14 January 2013

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Tonight we had one EMQ and four essays.

A 25-year-old primigravida attends for a routine scan and echogenic bowel is noted.

1. What is the advice of the National Screening Committee in relation to “soft markers”?   6 marks.

2. What conditions are linked to echogenic bowel?    6 marks.

3. Justify your management.                                    12 marks.     

With regard to pertussis and pregnancy.

1. What is pertussis caused by, how is it spread and what kind of vaccine is available and can it be used in pregnancy?              4 marks.

2. What are the important epidemiological facts in relation to pertussis in the UK in 2012.              3 marks

3. What is the current advice in the UK about pertussis in pregnancy and who creates the advice? 3 marks.

4. Critically evaluate the justification for the advice.  10 marks.

Your consultant is on leave. The Secretary gives you an histology report relating to a 24-year-old woman who had suction evacuation for incomplete miscarriage 10 days before. The histology report is diagnostic of complete hydatidiform mole.

1.  Justify your immediate management.     8 marks

2.  Detail the subsequent management.    12 marks.       

With regard to epidural anaesthesia:

1. Outline the main differences between it and spinal anaesthesia. 4 marks.

2. Outline the main techniques and drugs used.                           6 marks.

2. Evaluate the main contraindications.                                        4 marks.

3. Discuss the main uses.                                                          6 marks.

Education.

I am not an expert in this topic and offer this as some help to working out answers if you get a question on teaching methods, which apparently has happened. If you are an expert and can help to improve what follows, that will be much appreciated.

If you get a question in the exam, please try to remember as much as possible, particularly the option list and send it to me.

There are often a variety of different techniques that could be used. I would guess that the exam committee will take care to restrict the option list so that it is clear which is the best option.

Lead-in.

The following scenarios relate to medical education

Pick one option from the option list.

Each option can be used once, more than once or not at all.

Abbreviations.

EMQ:    extended, matching question.

PBL:       problem-based learning.

Scenario 1.

A woman is admitted with an eclamptic seizure. The acute episode is dealt with and she is put on an appropriate protocol. You wish to use the case to outline key aspects of PET and eclampsia to the two medical students who are on the labour ward with you. Which would be the most appropriate approach?

Scenario 2.

You have been asked to provide a summary of the key aspects of the recent Maternal Mortality Meeting to the annual GP refresher course. There are likely to be 100 attendees. Which would be the most appropriate approach?

Scenario 3.

You have been asked to teach a new trainee the use of the ventouse. Which would be the most appropriate approach?

Scenario 4.

You have been asked to teach a group of medical students about PPH. To your surprise you find that they have good basic knowledge. Which technique will you apply to get the most from the teaching session?

Scenario 5.

Your consultant has asked you to get the unit’s medical students to prepare some questions about breech delivery which they can ask of their peers when they next meet. Which technique will you use?

Scenario 6.

You have been asked to discuss 2ry. amenorrhoea with your unit’s medical students. You are uncertain about the amount of basic physiology and endocrinology they remember from basic science teaching. Which technique will you use?

Scenario 7

The RCOG has asked you to chair a Green-top Guideline development committee. You find that there is very little by way of research evidence to help with the process. The College has assembled a team of consultants with expertise and interest in the subject. Which technique would be best to reach consensus on the various elements of the GTG?

Scenario 8

Which of the listed teaching techniques is least likely to lead to deep learning?

Scenario 9

An interactive lecture with EMQs is the best method of teaching. True or false.

Scenario 10

Only 20% of what is taught in a lecture is retained. True or false.

Scenario 11.

The main role of the teacher is information provision. True or false.

Scenario 12.

The main role of the teacher is to be a role model.  True or false.

Option list.

1. brainstorming.
2. brainwashing
3. cream cake circle.
4. Delphi technique.
5. demonstration & practice using clinical model.
6. doughnut round.
7. interactive lecture with EMQs.
8. lecture.
9. 1 minute preceptor method.
10. teaching peers / junior colleagues
11. schema activation.
12. schema refinement.
13. small group discussion.
14. snowballing.
15. snowboarding.
16. true
17. false