A Career in Obstetrics and Gynaecology
Obstetrics and Gynaecology offer a unique blend of surgery, medicine, and radiology, catering to the needs of both mothers and women's health. It presents a fulfilling career pathway with opportunities to make a meaningful impact on patients' lives through various specialized procedures and clinics. Explore the distinctive roles and responsibilities in both obstetrics and gynaecology fields, including the high-adrenaline environment of the labour ward and the technical skills required in gynaecological procedures.
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Presentation Transcript
A Career in Obstetrics and Gynaecology * Photos taken from RCOG @NHS_HealthEdEng
Contents O&G Overview Advantages / Disadvantages Career Pathway Recruitment Competition ratios Commitment to Specialty Further Information (Pleaseclick on topicfor directlink) @NHS_HealthEdEng
Why is O&G special? Mixture of surgery, medicine, and radiology In obstetrics o Caring for twopatients o Managing fit, young healthy patients(mostly!)is a privilege. In Gynaecology o Most of the work is about improving quality of life in otherwise well people eg. Controllingperiods, incontinence,pain o Help create life Fertility o Prolong life - Oncology @NHS_HealthEdEng
Why O&G? Better yourself: o Communicationskills o Motor skills o Decisionmaking Mix of emergency care and elective care You can make a difference to one of the most special moments in life Practice in a holistic approach, caring for the medical, social, and psychiatric needs of your patients Work in an indispensable specialty, which is crucial to the NHS @NHS_HealthEdEng
Role in Obstetrics Labour Ward High adrenaline Rapid decisions and quick surgery 24/7 work Mostly happy outcomes Procedures Caesarean sections Forceps/ ventouse instrumental deliveries Perineal repair Fetal blood sampling Ultrasound scanning Antenatal Clinics Low adrenaline Holistic care, complex patient discussions- maternal medicine @NHS_HealthEdEng
Role in Gynaecology Common procedures Technical skill required Precise operating Gynaecology clinics Specialist clinics o Fertility o Oncology o Urogynaecology o Endometriosis Common problems o Pain o Heavy bleeding o Contraception o Urinary incontinence @NHS_HealthEdEng
Role in Gynaecology Laparoscopic surgery Sterilisation Ectopic pregnancy Total laparoscopic hysterectomy Vaginal surgery Prolapse repair Continence surgery, e.g. TVT Vaginal hysterectomy Simple surgery Abscess drainage Surgical management of miscarriage Hysteroscopy Laparotomy Hysterectomy Oophorectomy Myomectomy @NHS_HealthEdEng
Advantages & Disadvantages Enjoyable and challenging Team working environment Varied work Adrenaline filled labour ward shifts Intricate operating in gynae theatres Complex patientdiscussionsin clinics Rewarding/ Fulfilling Every day is meaningful/your actions make a difference Personal development of practical skills,knowledge Psychologicaldevelopment Increasing numbers are working less than full time Never boring @NHS_HealthEdEng
Advantages & Disadvantages Long days, nights and weekends High intensity specialty High litigation rates Poor outcomes do occur with devastating long term effects Bullying and undermining reported in GMC survey but been taken seriously and addressed. @NHS_HealthEdEng
Personal Qualities Good communication skills o with patients and relatives, often in highly pressured environments Good interpersonal skills o to deal with all membersof midwifery,nursing and theatre teams Leadership o directingteam memberswith confidence,being decisive and calm under pressure Self-reliant o the ability and confidence to assessemergency and elective patients, and commencetreatments. Resilience o ability to cope mentallywith stressful situations. @NHS_HealthEdEng
Personal Qualities Understanding one s own limitations o identifying the need to call for help, and identifying own training needs. Humble o a personality which is unassumingand modest. Surgical skills o have an aptitude for practical procedures. Medical knowledge o desire to maintainsound general medicalknowledge. In line with all specialties, O&G trainees need to be reliable, self-motivated, punctual , flexible and good team players @NHS_HealthEdEng
Career Pathway CCT O&G Specialist Training Curriculum Advanced Training modules Foundation Years Intermediate Basic * 2 5 3 4 1 6 7 1 2 Log Book Subspecialty 2-3 years Fullregistration Part 1 MRCOG Exam Part 2 & 3 MRCOG Exam @NHS_HealthEdEng
Career Pathway After foundation training there is a national system for competitive entry into O&G training. Training is then a 7 year run through training programme o Basic level: ST1-2. (2 years) Direct supervised practice o Intermediate level: ST3-5. (3 years) Developing independent practice o Advanced level: ST6-7. (2 years) Training in Specialist areas within O&G. @NHS_HealthEdEng
Career Pathway Membership exams (MRCOG): o Part 1: o Written exam assessing basic clinical sciences. o Must have been passed to progress to ST3. o Part 2 and 3: o Written and then verbal examinations assessing clinical knowledge and skills. o Must have passed by ST5 to progress to ST6. @NHS_HealthEdEng
ST6-7:Advanced Training Modules The final two years of training allows the trainee to gain additional experience in at least 2 specific areas of the specialty. These will form the foundations of their career as a consultant. Abortion care Acute gynaecology and early pregnancy Advanced antenatal practice Advanced labour ward practice Advancedlaparoscopic surgery for the excision of benign disease Benign abdominal surgery: open and laparoscopic Benign gynaecological surgery: hysteroscopy Colposcopy Fetal medicine Forensic gynaecology Labour ward lead Maternalmedicine Medical education Menopause Oncology Paediatric and adolescent gynaecology Sexual health Subfertilityandreproductive health Urogynaecologyandvaginal surgery Vulval disease Education Management Legal Counselling Psychosexual Some trainees will choose to develop their specialism further by applying for subspecialtytraining, which requires additional years of training. The modules in boldoffer opportunities for subspecialisation. @NHS_HealthEdEng
Training Progression Successful completion of training is formally assessed annually (ARCP) using the RCOG training matrix. Satisfactoryprogress must be demonstratedin the followingareas to progress to the next year of training: o Clinical skills o Workplacebased assessments o Reflection o Mandatory courses o Team Observations o Clinical Governance (patient safety, risks, quality) o Teaching experience o Leadership and management o Presentations and publications @NHS_HealthEdEng
Out of Programme Experience Whilstthe training programme is officially 7 years, most train for an additional 2-3 years to gain out of programme experience in one or more of: o Subspecialtytraining o Research/ research fellowship o Medical education/Clinical teaching fellow o Completionof a higher degree o Out of programme o Clinical work in a resource challengedenvironment/ Overseas volunteer o Maternity leave @NHS_HealthEdEng
Recruitment The Royal college of Obstetrics and Gynaecology (RCOG) is the responsible organisation for coordinating ST1 recruitment into the specialty. RCOG Recruitment centralized via an online application form through Oriel website. Application process generally starts from November. Selected applicants are then invited to attend interview. The successful candidates commence on the training programme inAugust. @NHS_HealthEdEng
Recruitment - Competition Ratio 2021 Competition Ratios @NHS_HealthEdEng
Personal Qualities Person Specification @NHS_HealthEdEng
Commitment to Specialty Working in O&G o Medical student special study module/Elective o Foundation year rotations o Foundationtaster days Courses o Basic practical skillsin Obstetrics and Gynaecology o Prompt Regional conferences: o Birminghamand Midlands O&G Society (BMOGS) @NHS_HealthEdEng
Commitment to Specialty Audit - Ideally in O&G, or tailor a surgical or medical audit to have relevance to O&G Research / publications Teaching O&G medical student societies Logbook : o Skills demonstratecommunicationand leadership skills o Procedures show basic eye-hand co-ordination with simple procedures e.g. suturing inA&E o Interesting cases @NHS_HealthEdEng
East Midlands Specific East Midlands - Obstetrics and Gynaecology @NHS_HealthEdEng
West Midlands Specific One of the largest regions in the country. 3 Medical schools with associated centre of excellence teaching hospitals: o BirminghamUniversity BirminghamWomen shospital o WarwickUniversity WalsgraveHospital,Coventry o Keele University North Staffordshire Hospital, Stoke Active trainee committee Opportunities to work in district generals and tertiary centres Transport links to the rest of the country and internationally Mix of stunning countryside and modern city life @NHS_HealthEdEng
Where to go for more information Royal College of Obstetrics and Gynaecology(RCOG) GMC national trainees survey NHS health careers Specialty Training Website o How to apply, job descriptions,competitionrati @NHS_HealthEdEng
RCOG website: https://www.rcog.org.uk Please read: Acareer in O&G: FAQs from foundation trainees
A career in O&G: FAQs from foundation trainees (RCOG) This website contains a lot of information about a career in O&G: Read our O&G careers prospectus Read case studies from people who ve chosen a career in O&G Find out why people choose a career in O&G
Not sure if O & G is the right choice? Attend a taster session in O & G- get help from your FTPD. Take up a non-training post in O&G (e.g. Clinical Fellow)-take a year out after your foundation training. Talk to the local trainees/consultants
RCOG Crest Black and blue shieldfor day and night. The Natal Star of Bethlehem. The settingsun symbolizesthe rest that comesafter labour and the crescent moonsymboliseslight in the darkness (for those whosework continues into the night). Aesculapiusis the classicalgod of healing Womancarrying a staff the symbol of life and the giving of life. Super Ardua Letusovercomeourdifficulties @NHS_HealthEdEng