Thursday, 30 April 2015

30th. April 2015

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46
Viva. Systematic review – question from the UHSM course
47
Role-play. Maternity Dashboard.
48
Viva. Cochrane.
49
Role-play. Caesarean section on maternal request.

46.   Viva. Systematic review. The UHSM course on the 29th. April had a station on systematic review.
         The UHSM course on the 29th. April had a station on systematic review and most people did badly. The candidate was told that they had been asked to do a systematic review of Ulipristal v. a GnRH analogue for use pre-hysterectomy in women with fibroids. There was a 15 minute preparatory station and the viva was unstructured – the examiner was supposed to say nothing!

47.   Role-play. Maternity Dashboard.
         Candidate’s instructions.
         You are an SpR5 and your consultant has asked you to explain the Maternity Dashboard to a new FY1 who hopes to train as a specialist in obstetrics and gynaecology.

48.   Viva.
Candidate’s instructions.
You are a SpR in year 5.
1.   You have been asked to explain the Cochrane Collaboration and Cochrane Reviews to a new trainee.
2.   And to explain the main elements and findings of the Forest plot below.
The trainee will ask 8 questions suggested by your Consultant.


49. Role-play. Caesarean section on maternal request.
Candidate’s instructions.
You are a SpR5 in the antenatal clinic.
Your consultant is feeling unwell and has gone to lie down.
The midwife has just seen a primigravid woman who has requested Caesarean section.
She is healthy, with no significant medical history and the pregnancy has been normal.
The gestation is 36 weeks, the head is engaged and the baby seems to be of an average size.
The midwife has done all the routine investigations and has asked you to see her to discuss the request for Caesarean section.
It is your task to discuss her request as you would in a normal clinic.



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