Clinical Electives Abroad: Cardiology Angioplasty & Stent placement and OBGYN laparoscopic Fibroid Removal clinical observation at UMMC

During my clinical rotation for two weeks in the Obstetrics and Gynecology (OBGYN) Department at University Malaya Medical Centre (UMMC) under the supervision of Dr. Rahma Saeed, I was exposed to a broad spectrum of cases, wards, and surgical procedures, enhancing my understanding of this critical medical field. For example- I had the opportunity to assist in and observe the procedure of controlled cord traction (CCT) during normal birth. This procedure is employed to aid in the delivery of the placenta after the birth of the baby, facilitating the third stage of labor and minimizing the risk of postpartum haemorrhage. 

Throughout my rotation, I worked in various specialized wards, each presenting unique learning opportunities. In the antenatal ward, I encountered a variety of conditions such as gestational diabetes, preeclampsia, and preterm labor. I also managed patients with hyperemesis gravidarum, a severe form of morning sickness, and multiple pregnancies, which require meticulous monitoring and care. The postnatal ward provided insights into postpartum hemorrhage, which can be life-threatening if not managed promptly, as well as lactation issues and newborn care, including neonatal jaundice and breastfeeding difficulties. In the gynecology ward, I observed the management of complex cases like ovarian cysts, uterine fibroids, endometriosis, and pelvic inflammatory disease. Additionally, I encountered patients with gynecologic cancers, such as cervical and ovarian cancer, which involved multidisciplinary care approaches.

Obstetrics & Gynecology Department /private document

Under Dr. Rahma Saeed's expert guidance, I had the opportunity to observe and assist in a range of surgical procedures. These included cesarean sections, both elective and emergency, performed for indications such as fetal distress, breech presentation, and placenta previa. I witnessed hysterectomies performed for uterine fibroids, severe endometriosis, and heavy menstrual bleeding unresponsive to medical therapy. Laparoscopic surgeries for ovarian cyst removal, treatment of ectopic pregnancies, and adhesiolysis for pelvic adhesions were also part of my learning experience. Additionally, I observed myomectomies for fibroid removal, which preserve the uterus for future fertility, and endometrial ablations to treat heavy menstrual bleeding. Diagnostic and therapeutic procedures such as hysteroscopies and colposcopies were essential in evaluating and managing various gynecological conditions, including abnormal uterine bleeding, polyps, and precancerous lesions of the cervix. 

Case Presentation /private document

Being in one team for case discussion with the UM Medical Students /private document

Throughout my rotation, I learned about the complications associated with both obstetric and gynecologic conditions. In obstetrics, complications such as preeclampsia can lead to eclampsia, a severe condition characterized by seizures, while gestational diabetes can result in macrosomia, increasing the risk of birth complications. In gynecology, endometriosis can cause severe chronic pain and infertility, while untreated pelvic inflammatory disease can lead to abscess formation and chronic pelvic pain. The OBGYN department's multidisciplinary approach, involving collaboration among obstetricians, gynecologists, nurses, anesthetists, and pediatricians, was crucial in managing these complications effectively and ensuring comprehensive patient care. In conclusion, my rotation in the OBGYN department at UMMC was an enriching and transformative experience. 

Submucosa Fibroid /private document

My clinical electives in cardiology and OBGYN at University Malaya Medical Centre significantly enhanced my clinical skills and broadened my understanding of these vital medical fields. The hands-on experience and exposure to a diverse range of cases under expert supervision deepened my practical knowledge and diagnostic abilities. These electives have equipped me with a solid foundation and confidence to pursue a career in medicine with a holistic, patient-centered approach.

Certification at the End of the Clinical Elective /private document