MRCOG Part II Written Revision Course - Course Content

Our course content is comprehensive and is based on the RCOG syllabus.

We urge you to be active in your learning, seeking the knowledge you need from most appropriate sources, rather than passively reading books from cover to cover. You need to decide what you need to learn (i.e. set objectives), decide where you will learn it from (select sources), and then learn. The detailed syllabus below provides you with list of topics you are expected to learn for your exam. We have aimed to cover almost all the items on this list in our course. We encourage you to use this list to structure your revision (whether you come to our course or not!).

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TOG = The Obstetrician & Gynaecologist (The RCOG journal for trainees & members)

Syllabus Item

Gynaecology

Puberty

Amenorrhoea | View Sample

Polycystic ovarian syndrome
  • See also "The current understanding of polycystic ovary syndrome" TOG 2004: Volume: 6 | Issue: 2 Page(s): 66-74

  • Hirsutism | View Sample

    Menorrhagia
  • See also "The management of menstrual disorders in early reproductive life" TOG 2003;5:136–41.

  • Dysmenorrhia
  • See "Dysmenorrhoea" TOG 2000;3:13–7

  • Premenstrual syndrome | View Sample

    Non-menstrual bleeding
  • See "Nonmenstrual bleeding in women under 40 years of age" TOG 2004; Volume: 6 | Issue: 3 ; Page(s): 153-158

  • General infertility
  • See BMJ review on "Intractable fertility"


  • Female infertility

    Assisted reproduction
  • See also "Complications of assisted reproduction" TOG 2002;4:124–129

  • Spontaneous miscarriage | View Sample

    Therapeutic abortion
  • See also "Failed medical and surgical termination of pregnancy" TOG 2002; 4:222–4

  • Recurrent miscarriage | View Sample

    Ectopic pregnancy
  • See also "Nonsurgical diagnosis and management of ectopic pregnancy" TOG 2003;5:29–33.

  • Urinary incontinence
  • See "Management of urge urinary incontinence" TOG 2002;4:135–139 & "The management of voiding difficulty after incontinence surgery" TOG 2003;5:66–71.
  • See also “Duloxetine: the long awaited drug treatment for stress urinary incontinence”TOG 2005 Volume: 7 | Issue: 2, Page(s): 117-119

  • Genitourinary prolapse
  • See also “Post-hysterectomy vaginal vault prolapse” TOG 2005 Volume: 7 | Issue: 2, Page(s): 89-97

  • Cervical smear and Colposcopy
  • See "Cervical screening" TOG 2004: Volume: 6 | Issue 2 ; Page(s): 93-97
  • See also "The value of human papillomavirus testing" TOG 2003;5:10–13.
  • See "Cervical glandular neoplasia" TOG 2000;2 (1):43-5

  • Vulval diseases
  • See "Ulcers and erosion of the vulva" TOG 2000;3:32-5

  • Ovarian cyst
  • For post-menopausal women, see RCOG Green-top guideline
  • For pre-menopausal women, see TOG 2004; Volume: 6 | Issue: 1; Page(s): 12-15;
  • See also "Accidents to ovarian cysts" TOG 2002;4:10–5

  • Pelvic mass

    Fibroids
  • See “Alternatives to hysterectomy for treatment of uterine fibroids” TOG 2004; Volume: 6 | Issue: 4, Page(s): 215-221

  • Ovarian cancer
  • See "The value of surgery in ovarian cancer" TOG 2000;2 (3):5–8 & "Non-epithelial ovarian cancers" TOG 2000;2 (2):37-9

  • Uterine cancer
  • See "Management of endometrial cancer" TOG 2003; 5:79–83.

  • Cervical cancer

    Vulval cancer | View Sample
  • See also: "The management of vulval cancer and related conditions" TOG 1999;1 (2):7–12 and “The current management of cervical cancer” TOG 2004, Volume: 6 | Issue: 4, Page(s): 196-202

  • Other cancers

    Bartholin’s cysts

    Vaginal discharge

    Pelvic inflammatory disease | View Sample
  • See also: "Pelvic inflammatory disease" TOG 2004: Volume: 6 | Issue: 3 ; Page(s): 138-144

  • Candidiasis
  • See "Management of recurrent vulvovaginal candidiasis" TOG 2000;3:184-8

  • Trichomoniasis

    Bacterial vaginosis

    Chronic pelvic pain
  • See RCOG guideline on “Initial Management of Chronic Pelvic Pain

  • Gynaecological operations
    1. Theatre
    2. Patient information leaflets.
    3. Speak to theatre Sister about basic instruments (e.g. laparoscope).
  • See also "Immediate postoperative complications following gynaecological surgery" TOG 2002;4:29–35 & "Suture choice in general gynaecology surgery" TOG 2000;3:127–31

  • Endometriosis

    Menopause

    Hormone replacement therapy

    Psychosexual problems

    Congenital abnormalities of the female tract

    Hydatidiform mole | View Sample
  • See also "Trophoblastic diseases and pregnancy" TOG 2003;5:130–5.

  • Breast diseases

    Breast examination

    Sexually transmitted diseases
  • See if you can attend a GUM clinic. Patient information leaflets are excellent!

  • Genital warts

    HIV and AIDS | View Sample

    Gonorrhoea

    Chlamydia

    Syphilis


    Tropical venereal infections

    Pubic lice

    Non-specific urethritis

    Family Planning
  • See if you can attend a Family Planning Clinic.
  • Patient information leaflets/ BNF!

  • Progesterone only pill

    Combined oral contraceptive

    Injectable contraception

    Intrauterine contraceptive devices
  • See "Intrauterine devices – update on clinical performance" TOG 2002;4:37–43

  • Barrier methods

    Sterilisation
  • RCOG Evidence Based guideline

  • Natural methods

    Post coital contraception | View Sample
  • See also "Emergency contraception" TOG 2002;4:60–3

  • Other methods

    Counselling
  • Family planning clinic

  • Obstetrics

    Perinatal mortality
  • See also: "The lessons of CESDI" TOG 1999;1 (2):13–17

  • Maternal mortality
  • See recent CEMACH report: focus on the executive summary


  • Neonatal death

    Preconception clinics
  • Attend one.

  • Antenatal care
  • NICE guideline (lengthy document – just focus on the recommendations)

  • Prenatal screening | View Sample
  • See also: "Current methods of screening for Down syndrome" TOG 2000;3:191-7 & "Ultrasound screening for chromosomal abnormalities in the second trimester" TOG 2000;3:147–9

  • Congenital abnormalities

    Diagnosis of congenital abnormalities

    Fetal surveillance | View Sample

    Pre-existing hypertension

    Pre-eclampsia | View Sample
  • See BMJ Guideline “The Pre-eclampsia Community Guidelines (PRECOG):how to screen for and detect onset of pre-eclampsia in the community” BMJ 2005;330;576-580
  • See also "HELLP syndrome" TOG 2003;5:149–54.

  • Intra-uterine growth restriction | View Sample

    Pre-existing diabetes
  • See "Diabetes in pregnancy" TOG 2003;5:143–8.

  • Gestational diabetes
  • See "Diabetes in pregnancy" TOG 2003;5:143–8.

  • Thyroid disease | View Sample

    Connective tissue disorder | View Sample
  • For SLE in pregnancy, see TOG 2004; Volume: 6 | Issue: 2; Page(s): 80-87

  • Heart disease | View Sample
  • See also "A clinical approach to heart disease in pregnancy" TOG 2002;4:212–6 & 2002;4:162–168

  • Thrombophilias

    Anaemia

    Other medical conditions in pregnancy
  • See "Chronic renal disease in pregnancy" TOG 1999;1 (2):29–32"

  • Rhesus disease | View Sample
  • See also "The modern management of red cell alloimmunisation"2003;5:15–20.

  • Infection and fetus | View Sample 1, View Sample 2
  • See also "Human parvovirus B19 infection and pregnancy" TOG 2003;5:4–9.
  • See also: Group B streptococcal disease: screening and treatment in pregnancy. TOG2005 Volume: 7 | Issue: 1, Page(s): 34-39

  • Abdominal pain in pregnancy

    APH

    PPH

    Unstable lie

    Twins/Triplets
  • See "Multiple pregnancy" TOG 2000;2 (4):4–10

  • Breech
  • See "Management of breech deliveries" TOG 2002; 4:87–91

  • Hyperemesis gravidarum
  • See "Hyperemesis gravidarum" TOG 2003; Volume: 5 | Issue: 4 Page(s): 204-207

  • Oligohydramnios/polyhydramnios

    Preterm labour

    Preterm rupture of membranes

    Post-dates
  • See "Prolonged pregnancy" TOG 2000;2 (1):39-41

  • Home delivery

    Induction of labour
  • See NICE guideline: focus on the summary.

  • First stage of labour

    Second stage of labour

    Third stage of labour

    Pain relief in labour

    Forceps and Vacuum extraction

    Episiotomy and tears
  • RCOG Green-top guideline;
  • See also "Management of obstetric anal sphincter injury" TOG 2003;5:72–8.

  • Caesarean section | View Sample
  • See also "Is it yet appropriate to perform caesarean section on request?" TOG 2002;4:4–9

  • Maternal collapse and shock | View Sample

    Other obstetric emergencies | View Sample

    Bonding

    Breast problems

    Puerperal fever

    Deep vein thrombosis and PE

    Puerperal depression | View Sample

    Psychosis | View Sample

    Maternity benefits

    Malignancy in pregnancy

    Drugs in pregnancy
  • See "Substance abuse in pregnancy: the team approach to antenatal care" TOG 2000;2 (1):11-16

  • Violence in pregnancy
  • See "Domestic violence and pregnancy" TOG 2000;3:56-9

  • Vaccines in pregnancy

    Neonatal paediatrics
  • You MUST spend a day with a neonatal SHO/SpR.

  • Examination of the newborn

    Routine care of the newborn

    Birth trauma

    Neonatal resuscitation

    Nutrition

    Neonatal screening

    Problems of prematurity

    Growth problems

    Ambiguous genitalia

    Cardiac anomalies

    Chromosomal abnormalities

    Undescended testicles

    Other congenital abnormalities

    Circumcision

    Neonatal jaundice

    Vomiting

    Constipation/ diarrhoea

    Convulsions

    Hypothermia

    Metabolic disorders

    Skin disorders

    Infection

    Others

    Palliative care

    Clinical risk management
  • See "Risk management on the delivery suite"TOG 2002; 4:45–8 & "What to do when things go wrong" TOG 2000;3:20-3

  • Clinical governance

    Obtaining concent

    Audit
  • See "Making audit work" Laurence Wood. TOG 2002; 4:225–8


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    Course Contact

    Julia Arnold
    Course Secretary, MRCOG part II
    Tel: 0121 623 6927
    julia.arnold@bwhct.nhs.uk

    Mr Arri Coomarasamy
    Course Director
    Tel: 07711 888 700
    arricoomar@blueyonder.co.uk

    Course Director: Arri (Aravinthan) Coomarasamy MBChB, MD, MRCOG, DFFP
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