Module objectives
By the end of this module, you should be able to gather focused information, identify the most likely and most dangerous diagnoses, choose appropriate investigations, begin safe management and communicate the plan clearly.
Core presentations
First-trimester bleeding and ectopic pregnancy
Practise a focused assessment, prioritized differential, targeted investigations, immediate management and safety-netting.
Hypertensive disorders of pregnancy
Practise a focused assessment, prioritized differential, targeted investigations, immediate management and safety-netting.
Gestational diabetes
Practise a focused assessment, prioritized differential, targeted investigations, immediate management and safety-netting.
Labour and postpartum concerns
Practise a focused assessment, prioritized differential, targeted investigations, immediate management and safety-netting.
Postpartum hemorrhage and depression
Practise a focused assessment, prioritized differential, targeted investigations, immediate management and safety-netting.
Abnormal uterine bleeding
Practise a focused assessment, prioritized differential, targeted investigations, immediate management and safety-netting.
Pelvic pain and vaginal discharge
Practise a focused assessment, prioritized differential, targeted investigations, immediate management and safety-netting.
Contraception and pregnancy-options counselling
Practise a focused assessment, prioritized differential, targeted investigations, immediate management and safety-netting.
Menopause and cervical screening
Practise a focused assessment, prioritized differential, targeted investigations, immediate management and safety-netting.
Expected station skills
- Pregnancy-focused history
- Sensitive sexual and reproductive history
- Recognize time-critical obstetric emergencies
- Shared decision-making
- Trauma-informed communication
Red flags and escalation
- Ectopic pregnancy
- Severe preeclampsia
- Postpartum hemorrhage
- Sepsis
- Ovarian torsion
- Sexual violence or coercion
Station rehearsal template
- Read the task and identify the required output.
- Open professionally and establish the agenda.
- Gather focused positive and negative findings.
- Summarize and prioritize the differential.
- State investigations and management in a safe sequence.
- Address the patient’s concerns and understanding.
- Close with disposition, follow-up and safety-netting.
Suggested complete 11-minute stations
First-trimester pain and bleeding
Recognize ectopic pregnancy and prioritize hemodynamic safety.
Postpartum low mood and unusual beliefs
Recognize postpartum psychosis and protect parent and infant.
Contraception counselling
Match contraception to goals, contraindications and preferences without coercion.