If You Know This You Know Your MRCOG!

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1ACE Courses presents The most comprehensive ever MRCOG part II and III syllabus checklist!If you know this you know your MRCOG!Please visit www.acecourses.co.uk to watch our video on the 5 simple stepsto make the most out of this checklist. We hope you find this helpful!With best wishesProfessor Arri Coomarasamy MBChB, MD, 22232425262728291 CORE CLINICAL SKILLSHistory taking - general gynaecologyHistory taking - urogynaecologyHistory taking - infertilityHistory taking - gynae oncologyHistory taking - sexual healthHistory taking - obstetricsExamination - breastExamination - non-pregnant abdomenExamination - pregnant abdomenExamination - pelvisNote keepingNon-technical skills (e.g situational awareness)Domestic violenceDrug abuseResuscitationLabour ward prioritisationOperating list reviewSafe prescribingFraser CompetenceBreaking bad newsDealing with angry patientRAG RATINGGREEN AMBER RED 2 TEACHING, APPRAISAL AND ASSESSMENTInductionAppraisalFormative and Summative assessmentEducational supervisionMentorshipCBDMini-CEXOSATS www.acecourses.co.uk Page total: Green []Amber []

2303132333435363738394041Multi-source feedback (TO1/TO2)LecturesSmall-group teachingBlended learningProblem based learningTeaching practical proceduresThe 1-minute preceptorCurriculumEducational session planning and deliveryAssessment and evaluationGiving and receiving feedbackReflection 424344453 IT, CLINICAL GOVERNANCE AND RESEARCHINFORMATION TECHNOLOGYinformation managementinformation storageInformation sources & literature searchingCaldecott principles 464748495051525354555657585960616263CLINICAL GOVERNANCEClinical governance - definitionClinical auditQuality improvement (e.g. PDSA cycle)Clinical guidelinesCare pathwaysCritical incident formPrescription errorTransfusion errorRisk ManagementRoot cause analysisPALS - Patient Advice and Liaison ServiceNHS complaints procedureThe Abortion Act 1967Stillbirth (Definition) Act 1992Human Fertilization and Embryology Act 1990Human Rights Act 1998Human Tissue Act 2004Female Genital Mutilation Act 64656667686970717273RESEARCHResearch and developmentPatient and public involvementGCP - Good Clinical Practice (in trials)Survey (including Delphi)Case-control studyCross-sectional studyCohort studyRandomised trialSystematic reviewsMeta-analysis Modulewww.acecourses.co.ukPage total: Green []Amber []

3747576777879808182838485Informed consent for researchResearch ethicsConflict of interestLevels of evidence and Grades of recommendationGRADE systemType 1 errorType 2 error (and power)Summary measures (e.g. mean, median, mode, SD)Statistical tests (e.g. t-test, chi-square test, MWU test)Regression (linear, multiple, logistic and cox)RR, OR, ARD and NNTTest accuracy measures (e.g. sen/spec/PPV/NPV) Module4 ETHICS AND LEGAL ISSUESNot examined in MRCOG II or IIIModule868788895 CORE SURGICAL SKILLSWHO safety checklistConsent and Montgomery rulingConsenting a minor ( 16 yrs)Consenting an individual with limited capacity PRE-OPERATIVE CAREPre-operative assessmentPre-operative work-up - patient with diabetesPre-operative work-up - patient with heart diseasePre-operative work-up - patient with lung diseasePre-operative work-up - patient with renal diseasePre-operative work-up - patient with liver diseasePre-operative work-up - patient with blood disorders 90919293949596979899100101102103104SURGICAL INSTRUMENTS and TECHNIQUESAbdominal incisionsSuturesNeedle holdersForceps and 5106107108109INJURYBladder injuryUreteric injuryBowel injuryBlood vessel injuryVisceral injuryModule6 POST-OPERATIVE CARE110 Enhanced recoverywww.acecourses.co.uk Page total: Green [ ]Amber []

4111112113114115116117118119Wound care and wound infectionSurgical drain managementPost-operative care - painPost-operative care - bleedingPost-operative care - infection and sepsisPost-operative care - shortness of breathPost-operative care - reduced urine outputPost-operative care - deranged electrolytesPost-operative care - collapse 41351361371381397 SURGICAL PROCEDURESManagement of Bartholin's cyst or abscessExcision of vulval lesionsSurgical management of miscarriageSurgery for ectopic pregnancyLaparoscopySterilizationOvarian cystectomyHysteroscopyOperative hysteroscopyLaparotomyAbdominal hysterectomyVaginal hysterectomyLaparoscopic hysterectomyIncontinence surgeryProlapse surgeryAdhesiolysisMyomectomyCancer surgeryEndometriosis surgeryCaesarean section 41551568 ANTENATAL CAREPreconception clinicAnte-natal clinicSpecialist ante-natal clinicsTeratogenesisDrugs and pregnancyMode of delivery after caesarean sectionReduced fetal movementsDrug and alcohol abuse in pregnancyExternal cephalic version (ECV)Cervical cerclageOligohydramniosPolyhydramniosSingle parenthoodTeenage motherhoodParent-baby relationshipsBereavement counsellingFemale Genital Mutilation www.acecourses.co.ukPage total: Green []Amber []

73174175176177178179180181182183184185186187Fetal haemolysisNon-haemolytic hydrops fetalisAnte-natal infection screeningNuchal TranslucencyTriple, combined and integrated Down's screeningNon-invasive prenatal testing (NIPT)Booking ultrasound scanFetal anomaly scanAmniocentesisChorionic villus samplingPlacentesisCordocentesisUterine artery DopplerUmbilical artery DopplerDuctus Venosus DopplerMiddle cerebral artery DopplerPregnancy induced hypertensionPre-eclampsiaEclampsiaHELLP syndromeFetal growth restrictionPlacental abruptionPlacenta praeviaVasa praeviaPlacenta accretaPreterm prelabour rupture of membranesTwins - antenatal careTwins - deliveryHigher order multiple pregnanciesMalpresentation (breech, brow, face, shoulder)Prolonged pregnancy 188189190191192193194195196197198199200201GENETIC PROBLEMSModes of inheritance (Mendelian, multifactorial)CytogeneticsMolecular geneticsDown syndromeEdward syndromePatau syndromeTurner syndromeKlinefelter syndromeTriple XMultiple YTranslocationInborn errors of metabolismCounselling (history taking, pedigree analysis)Genetic problems - management CONGENITAL MALFORMATIONS202 Head (anencephaly, microcephaly, encephalocele,hydrocephalus, hydranencephaly, holoprosencephaly)203 Skeleton (spina bifida, phocomelia, chondrodysplasia,www.acecourses.co.ukPage total: Green []Amber []

6intrauterine amputation)204 Heart (major defects, other defects)205 Lungs (pulmonary hypoplasia)206 Urinary (renal agenesis, polycystic kidneys,urinary tract obstruction)207 Genital (intersex, genital tract abnormalities)208 Gastro-intestinal (abdominal wall defects, oesophagealatresia, duodenal atresia, diaphragmatic hernia)209 Cystic hygroma210211212213214PLACENTAL PROBLEMSPlacenta - Abnormalities (shape, size, implantation)ChorioamnionitisPlacental InfarctionChorioangiomaCord abnormalitiesIMMUNOLOGICAL DISORDERS215 Immunological pregnancy tests216 Rhesus and other isoimmunisation217 Auto-immune diseasesModule9 MATERNAL MEDICINE218 Maternal hypertension 219220221222223224KIDNEY DISEASEUrinary tract infectionPyelonephritisChronic renal diseaseRenal stonesRenal TransplantationAcute renal failure 225226227228229PULMONARY DISEASEAsthmaInfectionEmbolismAspiration syndromeTuberculosis 230231232233234235236237238NEUROLOGICAL DISEASEBell's palsyCarpel Tunnel syndromeEpilepsyCerebrovascular diseaseMultiple sclerosisMigraineNeuropathiesMyasthenia gravisParaplegia www.acecourses.co.ukPage total: Green []Amber []

7BONE DISEASE239 Back pain240 Pelvic girdle dysfunction241 Chronic arthritis 242243244245246HEART eart failure 247248249250251LIVER DISEASECholestasisHepatitisAcute fatty degenerationGall stonesFatty liver 252253254255256257CIRCULATORY DISORDERSCoagulation Replacement of blood constituentsVaricose veins (legs, vulva, haemorrhoids) HAEMOGLOBINOPATHIES258 Anaemia259 Sickle cell disease260 Thalassaemias CONNECTIVE TISSUE DISORDER261 Systemic lupus erythematosus262 Rheumatoid arthritis263 Immunosupressant drugs DISORDERS OF CARBOHYDRATE METABOLISM264 Gestational diabetes265 Type 1 and Type 2 diabetes266 Diabetic emergencies PSYCHIATRIC DISORDERSManic depressive disordersPsychoneurosisPuerperal disorders (blues, depression)Mood disordersSchizophreniaReaction to pregnancy loss 267268269270271272GASTROINTESTINAL DISORDERS273 Hyperemesiswww.acecourses.co.ukPage total: Green []Amber []

8274275276277278Gastric refluxAbdominal painAppendicitisInflammatory bowel diseaseIntestinal obstruction FETAL AND NEONATAL alisteriahaemophiluschlamydiamycoplasma, ureaplasmaherpes hominisRubellacytomegalovirusvaricellahepatitis Ahepatitis Bhepatitis Cparvovirusinfluenzahuman immunodeficiency virusneonatal sepsisMalariaVaccines in pregnancyMalignancy and Pregnancy 10 & 11: MANAGEMENT OF LABOUR AND DELIVERYIn-utero transferintrauterine fetal deathmanagement of women who decline blood productsobstetric collapseMechanism of normal and abnormal labourMechanism of vaginal deliveryInduction of labourAugmentation of labourpartogramprolonged labourfluid balance in labourpain relief in labourfetal assessment in labourIUFD – legalities: registration and disposal of fetal tissue ENDOCRINOPATHIES279 Thyroid (diagnosis, assessment, therapy, fetal hazards)280 Adrenal (Addison’s disease, acute adrenal failure,congenital adrenal hyperplasia, phaeochromacytoma)281 Pituitary (prolactinoma, kPage total: Green []Amber []

rm labour and deliverMultiple pregnancy labour and deliveryInstrumental deliveryCaesarean section - elective and emergency 12 POST-PARTUM PROBLEMSThe normal puerperiumPost-partum contraceptionBreast feedingBreast problemsPerineal and vaginal tearsDamage to rectum and anal sphinctersPrimary, secondary and other postpartum haemorrhageRetained placentaPostpartum sepsisAcute maternal collapsePuerperal psychiatric disordersExamination of the newbornResuscitation of the newborn NEONATAL PROBLEMSRespiratory ycaemiaHypothermiaHeart diseaseIntracranial haemorrhageNecrotizing enterocolitisThe preterm infantThe growth restricted infantCerebral palsy 13 GYNAECOLOGICAL PROBLEMSMenstrual irregularityExcessive menstrual lossNon-menstrual bleeding (IMB, PCB)Perimenopausal bleedingPost-menopausal bleedingHormone replacement therapyPre-menstrual c inflammatory diseaseFunctional ovarian cystsBenign ovarian massesUterine polypsFibroids www.acecourses.co.ukPage total: Green []Amber []

10362363364365366367368AMENORRHEAInvestigation and interpretationHypothalamic/pituitary disordersHyperprolactinaemiaPremature ovarian failurePolycystic ovary syndromeOther causes of hyperandrogenismAutoimmune endocrine disease 369370371372373CONGENITAL DISORDERS OF THE GENITAL TRACTAmbiguous genitaliaImperforate hymenVaginal septaeUterine anomaliesGonadal dysgenesis VULVAL DISORDERSPruritus vulvaeNon-neoplastic cystsVulvodyniaLichens (sclerosus, simplex, chronicus and planus)Vulval painContact dermatitisPsoriasis 14 SUBFERTILITYEpidemiologyOvulatory disorders and PCOSGonadal failureTubal disordersMale disordersEndometriosisFibroidsUnexplained infertilityFertility preservationSterilisation regretOvulation induction (clomifene, gonadotropins)Intrauterine inseminationIn vitro fertilisationIntracytoplasmic sperm injectionSurgical sperm recoveryPreimplantation genetic diagnosisHuman Fertilisation and Embryology ActWelfare of the childGamete donation PUBERTY374 Precocious puberty375 Delayed puberty376 Excessive menstrual es.co.ukPage total: Green []Amber []

11403 Surrogacy404 OHSSModule 15 SEXUAL AND REPRODUCTIVE PTIONNatural family planning (physical, Persona )Barrier (condom: male and female), diaphragm, caps]Progesterone only pillsCombined oral contraceptivesInjectable contraceptives (e.g DMPA)Long active injectable contraceptivesLevonorgestrel intra-uterine deviceCopper intra-uterine deviceMale and female sterilisationEmergency contraceptionContraception in high-risk patientsReversal of sterilisation 417418419420TERMINATION OF PREGNANCYMethodsLegal issuesCounselling and supportService organisation 421422423424425426427428SEXUALLY TRANSMITTED INFECTIONSGenitourinary medicine servicesScreening programmesChlamydiaGonorrhoeaHIVTrichomonal vaginalisFungal infectionsParasitic infections 16 EARLY PREGNANCY CAREPregnancy of unknown locationPregnancy of unknown viabilityEarly pregnancy scanningAnti-D use in early pregnancyHyperemesisTrophoblastic disease MISCARRIAGEEpidemiologyDiagnosisManagement (expectant, medical and surgical)Recurrent miscarriage 429 Psychosexual ecourses.co.ukPage total: Green []Amber []

12440441442443444445446ECTOPIC PREGNANCYDiagnosisTubal ectopic pregnancyInterstitial / cornual ectopic pregnancyCaesarean scar ectopic pregnancyCervical ectopic pregnancyHeterotopic pregnancyPregnancy after previous ectopic pregnancy Module17 GYNAECOLOGICAL ONCOLOGY447 Cancer inical phase of invasive carcinomaPaget’s diseaseBasal cell carcinomaSquamous cell carcinomaMalignant melanomaSarcoma 455456457458459460461462463CERVIXStagingHuman papillomavirus screeningHPV vaccination programmePreclinical phase of invasive squamous cell carcinomaAdenocarcinoma in situSquamous cell carcinomaAdenocarcinomaSarcomaMetastatic tumours l hyperplasiaIntraendometrial adenocarcinomaAdenocarcinomaAdenosquamous aTrophoblastic disease (complete, partial, invasive) 473474475476477OVARYStagingOvarian cancer screeningEpithelial TumoursGerm Cell TumoursSex Chord Stromal Tumours www.acecourses.co.ukPage total: Green []Amber []

13478 Gonadoblastoma479 Mesonephroma480 Metastatic carcinoma 481482483484485 Vaginal cancerOncology surgeryRadiotherapy and complicationsChemotherapy and complicationsPalliative care18 UROGYNAECOLOGY AND PELVIC FLOOR PROBLEMS486 Urodynamic investigations487 Urinary tract mic Stress incontinenceDetrusor over activityVoiding disorders and urinary retentionUrinary frequency and urgencyAnal incontinenceIncontinence surgery 494495496497498LOWER URINARY TRACT DISORDERSUrethral disordersPainFistulaeEffects of radical pelvic surgeryEffects of irradiation 499500501502PROLAPSEVaginal prolapse (anterior, posterior, combined)Uterine prolapseVault prolapseRecurrent prolapse 19 DEVELOPING PROFESSIONALISMNot examined in MRCOG II or IIIModulePlease count all your Greens Please count all your Ambers and multiply this by 0.5 Total score Your percentage progress Total score x 100%502Please visit www.acecourses.co.uk for further MRCOG resourceswww.acecourses.co.ukPage total: Green []Amber []

1 www.acecourses.co.uk Page total: Green [ ] Amber [ ] ACE Courses presents The most comprehensive ever MRCOG part II and III syllabus checklist! If you know this you know your MRCOG! Please visit www.acecourses.co.uk to watch our video on the 5 simple steps to make the m

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