Monday 21 October 2019

Tutorial 21st. October 2019




40
Structured discussion. Coroners & Medical Examiners.
41
Role-play. Anencephaly.
42
Structured discussion. Maternity dashboard.
43
Role-play. Complaint. Mis-filed combined Ds test report.
44
Viva. Drug licensing.

40. Coroners & Medical Examiners  
Candidate’s instructions.
This is a structured discussion. The examiner will ask you 7 questions.

41. Role-play. Anencephaly.  
Candidate’s instructions.
You are an SpR5 and running the ante-natal clinic – your consultant has been called to help a consultant colleague with an emergency on the labour unit and is not available for advice.
You are about to see Jean Hathersage. She is 25 years old and had a 10-week scan last week that showed anencephaly. She stated that she did not want TOP. She was counselled, given information leaflets and asked to return to the antenatal clinical today for further discussion.
It is your task to conduct that discussion

42. Structured discussion. Maternity dashboard.  
Candidate's Instructions.
This is a structured discussion. The examiner will ask you 14 questions.

43. Role-play. Complaint. Mis-filed combined Ds 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 and made arrangements for the patient to see you today.

44. Viva. Drug licensing.  
Candidate's Instructions.
This is a structured discussion. The examiner will ask you 10 questions.



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