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- W4256348524 abstract "This task assesses the following clinical skills: … ● Patient Safety ● Communication with colleagues ● Applied clinical knowledge … You are teaching practical management of shoulder dystocia to your ST1 doctor who has just started obstetrics. He/ she has witnessed a shoulder dystocia after a forceps delivery last week and is very stressed about facing one. You have a pelvis and baby model and today you are teaching the shoulder dystocia scenario. You have 10 minutes for this task (+ 2mins initial reading time). This station assesses the candidate’s ability to teach a practical skill. This will also assess their knowledge of managing shoulder dystocia. Please observe the teaching and do not interrupt. You are a ST1 doctor who has just completed the foundation training. This is your second week on the delivery suite. You have seen one shoulder dystocia after forceps delivery recently. You found the experience stressful and are now worried about facing such a scenario. Your Registrar has kindly agreed to teach you the practical management of Shoulder dystocia using the pelvis and baby model. Please do not prompt and follow the instructions of the candidate (registrar). Patient safety … ● Avoid dangerous manoeuvres fundal pressure and excessive lateral and downward traction ● Explain advanced techniques and advice the importance of using them only if experienced— Zavanelli’s manoeuvre and symphysiotomy ● Explains the importance of documentation… Communication with colleagues … ● Explains the objectives of the station ● Allows active involvement of the team/ trainee ● Promotes team working ● Makes the trainee demonstrate while talking through the steps and allows trainee to talk through while demonstrating ● Finally gives opportunity to the trainee to independently talk through and demonstrate the whole scenario… Applied clinical knowledge … ● Has knowledge of all the manoeuvres ● Demonstrates and talks through the steps ● Recognize the problem ● Call for help ● Mc Roberts manoeuvre ● Suprapubic pressure ● Consider episiotomy ● Posterior arm delivery or internal rotatory manoeuvres ● Turn into all fours ● Emphasize subsequent management ● If unsuccessful consider repeating the manoeuvres ● If experienced, consider advanced manoeuvres ● Complete delivery." @default.
- W4256348524 created "2022-05-12" @default.
- W4256348524 date "2017-11-09" @default.
- W4256348524 modified "2023-09-27" @default.
- W4256348524 title "Teaching appraisal and assessment" @default.
- W4256348524 doi "https://doi.org/10.1093/oso/9780198757122.003.0008" @default.
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