|
22 |
Role-play. Complaint. Mis-filed combined
Ds test report. |
|
23 |
Role-play. Teach FY1 about complaint
procedures. |
|
24 |
Viva. Obstructive sleep apnoea. |
|
EMQ.
Medical
examiners. |
22. Role-play. Complaint. Mis-filed combined Ds test report..
Candidate's Instructions.
You are the SpR in the ante-natal clinic. The consultant
has been called to the labour ward to help with a case of placenta accreta and
you have been put in charge of the clinic.
Mrs Jones had a “combined test” at 11 weeks which gave a
risk of Down’s syndrome of 1: 40. The report was filed in the notes in error by
a clerk without being shown to any of the medical or midwifery staff.
She attended today for the routine 20-week scan. The ultrasonographer
found the report in the notes, realised that no action had been taken, informed
the patient and made arrangements for her to see you urgently.
23. Role-play. Teach FY1 about complaint procedures..
Candidate’s instructions.
You are a 5th. year SpR. It is a quiet day on
the labour ward. The consultant on duty happens to be responsible for risk
management and has asked you to teach a new O&G trainee about complaints.
24. Viva. Obstructive sleep apnoea.
Candidate's Instructions.
This is a viva station, now called a ‘structured
discussion’. The examiner will ask you 11 questions.
When you have answered a question and moved to the next,
you are not allowed to return as later questions may give answers to earlier
ones.
25. EMQ. Medical examiners.
Abbreviations.
MCCD: medical
certificate of the cause of death.
ME: medical
examiner.
NME: National
Medical Examiner.
Do I really need to know
this stuff?
This
is a ‘hot’ topic as MEs were introduced in 2018 and are a significant change.
Question
1.
Which, if any, of the following are included in the role of
the ME?
Option list.
|
A |
scrutiny of all death certificates from the NHS Trust |
|
B |
scrutiny of all death certificates from the local area |
|
C |
scrutiny of non-coronial death certificates from the
local area |
|
D |
deciding if postmortem examination is appropriate |
|
E |
supervision of postmortem examination |
|
F |
deciding on and arranging further investigations to
establish the cause of death |
|
G |
liaison with the coroner |
|
H |
discussing the cause of death with the family of the
deceased |
|
I |
directing police investigations in cases of suspicious
death |
Question
2.
What qualifications must a ME have?
Option list.
|
A |
be registered with the GMC |
|
B |
be licensed to practise or be < 5 years into retirement |
|
C |
be a member or fellow of a Royal Medical College |
|
D |
be a member or fellow of the Royal College of
Pathologists |
|
E |
none of the above. |
Question
3.
Which, if any, of the following are included in the role of
the medical examiner?
Option list.
|
A |
discussing the case with the doctor who provided care
during the final illness |
|
B |
reviewing the medical records |
|
C |
deciding the cause of death to be put on the certificate
of death |
|
D |
discussing the cause of death with next of kin |
|
E |
identifying any concerns the next of kin may have about
the care |
|
F |
providing medical advice to the coroner |
|
G |
identifying deaths that should trigger a mortality case
record review |
Question
4.
Which, if any, of the following are included in the role of
the National Medical Examiner?
Option list.
|
A |
being a member of the medical team responsible for the
Queen’s health |
|
B |
appointing Trust MEs |
|
C |
disciplining errant MEs |
|
D |
producing reports |
|
E |
arbitrating in disputes between MEs and coroners about
the cause of death |
|
F |
dealing with appeals by families who are dissatisfied with
the MCCD or the care |
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