Tutorial 11 April 2013

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Tonight we started with a viva about diathermy.
 

Suggested structure of a MRCOG viva

 

1.    What is diathermy?

 

2.    What kind of current is used?

 

3.    Why use high frequency current?

 

4.    What types of current are used?

 

5.    How is diathermy applied?

 

6.    Risks of diathermy.

7.    Discuss direct coupling and its implications

8.    Discuss capacitive coupling and its implications.

Then we had a roleplay about pre-menstrual syndrome.

Candidate’s Instructions.

You are a 5^th. year SpR and about to see Jane Williams in the gynaecology clinic.

You are to take a relevant history and advise her about management of her problem.

Referral Letter.

The Surgery,

Main Road,

Blacktown,

Herts.

Phone 0845 689 432.

Re. Mrs Jane Williams,

35 High Street,

Blacktown.

BK88 4EU

d.o.b. 1 January 1990.

Dear Doctor,

Please see Mrs Williams who has pre-menstrual syndrome. She has tried vitamin B₆  with no benefit.

Yours sincerely,

John P. Evans MRCGP, DRCOG.

Then we had a viva about child sexual abuse.

The examiner asked 7 questions.

Examiner’s instructions.

Ask the candidate the following questions.

1.       What is the definition of child sexual abuse?                                                       2 marks

2.       What is the prevalence of sexual abuse of girls?                                                  1 mark

3.       What are the risk factors for child sexual abuse?                                                 5 marks

4.       What behaviours might raise suspicion of child abuse?                                         4 marks

5.       What physical features might raise suspicion of child sexual abuse.                       5 marks

6.       What laboratory results would prove child sexual abuse?                                     2 marks

7.       What actions would you take if you suspected that a child in your gynaecology clinic was the victim of child sexual abuse?                                                                                           1 mark

And finally a viva about writing a protocol.
The examiner did not ask any questions, you just had to think of all the relevant things to say.
Send your answers and I'll send mine.

Tutorial 8 April 2013

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We started with a preparatory station and then a viva.

Candidate’s instructions.

This is a viva station.

You are an SpR. Your Consultant has been asked to provide a doctor to talk to a class of 16-year-old boys and girls about chlamydia.

You have this preparatory station to prepare your thoughts.

The examiner will ask you a series of questions.

Examiner’s instructions.

Ask the following questions.

1. How will you prepare for the talk?
2. What teaching method will you use?
3. What topics will you include?
4. What else will you consider doing?

Then we had a role-play about pre-pregnancy counselling for a woman whose brother has Fragile X syndrome. This topic has not come in the essays or the OSCE, but, I am sure, will do one day. It is a nightmare as there is so much to discuss.
It needs a lot of practice. If you can do it competently, other "genetic" stations will hold little terror!


Next we had a station in which you were asked to teach a FY1 about PPH managemnt.
It seems an easy station until you tackle it.

Next we had a roleplay.

Candidate’s Instructions.

You are a 5^th. year SpR. You are about to see Mrs. Mary Fecund in the gynaecology clinic. There is referral letter from the GP.

Read the letter and then conduct the consultation with Mrs. Fecund as you would do in the clinic in your hospital.

Perfect Health Centre,

Paradise Lane,

Slagheap.

SLH 678.

Your ref: BRI 07/54843.

Re. Mary Fecund,

The Shoe,

High Street,

Slagheap.

Dear Doctor,

Please see Mrs Fecund who has too many children. She wishes to be sure she has no more and has asked to be sterilised.

Yours sincerely,

Dr. John Williams.

Tutorial 4th. April

There was no tutorial tonight as only one doctor turned up.
I had had a few e-mails from people who were on call, so I hope there will be a tutorial on Monday.