Thursday, 23 April 2020

Tutorial 23 April 2020


1
How to prepare. StratOG. Picking a course. Communication skills. What topics did not feature in the Part 2? CTG training. https://www.rcog.org.uk/en/about-us/membership/fellows-and-members/benefits-of-membership/electronic-fetal-monitoring-resource-efm/
2
Study buddies.
3
Possible specialist tutorials: urodynamics, statistics, paper critique
4
Structured discussion. Part 3 exam. The examiner will ask you 6 questions about the part 3 exam.
5
Basic “blurbs” to write and practise. Setting the scene for breaking bad news, dealing with the information in a GP referral letter, general pre-pregnancy counselling, recessive inheritance, x-linked inheritance, how to ask if role-player has questions, dealing with information such as a relative with a serious problem etc. Make a list!
6
Importance of a polished introduction to role-plays.
7
Role-play. Pre-pregnancy counselling. Sister has baby with Down’s syndrome.
8
Role-play. Breaking bad news. Non-viable early pregnancy.


Role-players.
Beatrice and Harriet Lamb.

Active participants.
Parul
Marlon
Ananya
Emily Wright

1.     How to prepare.
2.     Study buddies.
3.     Possible specialist tutorials.
        Urodynamics, statistics, paper critique,
4.     Structured discussion. Part 3 exam.
Candidate’s instructions.
This is a viva station. (I laugh every time I read the College’s euphemistic use of ‘structured discussion’. This is remote from any discussion you will ever have!)
The examiner will ask you 6 questions about the Part 3 exam.
5.     Basic ‘blurbs’ to write and practise.          
        Explain risk, screening v diagnosis, dominant, recessive, x-linked inheritance, menopause etc.
        Start a list and start practising.
6.     Role-play.
        How to introduce yourself. Really important and I’ll bore you with endless repetition.
7.     Role-play. Pre-pregnancy counselling. Sister has baby with Down’s syndrome.
Candidate’s instructions.
You are the SpR in the gynaecology clinic. You have been asked to see Jenny Williams, who has come for pre-pregnancy counselling.
Letter from the General Practitioner.
5 High Street,
Deersworthy,
Kent.
DO9 1JY.
Re Mrs. J. Williams,
Manor Place,
Deersworthy.
Dear Dr.,
Please see this woman who is planning pregnancy. I understand that her sister has had a baby with Down’s syndrome. I have explained that this increases her risk of having a similarly-affected baby to a significant degree.

Regards,
Dr. Jolly.
8.     Role-play. Non-viable early pregnancy.
Candidate’s instructions.
You are the SpR in the ante-natal clinic. The Consultant who was in clinic has been asked to assist her Consultant colleague in the labour ward theatre. She is unlikely to return for some time as the case is one of massive PPH and hysterectomy may be necessary. 
One of the midwives asks you to see a patient who has just had a scan in the EPU.  She is primigravid and the gestation is 8 weeks. She has had some bleeding.   
An ultrasound scan = IUP.  CRL = 12 mm.  No fetal heart activity.  No adnexal masses.
I have deliberately included some abbreviations. The College should not do this for the papers in the exam, but they ubiquitous and tend to creep in where they should not. Ask the examiner if you are not sure.



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