PGIM MD ObGyn study plan

Break the Obstetrics syllabus into 12 sub-topics (booking care, medical disorders, fetal growth, preterm labour, labour, intrapartum monitoring, operative delivery, haemorrhage, hypertensive disease, sepsis, puerperium, neonatal adaptation) and rate your confidence on each from 1-5 to set the order you will revise them in.

Write out a complete antenatal schedule covering booking bloods, dating and anomaly scan windows, gestational diabetes screening, anti-D prophylaxis and each trimester's routine review, then check it against current national guidance and correct any gaps.

Classify the major medical disorders in pregnancy (cardiac, renal, thyroid, epilepsy, diabetes, autoimmune) and state for each the drug that must be stopped or switched and the surveillance test that must be repeated each trimester.

Interpret 15 short antenatal vignettes (low PAPP-A, abnormal oral glucose tolerance test, isolated short cervix, rhesus sensitisation, abnormal triple test) and write the single next step and the timeframe for each.

Draw a blank partogram from memory and label the alert and action lines, then mark four worked cases (normal, slow latent phase, prolonged first stage, obstructed labour) and state the action at each mark.

Categorise 20 cardiotocograph descriptions into normal, suspicious and pathological, and write the recommended action and the time limit for each category.

Compare vacuum, forceps and caesarean at full dilatation by indication, prerequisites, failure rate and maternal and fetal complications in a three-column table.

Explain the mechanism of the third stage and list the causes of a prolonged second stage with the mechanical and pharmacological options for each.

Rehearse shoulder dystocia and cord prolapse as timed five-minute verbal drills, naming every manoeuvre in the correct sequence.

Rank the causes of postpartum haemorrhage and write a stepwise management ladder from uterine massage and uterotonics through tranexamic acid, balloon tamponade, uterine artery embolisation and hysterectomy, placing each step at the correct point.

Derive the loading and maintenance doses of magnesium sulfate for eclampsia, list the signs of toxicity in order of appearance and state the antidote and monitoring interval.

Distinguish puerperal sepsis from amniotic fluid embolism and from pulmonary embolism by onset, cardinal sign and immediate first three actions.

Differentiate baby blues, postnatal depression and puerperal psychosis by timing, red flags and management setting, and state the mandatory safeguarding step in each.

Write full structured answers to five obstetric emergency short-answer questions under a 6-minute-per-question limit.

Build a classification of abnormal uterine bleeding using the PALM-COEIN framework and map each cause to its first-line investigation.

Compare fibroids, adenomyosis and endometriosis by presentation, imaging finding, medical options and surgical options in a single table.

List the differential diagnosis of an adnexal mass by age group and state the risk-of-malignancy index components and how the score changes management.

Outline the investigation and treatment pathway for pelvic inflammatory disease and for ectopic pregnancy, including the eligibility criteria for methotrexate and for expectant management.

Explain pelvic organ prolapse and urinary incontinence by mechanism, staging and the conservative-to-surgical ladder.

Draw the hypothalamic-pituitary-ovarian axis and place the site of action and the feedback effect of each major drug and each common endocrine disorder on the diagram.

Work through the infertility workup in order, stating the test, the timing in the cycle and the interpretation threshold, then compare ovulation induction agents by indication and cycle-monitoring requirement.

Compare combined hormonal, progestogen-only, barrier, intrauterine and emergency contraception by mechanism, absolute contraindications and failure rate, and state what changes for each in the immediate postpartum and breastfeeding periods.

Explain the physiology of the menopause and write the risk-benefit discussion for hormone replacement therapy including the regimen choice, the progestogen requirement and the non-hormonal alternatives.

Classify the causes of primary amenorrhoea and of hirsutism, and state the first-line investigation for each category.

Compare cervical, endometrial, ovarian and vulval cancer by risk factor, screening or presentation route, staging system, and the principle of treatment at each stage in a four-column table.

Explain the cervical screening programme logic: the test used, the age range, the meaning of a positive high-risk HPV result, the colposcopy thresholds and the follow-up intervals after treatment.

Describe the management of gestational trophoblastic disease, distinguishing complete from partial mole by karyotype, histology and follow-up duration, and state the indication for chemotherapy.

Interpret 15 oncology vignettes (postmenopausal bleeding,可疑 ovarian mass, abnormal smear, vulval ulcer) and commit to the next investigation and the referral urgency.

Summarise the genetics, screening implications and management of the common hereditary cancer syndromes relevant to gynaecology.

Audit your error logs from weeks 1-6 and rank the ten weakest sub-topics, then allocate this week's sessions to them in that order.

Review the applied anatomy and physiology that both domains share: pelvic floor and ureteric course, blood supply of the uterus, the menstrual and ovarian cycle, and the physiology of lactation.

Work through the statistics and evidence items you are most likely to meet: sensitivity and specificity, positive predictive value, number needed to treat, confidence intervals and the interpretation of a systematic review.

Practise 25 mixed-domain data-interpretation items (blood gas, graph, growth chart, screening result) at exam pace and write the reasoning chain for each.

Explain each of your ten weakest sub-topics aloud in plain language for three minutes without notes, as a test of true understanding.

Sit two full-length mixed mock examinations under strict timing and no reference material, and score each domain separately.

Analyse every incorrect response from both mocks into one of four categories: knowledge gap, misread question, faulty reasoning, or guess, and act only on the first and third categories.

Rehearse the answer format for short-answer and structured questions under time pressure, covering the obstetric emergency, the gynaecological oncology and the endocrinology formats.

Drill the high-yield numerical facts (drug doses, screening intervals, staging cut-offs, follow-up durations) using spaced repetition on days one, three and six.

Plan the final 48 hours with sleep, logistics and a one-page pre-exam checklist, and stop new material 24 hours before the paper.