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    1. Obstetrics and Gynaecology Dr Fiona Bach ST2 O&G trainee

    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. PT+ve 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 Women’s 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 O&G 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 O&G 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 trainee’s 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. ConclusionObstetrics 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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