Thursday, 23 August 2018

Tutorial 23 August 2018






28
Roleplay. Booking. Previous SB.
29
Viva. Ovarian torsion.
30
Role-play. Teach an FY1 the basics of audit
31
Role-play. Fragile X syndrome
32
Viva. Breastfeeding.

28. Roleplay. Booking. Previous SB.
Candidate's Instructions.
This is a roleplay station. You are an SpR in the booking clinic. You are about to see a woman who is at 10 weeks gestation in her second pregnancy. Her first baby was stillborn.
She has had all the routine booking, including investigations, dealt with by the midwife who has asked you to see her to advise about her first pregnancy and its implications for the management of this pregnancy.
Take an appropriate history, advise about the necessary investigations and how the history of stillbirth will influence the management of the pregnancy.

29. Viva. Ovarian torsion.
Candidate’s instructions.
This is a ‘structured conversation’ about ovarian torsion. The examiner will ask 19 questions. You are not allowed to return to earlier questions and will just waste time if you do as no marks will be awarded even for correct answers. The examiner may suggest that you move to the next question to ensure that you have the opportunity to answer all the questions.

30. Role-play. Teach an FY1 the basics of audit.
Candidate’s instructions.
You are the SpR on call for the labour ward. It is a quiet afternoon: all the patients are healthy and in normal labour.
Dr. Jane Jones has started in the department as a new FY1. She is keen to specialise in O&G and has already passed the Part 1 examination. A measure of her enthusiasm is that she has asked her consultant if she can be involved in doing an audit, but she is aware that she knows little about it. Her consultant happens to be the consultant on duty for the labour ward and has asked you to ensure that she has enough knowledge to be a useful member of a team conducting an audit.

31. Role-play. Fragile X syndrome.
Candidate's Instructions.
You are about to see Mary White who has been booked in with her first pregnancy by the midwife in the antenatal clinic. All is well and she has been given the usual advice and leaflets. The midwife has asked you to see her as Mary has told her that there is a family history of Fragile X syndrome.
Your task is to discuss Fragile X syndrome and the implications for Mary, the pregnancy and her father.

32. Viva. Breastfeeding.
Candidate’s instructions.
This is a viva station.
The examiner will ask you 6 questions.



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