Monday, 11 August 2014

Tutorial 7 August 2014

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There was no tutorial tonight as only one person came.
The topics we would have discussed are below.

EMQ. Education.
A nulliparous 25-year-old woman presents for pre-pregnancy counselling. She had bariatric surgery BS) six months ago and has lost 5 kilos since the operation.
She is keen to get on with pregnancy.
1. Justify the history you will take.                                                                                  4 marks
2. Justify the investigations you will arrange.                                                                4 marks
3. Discuss the advice you will give.                                                                                  4 marks
4. Outline the steps that can be taken pre-conception to reduce the risks of pregnancy after BS.                                  
                                                                                                                                                4 marks
5. Outline the key aspects of management of pregnancy and delivery after BS.     4 marks
A 32 year-old woman with learning difficulty attends the gynaecology clinic with her mother. The referral is because of severe dysmenorrhoea and menorrhagia. The mother is keen for her to have hysterectomy and is prepared to give her consent.
1. What factors will you take into consideration before offering treatment?            8 marks.
2. Outline the treatment options, not including hysterectomy, that you will discuss.  6 marks.
3.  If it is concluded that hysterectomy is the best option, justify the steps you will take to arrange this                                                                                                        6 marks.
A 35-year old woman has been referred by her GP to the gynaecology clinic where she has been previously investigated for pelvic pain. She has read an article in a woman’s magazine about pelvic congestion syndrome. She feels that this describes her problem accurately and wants to know what treatment can be offered.
1.            Detail the history you will take.                                                4 marks
2.            Justify the advice you will give.                                                2 marks
3.            Define pelvic congestion syndrome.                                         2 marks
4.            Outline how pelvic congestion syndrome is best diagnosed.       6 marks
5.            Outline the treatment options for pelvic congestion syndrome.   6 marks.
A 30-year-old woman para 1+1 presents at 34 weeks gestation with right loin pain, frequency of micturition, dysuria and pyrexia.
1. Justify the history you will take.                      6 marks.
2. Justify the investigations you will arrange.  6 marks.
3. Justify your management.                              12 marks.

I am not an expert in this topic and offer this as some help to working out answers if you get a question on teaching methods, which has happened. If you are an expert and can help to improve what follows, that will be much appreciated.
If you get a question in the exam, please try to remember as much as possible, particularly the option list and send it to me.
There is often a variety of different techniques that could be used. I would guess that the exam committee will take care to restrict the option list so that it is clear which is the best option.
The following scenarios relate to medical education
Pick one option from the option list.
Each option can be used once, more than once or not at all.
EMQ:    extended, matching question.
PBL:       problem-based learning.
Scenario 1.
A woman is admitted with an eclamptic seizure. The acute episode is dealt with and she is put on an appropriate protocol. You wish to use the case to outline key aspects of PET and eclampsia to the two medical students who are on the labour ward with you. Which would be the most appropriate approach?
Scenario 2.
You have been asked to provide a summary of the key aspects of the recent Maternal Mortality Meeting to the annual GP refresher course. There are likely to be 100 attendees. Which would be the most appropriate approach?
Scenario 3.
You have been asked to teach a new trainee the use of the ventouse. Which would be the most appropriate approach?
Scenario 4.
You have been asked to teach a group of medical students about PPH. To your surprise you find that they have good basic knowledge. Which technique will you apply to get the most from the teaching session?
Scenario 5.
Your consultant has asked you to get the unit’s medical students to prepare some questions about breech delivery which they can ask of their peers when they next meet. Which technique will you use?
Scenario 6.
You have been asked to discuss 2ry. amenorrhoea with your unit’s medical students. You are uncertain about the amount of basic physiology and endocrinology they remember from basic science teaching. Which technique will you use?
Scenario 7
The RCOG has asked you to chair a Green-top Guideline development committee. You find that there is very little by way of research evidence to help with the process. The College has assembled a team of consultants with expertise and interest in the subject. Which technique would be best to reach consensus on the various elements of the GTG?
Scenario 8
Which of the listed teaching techniques is least likely to lead to deep learning?
Scenario 9
An interactive lecture with EMQs is the best method of teaching. True or false.
Scenario 10
Only 20% of what is taught in a lecture is retained. True or false.
Scenario 11.
The main role of the teacher is information provision. True or false.
Scenario 12.
The main role of the teacher is to be a role model.  True or false.

Option list.
  1. brainstorming.
  2. brainwashing
  3. cream cake circle.
  4. Delphi technique.
  5. demonstration & practice using clinical model.
  6. doughnut round.
  7. interactive lecture with EMQs.
  8. lecture.
  9. 1 minute preceptor method.
  10. teaching peers / junior colleagues
  11. schema activation.
  12. schema refinement.
  13. small group discussion.
  14. snowballing.
  15. snowboarding.
  16. true
  17. false

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