TEALE FENNING

drhatta · Joined: 20 Feb 2007 Posts: 32 Location: Malaysia

This syllabus takes effect from the March/May 2008 sitting onwards.

Please see Syllabus for Part 2 MRCOG (2007) for the syllabus for the September/November 2007 sitting.

Please note that this Syllabus should be read in conjunction with the Curriculum for Core Training. Modules 4 and 19 will not be examined in the Part 2 MRCOG examination, and they do not therefore feature in this Syllabus.

Module 1: Basic Clinical Skills

You will be expected to demonstrate your ability to take an obstetric and gynaecological history, to communicate effectively, and to take notes concisely and accurately.

Module 2: Teaching, Appraisal and Assessment

You will be expected to understand the principles of adult learning and to demonstrate aptitude in teaching common practical procedures in obstetrics and gynaecology.

Module 3: Information Technology, Clinical Governance and Research

A. Use of IT, Audit & Standards

The examiners will expect you to demonstrate a full understanding of all common usage of computing systems including the principles of data collection, storage, retrieval, analysis and presentation. You will be expected to understand quality improvement and management, and how to perform, interpret and use clinical audit cycles and the production and application of clinical standards, guidelines and care pathways and protocols.

B. Risk management

You will be expected to demonstrate a working knowledge of the principles of risk management and their relationship to clinical governance and complaints procedures.

C. Research

You will be expected to understand the difference between audit and research and how to plan a research project but more importantly demonstrate the skills to critically appraise scientific trials and literature.

D. Ethical and Legal Issues

You will be expected to understand the principles and legal issues surrounding informed consent with particular awareness of the implications for the unborn child, post mortem examinations, consent to surgical procedures including sterilisation, parental consent and Fraser guidelines, medical certification, research and teaching.

E. Confidentiality

You will be expected to demonstrate an awareness of the relevant strategies to ensure confidentiality and when it might be broken. You will be expected to understand the role of interpreters and patient advocates.

Module 5: Core Surgical Skills

You will need to demonstrate an understanding of the issues surrounding informed consent. This includes knowledge of the complication rates, risks and likely success rates of different gynaecology operations together with an understanding of the diagnostic methods and treatment of the complications. You will be expected to demonstrate an understanding of the appropriate use of blood and blood products together with postoperative fluid and electrolyte balance, and the diagnosis of these different postoperative complications. To show your familiarity with surgery you may be required also to describe the common operations together with common surgical instruments and sutures.

Module 6: Postoperative Care

You will be required to demonstrate an understanding of all aspects of postoperative care – immediate, short-term and long-term. This will include your ability to assess a postoperative patient, know the diagnosis and demonstrate your ability to deal with it. You must know how to prevent common postoperative problems. You will be expected to be able to discuss all aspects of surgery, complications and follow-up with patients and relatives.

Module 7: Surgical Procedures

will be expected to demonstrate detailed knowledge of the basic surgical procedures performed by a Specialist Registrar in obstetrics and gynaecology – including diagnostic laparoscopy, hysteroscopy, gynaecological laparotomy for ovarian cysts, ectopic pregnancy and hysterectomy, and vaginal surgery for prolapse, incontinence and vaginal hysterectomy. You may also be examined on the principles and procedures involved in more complex gynaecological surgery for cancer and endometriosis. You should have good knowledge of the principles of safe surgery, surgical instruments and sutures, and of the management of common complications of surgery. The principles of surgical teamworking, risk management and reduction are also important components of this module.

Module 8: Antenatal Care

The examiners will expect a high level of understanding of normal antenatal processes and progress. You will need to be able to recognise and manage problems from pre-conceptual care through to delivery. Specifically, you should be able to deal with the diversity of maternal choices in antenatal and intra-partum care. You should demonstrate skill in listening and in conveying complex information (e.g., concerning risk). You will need to show understanding of the roles of other professionals, and skills in liaison and empathic teamwork. You should be fully conversant with principles of prenatal diagnosis and screening. You should understand the ways in which problems may affect the fetus, and should be able to interpret and act on any appropriate investigations. You will be expected to have good knowledge of the use of ultrasound and other techniques in investigation and treatment of disorders of the fetus.

Module 9: Maternal Medicine

The examiners will expect you to have a good understanding of common medical disorders and the effect that pregnancy may have on them, and also their effect, in turn, upon the pregnancy. This will include both medical and obstetric problems. You will be expected to demonstrate your ability to assess and treat these conditions, liaise with colleagues in other specialties and to know when more expert help is required.

Modules 10 and 11: Management of Labour and Management of Delivery

The examiners will expect you to have the knowledge, skills, understanding and judgement to be capable of initial management of intrapartum problems without direct supervision. This will include: knowledge and understanding of normal and abnormal labour, data and investigation interpretation, clinical judgement and prioritisation, management of a team, communication skills, insights and knowing one’s limits, emotional and cultural awareness, and appropriate use of protocols and guidelines. The examination may test certain aspects of practical skill relating to normal or abnormal delivery.

Module 12: Postpartum Problems (The Puerperium)

The examiners will expect you to understand and demonstrate appropriate knowledge, skills and attitudes in relation to postpartum problems. This will include dealing with resuscitation of both mother and baby, as well as demonstrating the ability to manage birth trauma and other birth complications. You will be expected to display empathy, counselling skills and an understanding of the role of other professionals. You should understand and be able to manage neonatal problems at birth, and should be to discuss these with parents.

Module 13: Gynaecological Problems

You will be expected to demonstrate knowledge of the aetiology, signs, symptoms, investigation and treatment of common gynaecological problems. You should appreciate the influence of psychosocial factors on the presentation and management of these conditions using a patient-centred approach. These gynaecological conditions provide the opportunity for you to demonstrate your understanding of the importance of audit, clinical governance and of taking informed consent.

Module 14: Subfertility

The examiners will expect you to demonstrate appropriate knowledge, skills and attitudes in relation to subfertility. This includes an understanding of the epidemiology, aetiology, pathogenesis, clinical treatment and prognosis of all aspects of male and female fertility problems. Your knowledge will include indications, limitations and interpretation of relative investigations and treatments in relation to both male and female including disorders of development and endometriosis. You will be expected to have a broad based knowledge of assisted reproductive techniques including: Ovulation Induction, In-Vitro Fertilisation and Intracytoplasmic Sperm Injection, Gamete Donation, Surrogacy and the legal and ethical implications of these procedures.

Module 15: Women’s Sexual and Reproductive Health

You will be expected to demonstrate appropriate knowledge, skills and attitudes in relation to fertility control, the diagnosis and management of sexually transmitted infections – including HIV and sexual dysfunction. In particular, you will be familiar with irreversible and emergency contraception and abortion, their modes of action, efficacy, indications, contraindications and complications. You should be familiar with the accompanying laws related to abortion, sexually transmitted disease, infection, consent and child protection. You will need to demonstrate a broad based recognition of management techniques relating to the sexual health of vulnerable groups such as young people, asylum seekers, commercial sex workers, drug users and prisoners. You will also be expected to know the basis of national screening programmes and their implementation through local care pathways.

Module 16: Early Pregnancy Care

The examiners will expect you to have a good understanding of early pregnancy and pregnancy loss. This will include the diagnosis, investigations, management and psychological support in miscarriage and ectopic pregnancy. You will be expected to be able to assess and manage these conditions both medically and surgically, and also to demonstrate your abilities to communicate the relevant information to the patient. It will be essential for you to have knowledge of the use of ultrasound in both the diagnosis and management.

Module 17: Gynaecological Oncology

You will be expected to have full knowledge of the aetiology and screening involved in gynaecological oncology, including the international perspective. An understanding of presenting symptoms and their management is required together with the appropriate competencies for each stage of the diagnostic process to include a comprehension of the different roles and skills required in district lead and gynae-oncologist. Knowledge of the prognosis and treatment options of the gynaecological cancers is necessary, and you may be asked to demonstrate your ability to provide counselling for patients with gynaecological cancer.

Module 18: Urogynaecology and Pelvic Floor Problems

You will be expected to understand the management of urinary and faecal incontinence, benign bladder conditions and urogenital prolapse. The examiners will expect you to demonstrate an understanding of the anatomy, pathophysiology, epidemiology, aetiology and investigation of these conditions. You should know when more experienced help is required in the management of your patients, and you must be able to discuss clearly all aspects of management with patients, carers and other continence providers.

Examination Committee

May 2007

NICK, Does this means better to take September's NOW?

EMAK · Century Club Joined: 26 Nov 2006 Posts: 572

Well,,
This need to give it a thought.

rpwalavalkar · Teale Fenning Administrator Joined: 20 Jul 2006 Posts: 966

guys,

they have only changed the headings, everything else under the module headings had always been in the syllabus. it's the whole of O&G.

you gyus are doing well already, no matter what they change on the syllabus ( provided they don't add management of parotid gland cancer and other this as remote to us, which i am sure they won't, it is after all an O&G exam) , you guys have the technique and the knowledge to get the mrcog, it's all about practice and thinking about the questions like the college will.

don't change your exam plans just because the college calls things by different names now.

it's going to be easier to study actually. as it's now clearer to see topics that are more likely to come as an essay or as an osce.

just keep up the practice and i'm sure we'll be seeing ur names on the list this november.

raj
_________________
Dr Miss. Raj Walavalkar MBBS MRCOG
TealeFenning Administrator
SR O&G Wessex Region

EMAK · Century Club Joined: 26 Nov 2006 Posts: 572

Nick , What do you think about the new RCOG curriculum with the Modules given ;;; do you think that they will be included in next exam essays ? Rolling Eyes