27 July 2023

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7	Role-play. Explain balanced translocation to FY1
8	Role-play. Cystic fibrosis. Brother has cystic fibrosis
9	Structured discussion.
10	Structured discussion.

7.        Role-play. Explain balanced translocation to FY1.

Candidate’s instructions.

You are an FY1 and keen to specialise in O&G. It is a quiet day on the labour ward. Yesterday you were in antenatal clinic and a patient with a 14:21 balanced translocation was seen for counselling about the associated risks. You have a vague recollection of this being discussed when you were a medical student but you did not understand the explanation that was given yesterday. You asked the consultant about it and she said she would get the SpR to explain it to you as they are preparing for the Part 3 exam and could have it as part of a station.

 

8.        Role-play. 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 definite instructions; I have made it harder - you have to decide the key tasks.

GP referral letter.

Best Medical Centre,

High Road,

Anytown.

Phone: 01882 78998.  E-mail: besthealth@gmail.com

Practice Manager: Mary Wright. B.SC., RGN.

Phone:  01882 78998 ext. 23.

E-mail:  MWbesthealth@gmail.com

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.

9.        Structured discussion. Topic revealed on the day.

10.      Structured discussion. Topic revealed on the day.