Obstetrics and Gynaecology

Obstetrics and Gynaecology department is one of the clinical departments situated in the center of the faculty facility between the basic medical sciences building and the Dean’s office. It occupies the fist floor of the building shared by the department of medicine. The first head of the department was Professor Lumsden. His successors were:

 · Dr. Asim Zaki

  • · Professor Stern
  • · Professor Hadad Omer Karoum
  • · Professor Hamid Roshwan
  • · Professor Abdulsalam Gerais
  • · Dr. Hamid Elnaeem
  • · Dr. Saad Eldin Mohamed Elfadil
  • · Dr. El Goni Adduerrahim
  • · Dr. Mubarak Elbashir
  • · Dr. Bashir Elgaili Elimam
  • · Dr. Zaki Mustafa Salih
  • · Dr. Duria abdulwahab Elrrayes

Obstetrics is the branch of medicine dealing with the care of a woman and her offspring during pregnancy, childbirth and the puerperium. Gynaecology is the specialty dealing with the female reproductive organs, the two (Obstetrics and Gynaecology) are often combined to form a single medical and surgical specialty that prepares the practicing OB/GYN to be adept at the surgical management of the entire scope of clinical pathology involving female reproductive organs, and to provide care for both pregnant and non-pregnant patients.

Obstetrics and gynaecology includes the following subspecialties:

Maternal-fetal medicine (MFM) is the branch of obstetrics that focuses on the medical and surgical management of high-risk pregnancies. Management includes monitoring and treatment including comprehensive ultrasound, chorionic villus sampling, genetic amniocentesis, and fetal surgery or treatment. An obstetrician who practices maternal-fetal medicine sometimes is known as a perinatologist.

Gynecologic Oncology is a field of medical specialization which deals with the study and treatment of malignancies arising in the female reproductive tract. It deals with cancer and tumous arising from the ovary, endometrium, Fallopian tubes, cervix, vulva, vagina and trophoblastic disease.

Reproductive endocrinology and infertility (REI) is a surgical subspecialty of obstetrics and gynecology that addresses hormonal functioning as it pertains to reproduction. While a major focus of REI is infertility, reproductive endocrinologists also evaluate and treat hormonal dysfunctions in female and males outside of infertility. Reproductive surgeons operate on anatomical disorders that affect fertility. Reproductive endocrinologists have a specialty training in obstetrics and gynecology before they undergo subspecialty training (fellowship) in reproductive endocrinology and infertility.

Urogynecology: Is the division that provides comprehensive evaluation and diagnostic testing in women with complex pelvic floor conditions including urinary and fecal incontinence, pelvic organ prolapse, genitourinary fistulas, and congenital anomalies.

Family planning is dealing with birth control including both female and contraception and sterilization.

The department activities:

  • · Lectures: these are delivered by professors, associate professors and assistant professors. Obstetrics and gynecologic lectures are completed by the end of the fifth year.
  • · Tutorials: these are done in small groups for the final students taking their major shift in obstetrics and gynaecology.
  • · Seminars: these are delivered by the senior staff to the fifth and sixth year students
  • · Practical skills sessions: these are designed to teach the student the skills in general medicine and basic and advanced obstetric and gynaecological procedures. It is done on the skills laboratory using mannequins and other audiovisual aids.
  • · Clinical sessions: clerkship for fifth and sixth year students to help students deal and communicate with patients in real life. It involves discussion of most of the obstetrics and gynaecologic cases.

Final examination: the written part of the exam is formed of multiple choice questions in the single best answer format. It covers the entire syllabus. The practical part is in the form of one obstetrical long case and an objectively structured practical examination (OSPE) that replaced the viva. The department is planning to introduce the Objectively Structured Clinical examination (OSCE) as a substitute for the long case. The department has an examination committee responsible for preparation of the different parts of the examination. All the department members contribute to the examination.

Clinical and other department activities:

  • · The department has two general obstetrical and gynaecological units in Khartoum Teaching hospital and four units in Soba University hospital. There are three specialized units supervised by the department members:
  • · Colpocopy clinic in Saad Abu Elila Hospital.
  • · Reproductive and infertility center in Saad Abu Elila Hospital.
  • · Maternal and fetal medicine unit in Soba university hospital

Future plans:

  • · Address deficiencies in the undergraduate curriculum and improve clinical exposure for medical students
  • · Promotion of research in obstetrics and gynaecology
  • · Promote lifelong learning through the development of a Continuing Medical Education program for members of the Department
  • · Initiation of Subspecialty training programs for the registrars and Jonior specialists in Obstetrics and Gynaecology.
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