An MRCOG lesson on hereditary gynaecological cancers (BRCA1, BRCA2, RAD51C, RAD51D, BRIP1, Lynch syndrome, Bowden syndrome and Peutz-Jeghers syndrome). An essential lesson for MRCOG.
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The PRISM trial is the largest ever randomised trial in miscarriage prevention; it recruited more than 4000 women from 48 hospitals in the UK. It evaluated the effects of progesterone hormone in women with early pregnancy bleeding. Overall, there was a 3% increase in live birth rate with progesterone, compared with placebo, but the finding was associated with some statistical uncertainty (RR 1.03, 95% CI 1.00 to 1.07, p = 0.08). However, a clear benefit was found for women with the dual risk factors of early pregnancy bleeding and a history of (any number of) previous miscarriages (RR = 1.09, [...]
Respiratory physiology in pregnancy for the MRCOG exam. A 'sort-out' MRCOG lesson by ACE Courses. What respiratory variable go up, come down or remain the same during pregnancy, compared with pre-pregnancy state? An important MRCOG lesson from ACE Courses.
Haematological changes in pregnancy for the MRCOG exam. What haematological changes occur during pregnancy? What variables go up, go down or remain the same? Why? A key MRCOG mini-lecture by Professor Arri Coomarasamy.
Cardiovascular changes in pregnancy for the MRCOG exam. What cardiac variable go up, go down or remain the same in pregnancy compared with the pre-pregnancy state? Why? What are normal cardiac examination and ECG findings in pregnancy? Key MRCOG mini-lecture by Professor Arri Coomarasamy.
MRCOG lesson: Renal physiology in pregnancy. What renal function variables go up, go down or remain the same in pregnancy as pre-pregnancy state? And why? What happens to urea, creatinine, glomerular filtration rate and creatinine clearance in pregnancy? Find out from this mini-MRCOG lecture.
An MRCOG lesson on RCTs: Part B. In part A (please watch that video also!), we learnt about the quality features of an RCT. In this video, we learn about the common statistics we use in the reporting of RCTs. These include: Risk, Relative risk (or Risk Ratio, RR); Absolute risk difference (ARD); and Number Needed to Treat (NNT). We also look at what a Confidence Interval (CI) means. The statistics are illustrated with a simple numerical example. Enjoy!
An MRCOG lesson on RCTs. A randomised trial is the best design for assessing the effectiveness of a treatment. In this video we look at the 6 methodological features that are important for the quality of an RCT: randomisation; concealment; blinding; ITT; good follow-up rate and comparability of care provided. In Part B, we will look at the statistics of RCTs!
There is an 8-step approach to success with your MRCOG revision and exam. These steps were developed from nearly 20 years of teaching MRCOG students and from interactions with over 1200 MRCOG candidates. So, here it is! Step 1 The Right Mind Set The first step is for you to have the right mind-set as you approach the revision and the exam. Learning new stuff, particularly when this is helpful professionally, is fun! So, embrace your revision and exam! If you love and enjoy the process, it has the practical [...]
How do you manage a patient with diabetes who needs to have an operation? What pre-operative assessments will you do? How will you deal with oral hypoglycaemic medicines or insulin on the day of the operation? How will you manage peri-operative hyperglycaemia or hypoglycaemia? The answers can be found in this short MRCOG video.