Tutorial 31 January 2022

 

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11	Role-play. Non-viable early pregnancy
12	Roleplay. Cystic fibrosis. Brother has cystic fibrosis
13	Structured conversation. Maternity Dashboard

 

11.          Role-play. Non-viable early pregnancy.

Candidate’s instructions.

You are the SpR in the ante-natal clinic. The consultant who was in clinic has been asked to assist her consultant colleague in the labour ward theatre. She is unlikely to return for some time as the case is one of massive PPH and hysterectomy may be necessary. 

One of the midwives asks you to see Jane Brown, who has just had a scan in the early pregnancy unit.  She is primigravid and the gestation is 8 weeks. She has had some bleeding.   

An ultrasound scan = IUP.  CRL = 12 mm.  No fetal heart activity.  No adnexal masses.

 

12.          Roleplay. 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 you definite instructions such as take a history and discuss the management. I have made it harder in that you have to decide the key tasks.

GP referral letter.

Best Medical Centre,

High Road,

Anytown.

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.

 

13.          Viva. Maternity dashboard.

Candidate’s instructions.

This is a viva station about the RCOG’s maternity dashboard. The examiner will ask you 14 questions.

When you have finished a question, you will not be allowed to return to it as later questions may indicate the answer. If you return, no marks will be awarded, even for correct answers.