26 April 2018
50
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Julie Morris. How to critique a paper.
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51
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Role-play.
Complaint. Misfiled
combined Down’s syndrome test report.
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52
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Role-play.
Teach management of shoulder dystocia
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50. Julie Morris.
51. Complaint. Misfiled combined Down’s syndrome test
report.
Candidate's Instructions.
You are the SpR in the ante-natal clinic. The consultant
has been called to the labour ward to help with a case of placenta accreta and
you have been put in charge of the clinic.
Mrs Jones had a “combined test” at 11 weeks which gave a
risk of Down’s syndrome of 1: 40. The report had been filed in the notes in
error by a clerk without being shown to any of the medical or midwifery staff.
She attended today for the routine 20 week scan. The ultrasonographer found the
report in the notes, realised that no action had been taken, informed the
patient and made arrangements for the patient to see you today.
52. Teach shoulder dystocia.
Candidate’s instructions.
You are the on-call SpR for the labour ward. It is an unusually
quiet afternoon, with only one patient in labour and she is a healthy para 1
with a previous normal delivery.
There is a new FY1 in the department. She was on call
yesterday when there was a difficult delivery due to shoulder dystocia. The
baby needed to be resuscitated and the mother sustained a 4th.
degree tear. The FY1 felt completely useless and would like an introduction to
shoulder dystocia so that she can be of some practical use the next time she is
involved with a case.
The examiner will not react,
respond to questions or offer advice.
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