Recalls-Teaching:

1. May 2011: Teach junior trainee palmer's point entry laparoscopy (D2 Hysteroscopy). ??
on simulator??
2. November 2012: ST3 want to learn second stage cs: with mannequin: why it is risky,
risks, manoeuvre to deliver the baby, and manoeuvre to facilitate the manoeuvres you
will use.
3. May 2013 day 1: role player with recently joining obgyn trainee who wrote a poor GP
letter and stopped valproic acid ttt for a woman with controlled epilepsy on his own,
this lady also hadn't seen her neurologist for a long time, she gave her folic acid though
and arrange a follow up to the antenatal clinic , what was incorrect and how to teach
trainee what are the wrong things she did and how to deal with such patients
4. Day 2:Teaching an FY1 about the non- surgical management of uterine inversion using a
woolly hat as a prop.
5. May 2016 day 1: Role play: Poor discharge letter by a junior Doctor. The case was
forceps delivery + sphincter tear (that what she wrote). She wrote antibiotics
(amoxiclav) +laxatives (lac tulle & some other sachets ) + paracetamol. In future plan,
she wrote that the incidence of recurrence is 20-40 % so next delivery should be by CS.
Next appointment after 12 wks with specialist nurse
6. May 2016 day 2: Discharge letter by SHO, patient had 3b tear after ventouse. Says can
have vaginal delivery . Medicines prescribed were paracetamol and lactulose in correct
doses. Advises follow up in 3 weeks with midwife.
7. November 2016 day 1: teaching pessary insertion to GP.
8. November 2016 day 2: Feedback session to a ST2 to missed diagnosis of ectopic
preg.She had asked history from husband as wife didnt know english.Had interpreted it
as incmplete miscarriage. Pt suddenly collapsed.lap had salpingectomy
 Other version: feed back for the management of ectopic pregnancy [Missed
points].
9. RCOG course may 2017:FY2 travelling away to Nigeria with husbnd. Wants to learn
about third stage of labour
- Establish what she knows
- Teach using model available, make sure she can demonstrate learning too
- Indications and contra-indications for synto/ergometrine
- Explain about signs of separation
- Demonstrate how to prevent uterine inversion
- Patient consent, allergies
10.

MHD