This residency program is for 6 months.

Program length of training does not exceed the Royal College or College of Family Physicians of Canada standard.

Curriculum for Enhanced Skills in Operative Delivery

Purpose:  To facilitate high quality, comprehensive obstetrical care, including operative delivery, by family physicians working within skilled professional teams in rural Canadian centers.

A.  Core Competencies:

The successful trainee has demonstrated that he/she is able to independently:

1. Manage normal labour and delivery including episiotomy and repair of perineal lacerations.
2. Manage abnormal labour including failure to progress, antepartum hemorrhage, chorioamnionitis, fetal distress, premature rupture of membranes, and threatened preterm labour.
3. Manage obstetrical emergencies including malpresentation, shoulder dystocia, pre-eclampsia, uterine rupture, umbilical cord prolapse, and abruptio placentae.
4. Counsel women and their families regarding the options risks and benefits to elective C. Section and trial of labor after cesaerian section.
5. Manage postpartum complications including postpartum hemorrhage( including a D&C), retained placenta( including manual removal), and sepsis.
6. Repair 1st, 2nd, and 3rd degree perineal injuries.
7. Perform cesarean section (elective and emergency) for appropriate indications and manage peri-operative care.
8. Recognize and develop strategies for addressing risks and complications of cesarean section (infection, hemorrhage, injury to bladder or bowel, deep vein thrombosis).
9. Perform tubal ligation at the time of cesarean section for appropriate indications.
10. Stabilize and facilitate safe patient transfer for appropriate indications.

B.  Additional Knowledge (Optional Competencies)

The successful trainee of this program has demonstrated an extensive knowledge of, and, given appropriate clinical exposure, might have successfully attained competency

1. Operative vaginal delivery, including low forceps, for appropriate indications.
2. 4th degree perineal injuries
3. Bakri Balloon insertion.
4. B-Lynch suture.
5. Cystotomy repair or enterotomy repair.
6. Dilatation and Curettage for incomplete abortion
7. Postpartum tubal ligation.