Tutorial 27 September 2021

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1	Part 3. How to prepare.
2	Your tasks and the 5 domains.
3	Create an agenda.
4	Basic “blurbs” to write and practise.
5	Part 3 practice and benefits for real life.
6	Role-play 1. Pre-pregnancy counselling. FH of Down’s syndrome.
7	Role-play 2. Non-viable early pregnancy.
8	Structured conversation. The Part 3 exam.

 

1.           Part 3. How to prepare.

Study buddies. Part 2 knowledge. StratOG. Senior doctor thinking: staffing, training, audit, critical incident reporting and analysis etc. Communication skills. Importance of polished introduction to role-plays. Information gathering – get the facts and be alert to missing information. Also her fears and concerns and model of the illness. Is there a hidden agenda and withheld information? Picking a course.      

2.           Match tasks to the 5 domains and create an agenda..

Read the question carefully – so basic, but often neglected. What are your tasks? Match the tasks to the domains. Try to include patient safety every time.          

3.           Create an agenda.

Give your answer structure to match the tasks. Agree it with the role-player. Have four or five key sections and try to memorise them or, better, write them down if writing is permitted. This is a good discipline to bring to all consultations.

4.           “Blurbs”.

These are blocks of text that you prepare, polish and practise, ready for use on the day. Also invaluable in practice. Keep them as short and simple as possible. You don’t want to try to explain something like recessive inheritance for the first time in the exam. Try them out on family and friends who are not medical. Examples would be how to introduce yourself, 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 the role-player has questions, dealing with information such as a relative with a serious problem,  etc. Make a list.            

5.           Part 3 practice and benefits for real life.

Part 3 is a practical exam and the practical skills you develop for it transfer into benefits in the real world. Many successful candidates comment on how the effort they have put in has improved them as doctors.

 

6.           Role-play 1.

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.

                

7.           Roleplay 2.

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 Jane Brown, who has just had a scan in the Early Pregnancy Unit.  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.

 

8.           Structured conversation. The Part 3 exam.

The examiner will ask 6 questions about the Part 3 exam.