Proposed M1 and M2 for Women’s Reproductive health Women’s Reproductive health  M1 component shared time with Endocrinology  Due to significant overlap between basic sciences base for both disciplines.  Covers 4 week interval January 19- Feb. 13  M2 separately delivered.  Covers 3 week interval Oct. 12-Oct. 30  Sequenced prior to kidney and after endocrinology M1  Global objectives  M1 consists of the basic science foundation (anatomy, histology, pharmacology, embryology, genetics, and physiology) followed by a clinical introduction to Women’s Health preventative care, family planning and prenatal care. This foundation will enable a sound background in normal women’s reproductive health to allow disease processes to be explored in M2 Women’s Reproductive Health Issues. The M1 course will be delivered in collaboration with endocrinology. M1 WRH  Longitudinal course goals:  Aboriginal Women’s Health  Domestic Violence  Healthy Sexuality  Sexual Assault  Clinical reasoning -making sound contraceptive choices  Ethics applied to Reproductive Health and endocrinology cases  M1 WRH and endocrine Global objectives  Describe the normal anatomy of the endocrine and female reproductive tract.  Describe the normal physiology of the endocrine and female reproductive system.  Describe the normal physiology and endocrinology of pregnancy.  Describe the histology of the endocrine and reproductive system.  Describe the chemistry of reproductive hormones and their control of reproduction.  Describe the changes in female reproductive cycle related to puberty, menstruation, contraception and menopause.  State the basic principles of pharmacology as applied to drugs used in endocrinology, women’s reproductive health care and pregnancy.  Describe the normal embryologic development of the endocrine and women’s reproductive tract systems.  Explain the physiology of pregnancy with regard to placental transfer, fetal oxygenation, maternal acid base balance, fetal lung maturation, major system changes in the mother, and lactation  M1 schedule as per hand out available in final excel document M2 WRH Global Objectives  Describe the normal life cycle of the reproductive tract.  Classify, diagnose and treat benign changes from normal in the vulva, vagina, cervix, endometrium, body of the uterus, fallopian tubes, and breast.  Classify, diagnose and treat pre-malignant and malignant changes from normal in the vulva, vagina, cervix, endometrium, body of the uterus, fallopian tubes and breast.  Identify pathogens commonly encountered in female genital tract and the prevention and treatment of infections caused by these agents.  Discuss care management in the intrapartum and postpartum period.  Recall assessment of neonatal well being. M2 WRH Global Objectives  Discuss complications of pregnancy, and early pregnancy loss including risk factors prevention, screening diagnosis, management and prognosis.  Discuss the epidemiology, prevention, screening, diagnosis, management and management of complications of treatment, and prognosis of common general gynecologic problems related to congenital, inflammatory or neoplastic lesions, urogynecologic problems, perimenopausal disorders, abnormal uterine bleeding, endometriosis and adenomyosis, the climacteric, pediatric and adolescent gynecology and sexually transmitted diseases.  Discuss the epidemiology, prevention, screening, diagnosis and management of perinatal infections, including HIV, syphilis, rubella and other viral infections.  Apply knowledge of gynecologic endocrinology to differentiate normal from amenorrhea and dysfunctional uterine bleeding, normal pubertal development from abnormalities.  Outline the common surgical procedures employed in gynecology including indications, complications and prognosis.  Outline the common benign diseases of the breast and their treatment, outline screening programs for Breast cancer, outline epidemiology, diagnosis and treatment for breast cancer. Longitudinal presentations  Domestic violence and sexual assault have been removed due to time constraints these will need to be covered in longitudinal courses. M1 or 2  Chronic pelvic pain has also been removed this could be accommodated in composite clinical presentations M2 and clinical reasoning  Family planning and incontinence should also be revisited in composite clinical presentations, also amenorrhea and abnormal uterine bleeding. M1, M2 and clinical reasoning  Pregnancy should be revisited in the longitudinal course, social determinants of health are very important for access to quality prenatal care. M1 and M2  A longitudinal element that would be a good fit with this curriculum in the week where obs is discussed would be fetal alcohol syndrome and addiction disorders during pregnancy, newborn outcomes and care. Do not have enough time in the base curriculum to do this. M1  Genetics needs additional coverage longitudinal courses M1and in M2 related to cancer risk and genetics  Revisit hematologic, diabetic and hypertensive disorders in M2 related to pregnancy  Social determinants of health related to cancer screening and prevention in M2