Monday, 21 October 2013

Tutorial 21 October 2013

Tutorial.
Website.
Contact us.
https://soundcloud.com/drtmcf/21-october-2013

Tonight we had 4 vivas and a roleplay.
It a measure of how much better we are getting that we managed to cover so much stuff.
The BMJ paper is 15 pages long. There is no way you can read it in detail in a 15-minute preparatory station. You need a technique that tells you what to concentrate on.
This is dealt with by Julie Morris in her tutorial.
Two books were mentioned in relation to critical appraisal.
"How to read a paper." This is by Trisha Greenhalgh and is an update on a series of BMJ articles that you can access. http://www.bmj.com/about-bmj/resources-readers/publications/how-read-paper.
The book is published by Blackwell Publishing and is available from various outlets, including Amazon. http://www.amazon.co.uk/How-Read-Paper-Evidence-Based-Medicine/dp/1444334360 
The other is "The Doctor's Guide to Critical Analysis" by Gosall & Gosall. It is published by PasTest.
http://www.pastest.co.uk/Assets/PT/Media/Products/Doctors%20Guide%203e.pdf .

Viva 1.
Incomplete audit.

In a recent exam there was an "incomplete" audit.

The audit was about ECV.



The data was that:

Consultant A offered ECV to one group of women and had an 70% success rate,

Consultant B offered ECV to a different group and had a 30% success rate,

Consultant C did not offer ECV at all.



You were given this data and were asked to discuss how you would go about completing the audit process.


 Viva 2.
This was a critique of a paper.
Burden of adhesions in abdominal and pelvic surgery: systematic review and met-analysis
BMJ 2013; 347 doi: http://dx.doi.org/10.1136/bmj.f5588  (Published 3 October 2013)
Cite this as: BMJ 2013;347:f5588
Download the PDF - it is free access.
http://www.bmj.com/content/347/bmj.f5588.pdf%2Bhtml

Viva 3.
Viva. Preparatory station. Write a PIF on HRT.

Viva 4.
Viva. You have been asked to talk to a mixed group of 16-year-olds at a local school on chlamydia.
Roleplay.

Role-play: teach trainee fetal blood sampling.


Thursday, 17 October 2013

Tutorial 17 October 2013

Tutorial.
Website.
Contact us.
https://soundcloud.com/drtmcf/17-october-2013

Tonight we had some vivas and roleplays.



Viva. Write a model for taking an obstetric history for a tutorial for junior obstetricians and midwives.
Roleplay.  Fragile X syndrome.
Viva. Uterine inversion.
Roleplay. Caesarean section on request.

Tuesday, 15 October 2013

Tutorial 13 October 2013

Tutorial.
Website.
Contact us.
https://soundcloud.com/drtmcf/14-october-2013

Today we covered the stations that proved difficult on the Bolton course yesterday.
We also had a tutorial from Julie Morris on how to criticise a paper.
She also covered forest plots.
Unfortunately, my grandchildren arrived just before the end of the tutorial and Cormack, aged 12 months,somehow managed to wipe the recording while I was letting people out of the house.
He is at that age when little boys have to be exploring everything and can't resist pressing buttons, punching all the keys on the computer to see what happens. He had the mouse in his hand and knows how to click the buttons as he watches his big sisters doing this.
But I still don't know how he managed it!
All is not lost - Julie gave a talk on critical analysis  before and I should still have a recording.
I'll dig it out and put it on Dropbox.
I'll try to find time to write something about forest plots.
Regards,
Tom.

Monday, 14 October 2013

Tutorial 14th. October 2013

Tutorial.
Website.
Contact us.
https://soundcloud.com/drtmcf/14-october-2013

Tonight we had two role-plays and a viva.

Role-play 1.


Candidate’s instruction.
You have been asked to see this woman in the gynaecology clinic. You have a copy of the GP letter.
Your task is to take an appropriate history and advise about appropriate investigation and initial management.

GP letter.
24 Main Road,
Main Town,
Anywhere.
AN35 2EQ

Re Mrs. Jane Brown,
18 Faraday Lane,
Anywhere.
Date of birth X-Y-19AB.

Please see this woman who complains of a nasty smell arising from her genital area. I am afraid that I draw the line as sniffing women’s bits and will be pleased to receive your advice.

John Kallman.

Role-play 2.


Candidate’s instruction.
You have been asked to see this woman in the gynaecology clinic. The GP letter just says that her periods seem to have become a problem.
Your task is to take an appropriate history and advise about necessary investigations and the available treatment options.

Viva.



Breasteeding.

Candidate’s instructions.
This is a viva station.
The examiner will ask you 6 questions.

Examiner’s instructions.
Ask the following questions.

With regard to breastfeeding.
what are the benefits of breastfeeding?                                                                       8 marks
what are the differences between fore and hind-milk?                                                 1 mark
what is the practical significance of the differences?                                                     1 mark
what are the contraindications to breastfeeding?                                                          2 marks
c. what are the WHO recommendations about duration of breastfeeding?                    2 marks
d. What can be done to promote breastfeeding?                                                          6 marks