|
11 |
Role-play. Non-viable early pregnancy |
|
12 |
Roleplay. Cystic fibrosis. Brother has
cystic fibrosis |
|
13 |
Structured conversation. Maternity
Dashboard |
11. 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 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.
12. Roleplay. Cystic
fibrosis. Brother has cystic fibrosis.
Candidate's Instructions.
This is a roleplay station. You are a year 4 SpR and are
in the gynaecology clinic.
The consultant has just left you in charge as she is
feeling unwell and has gone to lie down.
Your task is to deal with the patient as you would in
real life.
The College would give you
definite instructions such as take a history and discuss the management. I have
made it harder in that you have to decide the key tasks.
GP referral letter.
Best
Medical Centre,
High Road,
Anytown.
Re. Mrs. Bonnie Black,
25 Low
Road,
Anytown.
Phone:
07889 888 132.
Dear
Doctor,
Please see
Mrs Black who is planning her first pregnancy. Her main concern is that her
brother has cystic fibrosis.
This was
the first time I had met her although she has been registered with us for 5
years – her health is good and she has no history of serious illness or
surgery.
I have
explained that I don’t know much about the implications of the brother’s cystic
fibrosis for her potential pregnancies and that she needs to talk to an expert.
I have stressed that the risk of her having a child with cystic fibrosis is
high and that she needs to be aware that there is a distinct likelihood that
any pregnancy would be likely to be affected and need TOP.
Yours
sincerely,
John P.
Clatter.
13. Viva. Maternity dashboard.
Candidate’s instructions.
This is a viva station about the RCOG’s maternity
dashboard. The examiner will ask you 14 questions.
When you have finished a question, you will not be
allowed to return to it as later questions may indicate the answer. If you
return, no marks will be awarded, even for correct answers.
