PUBLIC EDUCATIONAL RESPONSIBILITIES .1 Standard FELLOW IN REPRODUCTIVE MEDICINE A

133 Operation Policy In Obstetrics and Gynaecology Services 2. To carry out non clinical duties as directed by the head of the unit, the head of department, or the hospital director. 3. To organize continuous medical education for the personals of the department 4. To attend talks, seminars, courses, and conferences to improve and update knowledge. 5. To plan and organize the ART discussion. 6. To participate in, and implement departments CME activities,QA activities, research projects, patient satisfaction studies, innovation and key performances indicators. 7. To assist in the organization of the departments courses. B Clinical 1. To conduct assessment of the patients and plan a treatment plan for the patient. 2. To provide effective efficient and professional Reproductive Medicine services. 3. To assist during the surgeries performed by Reproductive Medicine Subspecialist. 4. To counsel patients on the nature of the disease, its sequels, the treatment options, complication of treatment, outcome. OPERATIONAL POLICIES 134 Operation Policy In Obstetrics and Gynaecology Services 5. To obtain the necessary consent for surgical intervention and blood transfusion. 6. To assist in the end of life care of the patient so as to ensure a dignified death. 7. To provide professional clinical leadership and supervision to the medical officers. 8. To undertake call duties as per roster 9. To be up to date with the trends and development in reproductive medicine by keeping abreast of relevant literature conferences and courses. OPERATIONAL POLICIES 135 Operation Policy In Obstetrics and Gynaecology Services OPERATIONAL POLICIES

20.0 UROGYNAECOLOGY

Standards 20.1 Introduction 20.2 Clinical Responsibility 20.2.1 Urogynaecology clinic All patients with urogynaecological problems will be referred to the urogynaecology clinic 20.2.2 Urodynamic studies All patients will be seen by a subspecialist 20.2.3 Urogynaecology Operation Theatre All urogynaecological patients planned for operation will be seen by subspecialist 20.3 Administrative Responsibilities The urogynaecologist is the head of the urogynaecological unitteam. 20.4 Education and Research Responsibility Teaching and training of staff 20.5 Public Awareness and Support Group The urogynaecologist is responsible to create public awareness relating to incontinence and pelvic organ prolapsed 20.6 Relationship with the Department of OG The urogynaecological unit will function within the ambit of the Department of OG. 136 Operation Policy In Obstetrics and Gynaecology Services

20.1 INTRODUCTION

The subspecialty of urogynaecology, involves management of female urinary incontinence pelvic floor dysfunction. It involves team work Urogynaecologist, continence nurses physiotherapist and at times multidisciplinary team involvement urologist, colorectal surgeons geriatrician. The area of clinical services involves both diagnostic as well as therapeutic components. A urogynaecology unit comes under the purview of the Department of Obstetrics Gynaecology of the Hospital concerned. In order to provide adequate subspecialist services and maintain competence of the urogynaecologist, at least 70 of this unit’s work should be mainly urogynaecological work. The other 30 of the time should be allocated for other general gynaecological work and obstetrics. The urogynaecology unit will deal with all problems with regards to female urinary incontinence in association with pelvic floor dysfunction. Any other urological problems will be dealt with by the Department of Urology or General Surgery in the absence of such a department. 20.2 CLINICAL RESPONSIBILITY 20.2.1 Urogynaecology clinic Standard All patients with urogynaecological problems will be referred to the urogynaecology clinic Intent of 20.2.1 1. All patients referred to the urogynaecology clinic will be seen by the subspecialist OPERATIONAL POLICIES