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The topics we would have discussed are below.
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19
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EMQ. Education.
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63
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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
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64
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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.
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65
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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.
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66
|
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.
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Education.
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.
Lead-in.
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.
Abbreviations.
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.
- brainstorming.
- brainwashing
- cream cake circle.
- Delphi technique.
- demonstration & practice using clinical model.
- doughnut round.
- interactive lecture with EMQs.
- lecture.
- 1 minute preceptor method.
- teaching peers / junior colleagues
- schema activation.
- schema refinement.
- small group discussion.
- snowballing.
- snowboarding.
- true
- false
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