WELCOME!WELCOME!

to OBSTETRICS to OBSTETRICS

and and

GYNECOLOGY GYNECOLOGY

(and GUM)(and GUM)

O&G blockO&G block

8 weeks8 weeks

Obstetrics and GynaecologyObstetrics and Gynaecology

Workplace learningWorkplace learning

AIMSAIMS• Develop basic clinical skillsDevelop basic clinical skills

• History takingHistory taking• Obstetric and gynaecological historyObstetric and gynaecological history• Clinical judgementClinical judgement

• Knowledge acquisitionKnowledge acquisition• Common obstetric / gynaecological problemsCommon obstetric / gynaecological problems

• Participate in workplace learningParticipate in workplace learning• Normal deliveriesNormal deliveries• Present casesPresent cases• Join in on ward roundsJoin in on ward rounds

• Gain insight and understandingGain insight and understanding• ClinicalClinical• Managerial Managerial • SocialSocial• Ethical / LegalEthical / Legal

GUIDING PRINCIPLESGUIDING PRINCIPLESWork as a valued member of the teamWork as a valued member of the team

Do not chase formulaic signatures; however it is YOUR Do not chase formulaic signatures; however it is YOUR responsibilty to document your attendance. It is expected that responsibilty to document your attendance. It is expected that you will document approximately 42 educational sessions over you will document approximately 42 educational sessions over 8 weeks to achieve satisfactory attendance8 weeks to achieve satisfactory attendance

See your Consultant supervisor often and pre-arrange meeting See your Consultant supervisor often and pre-arrange meeting well in advancewell in advance

Practice: Practice: – history taking, examination, presentation, differential diagnosis, history taking, examination, presentation, differential diagnosis,

investigations and managementinvestigations and management

Take ownership of your learningTake ownership of your learning

Be pro-active Be pro-active

Be reflective Be reflective

PROFESSIONALISMPROFESSIONALISM

Introduce yourself to fellow health professionals, especially your consultant and their team

ID Badges – at UHCW see Eva if you need update. For GEH (Sam Cook) and for Warwick (Jo Williams)

Dress code – smart & professional

Chaperone for ALL patients for clinical examination

EDUCATIONAL PROGRAMMEEDUCATIONAL PROGRAMME

Induction - 3 day Core teaching block

Teachings sessions/tutorials

E-Modules

Ethics session (mandatory)

Log Books for workplace learning

OSLERS

(Objective Structured Long Examination Record)

feedback record

TEACHING SESSIONSTEACHING SESSIONS

University teaching University teaching – Alternate Friday full daysAlternate Friday full days

Tutorials / teaching in O&GTutorials / teaching in O&G– 80% attendance80% attendance

Mandatory ethics sessionMandatory ethics session– Ethics (23Ethics (23rdrd September 09.30 – 11.30 @ UHCW) September 09.30 – 11.30 @ UHCW)– Preparatory work Preparatory work

Workplace based sessions (open invitation)Workplace based sessions (open invitation)– Quality of Care meetings (UHCW) / CTG meetingsQuality of Care meetings (UHCW) / CTG meetings– Risk Management meetingsRisk Management meetings– Multidisciplinary meetings e.g. oncology, perinatal mortality meetings, Multidisciplinary meetings e.g. oncology, perinatal mortality meetings,

fetal medicinefetal medicine– Audit meetingsAudit meetings

LOG BOOKSLOG BOOKS• Learning and reflective diaryLearning and reflective diary• Provision for: Provision for:

• Antenatal experienceAntenatal experience• Gynae outpatient experienceGynae outpatient experience• Gynae emergency experienceGynae emergency experience• Labour Ward experienceLabour Ward experience• Core tutorialsCore tutorials• Core competencies: history, examination, passing a Core competencies: history, examination, passing a

speculumspeculum• ReflectionsReflections• Other activities: tutorials, specialist clinics etc.Other activities: tutorials, specialist clinics etc.

END OF BLOCK ASSESSMENT END OF BLOCK ASSESSMENT FORMFORM

Portfolio casesPortfolio cases– KnowledgeKnowledge– Clinical acumen and judgementClinical acumen and judgement– ReflectionReflection

Clinical experience and attendanceClinical experience and attendanceClinical skill / competenciesClinical skill / competenciesSigned by ConsultantSigned by Consultant

SYLLABUSSYLLABUS

Core Skills in clinical situationsCore Skills in clinical situations

Expected of FY1-2Expected of FY1-2– Good history takingGood history taking– Competent examination (including speculum)Competent examination (including speculum)– Routine tasks (admission clerking, insert Routine tasks (admission clerking, insert

ventflons, team communication, advise on ventflons, team communication, advise on common conditions)common conditions)

Core topicsCore topics– Common presentations Common presentations – Clinical contextClinical context

WRITTEN EXAMINATIONWRITTEN EXAMINATION• Last Wednesday of block @ 9am (21Last Wednesday of block @ 9am (21stst October, 2015) October, 2015)• Bring log book + assessment form Bring log book + assessment form

((signed off by consultant please!!!signed off by consultant please!!!) ) • Content:Content: 80% - common conditions80% - common conditions

20% - challenging questions20% - challenging questions• MCQ (100 marks): MCQ (100 marks):

• 20 single stem with 5 true/false responses 20 single stem with 5 true/false responses • no negative marking no negative marking • 30 minutes 30 minutes • divided equally between obstetrics and gynaecologydivided equally between obstetrics and gynaecology

• Patient management questions (100 marks):Patient management questions (100 marks):• case description case description • 10 case scenarios 10 case scenarios • divided equally between obstetrics and gynaecology divided equally between obstetrics and gynaecology • 90 minutes90 minutes

OVERALL GRADEOVERALL GRADE

Distinction: achieve ‘excellent’ in 3 out of 5 Distinction: achieve ‘excellent’ in 3 out of 5 components components (of which one must be a written paper)(of which one must be a written paper)– MCQMCQ– PMQPMQ– 3 end-of-block Assessment components (evidenced 3 end-of-block Assessment components (evidenced

by the log book)by the log book)portfolio casesportfolio casesattendanceattendanceclinical acumen/skills/competenceclinical acumen/skills/competence

HOW TO FAIL !HOW TO FAIL !

Any portfolio case less than SatisfactoryAny portfolio case less than Satisfactory

3 portfolio cases not completed by week 83 portfolio cases not completed by week 8

An Unsatisfactory in any of the sections of the end of An Unsatisfactory in any of the sections of the end of

block assessment form or the written examination block assessment form or the written examination

More than 2 Borderlines in any of the assessment areas More than 2 Borderlines in any of the assessment areas

log book which shows non-engagement (e.g. has less log book which shows non-engagement (e.g. has less

than 42 clinical/educational sessions documented)than 42 clinical/educational sessions documented)

EVALUATIONEVALUATIONQuality assurance: Quality assurance: – Fill in evaluation forms for tutorials and lecturesFill in evaluation forms for tutorials and lectures

Email feedback or suggestions:Email feedback or suggestions:– O&G Undergraduate Lead: Dr Jacky WoodmanO&G Undergraduate Lead: Dr Jacky Woodman– UHCW O&G Undergraduate training co-ordinator: Eva NtouniUHCW O&G Undergraduate training co-ordinator: Eva Ntouni

Etleva-Evanthia.Ntouni@uhcw.nhs.ukEtleva-Evanthia.Ntouni@uhcw.nhs.uk– Please email to BOTH and feedback problems early so that they can Please email to BOTH and feedback problems early so that they can

be rectified quicklybe rectified quickly

For specific site issues: For specific site issues:

WarwickWarwick O&G Undergraduate Lead : O&G Undergraduate Lead : Dr Radhae RaghavanDr Radhae Raghavan

Undergraduate Education Manager: Jo Williams – Undergraduate Education Manager: Jo Williams – jo.williams@swh.nhs.ukjo.williams@swh.nhs.uk

George Elliott HospitalGeorge Elliott HospitalO&G Undergraduate Lead: O&G Undergraduate Lead: Dr Suzy Matts & Mr Gary LawrenceDr Suzy Matts & Mr Gary LawrenceUndergraduate Education Manager : Sam Cook:- Undergraduate Education Manager : Sam Cook:- samcook.getec@geh.nhs.uksamcook.getec@geh.nhs.uk

CONTACT DETAILSCONTACT DETAILS

Jacqueline.woodman@uhcw.nhs.uk

Office: West Wing, 2Office: West Wing, 2ndnd Floor, O&G Floor, O&G DepartmentDepartment

Eva.Ntouni@uhcw.nhs.ukEva.Ntouni@uhcw.nhs.uk Undergraduate Office, Clinical Undergraduate Office, Clinical Sciences BuildingSciences Building

Tel: 02476 968787Tel: 02476 968787

Welcome to O&G!Welcome to O&G!

Enjoy the BlockEnjoy the Block!!