Tutorial 2 May 2013

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We started with a roleplay:

You are a year 5 SpR in the antenatal clinic. The consultant if off sick and you are the senior doctor in the clinic.

You are about to see Jane Jones, a healthy, low-risk primigravida who has been having her antenatal care with the community midwife. She has been referred as she has expressed a wish to have Caesarean section. There are no medical grounds for her to have the operation.

Her admin details are:

Date of birth:                     11 May 1983.

Address:                              1 High Street, Bigtown.

Hospital number:             M1111.

Your task is to take an appropriate history and to counsel the patient.

Note that when the documentation gives you admin details like hospital number, you need to check them to get an extra mark or two. The candidates did not pick this up in the tutorial and I forgot to mention it. I had put in an error to make sure that they were paying attention. But it would only be 2 marks at most and probably only 1.

Then we had a viva on male infertility.

We then set out to do a roleplay with a trainee being taught about the management of shoulder dystocia, but it evolved into a general discussion.