Post Graduate Diploma in Diagnostic Ultrasound (OBGYN) in ...

FELLOWSHIP IN ULTRASOUND (OBGYN)
Objectives
To provide
− Adequate training in ultrasound techniques and be able to use the ultrasound
machine effectively
− Theoretical knowledge in obstetrics ultrasound
− Practical training in obstetrics and gynecological ultrasound
− Research in the field of obstetrics ultrasound
Skill and knowledge outcomes
At the end of the course
− The students will be proficient in ultrasonographic diagnosis of obstetrics and
detect fetal anomalies independently
− Experience in Doppler recordings of maternal and fetal circulation
− Will acquire transferable skills that includes
− practical skills in teaching
− Research skills – critical review of literature and statistical methods
− Communication skill
Eligibility
- M.B.B.S. Degree from any Medical University recognised by MCI
- Selection will be made by Interview

Syllabus
The students will go through the following modules during the 2 year course.
First year
Module – 1 – Basics of Ultrasound
• Physics of medical ultrasound
• Biostatistics
Module – 2 – Basic sciences related to ultrasound and clinical OBGYN
• Embryology
• Anatomy & Physiology of reproductive System
• Pathology
• Clinical aspects of Obstetrics and Gynaecology
Module – 3 - Gynaecology
• Ultrasound Anatomy of Pelvis and USG related pathology of pelvis
Module 4
• Obstetrics Ultrasound – Part 1
Second Year
Obstetrics Ultrasound – Part II
Module 5 - Fetal Environment & Doppler
Module 6 - Fetal anomalies & 3D Ultrasound
Module 7- PROJECT

Annexure – 1
Syllabus for the Ist Year Students
PAPER – 1 – BASICS OF ULTRASOUND
Physics of ultrasound & Biostatistics
Introduction of ultrasound
Physics & Bioeffects of ultrasound
Instrumentation & Knobology
Principles of Imaging techniques, Equipment maintenance, basics of power
supply and Networking
Basic ultrasound appearances like cysts, solids and complex masses
Bedside manners, medicolegal issue
Biostatistics
Mean, Median, Mode and Standard Deviation
Correlation and Regression
PAPER – II
EMBRYOLOGY, ANATOMY, PHYSIOLOGY OF REPRODUCTIVE SYSTEM,
PATHOLOGY & CLINICAL ASPECTS OF OBSTETRICS AND GYNAECOLOGY
Embryology
• General embryology
• Development of main organ systems CNS - spinal cord and brain, CVS, urinary
system, digestive tube and its derivatives
• Development of placenta and membrane
• Basic principles and mechanism of teratogenesis
Anatomy & Physiology of reproductive System
• Sectional anatomy and physiology related to obstetrics and gynaecology
Pathology
• Gynaec Pathology
• Fetal and placental pathology

Clinical aspects Obstetrics and Gynaecology
Pregnancy
• Diagnosis
o
Clinical / US/ HCG
• Early preg problems
o
o
Bleeding in early preg
Pain
• Ectopic & Pregnancy of unknown location
• Second / third trim bleeding
o
o
o
Placenta previa
Abruption
others
• Maternal diseases in pregnancy
o
o
o
o
HTN/ PIH/Preeclampsia
Diabetes
Autoimmune
Haematological
• Fetal well being - perinatal hypoxia
o
Orientation to BPP with basic CTG
• Labour
Gyn
• Menstrual cycle and ovulation
o
Normal physiology
• Anovulation including pcos
o
Why anovulation – what do we expect on ultrasound
• Uterine malformations
• Dub
o patterns what to look for

o
How ultrasound helps management
• Postmenopausal bleeding
o
o
Causes
Management
• Fibroids
• Endometriosis and adenomyosis
• Ov cysts
• Infertility
PAPER - III – GYNAECOLOGICAL ULTRASOUND
Ultrasound Anatomy of Pelvis and USG related pathology of pelvis
Uterine and ovarian sonography
Transvaginal ultrasound and follicular monitoring
An understanding of the menstural cycle
Pelvic inflammatory disease
Poly cystic ovarian syndrome
Endometriosis
Uterine fibroids, Adenomyosis & polyps
Endometrial pathology
Adnexal lesions
PAPER - IV - OBSTETRICS ULTRASOUND – PART I
Ultrasound evaluation in Ist trimester – including 11-14 weeks
Ultrasound evaluation in IInd trimester – Target Scan & ultrasound evaluation of
cervix
Ultrasound evaluation in IIIrd trimester – Growth Scan
Biochemical screening
PRACTICALS
Hands on training in pelvis, USG related pathology normal and abnormal.
Hands on training in obstetrics, Normal and Abnormal

Obstetrics Ultrasound – Part II
Syllabus for the 2 nd Year Student
PAPER – V - FETAL ENVIRONMENT & DOPPLER
• Biometry and biophysical profile
• USG evaluation of Placenta
• USG evaluation of Cord
• USG evaluation of Amniotic fluid
• Role of Doppler in OBGYN
PAPER VI - FETAL ANOMALIES & 3D ULTRASOUND
Ultrasound evaluation of the following fetal anomalies
• CNS anomalies
• Cardiac anomalies
• Genitourinary anomalies
• Gastro intestinal tract anomalies
• Abdominal wall
• Neck and Face
• Fetal hydrops
• Multiple pregnancies
3D ultrasound
• Role of 3D ultrasound and OBGYN imaging
PROJECT
PRACTICALS
Hands on training in obstetrics ultrasound, fetal environment and fetal anomalies.
Observation of interventional ultrasound and therapy project
Case based discussion obstetrics ultrasound
Books recommended for reference
1. Clinically oriented Anatomy – By Keith Moore Arthur F. Dalley
2. Sear's Anatomy for Nurses – R.S.Winwood and J.L.Smith
3. Developing Human clinically oriented Embryology - Keith Moore
4. Abdominal ultrasound and OBGYN ultrasound – Roger Sanders, Peter Callen,
Carol M.Rumuck, Vol II obstetrics.
5. Diagnostic ultrasound of fetal anomalies by David A. Nyberg et. al.
6. Medicine of the fetus and mother by Reece and Hobbins.

Examination
At the end of every year there will be theory and practical examinations as follows
IST YEAR
S.L.
No
Subject Theory IA Practical Viva
I Basics of Ultrasound 100 50
II Basics sciences
related to ultrasound
(Embryology,
Anatomy,Physiology
of reproductive
system, Pathology
and Clinical aspects
of Obstetrics and
Gynaecology )
III
IV
IInd Year
Gynaecological
Ultrasound
Obstetrics Ultrasound
– Part I
Max Min Max Min Max Min Max Min
100 50
100 50
100 50
50 25 100 50 50 25
S.L.No Subject Theory IA Practical Viva
V
VI
Fetal Environment
& Doppler
Fetal anomalies &
3D ultrasound
Max Min Max Min Max Min Max Min
100 50
100 50
50 25 100 50 50 25
EVALUATION OF DISSERTATION
Evaluation of Dissertation 200
Viva/Presentation 50
IA 50
Total 300
Passing Minimum 150