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Obstetrics and Gynaecology

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Fetomaternal Medicine Labour ward management Fetal distress C-section ... series of MCQ/EMQ books based on the Leeds ... knowledge, understanding and ... – PowerPoint PPT presentation

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Title: Obstetrics and Gynaecology


1
Obstetrics and Gynaecology
  • Dr Fiona Bach
  • ST2 OG trainee

2
Contents
  1. Being an Obstetrician and Gynaecologist
  2. How to become an Obstetrician and a Gynaecologist

3
Why I love Obstetrics and Gynaecology!
  • Very varied
  • You can tailor your job to what you want to an
    extent!
  • Lots of patient contact

4
Being an Obstetrician and Gynaecologist
  • General Obstetrics and Gynaecology
  • most jobs are for both
  • Obstetrics alone
  • Benign Gynaecology
  • Oncology
  • Reproductive Gynaecology
  • Urogynaecology
  • Community gynaecology - Sexual and Reproductive
    Health

5
Obstetrics my point of view
  • Starting from the beginning
  • Getting involved!

6
Fetomaternal Medicine
  • Labour ward management
  • Fetal distress
  • C-section
  • PPH

7
Fetomaternal Medicine
  • Highs and lows
  • Pre-term delivery
  • Fetal death
  • Sharing these moments

8
Fetomaternal Medicine
  • Medical complications of pregnancy
  • Pre-eclampsia
  • Diabetes
  • Any medical problem not related to pregnancy
  • how pregnancy affects the illness and how the
    pregnancy affects the illness

9
Fetomaternal Medicine
  • Scanning
  • Growth scans
  • Monitoring liquor volume
  • Structural fetal abnormalities

10
Gynaecology my point of view
  • Again get involved!
  • Varied
  • Hysteroscopy
  • Laparoscopy

11
Gynaecology
  • 24yr old woman
  • Right sided abdominal pain started last night,
    increasing in intensity. Brown pv discharge.
    Sexually active.
  • PTve
  • Ectopic, Miscarriage, ultrasound
  • PT ve
  • PID pelvic abscess
  • Cyst accident torsion/rupture
  • Appendicitis
  • Constipation
  • UTI

12
Reproductive medicine
  • Fertility and assisted conception
  • Clinic
  • Funding
  • Success...failure

13
Urogynaecology
  • Urinary symptoms
  • Prolapse
  • Wet women
  • Massive impact on peoples lives
  • Social exclusion

14
Gynaecology oncology
  • Cancer of the Ovary, Uterus, Cervix, Vulva,
    Vagina
  • Colposcopy LLETZ
  • Cervical cancer vaccines

15
Multidisciplinary
  • Medics
  • Anaesthetists
  • Paediatricians
  • Surgeons
  • Midwives
  • Community and Hospital
  • Specialist
  • Physiotherapists
  • Physics scanners more advanced
  • Geneticists pre-natal diagnosis
  • Engineers fine needles for intrauterine
    needling

16
Midwives!
  • Independent practitioners
  • Experts on normal birth
  • Excellent source of knowledge
  • Instrumental deliveries and FBS

17
Did you like what you saw? Becoming an
Obstetrician or Gynaecologist
  • Pass Medical school!!
  • Get Ahead series of MCQ/EMQ books based on
    the Leeds syllabus
  • Pass Foundation Years
  • Womens health module
  • Part 1 exam
  • Revision course
  • Busy SpR

18
Training now
19
Foundation years
  • Acquire generic competences
  • Manage the acutely ill patient in a variety of
    settings
  • Does not matter if you do not do OG as FY1/2 it
    is the generic skills that are important
  • Acquire generic skills
  • Team working
  • Infection control
  • Clinical governance
  • Risk management

20
Assessments
  • Mini CEX clinical evaluation exercises
  • CbD case-based discussions
  • MSF multi-source feedback
  • DOPs/OSATs objective structured assessments of
    technical skill
  • ARCP annual review of competence progression

21
Training now
22
Training programme
  • E-Portfolio
  • Structured teachings
  • ST1/ST2
  • Generic skills, knowledge, understanding and
    competences in OG
  • Manage acute obstetric and gynaecological
    presentations
  • Part 1
  • C-sections, forceps, laparoscopy, hysteroscopy,

23
Training programme cont...
  • ST3 ST5
  • Further competences
  • Part 2
  • Chance to do academic training
  • More complicated C-sections, rotational forceps,
    laparoscopy, hysteroscopy, hysterectomy, ectopic,
    oophorectomy, salpingectomy
  • ST6/ST7
  • Further competences
  • ASTMs Advanced Training Skills Modules i.e.
    Specialise

24
Out of training programme guidance
  • Beneficial to a trainees educational and
    professional development
  • Training can count towards award of CCT
  • Can be done abroad

25
How to improve your chances! Undergraduate
  • The National Undergraduate Curriculum in
    Obstetrics and Gynaecology (NUCOG)
  • RCOG website area just for you guys!
  • Events for students
  • Free e-mail updates
  • Elective!!

26
How to improve your chances! FY1/FY2
  • Women's health module
  • Obstetric and gynaecology history taking and
    examination skills
  • Basic obstetric problems
  • Basic gynaecology problems
  • Show an interest audit/presentation
  • Part 1 Exam
  • Talk to consultants
  • Miss Jackie Tay / Mr Nigel Simpson

27
Questions?
28
Conclusion Obstetrics and Gynaecology
  • Very varied and interesting speciality
  • You still can be a generalist or you can
    super-specialise
  • Excellent team working
  • Fantastic patient contact

29
Resources
  • Get Ahead! question books
  • http//www.mmc.nhs.uk/
  • www.rcog.org.uk
  • http//www.foundationprogramme.nhs.uk/pages/home
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