Thursday, 28 April 2011

Tutorial 28th. April 2011 a

Podcast.
Website.

Tonight I messed up (again) and had to record the tutorial in two sessions, a and b. We dealt with a woman with a probably bleeding ectopic pregnancy who did not want admission, epilepsy and pre-pregnancy counselling, screening for ovarian cancer and sepsis and maternal mortality. We also discussed the maternal mortality topics that were likely to come in the OSCE.

Tutorial 28th. April 2011 b

Podcast.
Website.

Tonight I messed up (again) and had to record the tutorial in two sessions, a and b. We dealt with a woman with a probably bleeding ectopic pregnancy who did not want admission, epilepsy and pre-pregnancy counselling, screening for ovarian cancer and sepsis and maternal mortality. We also discussed the maternal mortality topics that were likely to come in the OSCE.

Tutorial 26 April 2011

Podcast.
Website.

Tonight Ahmed Yassin gave a tutorial on urogynaecology. He produced a lot of printouts. I'll see if I can find a practical way to get these copied and onto the internet or into a form that can be e-mailed. The problem is that there are a lot of them and I have many other things to do. In addition, the file sizes are likely to be a problem. Even if I don't manage to do anything with the papers, the tutorial will still be worth listening to unless you are already expert in the subjet.

Monday, 25 April 2011

Tutorial 25th. April 2011

Podcast.
Website.

Tonight we dealth with a patient enquiring if her treatment by her GP had caused her to have cancer and worsen her prognosis. Tricky stuff. We then had a very routine case of a woman referred to the colposcopy clinic after a smear had shown severe dyskaryosis. Finally we had a case of PMS with a hidden agenda.

Thursday, 21 April 2011

Tutorial 21st. April 2011

Podcast.
Website.
On Monday we discussed how to go about the difficult business of asking the parents for permission to conduct a post-mortem examination on a stillborn baby. I have put something on the website to let you build a technique to deal with this. Practise it with a role-player!
We did a roleplay about dealing with an angry patient. I have started to write something for the webpage and hope to finish it later today.
We also discussed writing a protocol on Monday. This was at the end of the session. I had switched off the recording just before the discussion as the group was writing their thoughts. Unfortunately I forgot to switch the recording back on! All is not lost however. I have written a document that covers the topic. Write the headlines you would use for a viva on how to create a protocol. The question might be: "You have been asked to write a protocol. Discuss the key aspects of how you would go about this with the examiner". It doesn't much matter what the protocol is about. Send me your version and I'll e-mail mine to you.
Tonight we did Down's syndrome counselling. First as a role-play, then as a viva. It threw up quite a few areas in which knowledge was sketchy.
 The next tutorial will be on Monday evening, despite it being the Bank Holiday.

Monday, 18 April 2011

Tutorial 18 April 2011

Podcast.
Website.

We did a lot tonight - a measure of how the group gets better as time goes by.
We covered five difficult stations:
Dealing with an intra-operative injury.
Dealing with an angry patient / relative.
Complaint procedures.
Breaking bad news: cancer.
Discussing PM examination after stillbirth.

Sunday, 17 April 2011

Tutorial 17th. April 2011

Podcast.
Website.

We went over some of the difficult stations from yesterday's OSCE course at Bolton, in particular dealing with telling a girl of 17 that she had androgen insensitivity syndrome and another station dealing with domestic violence.
We also had some discussion about risk management, audit and how to prepare a protocol.
I use one laptop to record the tutorial for the podcast and another for Skype.
Unfortunately the one I use for the podcast decided to crash and to refuse to re-start, just as I was setting things up for the tutorial. Particularly annoying as the machine is only a few months old and with a top specification from one of the big manufacturers. I managed to rescue the situation, but too late to include the beginning of the tutorial.
I hope you find it useful.