Mahatma Gandhi Medical College & Research Institute Puducherry-607 403 Department of Obstetrics & Gynaecology Entrusted Professional Activities (MS) General EPA Competency Domains Level of competency (Mile Stone ) MSF MK P Day 1 of of 1st of End of 3rd 1 Gathering a history and performing physical examination * * * * * * II III IV V S,P,PG,I 2 Prioritizing a differential diagnosis following a clinical encounter * * * I II III IV S,PG,I 3 Recommending and interpeting common diagnostic and screening tests * * * * * II II III IV S,I 4 Entering and discussing orders and prescriptions and giving the necessary instruction to the patients * * * * * * I II III IV S,P,PG,I 5 Documeting a clinical encounter in patient record * * * II II III IV S,PG,I 6 Provide an oral presntation of a clinical encounter * * * I II III IV S,PG,I 7 Form clinical questions and retrive evidence to advance patient care * * I II III IV S,I 8 Give or receive a patient handover to transition care responsibility * * * * * I II III IV S,PG,H,I 9 Collaborate as a member of an interprofessional team * * * I II III IV
10 Recognize a patient requiring urgent or emergency care and initiate evaluation and management * * * * * * I II III IV S,P,PG,P,I 11 Obtain informed consent for tests and/or procedure * * * * * I II III IV S,P,PG 12 Perform general procedure of a physician * * * * * * I II III IV S,PG,I 13 Identify system failure and contribute to a culture of safety and improvement * * * * * * I II III IV S,PG,I 14 Interpretation of data and Test reults * * * I II III IV S,PG,I 15 Prividing Pre,Per and Postoperative Care * * * * * I II III IV S,P,PG,H,I 16 Securing IV line * * * I II III IV S,P,PG,I 17 Female catheterization * * * I II III IV S,P,PG,I 18 General examination * * * I II III IV S,P,PG,I OBSTETRICS EPA Competency Domains Level of competency (Mile Stone ) MSF MK P Day 1 of of 1st of End of 3rd 19 Counselling for VBAC / TOLAC * * * * * I I II III S,P,PG,I 20 Performing Obstetric palpation * * * * I II III IV 21 Diagnosis of labour pain * * * I II III IV S,PG, 22 Performing Common Obstetrics Procedure (Normal delivery,Episiotomy repair,Repair of Episiotomy ,I & II degree Perineal tear ) * * * I II III IV
23 Performing Complecated obstetrics procedures( Repair of IIIdegreePerineal tear ,Complete perineal tear,Assisted breech delivery, External cephalic delivery, Caesarean Section,MROP, Shoulder Dystocia ) * * * * I II III IV S,PG,H,I 24 Performing Cerclage operation * * * I II III IV S,PG,H,I 25 Managing a case of PPH * * * I II III IV S,PG,H,I GYNAECOLOGY EPA Competency Domains Level of competency (Mile Stone ) MSF MK P Day 1 of of 1st of End of 3rd 26 Performing Common Minor Gynaecological Procedure and Rectal Examination, Obtaining Pap Smear,VIA,VILI, Cervical Biopsy, Colposcopy, Paracentesis, Colposcopy, D&C, FC, Polypctomy) * * * * * I II III IV S,PG,H,UG 27 Performing Common Major and Closure of hysterectomy,Ward Mayo’s operation,Sling * * * * * I II III IV S,PG,H
operation for Pelvic Organ Prolapse) 28 Performing Complex Surgery(Staging laparotomy,Radical hysterectomy, Diagnostic and Operative Endoscopic procedures) * * * I I II II S FAMILY PLANNING EPA Competency Domains Level of competency (Mile Stone ) MSF MK P Day 1 of of 1st of End of 3rd 29 Counceling for (Contraception &MTP) * * * * * I II III IV S,P,I 30 Insertion of Cu-T * * * * I II III IV S,PG,H 31 Performing Minor family planning procedures (Suction & & Evacuation) * * * * I II III IV S,PG,H 32 Performing Inteval, Cocurrant ,Laparoscopic ) * * * * I II III IV S,PG,H Level of competence I Knowledge only, Can observe II Can do under strict supervision III Can do under loose supervision IV Can do independently V Has expertise to teach