Tutorial 24 January 2022

 

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1	How to prepare. Part 3. Study partner(s). 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	Your tasks and the 5 domains. Read the question carefully – what are your tasks? Match the tasks to the domains. Try to include patient safety every time.
3	Create and agree an agenda.
4	“Blurbs” to write and practise. Introduction, 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	Role-play. Explain Down syndrome screening to FY1.
6	Role-play. Pre-pregnancy counselling. Unknown syndrome.
7	Viva. Cochrane Collaboration.

 

5.           Explain Down’s syndrome screening to new FT1.

Candidate’s instructions.

You ate the registrar running the labour ward. Things are quiet. A new FY1 sat with a midwife yesterday while she booked a patient in the antenatal clinic. Screening for Down’s syndrome was discussed and the FY1 realised they did not know much about the subject. The consultant has asked you to give her a tutorial on the subject.

 

6.           Pre-pregnancy counselling. Unknown syndrome.

Candidate’s instructions.

You are a SpR5 in charge of the gynaecology clinic as the consultant was unwell and has gone home. You are about to see Mrs Olivia Brown who has been referred for pre-pregnancy counselling. Your task is to provide the requested counselling.

GP referral letter.

Clarity Medical Centre,

Cleartown.

Re Mrs Olivia Brown,

37 Serene Avenue,

Cleartown.

 

Dear Doctor,

Please see Mrs. Brown who wishes pre-pregnancy counselling. She has recently been diagnosed with a syndrome of which I had not heard. Unfortunately I did not make a note of its name but she seems to know a lot about it.

John A.M. Nesia.

 

7.           Viva. Cochrane Collaboration

Candidate’s instructions.

The examiner will ask 9 questions. The discussion will refer to the chart below.