O&G: Final Thoughts

The OSCEs, a series of 10-minute stations simulating clinical situations, are counted as part of the clinical examination for the final M.B.B.S.

The topics tested (excluding the written papers) were:

1. stress urinary incontinence (SUI)
2. germ-line ovarian tumour
3. preterm premature rupture of membranes (PPROM)
4. intra-uterine growth retardation (IUGR) with fetal distress
5. anaemia in pregnancy
6. cervical smear (Pap smear)
7. Infertility (Polycystic Ovarian Syndrome)
8. Menopause and Hormone Replacement Therapy (HRT)
9. Incomplete abortion (miscarriage)
10. Vaginal Birth After Caesarean (VBAC)

And with the final bell at the last station, the O&G posting is over.

J. hopes. (no reposting, no reposting, no resposting… please!)

J. thinks that it was the most organised posting . Every day, everyone knew where they should be. The Q&A sessions forced everyone to study. The variety of learning methods (Q&A sessions, mini-CEX, lectures, clinic professorial rounds and student ward rounds) is unparalleled. The learning objectives for each and every topic were laid out clearly from the start of the posting and even included the essential statistics.

Some people claim that the O&G posting is the toughest followed by paediatrics. J. disagrees. Paediatics is undoubtedly the hardest posting. O&G isn’t bad, and the measures mentioned above neutralised the stress from the final test being part of the ultimate graduating examination.

Random Thoughts
On the obstetrics side, J. thinks that given the many possible complications of pregnancy, it would be advisable for would-be mothers to book a pregnancy package from a public hospital (in Singapore). For an uncomplicated, normal pregnancy (95%) and if one enjoys being treated like a queen, a private hospital would be ideal, but if any complications arrive, it’s hard to beat the 24-hr HO/MO/nursing staff watch, the number of consultants available and the easy accessibility to blood products.

Deliveries aren’t as gross as everyone makes them out to be. The placenta, however, is pretty gross-looking. And to the folks who use placental-containing beauty products… That is disgusting.

In the end, gender equality be damned, a woman should be the one taking care of the baby in the first 6 months. The reason: breasts. It is recommended that babies should be exclusively breastfed for 6 months. Breastfeeding should be done about 8x a day, every three hours including night-time. That is tough, but not something a husband can take over.
(P.S. Expressing and storing breast milk is a solution… but one that’s easier said than done)

And that’s that for O&G, then. J. out.


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