Questions Flashcards
What does the health and disability commissioner do?
Describe a situation of conflict with a patient or relative
What are challenges facing O&G trainees in the future and potential solutions?
Describe a recent near miss / adverse event and how this was handled
O&G can be stressful. It can be busy with often more than one high stake emergency happening at a time and outcomes are not always good. How do you cope?
Burnout is becoming a growing issue. How do you practise self-care?
36y primiparous woman wanting a home birth. How would you council her?
How would you approach consent for a Jehovah’s Witness? What are the key issues?
What are the options around CF screening?
Discuss screening tests in pregnancy for chromosomal abnormalities and briefly mention invasive testing of a woman receives a high risk result
Describe the process of breaking bad news and what makes a good death
Describe management of an acute asthma attack in pregnancy
14y presents asking for contraception. How do you proceed?
What is a new development that has improved care in O&G?
What do you want to achieve by the end of year 1 training?
Give an example of a commonly practised management that is not evidence based. Why do you think this is the case?
Define professionalism and what it means to you
40y presents to ED with HMB. Discuss your management
You are looking after a primiparous woman 23+0 with PPROM. She has abdominal pain and is found to be in early labour. What important topics do you need to discover with the woman and her partner?
Describe some statistics that reflect the health inequities faced by Māori
Describe the changes that occurred with the 2019 abortion law being passed, and how this may benefit women
How do you practise O&G in a culturally sensitive way?
How does the MEWS score differ from the EWS?
26 year old woman with a pelvic mass. How do you proceed? What special considerations should you take to ensure that the patient is not discriminated against?
What do you think will be the most challenging part of Core training?
Describe how you assess the quality of evidence to guide your practise
What areas of research are you interested in?
What are some current issues in women’s health?
What is a difficult clinical situation you have been involved in and how do you deal with this?
Get a call from a rest home about an 86y with post menopausal bleeding. She is stable. How do you proceed?
Give an example of when you worked with a team and explain your role in the scenario
Why do you want to do O&G?
Describe a situation where applying your clinical judgment had a significant impact on patient health
How do you feel about the rural placement?
Where do you see yourself in 10 years?
What is a difficult clinical situation you have been involved in and how did you deal with this?
Respond to emergency bell - 23y with LMP 12 weeks ago who presents via ambulance with heavy bleeding. HR 42, BP 60/42, RR 18, O2 99%, 37C. What is your approach and management of tis patient?
Describe a framework for improving public and global health
Give an example of O&G in media
Management of PET
What is important in the future of woman’s health in NZ?
How would you address a circumstance where a colleague was not keeping up with their workload?
Have you encountered a situation of conflict with a patient or relative?
You are on birthing suite and get called to see a 24y pregnant patient with chest pain. How do you proceed?
How would you deal with a complaint and how would you resolve it?
Management of APH. How would you proceed?
Define open disclosure and why it is important
How would you manage a difficult trainee intern?
Describe a difficult paithta interaction and how you negotiated the outcome
How would you describe your communication skills?
What’s an area in O&G where more resources would be beneficial?
An African Muslim woman presents with her husband in clinic for infertility and during an examination you discover she has undergone female genital mutilation. What do you do?
Describe a difficult scenario you had with a colleague
Describe a difficult situation you had to manage with a team member
How would you manage a patient who wishes to self-discharge?
What are some current issues in woman’s health
How might you spend your 2 years of advanced training?
Patient in ED who is 12 days late for her period presenting with pain. How would you manage this?
How is O&G different to other specialities?
How do you reduce health inequities in your day to day practise?
What skills and qualities can you bring to the job?
How would you manage a treatment error?
What do you see as an area of change in O&G in the next 10 years?
What are the principles of an audit? Have you ever done an audit?
What are some of the challenges in the diagnosis and treatment of endometriosis?
What’s your understanding of health inequities for Maori and how can it be improved?
How do you counsel pregnant women about smoking?
Management of PPROM
Describe the Hui process
What are the benefits of simulation training in O&G?
A woman 30/40 with previous CS and TPTL has some bleeding. On examination you know that she is 9cm dilated with a breech presentation. You are unable to get ahold of your SMO. What do you do?
Why is a Maori health workforce important?
Management of Mg toxicity. How would you proceed?
How has COVID affected woman’s health?
Patient presents after sexual assault. How do you proceed?
What do you think is the best way to teach trainees and give an example of an effective teaching you have had?
What are you looking forward to most in Core training?
28y 30 weeks pregnant collapses. Describe your management
You have been asked to do an audit on mid-trimester loss. Describe how you would proceed?
You are asked to see a woman on the postnatal ward who is unhappy with her perineal repair. How would you assess her and handle the situation?
What factors leads to poorer health outcomes in O&G for Maori. How can this be overcome?
O&G is a stressful occupation. How will you balance your professional and private life?
What does leadership mean and what makes a good leader?
What personal skills would make you a good trainee?
A woman 8 weeks by LMP had some PV bleeding which had now settled. Not sure she wants to continue the pregnancy. How would you proceed?
Give an example of a challenging clinical situation you have been involved in and what you have learnt from it
Management of term prolonged SROM
What would you tell a student who is interested in O&G?
Patient who is 6 weeks pregnant by dates presents with painless PV bleeding. Discuss your approach
Have you had any research involvement and what are your plans for future research?
You see a 20y in GOPC with 3 months of abdominal pain, wanting a laparoscopy. You explain you would like to do an USS and bloods first. She seems happy with this however later her mother rings you, angry that you have not arranged a laparoscopy as this is what the GP said would happen. What do you do?
What do you think can be done to improve diversity in O&G?
What issues may arise with the increasing trend of instrumental delivery and CS over time?
What considerations are importantly when dealing with different subgroups within NZ?
What is the role of RANZCOG?
What is your biggest achievement to date?
Talk about someone you have admired or a medical role model and why you felt that way. How will you be like them?
Give an example of a stressful situation you have been involved in
How do you practise equity in your day to day practise?
Discuss the overarching principles of the TOW and how it applies to your daily practise
How do you deal with cultural differences and sensitivities of different ethnic populations in your day to day life?
The number of female trainees in O&G significantly outnumber their male counterparts. Why do you think this might be? Do you foresee any issues either this? How can the college address this?
What are some of the challenges facing O&G?
You see a patient in GDU 8 weeks pregnant with an ongoing viable IUP with PV bleeding. You note on a recent smear that she had CIN2/3. How do you proceed?
What scares you in O&G?
Woman with incomplete miscarriage becomes hypotension very and bradycardic on the ward. How would you proceed?
How would you manage a missed patient result?
Discuss a situation you did not manage well
Are there any barriers for you to complete the training programme?
Called into DS room for a multi patois women with a previous CS in labour. Sweaty, pale and severe lower abdominal pain over her scar. What do you do?
What is Gillick competency and the Fraser guidelines?
What would stop you from doing O&G?
In what way are you able to demonstrate your own skills and attributes for a career in this speciality?
What are some of the challenges facing O&G in the next 5-15 years?
What is the highlight of your career so far?
What are the differences between rural and urban women?
How do you ensure cultural safety in your practise
What are the issues around abortion care?
What are the most common causes for complaints in O&G and how do you avoid these?
What makes a good team? Give examples of where teamwork is necessary in O&G?
What are unprofessional workplace practises and how can this be addressed?
How does the Maori relationship with land impact on health?
What advice do you give pregnant women about the COVID vaccine?
What are the advantages and disadvantages of the new cervical screening programme?
Discuss mode of delivery in a woman who has had 1 previous LSCS
What are the key ethical concepts in medicine and how do these apply to O&G?
Sometimes adverse outcomes occur in O&G. What can we do to prevent this or improve on outcomes?
What are the issues relating to IVF and fertility treatments?
How will you ensure that you successfully complete the training requirements laid out by the college?
Give an example of how clinical practise has changed as a result of research or evidence
A friend asks for a prescription of the ECP. What do you do?
Describe the Meihana model and how you apply it do day to day practise
What is an example of conflict in decisions relating to care in O&G?
What health inequities do ethnic minorities in NZ face?
Management of breech at term
How will you balance professional and personal life?
Describe a situation you managed well
You are on a night shift and consulted about a primiparous, OP pushing for 90 mins. Epidural on board. You call the consultant who says to do a Keillands forceps and call if any issues. What do you do?
Discuss the benefits of LARCS and barriers to their access
What is clinical governance?
40y referred to gynaecology clinic with pain and pressure symptoms. USS by GP shows a multi fibroid uterus. Has had 2 children and family complete. Discuss management options
How would you manage a complication occurring in one of your surgeries?
Counselling a patient around NIPT
Management of female genital mutilation. How would you proceed?
What is unconscious bias and how do you manage this?
What are the principles of a screening programme?
Patient with beta-hCG of 4000 and no IUP on USS. Asymptomatic and clinically stable. Discuss management options
What is the most important advancement of O&G in the last 10 years?
What is an area of O&G that interests you and why?
What is the role of cultural competency in O&G?
A 25y presents to you in your GP practise asking for emergency contraception. Describe your assessment
What is the most important skill in O&G and why?
Why is good communication in O&G important?
Maori have worse health outcomes than non-Maori. Using your knowledge of Hauora and health equity, please explain this
Management of preterm labour
Describe a scary situation you were involved in and what you have learnt from it
Discuss a recent critical event and what you learned
Why is the rural attachment important?
Identify someone who inspires you in O&G and why? How will you acquire the qualities of this person?
How do you maintain balance and build resilience?
If you could implement any kind of programme to improve O&G what would it be?
How has the HealthNZ reforms affected woman’s health?
A hospital midwife tells you that a private midwife has a patient with DCDA twins in early labour at 37 weeks. She has not informed you or the consultant and plans to do the delivery herself. What would you do?
What are the pros and cons of maternal request for CS?
What cultural values are importantly in the delivery of care? Can you give an example?
Describe your experience and practical experience in O&G
Define the following terms and how you use them in your daily practise
- Tikanga
- Manaakitanga
- Kaitiakitanga
- Mana
- Tapu
- Mauri
- Tohunga
- Whakawhanaungatanga
- Mihi
- Kotahitanga
- Rangatiratanga
- Mohiotanga
- Maramatanga
- Taonga
- Karakia
38y 40+5 who’s post-dates scan shows oligohydramnios. Wanting a home birth. How would you counsel her?
What does land mean to iwi?
What qualities make a good O&G doctor and why do you think you fit the bill?
Describe your management of PPH
How do you plan to improve access to healthcare, particularly focused on women’s health?
What shows your commitment to O&G?
ED, patient who had recent laparoscopic excision of endometriosis presenting with abdo pain. Discuss differentials and investigations
Describe management of leg swelling in pregnancy
Management of maternal sepsis
What is confidentiality and when is it okay to breech it?
Describe the Te Whare Tapa Wha model
You are asked to see a 21y woman after NVD and counsel her about postpartum contraception. How do you proceed?
What does leadership mean and what makes a good leader?
Management of prolonged deceleration lasting 3 mins. Fully dilated, OP, at spines. How do you proceed?
What would you do if a woman requested to see her medical notes?
What are the features of a good clinical handover? What can be the consequences of a poor handover
What will you plan to do if you are not accepted into training
56y presents to ED with PMB. On examination there is active bleeding and the cervix appears friable. How do you proceed?
What do you want to see in the Woman’s Health Strategy?
What are the advantages and disadvantages of the current Women’s health model?
17y with Jadelle and recurrent chlamydia. She would like Jadelle taken out for problematic bleeding. How do you proceed?
Patient with low risk pregnancy but significant SPD pain, requesting IOL at 36 weeks. How would you handle the situation?
Give an example of a recent change in practise in O&G
Give an example of how clinical practise has changed as a result of research and evidence
Called to ED to see a lady 6 days post CS for breech complaining of abdo pain. On examination she has a tender abdomen and a high fundus. Discuss your approach and differentials
Why are you motivated to pursue a career in O&G?
What are the different types of teaching?
What is the biggest public health issue relates to O&G and how do you propose to improve this?
Management of shoulder dystocia
Tell me about a mistake and what you have learnt from it?
What is the law / considerations around providing abortion and contraception for minors and the mentally disabled?
You see a young Maori woman who has been diagnosed with GDM. She has been a poor attender previously. How would you proceed?
Where do you foresee yourself working when you complete your training?
Assessment of HMB in a 14 year old girl?
You are called to see a woman 4 hours post-CS with ongoing trickling. How would you manage this?
A woman is failing to progress in labour and is clinically obstructed. The CTG is beginning to develop non-reassuring features. You call the consultant as you wish to do an emCS. The consultant refuses to come in. What do you do?
What is gender diversity, why is it important and how can we improve it?
If you had to undertake a future research project what would it be?
You see a 45y Down syndrome female in clinic with her mother. Patient has menorrhagia and failed multiple medical treatments and wants a hysterectomy
What is your stance on social media and its role in O&G?
Discuss the TOW and its impact on your practise
Patient 38/40 presents with a seizure. Your boss is in OT. How would you proceed?
What do you think will be major issues or areas for concern in O&G in the future?
35y with missed miscarriage. Conceived with IVf after years of trying. How would you manage this?
What advice would you give local paramedics about safely managing transfers between your rural hospital and the base hospital?
Describe the complexities around informed consent
Describe a difficult situation you have had to manage with a patient?
What inequities are present with indigenous health?
What are the features of a good clinical handover?
A patient 2 days post-CS develops a fever. How would you proceed?
Veiled Muslim women is having a PPH and actively haemorrhaging. She speaks no English. How does informed consent apply and how do you proceed?
What is the biggest issue that O&G is facing?
How do you plan to deal with the stress of training?
Management of a raised MSS1 test at 15 weeks gestation for T18
How does research fit into the O&G training programme?
What do you understand about the process of informed consent? Give an example in clinical practise
Management of SGA or FGR fetus
What are your strengths and weaknesses?
Woman has just come in from the community and has bradycardia on the CTG with FHR of 60. How would you proceed?
What issues with access and healthcare inequities occur for women in rural communities? What can be done to address these?
What do you think about research?
Describe the Pacifica model of health
You are doing a routine postnatal discharge and a patient discloses to you she is a victim of domestic violence. How do you proceed?
Describe a time you had to deal with an emergency
What is your understanding of the RANZCOG training programme?
What are the benefits of laparoscopy over laparotomy? Have you ever experienced or witnessed a complication from a laparoscopic surgery?
How do you propose to reduce the inequities in health care between Maori and non-Maori?
What have you done outside of your regular schedules activities that demonstrates your interest in the speciality?
How do you manage medico-legal practises in terms of risk management?
Management of GDM
Who do you think are the most disadvantaged population in woman’s health, why and what can be done about this?
What do you think women look for in a gynaecologist?
Why is clinical handover an important part of patient care? What are the benefits other than just transfer of information?
