The examination for Membership of the Royal College of Obstetricians and Gynaecologists (MRCOG) remains one of the most internationally recognised postgraduate examinations in the specialty. Over the years, the examination has evolved in keeping with changes in medical education; the Part 3 examination now consists of 14 tasks, each covering one of the 14 core modules in the curriculum and assessing specific skills which may include all or some of Information Gathering, Communication with Patients and Families, Communication with Colleagues, Patient Safety, and Applied Clinical Knowledge.
This invaluable resource consists of analyses of different aspects of what is being tested, with general advice on how to prepare for the examination and discussion of the reasons why trainees fail the examination. There follow four sample ‘papers’ of tasks; in each of them, attempts have been made to cover all 14 modules in the core curriculum. There is also an additional paper with random tasks to help with preparation.
Author(s): Justin C Konje
Edition: 1
Publisher: CRC Press,
Year: 2020
Language: English
Tags: Obstetrics; Gynecology; Reproductive Medicine; Women's Health; Revision Guides; Fertility & Contraception
Cover
Title Page
Copyright Page
Table of Contents
Dedication Page
Chapter 1 Preface to Complete Revision Guide for MRCOG Part 3
Chapter 2 How to Use This Book
Chapter 3 An Overview of the Part 3 MRCOG Examination
Introduction
Chapter 4 Logistics of the Exams
Chapter 5 Guidance on How to Prepare for the Part 3 MRCOG Examination
Chapter 6 Overview of the Five Domains of Assessment
Chapter 7 How to Fail the Part 3 MRCOG Examination
Chapter 8 Examples of Possible Tasks under the Various Domains
Information Gathering
Communication with Patients and Families
Communication with Colleagues
Patient Safety
Applied Knowledge
Chapter 9 What Are the Examiners Looking for in Each of the Tasks?
Module 1: Teaching
Module 2: Core Surgical Skills
Module 3: Post-Operative Care
Module 4: Antenatal Care
Module 5: Maternal Medicine
Module 6: Management of Labour
Module 7: Management of Delivery
Module 8: Postpartum Problems (The Puerperium)
Module 9: Gynaecological Problems
Module 10: Subfertility
Module 11: Sexual and Reproductive Health
Module 12: Early Pregnancy Care
Module 13: Gynaecological Oncology
Module 14: Urogynaecology and Pelvic Floor Problems
Module 1: Teaching
Module 2: Core Surgical Skills
Module 3: Post-Operative Care
Module 4: Antenatal Care
Module 5: Maternal Medicine
Module 6: Management of Labour
Module 7: Management of Delivery
Module 8: Postpartum Problems (The Puerperium)
Module 9: Gynaecological Problems
Module 10: Subfertility
Module 11: Sexual and Reproductive Health
Module 12: Early Pregnancy Care
Module 13: Gynaecological Oncology
Module 14: Urogynaecology and Pelvic Floor Problems
Chapter 10 How to Prepare for the MRCOG Part 3: A Personal Perspective
Key Resources – What’s Involved
Process of Study/Methodology
Finding a Study Partner from the Beginning Is Crucial. Why?
Duration for Preparation
Study Plan
Tips while Studying
How to Improve Your Communication Skills
Challenging Communication Skills
The Exams Are Nearly Here – What Should You Be Doing?
In Summary
Chapter 11 Common Tips on Communication
Approaching Tasks with Fetal Anomalies
Describing a Fetal Abnormality
Chromosomes and Chromosomal Abnormalities
How to Counsel about Termination of Pregnancy: An Example
Counselling about Termination of Pregnancy
Explaining Some Gynaecological Diagnoses
Explanation of Some Gynaecological Surgical Procedures
Explaining Investigations
Chapter 12 Paper I
Task 1: Instrumental Delivery (Forceps Delivery). Module 1 – Teaching
Candidate’s Instructions
Postscript
Preparation of Staff
Delivery of the Baby
Examiner Expectations and Basis for Assessment
Task 2: Diabetes in Pregnancy. Module 5 – Maternal Medicine
Candidate’s Instructions
Simulated Patient’s Information
Lay Examiner’s Instructions
Examiner Expectations and Basis for Assessment
Task 3: Monochorionic Twin Pregnancy. Module 4 – Antenatal Care
Candidate’s Instructions
Summary of Ultrasound Findings
Simulated Patient’s Information
Examiner Expectations and Basis for Assessment
Task 4: Previous Fourth-Degree Perineal Tear. Module 7 – Management of Delivery
Candidate’s Instructions
Simulated Patient’s Information
Examiner Expectations and Basis for Assessment
Task 5: Urinary Retention Postpartum. Module 8 – Postpartum Problems (the Puerperium)
Candidate’s Instructions
Simulated Patient’s Information
Examiner Expectations and Basis for Assessment
Task 6: Labour Ward Prioritisation. Module 6 – Management of Labour
Candidate’s Instructions
Tips for the Candidate at This Station
Examiner Expectations and Basis for Assessment
Task 7: Contraception in an 18-Year-Old with Learning Disabilities. Module 11 – Sexual and Reproductive Health
Candidate’s Instructions
Examiner’s Instructions
Examiner Expectations and Basis for Assessment
Task 8: Missed Miscarriage and Recurrent Pregnancy Loss. Module 12 – Early Pregnancy Care
Candidate’s Instructions
Simulated Patient’s Information
Examiner Expectations and Basis for Assessment
Task 9: Primary Amenorrhoea. Module 9 – Gynaecological Problems
Candidate’s Instructions
Simulated Patient’s Information
Examiner Expectations and Basis for Assessment
Task 10: Anovulatory Infertility. Module 10 – Subfertility
Candidate’s Instructions
Simulated Patient’s Information
Examiner Expectations and Basis for Assessment
Task 11: Stress Incontinence. Module 14 – Urogynaecology and Pelvic Floor Problems
Candidate’s Instructions
Simulated Patient’s Information
Examiner’s Instructions
Examiner Expectations and Basis for Assessment
Task 12: Endometrial Cancer. Module 13 – Gynaecological Oncology
Candidates Instructions
Simulated Patient’s Information
Examiner Expectations and Basis for Assessment
Task 13: Bladder Injury at Hysterectomy. Module 3 – Post-Operative Care
Candidate’s Instructions
Examiner’s Instructions
Examiner Expectations and Basis for Assessment
Task 14: Abdominal Hysterectomy. Module 2 – Core Surgical Skills
Candidate’s Instructions
Examiner’s Instructions
Examiner Expectations and Basis for Assessment
Chapter 13 Paper II
Task 1: Conduction of a Twin Delivery. Module 1 – Teaching
Candidate’s Instructions
Simulated Trainee’s Instructions
Examiner Expectations and Basis for Assessment
Task 2: Systemic Lupus Erythematosus. Module 5 – Maternal Medicine
Candidate’s Instructions
Simulated Patient’s Information
Examiner Expectations and Basis for Assessment
Task 3: Pregnant Patient with Renal Transplant. Module 4 – Antenatal Care
Candidate’s Instructions
Examiner’s Instructions
Examiner Expectations and Basis for Assessment
Task 4: Management of Primary Postpartum Haemorrhage. Module 7 – Management of Delivery
Candidate’s Instructions
Examiner’s Instructions
Examiner Expectations and Basis for Assessment
Task 5: Fourth-Degree Perineal Tear – Follow-up. Module 8 – Postpartum Problems (The Puerperium)
Candidate’s Instructions
Examiner’s Instructions
Examiner Expectations and Basis for Assessment
References
Task 6: Labour Ward Prioritisation. Module 6w – Management of Labour
Candidate’s Instructions
Examiner Expectations and Basis for Assessment
Task 7: Endometriosis. Module 9 – Gynaecological Problem
Candidate’s Instructions
Simulated Patient’s Information
Examiner Expectations and Basis for Assessment
Task 8: Unexplained Infertility. Module 10 – Subfertility
Candidate’s Instructions
Simulated Patient’s Information
Examiner Expectations and Basis for Assessment
Task 9: Follow-up after Sacrocolpopexy. Module 14 – Urogynaecology and Pelvic Floor Problems
Candidate’s Instructions
Simulated Patient’s Information
Examiner Expectations and Basis for Assessment
Task 10: Complete Molar Pregnancy. Module 12 – Early Pregnancy Care
Candidates Instructions
Simulated Patient’s Information
Examiner Expectations and Basis for Assessment
Task 11: Referral Letters. Module 9 – Gynaecological Problems
Candidate’s Instructions
Examiner’s Instructions
Examiner Expectations and Basis for Assessment
Task 12: Long-Acting Reversible Contraception. Module 11 – Sexual and Reproductive Health
Candidate’s Instructions
Simulated Patient’s Information
Examiner Expectations and Basis for Assessment
Task 13: Secondary Haemorrhage Presenting after Hysterectomy. Module 3 – Post-Operative Care
Candidate’s Instructions
Examiner’s Instructions
Examiner Expectations and Basis for Assessment
Task 14: Ovarian Cancer. Module 13 – Gynaecological Cancer
Candidate’s Instructions
Additional Patient Information
Examiner’s instructions
Rationale for Scoring under Each of the Domains – Expectations from Candidates
Chapter 14 Paper III
Task 1: Perineal Repair. Module 1 – Teaching
Candidate’s Instructions
Examiner Expectations and Basis for Assessment
Task 2: Macrosomia. Module 6 – Management of Labour
Candidates Instructions
Examiner’s Instructions
Examiner Expectations and Basis for Assessment
Task 3: Epilepsy in Pregnancy. Module 5 – Maternal Medicine
Candidate’s Instructions
Simulated Patient’s Information
Examiner Expectations and Basis for Assessment
Task 4: Sickle Cell Anaemia. Module 4 – Antepartum Care
Candidate’s Instructions
Simulated Patient’s Information
Examiner Expectations and Basis for Assessment
Task 5: Vaginal Birth after CS. Module 7 – Management of Delivery
Candidate’s Instructions
Simulated Patient’s Information
Examiner Expectations and Basis for Assessment
Task 6: Postpartum Dyspareunia. Module 8 – Postpartum Problems (The Puerperium)
Candidate’s Instructions
Simulated Patient’s Information
Examiner Expectations and Basis for Assessment
Task 7: Secondary Postpartum Haemorrhage. Module 8 – Postpartum Problems (The Puerperium)
Candidate’s Instructions
Simulated Patient’s Information
Examiner Expectations and Basis for Assessment
Task 8: Results for Interpretation. Module 4 – Antenatal Care
Candidate’s Instructions
Patient Summary and Results
Examiner Expectations and Basis for Assessment
Task 9: Hirsutism. Module 9 – Gynaecological Problems
Candidate’s Instructions
Simulated Patient’s Information
Examiner Expectations and Basis for Assessment
Task 10: Male Infertility. Module 10 – Subfertility
Candidate’s Instructions
Summary of Investigations
Simulated Patient’s Information
Examiner Expectations and Basis for Assessment
Task 11: Urgency Incontinence. Module 14 – Urogynaecology and Pelvic Floor Problems
Candidate’s Instructions
Simulated Patient’s Information
Examiner Expectations and Basis for Assessment
Task 12: Cervical Cancer. Module 13 – Gynaecological Oncology
Candidate’s Instructions
Examiner’s Instructions
Examiner Expectations and Basis for Assessment
Task 13: Vaginal Hysterectomy. Module 2 – Core Surgical Skills
Candidate’s Instructions
Examiner’s Instructions
Examiner expectations and basis for assessment
Task 14: Consent for Hysterectomy. Module 2 – Core Surgical Skills
Candidate’s Instructions
Simulated Patient’s Information
Clinical Examiner’s Instructions
Lay Examiner’s Instructions
Examiner Expectations and Basis for Assessment
Chapter 15 Paper IV
Task 1: Previous Postpartum Haemorrhage. Module 4 – Antepartum Care
Candidate’s Instructions
Simulated Patient’s Information
Examiner Expectations and Basis for Assessment
Task 2: Teaching Breech Delivery. Module 1 – Teaching
Candidate’s Instructions
Examiner Expectations and Basis for Assessment
Conduct of Breech Delivery – Teaching (Details to Provide to the Trainee)
Task 3: Crohn’s Disease. Module 5 – Maternal Medicine
Candidate’s Instructions
Simulated Patient’s Information
Examiner Expectations and Basis for Assessment
Task 4: Morbid Obesity. Module 4 – Antepartum Care
Candidate’s Instructions
Simulated Patient’s Information
Examiner Expectations and Basis for Assessment
Task 5: Prenatal Diagnosis. Module 4 – Antenatal Care
Candidate’s Instructions
Simulated Patient’s Information
Examiner Expectations and Basis for Assessment
Task 6: Previous Shoulder Dystocia. Module 7 – Management of Delivery
Candidate’s Instructions
Simulated Patient’s Information
Examiner Expectations and Basis for Assessment
Task 7: Intrauterine Fetal Death. Module 8 – Postpartum Problems (The Puerperium)
Candidate’s Instructions
Simulates Patient’s Information
Examiner Expectations and Basis for Assessment
Task 8: Results for Interpretation. Module 4 – Antepartum Care
Candidate’s Instructions
Patient Summary and Results
Examiner Expectations and Basis for Assessment
Task 9: Results for Interpretation. Module 9 – Gynaecological Problems
Candidate’s Instructions
Patient Summary and Results
Examiner Expectations and Basis for Assessment
Task 10: Ovarian Cyst – Suspected Malignancy. Module 13 – Gynaecological Oncology
Candidates Instructions
Simulated Patient’s Information
Examiner Expectations and Basis for Assessment
Task 11: Female Infertility. Module 10 – Subfertility
Candidate’s Instructions
Simulated Patient’s Information
Examiner Expectations and Basis for Assessment
Task 12: Pelvic Organ Prolapse. Module 14 – Urogynaecological and Pelvic Floor Problems
Candidate’s Instructions
Examiner’s Instructions
Examiner Expectations and Basis for Assessment
Task 13: Laparoscopic Sterilisation. Module 11 – Sexual and Reproductive Health
Candidate’s Instructions
Simulated Patient’s Information
Clinical Examiner’s Instructions
Lay Examiner’s Instructions
Examiner Expectations and Basis for Assessment
Task 14: Referral Letters. Module 9 – Gynaecological Problems
Candidate’s Instructions
Examiner’s Instructions
Examiner Expectations and Basis for Assessment
Chapter 16 Paper V
Task 1: Cytomegalovirus Infection. Module 4 – Antepartum Care
Candidate’s Instructions
Simulated Patient’s Information
Examiner Expectations and Basis for Assessment
Task 2: Fetal Growth Restriction: Module 4 – Antenatal Care
Candidate’s Instructions
Simulated Patient’s Information
Examiner Expectations and Basis for Assessment
Task 3: Vascular Lower Segment at Emergency Caesarean Section for Fetal Distress. Module 3 – Core Surgical Skills
Candidate’s Instructions
Examiner’s Instructions
Examiner Expectations and Basis for Assessment
Task 4: Request for Elective CS for Non-Medical Reasons. Module 7 – Managing Delivery
Candidate’s Instructions
Clinical Examiner’s Instructions
Lay Examiner’s Instructions
Simulated Patient’s Information
Examiner Expectations and Basis for Assessment
Task 5: HIV in Pregnancy. Module 5 – Maternal Medicine
Candidate’s Instructions
Simulated Patient’s Instructions
Examiner’s Instructions
Lay Examiner’s Instructions
Examiner Expectations and Basis for Assessment
Task 6: Prioritisation in Gynaecology. Module 9 – Gynaecological Problems
Candidate’s Instructions
Waiting List
Examiner Expectations and Basis for Assessment
Task 7: Combined Hormonal Contraception. Module 11 – Sexual and Reproductive Health
Candidate’s Instructions
Examiner’s Instructions
Examiner Expectations and Basis for Assessment
Task 8: Ectopic Pregnancy. Module 12 – Early Pregnancy Care
Candidate’s Instructions
Simulated Patient’s Information
Examiner Expectations and Basis for Assessment
Task 9: Diagnostic Laparoscopy. Module 2 – Core Surgical Skills
Candidate’s Instructions
Examiner’s Instructions
Examiner Expectations and Basis for Assessment
Task 10: Waiting List in Gynaecology. Module 9 – Gynaecological Problems
Candidate’s Instructions
Waiting List
Examiner Expectations and Basis for Assessment
Task 11: Gynaecology Prioritisation Board. Module 9 – Gynaecological Problems
Candidate’s Instructions
List of Cases on the Unit
Examiner Expectations and Basis for Assessment
Task 12: Perforation of the Uterus at Evacuation of Products of Conception. Module 3 – Post-Operative Care
Candidate’s Instructions
Examiner’s Instructions
Examiner Expectations and Basis for Assessment
Index
