Women intro transcript — SMP305 lecture transcript

Any luck? Yeah, can you just write your names on that, please? I. I'm. What's up, you know I just. OK, while you pass it on, I think it's the 24 names on the list. Yeah. I OK, so I'm Doctor Mina Samoas. Um, I'm a consultant at Barnsley, and I'm the lead for Women's Health module. OK, so welcome to Oxen Gyne. So you've had all the lectures this morning. They all went as planned. OK, good. OK, so what all placements have you finished so far? Uh, I assume all of you have done the same rotation so far. So what all have you finished? GP GP and just one? SEC, which? Which one? The SEC. SEC, OK. So those are the two placements. So, you haven't done hospital placements yet? OK. So, oxy gynae is, Very interesting, of course I'm going to say that aren't I, um, very interesting specialty, the reason being there's a big variety, OK? And it covers almost every specialty that you can come across in medicine from anatomy through pharmacology through psychiatry to surgery to oncology, endocrinology, you name it, feeds, uh, you name it, and it. It falls under the umbrella of oxy gynae, so there is a vast range that um you will come across, so having said that, it's a very busy specialty too, so your placement is going to be quite hectic, OK? So, try and get the most you can from these six weeks, because the next time you come across Hobsong is going to be your exams in December and unless you choose to. Ups and tiny in your foundation years, this is the only opportunity you have to learn oxin gynae for the

rest of your lives, all right? And having said that, there is no doctor in whatever specialty you choose for your career that you will not come across ox and gynae, you will come across pregnant women, whether you be a neurologist or a radiologist. You will come across women with gynae problems that you will have to deal with, and believe me, the knowledge you gain at this stage is going to tell you how you're going to deal with that situation, OK? So make the best use of the opportunity, all right? So, OK, so welcome. Now, as I said, it covers quite a few specialties. There's an attendance sheet going around, um, can you all make sure you sign in it because your login is not working for this afternoon I'm told. So we cover all aspects of the women's health, so it covers obstetrics, gynaecology, sexual health. Health and breast, OK? So I'm just going to run past what is what you expect and what is expected of the placement. So brief word about the structure of the rotation, the

cases, attendance, your assessments, which is very important. And what you expect to learn. As I said, it covers obstetrics gynaecology. So, it is a 6 week placement and today and tomorrow you have the introductory lectures, and then you start your clinical placement on Wednesday, OK? So have you all got the allocations of which hospital you're going to be in, and you've got contact details of whom you, whom you are under and whom you contacted this, any query. Anything that you need, yeah? So your first port of call will be your named supervisors, OK? for whatever issues you have, say if you're not able to get to clinics, you're not able to take histories, you're not able to see patients in clinic for whatever reason, first person to speak to would be your supervisor, if you're not able to get through to them. Or if they're not able to sort things out for you, then you go to your local lead supervisor and every trust. Yeah, I suppose you've got the names, don't you? And the next thing that you need to know is if, again, there's an issue there, then I'm the super person for Penta. You, and then we have the phase 3 leads, and of course the admin people as well, so any problems anytime, plus, please do shout out and don't leave it till the end, so raise issues right at the beginning or as they come along so we can sort them out and you can have a good experience, OK?

So, within the placement, we expect you to be rotated through labour ward, antenatal postnatal wards, gyne wards, um, early pregnancy assessment unit, antenatal day unit on maternity theatres, clinics, both general clinics and specialist clinics, OK? There is a log sheet that um and all this information. Is there on whenever in your handbook, OK? So there is a log sheet that you're expected to fill out and keep an account of it because that will help you to see if you've got a wide range of all the areas that you need to go to, OK? It's not to chase you or to follow you through, but it's also to help you to see if you've got everything through, all right? Attendance is 100% requirement. Because it's only a 6 week placement and as I said, there's a lot to cover, so please do not miss it unless you have valid reasons, then let us know uh so far I haven't had anybody asking for leave in this batch, so I'm assuming all of you are able to attend, OK?

Um, if it's less than 80%, then you have to remediate, mandatory, OK? Now the. Teaching in terms of the, um, I'm sure you've come across, you know about the cases block, yeah, so there is a week of ops in gynae in that block where we cover most of the topics, and they've all been mapped with the MLA curriculum, so we've tried to cover as much of the MLA curriculum as we can because we know that's your final exam, all right? um, there are 6 ILAs which are covered in. During your placements, so most of the trusts have their own way of doing it, either they do it one a week or they leave it after a couple of weeks, one giving you time to settle down, and that again is ILA so it's a lot of what you give is what you get, OK? They're not lectures the um clinical experience logs I've already spoken about. I'll talk about each of them in a minute and um the assessments again are all on Minerva, so there are 2 CBDs, 2 mini kits, and a reflective essay

so the the CBD mini kits, they expect you to do one each and not send daily, OK? In the mini kits for obstetrics, it's mandatory that you do the examination of pregnant abdomen and. You're observed and you need to get a sign off. So practise as much as you can whilst you're in placement. Upload all these documents on Minerva before you finish, not after you leave the placement. All these documents have to be uploaded on Minerva before you meet your supervisors for the final sign off. expected to fill any of the forms after you have the final form signed, that will cost reasons for remediation, and these are summitative assessments, they count towards your final end of year assessments, so if you haven't got any of them done here, you might have to remediate, all right? So the. topics in gynae and obstetrics are these. So each time you see a case, just make a summary, write down a case scenario, so it's more for your own reading for you to prepare as to how you're going to go through the cases towards the end. Remember you have your OSI, and that's only 4, phase 4, but you have an standing station there. OK, so the more you practise here, the better for

you. So this coming to the assessments, as I said, they come towards the end of year assessment, so 2 of CBDs and 2 mini cases and 1 reflective essay. Now the reflective essay, we've left it quite open. It can either be a case that you've seen and you've reflected on the. The patient journey or something that made you think about, got you thinking, and then you realise it, it's a different scenario as to what you've come across, or you pick a topic, and research and read about it and write an essay on that, so we've said a minimum of 300 words, but that's not just 300 words, it's a minimum, so, however you want to take it. You can, but the important thing is this is done before your final sign off, and it's uploaded so that your supervisor sees it and approves it, OK? You also have a mid-placement assessment form to do, that's halfway through your placement, and that's purely because it gives you an opportunity to address anything that needs ironing out. Any concerns, anything it's not going to plan, then that's the time to fix it, don't leave it, there's no point bringing it up at the end of 6 weeks,

OK? Any questions on that? OK? So that's the log of experience. So in terms of specialist clinics, there are specialist clinics both in ops and gyne, so. so in obstetrics we have the foetal medicine, high risk metal medicine clinics, um, endocrine, diabetes, OK? And in gyne, there's plenty, there's hysteroscopy, colposcopy, urogynae, fast track, scan, early pregnancy, plenty so once you go find out what is there in your respective trusts, most of them have, almost all of them. Shein might have a. Couple extra because they do specialised individual specialty but there's plenty in the district hospitals as well so in terms of theatre sessions, there are some supervisors who do more obstetrics, some who do more gynae, and in Sheffield there are pure obstetricians and pure gynaecologists, OK? So how many of you are in Sheffield? And have you all got two supervisors, 11 gynae, so. Try and find out how you're going to organise your time between the two, OK? For those in the district hospitals, almost all of us do both, so, but in varying proportions. So if you are with a consultant who does more obstetrics with very few theatres, then it's understood that you will go and attend theatres with the other consultants. So what is important is you form some kind of a WhatsApp group, each trust. Students, so you, one, you get your timetable as to where you're allocated, but for whatever reasons that clinic gets cancelled or theatre gets cancelled or whatever, you're free and you are able to go to some other clinic. So look at the rota, check with your friends and say, OK, my theatre is cancelled. I was meant to be going for a gyne theatre that's cancelled this afternoon. Can I, I can look at the rota that there is, um.