregnancy, may have recently delivered and have a newborn baby or may have a gyaencological problem.

Examiners: One Academic or one clinical teacher

Format:

• Observed history and examination 30 minutes
• Break 10mins
• 20 minute case presentation to examiner
• Total = 60 minutes

The aim of the Clinical Case is to allow the student to demonstrate the ability to take and record a medical history and to perform a physical examination that is appropriate for the condition with which the woman is presenting.The minimum level of performance is to be equivalent to that which would be demonstrated by a competent Resident Medical Officer undertaking a booking/admission visit to hospital.The history and physical examination findings may be recorded on (unannotated) hospital record forms.Candidates are not allowed to bring forms that they have annotated.

General

History Taking:

The student should take a history from the woman that includes the medical, surgical, obstetric, social, menstrual and drug history relevant to the problem(s) identified.When a neonate is present all relevant aspects of history, relevant to it, should be obtained from the mother.Evidence of clinical reasoning (not merely the recording of facts), interaction and empathy with the woman will be assessed.

Physical Examination

General:

System-based physical examination that is relevant to aspects elicited in the history is required. The appropriateness and technique of the examination will be assessed.

Specific:

For an obstetric patient the student should:

• request the presence of a chaperone
• examine the abdomen
• assess the presentation and lie of the fetus
• ask for results of urinary protein if hypertension is present

Pelvic or breast examination is not to be undertaken unless directed by the examiner.

For a neonate

• the student should undertake a full physical examination of the neonate

For a gynaecological patient the student should:

• request the presence of a chaperone
• examine the abdomen
• undertake a breast and vaginal examination (where patient consent is obtained and authorised by the examiner)

Case Presentation

The case should be summarised and presented concisely, emphasising the relevant facts.A provisional diagnosis, based on the history and physical examination should be made.

Students will be expected to show that they have formulated a plan of care.Questions may be asked to assess the student’s clinical reasoning and understanding of the science/physiology/pathology of the condition involved.

Case record

The case record prepared by the student will be assessed for both content and legibility.

Clinical Viva (see appendix B for marking sheet)

Examiners: One Academic or one clinical teacher (wherever possible)

Format:

Follows the Clinical Case: 20 minute oral examination on diagnosis and management of patient.

Multiple Choice Questions

The written exam includes Multiple Choice Questions and Script Concordance test Questions in one 3 hour exam.

A Script concordance Test

A single best answer test of clinical reasoning will be held at the end of term.Students are advised to become familiar with the Script Concordance Test by visiting the SCT website:

http://www.fpcmed.umontreal.ca/www.health.adelaide.edu.au/

Voluntary Prize Examination

The marks for the term will be used to invite the top students to a prize viva in the week following the Year 5 End-of-Year Examinations to determine the winners of the O&G prizes. Each year a Ruth Heighway prize and an Ian Furler prize are awarded to the top students in Human Reproductive Health. RANZCOG also awards a prize to the top student in O&G at the University of Adelaide.

All students attending the prize viva, who do not receive one of the main prizes, are awarded a prize by the Discipline of Obstetrics & Gynaecology which includes a cheque for $100.

Year 5 End-of-Year Examination

Written and practical examinations are held at the end of the year to assess competence in the MBBS Program. Included in these exams will be some Obstetrics & Gynaecology questions.

Review of Course

Each year, in November, members of the Discipline of Obstetrics & Gynaecology review the whole of the year’s teaching program in order to incorporate and emphasise newer areas of importance and to reduce the input of those areas of knowledge considered to have lessened in importance.In addition, the assignment of teaching personnel is decided.It would be helpful if students would complete the questionnaire handed out at the written exam on the last Friday of the rotation.

You are asked to nominate your best teacher amongst the junior staff and the best teacher amongst the non-academic senior staff.

Student Representative

Student representative at Discipline of Obstetrics and Gynaecology management meetings.

Each term the students attending the O & G course are invited to appoint a student representative for that term. This student is welcome to attend any of the discipline meetings below scheduled during that term and report on any teaching/learning issues. The meetings are usually held at 2.30 pm on Fridays on the second floor of Medical School North. (Check with Jacki Smith first on 8161 7619). Attendance is voluntary.

Sixth Year Elective

Year 6 Elective in Human Reproductive Health.

An elective term of 6 weeks is available in Year 6 of the MBBS Program through the SCAP program.This elective is strongly recommended to students who may be considering a career in Obstetrics and Gynaecology.To date these terms have been undertaken at the Women's and Children's Hospital or the Lyell McEwin Hospital and are tailored to the interests of the student. We are happy to negotiate alternative arrangements for any student with a special interest that may be better met by attachment to one of the other teaching hospitals.

Students undertaking this elective are encouraged to arrange some time in the private sector, which we will assist with.Interested students should contact Professor MacLennan's secretary to inform us of their interest and for more information.

Course Expectations

The following provides a guide to 5^th year medical students in obstetrics and gynaecology regarding the depth of learning required in this course.By the end of the course you should be able to manage problems or questions under the following headings:

Without direct supervision
Routine antenatal screening tests
Ovulation and the ovarian cycle
Menstrual cycle and common disorders
Dysmenorrhoea
Premenstrual tension
Nausea, vomiting, heartburn, oedema, carpal syndrome, pigmentation, striae, frequency of micturition in pregnancy
Uncertain gestational age
Maternal and perinatal mortality statistics
Barrier methods of contraception
Hormonal methods of contraception
Sexually transmitted diseases
Normal sexual anatomy
Normal sexual development
Routine screening for cancer: cervical cytology, mammography

Under direct supervision
Infertile couple
Male infertility
Anovulation
Oligohydramnios
Polyhydramnios
Bleeding during pregnancy
Spontaneous miscarriage
Postpartum haemorrhage
Pre-eclampsia
Growth or maturation of the fetus
Intrauterine growth restriction
Assessment of fetal well being
Spontaneous labour
Spontaneous vaginal delivery
Induction of labour
Lactation
Difficulty with maternal-infant attachment
Puerperal pyrexia
Puerperal depression and psychosis
Sterilisation
Climacteric and menopause

Bartholin’s abscess
Vulval abscesses
Vaginitis
Salpingitis
Pelvic inflammatory disease
Urge incontinence
Stress incontinence
Utero-vaginal prolapse
Endometriosis
Common functional disorders, impotence, premature ejaculation, orgasmic failure, loss of sexual desire

Be aware of and refer the following for management

Puberty
Intersexuality
Advanced reproductive technologies
Adoption/Child free living
Prenatal genetic diagnosis
Termination of pregnancy
Ectopic pregnancy
Hydatidiform mole and choriocarcinoma
Antepartum haemorrhage
Placenta praevia
Placental abruption
Intrapartum haemorrhage
Eclampsia
Congenital malformations
Malpresentation, malposition
Operative delivery
Natural family planning
Types of sexual deviation
Sexual assault
Tumours of the vulva, cervix, uterus and ovary
Pregnancy loss, stillbirth and neonatal death

National Police Checks

It is important that students allocated to WCH begin the process of getting a National Police Check Certificate PRIOR TO THE START OF THE ROTATION as it can take more than two weeks. (see below for more info re NPCs)

The following information was recently disseminated by the Human Resources unit at the Children, Youth & Women's Health Service to all of its staff and is particularly relevant to students attending the WCH:

“As you are aware we have recently introduced a new process associated with Police Checks from 1 September 2008. On the whole the process is working quite well, however there are a number of issues that need to be addressed, as part of our monitoring process.
For Clinical Placement Coordinators/ Clinical Supervisors, Researchers, Managers, as you are aware students who attend the Hospital from Uni SA have their respective police checks administered through their University. For students of the University of Adelaide, and Flinders University and Observers they will need to provide a National Police Certificate to the Clinical Placement Coordinator, or relevant person who is then required to photocopy the certificate with the following statement written directly onto the copy to verify sighting and verification of the original document: "I certify that this is a true and correct copy of the original document”. A verified photocopy of a National Police Certificate is to also include the following: signature and date of verification, the name and position title of the signatory (clearly legible), and whether the placement is a student of observer. The verified photocopy is then required to be sent to the Administrative Officer, Human Resources of the relevant campus (either North Adelaide or South Terrace Campus).
Should an adverse National Police Certificate be presented to the Clinical Placement Coordinator or relevant person, please contact the Director, Human Resources.”

In effect this formalizes what had been to-date a somewhat ad hoc arrangement and means that you will now NOT be able to attend the WCH for your clinical teaching sessions without a valid NPC.

The current cost for a Student Concession is $33.50 but you must have your University of Adelaide Student ID card with you.

I have attached a pdf of the application form which must be printed off and completed. You then need to take it to a police station for the police to certify.

The police have advised you need to allow between 5-15 days for processing.

For further information go to www.police.sa.gov and follow the links for the National Police Certificate.

Once you have received your police clearance, it should be carried with you at all times so if you are asked to produce it on visits or clinical attachments, you can do this immediately.”

Appendix A

References

General Texts suitable for student purchase

Clayton, Stanley G.(Ed) (2006) Gynaecology by Ten Teachers 18^th edition, Hodder Arnold UK

Finn, Bowyer, Carr, O’Connor Vollenhoven (Eds). (2005), Women’s Health. A Core Curriculum.Elsevier Australia

Drife and Magowan (Eds). (2004). Clinical Obstetrics & Gynaecology, Saunders

Symonds EM, Symonds IM (Eds)(2004)4^th Edition, Essential Obstetrics and Gynaecology, Churchill Livingstone.

Llewellyn-Jones D (Ed)(2004)8^th Edition, Fundamentals of Obstetrics and Gynaecology, Mosby.

Hofmeyr Justus G, Neilson James P, Alfirevic Zarko, Crowther Caroline A, Duley Lelia,Gulmezoglu Metin, Gyte Gillilan ML, Hodnett Ellen D. A Cochrane Pocketbook: Pregnancy and Childbirth. John Wiley & Sons Ltd. ISBN 978 0 470 51845 8

Electronic Based Reference

Cochrane Library - access via http://library.adelaide.edu.au/edb/cochrane/index.html - use anonymous login to access.

Clinic 275 has an excellent website for STI - over 100 pages of resource material.

Global Library of Women's Medicine free electronic O & G textbook website at www.glowm.com

Perinatal Practice Guidelines website – http://www.health.sa.gov.au/ppg

Motherisk: www.motherisk.org

OTIS: www.otispregnancy.org

LACTMed : http://toxnet.nlm.nih.gov/cgi-bin/sis/htmlgen?LACT

UKMi: http://www.ukmicentral.nhs.uk/drugpreg/guide.htm

Electronic Books – Available through University catalogue

Advances in Reconstructive Vaginal Surgery

CT and MRI of the Abdomen and Pelvis

Drugs in Pregnancy and Lactation

Glass' Office Gynecology

Guide to Effective Care in Pregnancy and Childbirth

Gynecologic Cancer

Hysteroscopy: Visual Perspectives of Uterine Anatomy, Physiology and Pathology

Johns Hopkins Manual of Gynecology and Obstetrics

Novak's Gynecology

Pediatric and Adolescent Gynecology(Carpenter, Sue Ellen Koehler; Rock, John A.)

Pediatric andAdolescent Gynecology (Emans, S. Jean Herriot; et al)

Reference Texts on Barr Smith Library Reserve List

James DK, Steer PJ, Weiner CP, Gonik B. (Eds)(2006)4^th Edition, High Risk Pregnancy: Management Options, WB Saunders.

Edmonds DK (Ed)(2006)7^th Edition, Dewhurst’s Textbook of Obstetrics & Gynaecology for Postgraduates, Blackwell Science.

Levene MI, Tudehope DI, Thearl MJ (Eds) (2000) 4^th Edition, Essentials of Neonatal Medicine, Blackwell Science

Other Reference Texts

Chamberlain G (Ed)(2001)3^rd Edition, Turnbull’s Obstetrics, Churchill Livingstone.

Burrow GN, Duffy TP (Eds)(2004)6^th Edition, Medical Complications During Pregnancy, WB Saunders.ISBN 0721604358

de Swiet M (Ed)(2002)4^th Edition, Medical Disorders in Obstetric Practice, Blackwell Scientific.

Creasy RK, Resnik R (Eds)(2004)5^th Edition, Maternal-Fetal Medicine, Saunders.

Cunningham FG, Whitridge WJ (Eds)(2005)22^nd Edition, Williams Obstetrics, Appleton & Lange.ISBN 0071413154

Fox H, Wells M(Eds)(2003)5^th Edition, Haines and Taylor Obstetrical and Gynaecological Pathology, Churchill Livingstone. ISBN 0443063850

Keeling JW (Ed)(2001)3^rd Edition, Fetal and Neonatal Pathology, Springer-Verlag.

Holmes KK (Ed)(1999)3^rd Edition, Sexually Transmitted Diseases, McGraw-Hill.

4^th Edition (2004) on order

Videotapes available for viewing

0. Sharing the Joy of Birth
   Introductory video shown at parent education classes.
0. Oral Contraception - Answers to Common Questions
   Twenty questions on oral contraception commonly asked by patients, answered by Dr. John Guillebaud, London.There are two other tapes in this contraception series, if students are interested.
0. Nature's Way
   A series of four, fifteen minute tapes on breast feeding.