INTRODUCTION ORGANISATIONAL AND ADMINISTRATIVE RESPONSIBILITIES Standard

109 Operation Policy In Obstetrics and Gynaecology Services Intent of 19.2 1. He She should be gazetted subspecialist with minimally 3 years training in this subspecialty, qualified by training and experience and overall his administrative responsibility for the provision and organization of clinical services related to Fertility and ART, Menopause, Menorrhagia, Family Planning and sterility as well as Adolescence Gynaecology. 2. An appropriate team including the following should assist him her a. Reproductive Medicine Subspecialists b. Generalist Consultants c. Generalist Specialists d. Medical Officers e. Specialised Nurses Fertility, Family planning f. Sonographers g. Embryologists h. Laboratory Technologists i. Counsellors j. Andrologist l. Immunologist m. Reproductive Physiologist n. Geneticist o. Molecular Biologist 3. The Head of Reproductive Medicine Unit will be responsible for overseeing the daily activities of the unit, financial management, staffing, equipment purchase and others. 4. The RM Subspecialist will be required to attend meetings, which are relevant to the provision of reproductive medicine services at various levels hospital, state, and national. OPERATIONAL POLICIES 110 Operation Policy In Obstetrics and Gynaecology Services 5. He She will also serve as an adviser to the Ministry of Health in matters related to Reproductive Medicine. 6. The unit will function as part of the main Department of Obstetrics and Gynaecology. The Head of Department will have the final say in all matters related to the functioning and direction of the Reproductive Medicine Services. Measurable Elements of 19.2 1. The Head of Reproductive Unit should be a gazetted sub-specialist in Reproductive Medicine. 2. An appropriate team is always present to handle the reproductive medicine patients. 3. All administrative and clinical services are run efficiently 4. Staffing, financial management and equipments are well documented and supervised. Evidence of continuous monitoring of above standards and remediable actions taken Std: 100 19.3 CLINICAL RESPONSIBILITIES 19.3.1 Standard The scope of clinical services provided should include Diagnostic, Therapeutic and Management components of Reproductive Medicine. OPERATIONAL POLICIES 111 Operation Policy In Obstetrics and Gynaecology Services Intent of 19.3.1 1. The Unit should provide a clinically competent service in the management of endocrine and fertility problems by the Reproductive Medicine Specialist Subspecialist in trainingmedical officer attached to the unit in the following :- a. Diagnosis and management of pituitary, central nervous system, thyroid and adrenal disease relating to reproduction. b. Diagnosis and management of ovarian disease related to reproduction. c. Management of endocrine deficiency states including spontaneous and induced menopause. d. Assisted conception, including ovarian stimulation and the management of hyperstimulation syndrome, ovum pick-up and embryo transfer. e. Fertility control and family planning f. Expertise in ultrasound of the uterus and ovary for follicle tracking and diagnosis of early pregnancy and its complications g. Management of Sporadic miscarriages and their complications h. Management of Recurrent miscarriages including related counselling. i. Management of Physiological and psychosexual problems related to the menopause. j. Management of Sexual dysfunction. k. Management of Paediatric and Adolescent gynaecological problems. l. Management of Menorrhagia. 2. Surgical expertise :- a. Minimal excess surgery competency level III-IV b. Surgeries related to sterility c. Diagnostictherapeutic hysteroscopic surgeries d. Transcervical resections e. Ablative methods of surgery OPERATIONAL POLICIES