Tutorial 19 April 2012

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We usually have an extra Sunday tutorial 8 days before the exam starts. A number of people are away, but we felt that there would be enough people around to make it worthwhile. So, we will have the tutorial on Sunday 6th. May. Probably starting about 10.30 a.m. UK time.
1. We started with a discussion about what you would do if a woman came for review to the clinic and wanted to know the results of her husband's semen analysis. If you don't have his permission to disclose information, you can't tell her anything. This is clearly not likely to be a station! If it was part of a roleplay, I am sure that there would be some evidence of his permission or the examiner would say that there was.
2. The next station was based on a role play from May 2010. The instructions were: "the parents of a 12-year-old girl with epilepsy and mild intellectual disability want her to have contraception. Please counsel".
This is not easy! Before you listen to the discussion, write what you think would be your plan for the station and send it to me. I'll write what I think and send it to you.
3. We then had a viva on breastfeeding. This is a station you need to prepare. It is 20 years this year since the Baby Friendly Initiative was set up. This could make an examiner think it a good time to have the question.
I made it a structured viva. The first question was: "what are the key facts and figures about the pracitce of breastfeeding in the UK and the advice from the WHO"? The next was "what are the benefits of and contraindications to breastfeeding"? And finally: "what are the key steps that must be taken for a hospital to be accredited as 'Baby Friendly'?
4. We then had a discussion about how to handle a station on domestic violence.
5. We had a quick roleplay with a patient coming to the colposcopy clinic after a smear showed severe dyskaryosis.
You can tell that we have been doing OSCE practice for sometime as we are getting better and quicker.