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O&G · Cases

Cases

145 units across 101 domains — Emergency, procedural and communication stations with assessor keys.

Back to O&GJump to first domain
Obstetrics & Gynaecology Cases
Plate — o&gMedVellum Press
145Units
101Domains
Postpartum care — perinatal mental healthPostpartum care — lactationAntenatal care — pregnancy after bariatric surgeryIntrapartum care — fetal surveillanceNeonatal care — hypoxic-ischaemic encephalopathyAntenatal care — medical disorders of pregnancyAntenatal care — perinatal mental healthUrogynaecology — lower urinary tract dysfunctionReproductive endocrinology & infertilityIntrapartum care — physiological birthAntenatal care — maternal age and ARTNeonatal care — resuscitation and transitionEarly pregnancy careNeonatal care — perinatal palliative careIntrapartum care — operative birthIntrapartum care — medical comorbidityGynaecological oncology — cancer in pregnancyGynaecological oncology — screening and preventionAntenatal care — maternal medical conditionsIntrapartum care — obstetric emergenciesCritical care — maternal resuscitationAntenatal care — obstetric haemorrhagePre-pregnancy and antenatal care — placental disordersGynae-oncology — hereditary cancerReproductive endocrinology & infertility — third-party reproductionAntenatal care — fetal growth and mode of birthIntrapartum care — induction of labourCritical care — maternal physiologyAntenatal care — fetal loss and bereavementProfessional practice — family and domestic violence, advocacy and safetyAntenatal care — obstetric emergenciesGynae-surgery — surgical anatomy and dissectionPerioperative — intraoperative and post-operative managementGynae-surgery — hysterectomyPerioperative careCritical care in obstetrics and gynaecologyIntrapartum care — analgesia and anaesthesiaNeonatal care — assessment and transitionGynae-oncology — systemic therapyAntenatal care — fetal anomaly screeningSexual & reproductive healthgynae-surgeryAntenatal care — perinatal infectionsNeonatal care — bilirubin metabolismGynaecological oncology — premalignant cervical diseaseGynaecological oncology — gestational trophoblastic diseaseIntrapartum care — preterm birthGynaecological surgery — uterus-sparing proceduresProfessional practice — clinical governance, quality and patient safetyAntenatal care — medical disorders in pregnancyAntenatal care — maternal malignancyAntenatal care — maternal medicineProfessional practice — professionalism, ethics and regulationIntrapartum care — birth injury and repairProfessional practice — ethics, law and regulationPerioperative — diagnostic and operative gynaecologyAntenatal care — fetal medicineProfessional practice — patient safety and systemsPostpartum care — perineal health and wound carePerioperative care — positioning and nerve injuriesNeonatal care — outcomes of prematurityAntenatal care — abnormal placentationIntrapartum care — place of birth and care modelPostpartum care — recovery and perioperative carePerioperative care — post-operative complicationsUrogynaecology — pelvic floor disordersUrogynaecology — fistulaAntenatal care — timing of birthCritical care — renalPostpartum care — contraception and reproductive planningPostpartum care — infection and sepsisNeonatal care — metabolic and transitional careUrogynaecology — infectionGynae-surgery — cervical insufficiency and preterm birth preventionIntrapartum care — third stage of labourAntenatal care — screening and prenatal diagnosisIntrapartum care — multiple pregnancyPostpartum care — haemorrhagePostpartum care — hypertensive diseaseGynae-surgery — early pregnancy and abortion careEarly pregnancy care — pregnancy lossAntenatal care — fetal surveillanceReproductive endocrinology and infertilityReproductive endocrinology & infertility — fertility-treatment complicationsSexual and reproductive healthAntenatal care — neurological disordersGynaecological health — sexually transmitted infectionsNeonatal care — birth traumaAntenatal care — substance use and addictionGynaecological oncology — survivorship and MDT workingGynaecological oncology — survivorshipNeonatal care — infectionAntenatal care — multiple pregnancyIntrapartum care — birth after caesareanAntenatal care — fetal medicine and immunohaematologyCritical care — escalation and safety-netIntrapartum care — malpresentation and operative birthProfessional practiceGynaecological surgery — intraoperative complications and lower urinary tract injuryAntenatal care — maternal immunisationGynaecological oncology — vagina
AtlasO&GCases

Domain

Postpartum care — perinatal mental health

1

communication

A positive screen and a frightened mother — perinatal mental health communication station

Communication station on postnatal depression with a positive self-harm item: sharing a screening result without stigma, completing a same-consultation risk assessment, agreeing a treatment plan that preserves breastfeeding, and communicating with a partner. Includes assessor timeline, marking domains, assessor key and fail criteria. Scored against the eight RANZCOG oral domains with emphasis on rapport, respect and communication.

Open

Domain

Postpartum care — lactation

1

resus

A red breast that will not settle — lactational mastitis and abscess management station

Team-based emergency and procedural station: bacterial mastitis failing first-line therapy with a developing abscess. Tests recognition of the mastitis spectrum, the antibiotic doses, the threshold for imaging and drainage, source control, the decision to continue feeding, and communication with a frightened mother. Includes assessor timeline, marking domains, assessor key and fail criteria.

Open

Domain

Antenatal care — pregnancy after bariatric surgery

1

resus

Acute abdomen in pregnancy after gastric bypass — emergency management station

Team-based emergency station: suspected internal hernia with small bowel obstruction in the third trimester after Roux-en-Y bypass. Tests parallel maternal resuscitation, the surgical differential, imaging strategy, the operative decision, closed-loop communication with the bariatric surgeon and anaesthetist, and fetal monitoring. Includes assessor key and marking domains.

Open

Domain

Intrapartum care — fetal surveillance

2

resus

Acute fetal bradycardia on labour ward — emergency management station

Team-based emergency station: acute intrapartum bradycardia in a woman labouring after previous caesarean. Tests parallel intrauterine resuscitation, the differential for an acute bradycardia including scar rupture, the three-minute timetable, closed-loop team leadership, and communication under time pressure. Includes assessor key, timeline and fail criteria.

Open

communication

Changing the monitoring plan — communication and decision-making station

Communication and shared decision-making station: renegotiating the fetal monitoring plan with a woman whose birth preferences are being changed by a clinical development. Tests honest presentation of the evidence in both directions, respect for autonomy, offering telemetry rather than a bed, handling an angry support person, and documenting a declined recommendation safely. Includes assessor timeline, marking domains, assessor key and fail criteria.

Open

Domain

Neonatal care — hypoxic-ischaemic encephalopathy

1

resus

Acute intrapartum event and the cooling decision — emergency + communication station

Emergency management and communication station for a baby with neonatal encephalopathy after an acute intrapartum event. Tests the obstetrician's contribution to the cooling decision, the documentation discipline, and the parent communication. Includes assessor key and marking domains.

Open

Domain

Antenatal care — medical disorders of pregnancy

3

resus

Acute severe asthma in pregnancy — resuscitation and communication station

Resuscitation station: acute severe asthma in pregnancy, with the underlying cause of ICS cessation. The candidate must recognise severity, run the acute bundle with named drugs and doses, restart chronic therapy, and counsel the woman on ICS safety — while preparing for the carboprost trap if PPH ensues. Includes assessor key, marking domains and fail criteria.

Open

resus

AFLP at 34 weeks — emergency-management and communication station

Resuscitation station: a third-trimester woman with AFLP. The candidate must recognise the Swansea criteria, run the supportive bundle, mobilise the team, and deliver — all while communicating with a frightened partner. Includes assessor key, marking domains and fail criteria.

Open

resus

Lupus nephritis flare versus superimposed preeclampsia — emergency management station

Emergency station: lupus nephritis flare superimposed on chronic CKD in pregnancy. Tests the distinction of flare from superimposed preeclampsia, escalation of pregnancy-safe immunosuppression, blood pressure control, fetal surveillance and structured handover. Includes assessor key and marking domains.

Open

Domain

Antenatal care — perinatal mental health

1

resus

Acute suicidal ideation in pregnancy — emergency communication station

Emergency communication and safety station: acute suicidal ideation with a plan in late pregnancy. Tests structured risk assessment, same-day escalation, the mother-and-baby pathway, child-safety planning, and communication with the woman, her partner, and the team. Includes assessor key and marking domains.

Open

Domain

Urogynaecology — lower urinary tract dysfunction

1

resus

Acute urinary retention after pelvic-floor repair — emergency management station

Emergency-management station on acute urinary retention following pelvic-floor repair with a transobturator sling: candidate decompresses the bladder, applies the four-bucket framework, plans the trial-without-catheter pathway, recognises the role of sling release for failed conservative management, and teaches clean intermittent self-catheterisation. Includes assessor timeline and marking domains.

Open

Domain

Reproductive endocrinology & infertility

9

communication

Azoospermia — diagnostic and ART-pathway communication station

Communication and management station: communicating a diagnosis of non-obstructive azoospermia, the genetic cascade (karyotype showing 47,XXY), the micro-TESE pathway, and the realistic options including donor sperm. Includes assessor key and marking domains.

Open

communication

Bilateral tubal block with hydrosalpinx — pre-IVF management station

Communication and management station: communicating the diagnosis of bilateral tubal block with hydrosalpinx, the evidence for salpingectomy before IVF, the trade-off (loss of the tube for natural conception), and the IVF success rate. Includes assessor key and marking domains.

Open

procedural

Hydrosalpinx at laparoscopy — operative decision-making station

Procedural decision-making station: intraoperative findings of a hydrosalpinx at laparoscopy before IVF. Tests the candidate's operative decision (salpingectomy versus proximal occlusion versus aspiration), ovarian-sparing technique, handling of the contralateral adhesions, and communication with the consultant. Includes assessor key, marking domains and fail criteria.

Open

communication

Newly diagnosed breast cancer — urgent fertility preservation counselling station

Communication station on urgent fertility preservation in a young woman with ER-positive breast cancer before adjuvant chemotherapy. Tests evidence-based counselling on random-start stimulation with letrozole, the realistic per-cycle yield, the safety signal in ER-positive disease, the time trade-off, and shared decision-making. Includes assessor key and marking domains.

Open

communication

Recurrent implantation failure — shared decision-making and adjunct counselling station

Communication and shared decision-making station in recurrent implantation failure: tests the ESHRE cumulative-chance definition, evidence-based counselling on PGT-A (STAR, ASRM 2024), endometrial scratch (Cochrane 2026), ERA (Simón 2020) and intralipid, and honest handling of patient-requested unproven adjuncts. Includes assessor key and marking domains.

Open

communication

Severe Asherman after postpartum curettage — management and counselling station

Management and communication station: severe Asherman after postpartum curettage. Tests the diagnostic pathway, severity grading, hysteroscopic adhesiolysis with a mandatory prevention plan, the evidence for adjuvants (gel, estrogen, barriers), second-look strategy, refractory-disease options, and honest counselling on reproductive prognosis and obstetric surveillance. Includes assessor key and marking domains.

Open

communication

Severe male-factor infertility and genetic results — communication and planning station

Communication and planning station: delivering severe male-factor and genetic results, counselling on non-obstructive azoospermia and the AZFc microdeletion, discussing micro-TESE, donor sperm, and ICSI with transmissible-defect counselling. Includes assessor key, marking domains and fail criteria.

Open

resus

Severe OHSS after egg collection — emergency management station

Team-based emergency station: severe OHSS after IVF. Tests parallel resuscitation, recognition of the OHSS severity triad, fluid and thrombosis management, paracentesis decision, dopamine for oligo-anuria, and patient-centred communication with a frightened partner. Includes assessor key and marking domains.

Open

communication

The incidental septate uterus in IVF — decision and counselling station

Communication and decision station: an incidental septate-uterus finding before IVF. Tests classification knowledge, the ESHRE/ESGE diagnostic tier, the septate-criteria discordance, the evidence-quality counselling for an asymptomatic woman, and shared decision-making. Includes assessor key and marking domains.

Open

Domain

Intrapartum care — physiological birth

1

communication

Birth plan counselling in early labour — communication station

Simulated-patient communication station: negotiating an intervention-minimising birth plan in the latent phase. Tests the RANZCOG C-Obs 31 definitions delivered in plain language, honest quantified counselling on monitoring, augmentation and the third stage, shared decision-making, and documentation. Includes assessor timeline, marking domains, assessor key and fail criteria.

Open

Domain

Antenatal care — maternal age and ART

1

communication

Booking visit for a 41-year-old ICSI singleton — communication and planning station

Communication and planning station: the booking visit for an advanced-maternal-age ART-conceived singleton. Tests the candidate's ability to distinguish age, subfertility and ART risk contributions; design a risk-tailored surveillance plan; counsel on congenital anomalies and imprinting disorders using the Davies NEJM and Lazaraviciute evidence; address the timing-of-birth conversation with the Reddy stillbirth data; and communicate with the frightened older ART mother. Includes assessor key and marking domains.

Open

Domain

Neonatal care — resuscitation and transition

1

resus

Bradycardic newborn — emergency resuscitation station

Emergency-management station: a bradycardic newborn needing ventilation, then compressions and adrenaline. Tests the sequence, the escalation thresholds, the ventilation settings and saturation targets, closed-loop communication, and handover to the neonatal team. Includes assessor key and marking domains.

Open

Domain

Early pregnancy care

4

communication

Breaking bad news at the 12-week scan — communication station

Communication station: breaking the news of a missed miscarriage at the 12-week scan. Tests structured bad-news delivery (warning shot, plain words, silence), language discipline (avoiding 'products of conception' and 'at least'), offering genuine choice about management, screening for mental health risk, the partner as a patient, and a documented follow-up plan. Includes assessor key and marking domains.

Open

communication

Breaking uncertain news in early pregnancy — communication station

Communication and shared-decision station: explaining a pregnancy of unknown location to a woman expecting a yes-or-no answer. Tests plain-language explanation of diagnostic uncertainty, the 48-hour hCG plan, explicit safety-netting, and recognition of psychological impact. Includes assessor timeline, marking domains, assessor key and fail criteria.

Open

resus

Ovarian torsion in pregnancy — emergency management station

Emergency station: suspected ovarian torsion at 10 weeks in an IVF pregnancy with a known adnexal mass. Tests the recognition of the torsion clock, the surgical decision and approach, the counselling about ovarian conservation versus oophorectomy, and the structured communication with the woman and the theatre team. Includes assessor key and marking domains.

Open

resus

Wernicke encephalopathy in hyperemesis — emergency management station

Emergency station: clinical Wernicke encephalopathy in hyperemesis gravidarum, with an ED doctor about to give dextrose. Tests recognition of the eye-and-confusion presentation, the thiamine-before-glucose rule, high-dose parenteral thiamine dosing, the multi-system complications, and structured communication with the team. Includes assessor key and marking domains.

Open

Domain

Neonatal care — perinatal palliative care

1

communication

Breaking the news of an antenatal life-limiting diagnosis — communication station

Communication station for breaking the news of an antenatal life-limiting diagnosis. Tests the evidence-based bereavement script, the framing of options, the perinatal palliative care birth plan, and the parallel investigation bundle. Includes assessor key and marking domains, with fail criteria.

Open

Domain

Intrapartum care — operative birth

4

communication

Caesarean on maternal request after sexual assault — counselling station

Communication and counselling station on a request driven by trauma: candidate elicits the reason, screens safely, offers structured support, counsels the benefit-and-harm balance in absolute terms, and ends with one of the two RANZCOG C-Obs 39 endings — all while holding a trauma-informed conversation. Includes assessor key and marking domains.

Open

resus

Category 1 caesarean at 02:40 — emergency decision and escalation station

Emergency decision and escalation station: a category 1 caesarean when the only theatre is occupied. Tests category assignment under pressure, intrauterine resuscitation, parallel workflow, resource conflict between two women, closed-loop communication and the audit conversation afterwards. Includes assessor key and marking domains.

Open

resus

Category 1 caesarean for cord prolapse — emergency management station

Team-based emergency station: category 1 caesarean for cord prolapse. Tests immediate cord-prolapse manoeuvres, urgency classification and decision-to-delivery timing, anaesthetic decision-making, correct antibiotic timing, controlled surgical technique with a high presenting part, and structured handover. Includes assessor timeline, marking domains, assessor key and fail criteria.

Open

procedural

Failed ventouse at full dilatation — procedural decision station

Procedural decision station on assisted vaginal birth: candidate must recognise a high-risk mid-cavity rotational attempt, choose a trial in theatre, run the prerequisites, apply the abandonment rules, manage a failed ventouse with an impacted head, and complete the post-procedure package. Includes assessor timeline, marking domains, assessor key and fail criteria.

Open

Domain

Intrapartum care — medical comorbidity

1

resus

Cardiac disease in labour — emergency management and planning station

Emergency-management and planning station on a cardiac woman decompensating in labour: candidate leads the recognition of pulmonary oedema, the condition-specific resuscitation, the decision about mode and timing of birth, and the postpartum surveillance plan. Includes assessor timeline, marking domains, assessor key and fail criteria.

Open

Domain

Gynaecological oncology — cancer in pregnancy

1

communication

Cervical cancer at 19 weeks — multidisciplinary management station

Communication and multidisciplinary-management station on cervical cancer in pregnancy: tests the governing principle and the three decision variables, ALARA imaging with the NIPT/CA-125 pitfalls, the neoadjuvant-chemotherapy-to-bridge-to-fetal-maturity strategy, the trimester rule with the malformation data and contraindicated-agent list, the delivery-timing rule, and honest counselling of the frightened patient. Includes assessor key and marking domains.

Open

Domain

Gynaecological oncology — screening and prevention

1

communication

Cervical screening pathway — abnormal result navigation station

Abnormal-result navigation and counselling station on cervical screening: explaining the NCSP and self-collection, applying the reflex cytology triage pathway for an HPV-positive self-collected sample, defending the colposcopy referral for HPV 16, discussing the obstetric consequences of over-treatment, and counselling the patient through the workup. Includes assessor key and marking domains.

Open

Domain

Antenatal care — maternal medical conditions

1

resus

Class III obesity at caesarean — peri-operative management station

Team-based peri-caesarean station for a class III obese woman with OSA. Tests the anaesthetic-airway plan, surgical access and equipment, weight-adjusted antibiotic dosing, weight-based enoxaparin with the Overcash and Stephenson evidence, wound-closure strategy, postoperative monitoring, and closed-loop communication. Includes assessor key and marking domains.

Open

Domain

Intrapartum care — obstetric emergencies

5

resus

Collapse in second stage — amniotic fluid embolism resuscitation station

Timed team-based resuscitation station: intrapartum collapse from amniotic fluid embolism. Tests declared leadership, pregnancy-modified CPR, the four-minute hysterotomy commitment, right-ventricular-protective haemodynamic support, product-targeted correction of consumptive coagulopathy, and breaking catastrophic news. Includes a minute-by-minute assessor timeline, marking domains, assessor key and fail criteria.

Open

resus

Cord prolapse at a rural birth centre — emergency drill station

Timed drill-style emergency management station: umbilical cord prolapse in a rural setting with no theatre and a 55-minute transfer. Tests diagnosis in one examination, continuous manual elevation, bladder filling technique with volumes, tocolysis, retrieval activation, honest prognostic handover and documentation. Includes a minute-by-minute assessor timeline, marking domains, assessor key and fail criteria.

Open

resus

Massive PPH after caesarean — emergency management station

Team-based emergency station: intraoperative atonic PPH after twin caesarean. Tests parallel resuscitation, intraoperative surgical ladder, transfusion targets, closed-loop communication and the decision point for hysterectomy. Includes assessor key and marking domains.

Open

resus

Shoulder dystocia after mid-cavity vacuum — emergency drill station

Timed drill-style emergency management station: shoulder dystocia following mid-cavity instrumental birth in a diabetic pregnancy — the highest-failure subgroup. Tests declaration and timekeeping, the manoeuvre ladder with technique, escalation discipline, prohibition of fundal pressure, parental communication and the medico-legal record. Includes a minute-by-minute assessor timeline, marking domains, assessor key and fail criteria.

Open

resus

Uterine rupture during a trial of labour — emergency drill station

Timed drill-style emergency management station: complete uterine rupture during a trial of labour after caesarean. Tests immediate recognition and commitment to the diagnosis, stopping oxytocin, massive haemorrhage activation, transfer to laparotomy without diagnostic detour, the repair-versus-hysterectomy decision at the table, structured handover, open disclosure and documentation. Includes a minute-by-minute assessor timeline, marking domains, assessor key and fail criteria.

Open

Domain

Critical care — maternal resuscitation

5

resus

Collapse on the postnatal ward — maternal resuscitation station

Timed team-based resuscitation station: undifferentiated maternal collapse at 26 weeks with two competing iatrogenic causes. Tests declared leadership, the pregnancy-adapted four H and four T search, CPR modifications, antidote selection with doses, the fundal-height hysterotomy decision, and family communication. Includes a minute-by-minute assessor timeline, marking domains, assessor key and fail criteria.

Open

resus

Eclampsia on the labour ward — resuscitation station

Timed resuscitation station: eclampsia with severe-range hypertension, evolving to a refractory seizure and then postpartum magnesium toxicity. Tests the magnesium regimen with loading, maintenance and antidote, the antihypertensive ladder with doses and a controlled-reduction target, the refractory-eclampsia escalation, and the recognition and treatment of toxicity. Includes a minute-by-minute assessor timeline, marking domains, assessor key and fail criteria.

Open

resus

Maternal sepsis on the postnatal ward — resuscitation station

Timed resuscitation station: postpartum septic shock with a wound source. Tests pregnancy-aware recognition, the one-hour bundle with empiric antibiotic doses, vasopressor escalation, source control, the group A strep escalation, and team and family communication. Includes a minute-by-minute assessor timeline, marking domains, assessor key and fail criteria.

Open

resus

Resuscitative hysterotomy in the emergency department — procedural resuscitation station

Timed procedural resuscitation station: resuscitative hysterotomy for traumatic maternal cardiac arrest outside theatre. Tests the fundal-height indication, an immediate timed decision, operative technique without anaesthesia or transfer, management of bleeding at return of spontaneous circulation, care of both patients, medico-legal defence and family communication. Includes a minute-by-minute assessor timeline, marking domains, assessor key and fail criteria.

Open

resus

Sudden postpartum collapse — massive PE resuscitation station

Timed resuscitation station: massive pulmonary embolism after caesarean, evolving to cardiac arrest. Tests the recognition of high-risk PE, the empiric thrombolysis with agent and dose, the lung-protective ventilation, the parallel perimortem caesarean and lysis, and the massive haemorrhage preparation. Includes a minute-by-minute assessor timeline, marking domains, assessor key and fail criteria.

Open

Domain

Antenatal care — obstetric haemorrhage

2

resus

Concealed abruption in labour — emergency management station

Team-based emergency station: acute concealed placental abruption during labour with fetal bradycardia. Tests recognition of concealed haemorrhage, the differential against uterine rupture, category 1 caesarean with the anaesthetic implication of coagulopathy, transfusion targets, management of the Couvelaire uterus and the postpartum haemorrhage that follows, and structured handover. Includes assessor timeline, marking domains, assessor key and fail criteria.

Open

resus

Massive antepartum haemorrhage at 30 weeks — emergency management station

Team-based emergency station: massive undifferentiated antepartum haemorrhage at 30 weeks with an unknown placental site. Tests parallel resuscitation, the vaginal-examination rule, massive haemorrhage activation, the decision to deliver, anti-D, and structured handover. Includes assessor timeline, marking domains, assessor key and fail criteria.

Open

Domain

Pre-pregnancy and antenatal care — placental disorders

2

communication

Consent for caesarean hysterectomy in placenta accreta spectrum — communication station

Simulated-patient communication station: counselling and consent for planned caesarean hysterectomy in placenta accreta spectrum. Tests shared decision-making, breaking difficult news about permanent loss of fertility, honest presentation of uterine-preservation evidence, and safety-netting for antepartum bleeding. Includes assessor timeline, marking domains, assessor key and fail criteria.

Open

resus

Ruptured vasa praevia in birth suite — emergency management station

Team-based emergency station: ruptured vasa praevia with fetal exsanguination. Tests immediate recognition of the fetal-bleeding-well-mother pattern, category-1 declaration without confirmatory testing, closed-loop team leadership, pre-ordering emergency group O RhD-negative red cells, directing neonatal volume resuscitation, and communicating with a frightened woman. Includes assessor timeline, marking domains, assessor key and fail criteria.

Open

Domain

Gynae-oncology — hereditary cancer

1

communication

Counselling a confirmed BRCA1 carrier — communication and counselling station

Communication and counselling station: a confirmed BRCA1 carrier needs risk counselling, a recommendation for risk-reducing salpingo-oophorectomy with its timing and limits, discussion of surgical menopause and HRT, and cascade testing for her children. Tests the candidate's ability to convert risk figures into plain language, communicate uncertainty honestly, and structure a shared decision. Includes assessor key and marking domains.

Open

Domain

Reproductive endocrinology & infertility — third-party reproduction

1

communication

Counselling a couple pursuing surrogacy — communication station

Communication and ethics station: counselling a gay couple on the ANZ altruistic-only surrogacy framework, the legal exposure of an overseas commercial arrangement, the post-birth parentage pathway, and the welfare-of-the-child and counselling gates. Tests rapport, respect, communication and applied ethics against the eight RANZCOG oral domains. Includes assessor key and marking domains.

Open

Domain

Antenatal care — fetal growth and mode of birth

1

communication

Counselling a woman with suspected macrosomia — communication station

Communication station: tests the candidate on counselling a woman with suspected macrosomia — framing the EFW estimate honestly, explaining the shoulder dystocia risk and its weak prediction, presenting the induction evidence and the ACOG caesarean thresholds, and supporting an individualised decision. Includes assessor key, marking domains, and fail criteria.

Open

Domain

Intrapartum care — induction of labour

1

communication

Counselling for induction at 41 weeks — shared decision-making station

Simulated-patient shared decision-making station: counselling a well-informed nulliparous woman about induction at 41 weeks versus expectant management to 42 weeks. Tests accurate quantified counselling from SWEPIS and the 41-versus-42-week meta-analysis, correcting a common misconception with data rather than authority, explaining what induction actually involves, and documenting a plan when the woman declines. Includes assessor timeline, marking domains, assessor key and fail criteria.

Open

Domain

Critical care — maternal physiology

1

resus

Critically ill pregnant woman — physiology-modified resuscitation station

Resuscitation station on a pregnant woman with severe pneumonia and evolving type 2 respiratory failure on a background of pregnancy physiology. Tests ABG interpretation against pregnant references, the modified resuscitation (left lateral position, preoxygenation, balanced crystalloid, early sepsis bundle), the drug-dosing implications, and the disposition decision. Includes assessor key and marking domains.

Open

Domain

Antenatal care — fetal loss and bereavement

1

communication

Diagnosing and supporting a stillbirth — communication and management station

Communication and management station: tests the candidate on confirming the diagnosis, breaking the news, conducting the investigation and birth-planning discussion, and supporting the bereaved family. Includes assessor key, marking domains, and fail criteria.

Open

Domain

Professional practice — family and domestic violence, advocacy and safety

1

communication

Disclosure of family violence in pregnancy — communication and safety station

Communication and safety station on a family and domestic violence disclosure in pregnancy. Exercises the WHO LIVES first-line response, lethality risk assessment with non-fatal strangulation, woman-led safety planning, the documentation and confidential-flag standard, the referral to specialist advocacy, and the separate mandatory child-protection obligation. The eight published RANZCOG oral domains apply.

Open

Domain

Antenatal care — obstetric emergencies

2

resus

Eclamptic seizure on the antenatal ward — emergency management station

Team-based emergency station: first-episode eclampsia on the antenatal ward with no intravenous access and a post-ictal fetal bradycardia. Tests the doorway bundle in order, the Zuspan magnesium regimen with monitoring and antidote, severe-range blood pressure control, resisting premature caesarean, recurrent-seizure management, escalation, and communication with a terrified partner. Includes assessor timeline, marking domains, assessor key and fail criteria.

Open

resus

Major trauma in pregnancy with concealed abruption — emergency management station

Emergency station: major blunt trauma in pregnancy with the risk of concealed placental abruption, fetomaternal haemorrhage and masked shock. Tests the modified primary survey with left lateral tilt, fetal assessment, escalation, Kleihauer-Betke and anti-D, and IPV screening. Includes assessor key and marking domains.

Open

Domain

Gynae-surgery — surgical anatomy and dissection

1

resus

Emergency management station — intraoperative bleeding at the lateral cervical step

Team-based emergency station: management of intraoperative bleeding at the lateral cervical step of laparoscopic hysterectomy, identification of the ureter, named-vessel haemostasis, and postoperative care including silent ureteric injury detection. Tests parallel action, named-vessel control principle, recognition of ureteric injury, and structured handover. Includes assessor key and marking domains.

Open

Domain

Perioperative — intraoperative and post-operative management

1

resus

Emergency management station — intraoperative gas embolism and bowel injury at laparoscopic entry

Team-based emergency station: gas embolism recognition and resuscitation, then intraoperative bowel injury management, then communication with the team and the patient. Tests parallel action, named four-move resuscitation, Lund/McKernan ladder applied to bowel injury, and structured handover. Includes assessor key and marking domains.

Open

Domain

Gynae-surgery — hysterectomy

1

resus

Emergency management station — vaginal cuff dehiscence with bowel evisceration after laparoscopic hysterectomy

Team-based emergency station: management of vaginal cuff dehiscence with bowel evisceration after laparoscopic hysterectomy, resuscitation, return to theatre for repair, and postoperative care. Tests parallel action, named diagnosis, surgical emergency response, and structured handover. Includes assessor key and marking domains.

Open

Domain

Perioperative care

4

management

Enhanced recovery after gynaecological surgery — perioperative planning and rescue station

FRANZCOG-style management station with assessor timeline, marking domains, key and fail criteria.

Open

management

Perioperative medication management — perioperative planning and rescue station

FRANZCOG-style management station with assessor timeline, marking domains, key and fail criteria covering warfarin/DOAC interruption, LMWH bridging, diabetes, stress-dose steroids, ACEi/ARB withholding and the fasting rule.

Open

management

Perioperative VTE prophylaxis — perioperative planning and rescue station

FRANZCOG-style management station with assessor timeline, marking domains, key and fail criteria.

Open

management

Prophylactic antibiotics in gynaecological surgery — perioperative planning and rescue station

FRANZCOG-style management station with assessor timeline, marking domains, key and fail criteria.

Open

Domain

Critical care in obstetrics and gynaecology

2

resus

Euglycaemic ketoacidosis on the antenatal ward — emergency management station

Team-based emergency station: euglycaemic diabetic ketoacidosis on an antenatal ward after antenatal corticosteroids and preterm prelabour rupture of membranes. Tests bedside ketone testing, potassium-before-insulin sequencing, fluid and insulin rates, resisting an unnecessary caesarean, structured handover and prevention. Includes assessor timeline, marking domains, assessor key and fail criteria.

Open

resus

Running the massive obstetric haemorrhage protocol — emergency management station

Team-based emergency station: running an obstetric massive haemorrhage protocol in a woman with a contracted uterus and ongoing bleeding. Tests protocol activation with named roles, re-examination for genital tract trauma as the leading cause of massive PPH, goal-directed replacement from fed viscoelastic and biochemistry results, calcium and temperature management, the surgical decision point, deliberate de-activation, and structured handover. Includes assessor timeline, marking domains, assessor key and fail criteria.

Open

Domain

Intrapartum care — analgesia and anaesthesia

1

resus

Failed intubation in obstetric general anaesthesia — emergency management station

Team-based emergency station: failed intubation during obstetric general anaesthesia. Tests the OAA-DAS four-plan algorithm, the wake-or-proceed decision, closed-loop communication, and the team's ability to maintain oxygenation through sequential airway rescue. Includes assessor key and marking domains.

Open

Domain

Neonatal care — assessment and transition

1

resus

Failed newborn screen — critical congenital heart disease station

Assessment and escalation station: a failed pulse-oximetry screen for critical congenital heart disease in a well-looking baby. Tests recognition of the failed screen, the duct-dependent lesion, the false-positive frame, and communication with the parents and the cardiology team. Includes assessor key and marking domains.

Open

Domain

Gynae-oncology — systemic therapy

1

resus

Febrile patient on chemotherapy — emergency management station

Emergency-management station: suspected neutropenic sepsis in a patient mid-chemotherapy. Tests recognition of the nadir window, the principle of empirical antibiotics within the hour without waiting for the count, sepsis-six style resuscitation, escalation, and communication with the patient and oncology team. Includes assessor key and marking domains.

Open

Domain

Antenatal care — fetal anomaly screening

1

communication

Fetal structural anomalies — breaking a soft-marker finding

Communication station: break and contextualise soft-marker findings (echogenic focus and possible hyperechogenic bowel) for a distressed, internet-informed woman, plan a proportionate work-up, and avoid both over-investigation and false reassurance. Includes assessor key and marking domains.

Open

Domain

Sexual & reproductive health

2

communication

First-trimester abortion care — counselling and method-selection station

Communication-and-management station: first-trimester abortion care. Tests structured counselling, method selection with real numbers, screening for reproductive coercion, the MS-2 Step regimen with gestational limit, method-specific analgesia and antibiotics, and a same-day contraception plan. Includes assessor key and marking domains.

Open

resus

Post-abortion sepsis — emergency management station

Emergency-management station: post-abortion sepsis with retained products. Tests recognition of the septic retained-tissue syndrome, parallel resuscitation and source control, uterotonic and transfusion management, and closed-loop team communication. Includes assessor timeline, marking domains, assessor key and fail criteria.

Open

Domain

gynae-surgery

2

resus

Fluid overload and hyponatraemia at operative hysteroscopy — emergency management station

Team-based emergency station: operative hysteroscopy intravascular absorption syndrome (OHIA) with hyponatraemia and cerebral oedema during a prolonged glycine resection. Tests recognition of a rising deficit, parallel resuscitation and sodium correction, and closed-loop communication. Includes assessor key and marking domains.

Open

resus

Major vessel injury at laparoscopic entry — emergency management station

Team-based emergency station: major retroperitoneal vessel injury at laparoscopic entry in a thin, previously-operated patient. Tests parallel resuscitation, the damage-control versus definitive-repair decision, closed-loop communication, and escalation to a vascular surgeon. Includes assessor key and marking domains.

Open

Domain

Antenatal care — perinatal infections

4

resus

Group B streptococcus in labour — emergency management station

Emergency management station: group B streptococcus in labour with penicillin allergy. Tests the IAP indication and regimen, the revised regimen when susceptibility changes, the timing rule, and the neonatal communication. Includes assessor timeline, marking domains, assessor key and fail criteria.

Open

communication

New diagnosis of syphilis in pregnancy with a penicillin allergy — communication and management station

Communication and management station: a new syphilis diagnosis in pregnancy with a reported penicillin allergy. Tests the staging cascade, the benzathine penicillin G regimen, the desensitisation pathway for the allergic woman, the Jarisch-Herxheimer counselling, the partner-notification and confidentiality handling, and the serological follow-up. Includes assessor timeline, marking domains, assessor key and fail criteria.

Open

communication

New HIV diagnosis in pregnancy — communication and management station

Communication and management station: a new HIV diagnosis in pregnancy. Tests the immediate combined prevention strategy, the multidisciplinary team activation, the partner-notification and confidentiality handling, the viral-load-driven mode-of-delivery planning, and the setting-dependent infant feeding counselling. Includes assessor timeline, marking domains, assessor key and fail criteria.

Open

communication

Varicella exposure in pregnancy — communication and management station

Communication and management station: varicella exposure in pregnancy with unknown immune status. Tests the serology-led approach, the post-exposure prophylaxis decision (VZIG or oral aciclovir within the window), the congenital varicella syndrome risk counselling, and the communication with the woman. Includes assessor timeline, marking domains, assessor key and fail criteria.

Open

Domain

Neonatal care — bilirubin metabolism

1

resus

Haemolytic neonatal jaundice — emergency management station

Emergency management station for haemolytic neonatal jaundice (Rh isoimmunisation). Tests parallel resuscitation, the nomogram-based threshold framework, escalation from intensive phototherapy to IVIG to exchange transfusion, and communication with the mother. Includes assessor key and marking domains.

Open

Domain

Gynaecological oncology — premalignant cervical disease

1

communication

High-grade lesion at colposcopy — counselling and treatment station

Communication-and-management station for a high-grade squamous lesion at colposcopy: candidate counsels a young woman wanting fertility, presents the excision-vs-ablation decision with the obstetric outcomes of excision, and agrees a treatment and surveillance plan. Includes assessor key and marking domains.

Open

Domain

Gynaecological oncology — gestational trophoblastic disease

2

resus

High-risk GTN with brain metastases — multidisciplinary management station

Multidisciplinary emergency station on ultra-high-risk gestational trophoblastic neoplasia with brain metastases. Tests the recognition of GTN after non-molar pregnancy, the WHO score, the induction-etoposide principle to avoid tumour lysis, EMA-CO, brain radiotherapy, and the team coordination with the trophoblast centre. Includes assessor key and marking domains.

Open

resus

Plateauing hCG after a molar pregnancy — diagnosis and treatment station

Management station for post-molar gestational trophoblastic neoplasia presented as a plateauing hCG: candidate excludes phantom hCG and pregnancy, stages and scores with the FIGO 2000 system, registers with the trophoblast centre, and agrees single-agent methotrexate-folinic acid. Includes assessor key, timeline and marking domains.

Open

Domain

Intrapartum care — preterm birth

1

resus

Imminent preterm birth at 25 weeks in a regional hospital — emergency management station

Team-based emergency station: imminent extremely preterm breech birth in a hospital without neonatal intensive care. Tests the bundle under time pressure, the tocolysis and transfer decisions, mode-of-birth reasoning at 25 weeks, periviability-adjacent counselling, and structured handover. Includes assessor key and marking domains.

Open

Domain

Gynaecological surgery — uterus-sparing procedures

1

resus

Laparoscopic myomectomy with intraoperative haemorrhage — emergency recognition and management station

Team-based emergency station: intraoperative haemorrhage during laparoscopic myomectomy, vasopressin and uterotonic escalation, conversion threshold and the safe conversion sequence, intrauterine balloon tamponade and interventional radiology as bridge, and structured handover. Includes assessor key and marking domains.

Open

Domain

Professional practice — clinical governance, quality and patient safety

1

resus

Leading a morbidity and mortality review after a hypoxic event — governance and leadership station

Governance and leadership station on chairing a morbidity and mortality review after an intrapartum hypoxic event. Exercises holding the system lens over the person lens, the London Protocol and fishbone, just culture, named action planning with owners and timeframes, the audit cycle with re-audit, second-victim support, and the open-disclosure commitment to the family. Includes assessor key and marking domains.

Open

Domain

Antenatal care — medical disorders in pregnancy

2

communication

Mechanical valve in early pregnancy — preconception and anticoagulation counselling station

Communication and decision station: a mechanical valve at 8 weeks. Tests the modified WHO classification, the three anticoagulation strategies with their trade-offs, shared decision-making with the woman, and the peripartum plan. Includes assessor timeline, marking domains, assessor key and fail criteria.

Open

resus

Suspected pulmonary embolism in late pregnancy — emergency management station

Emergency management station: suspected pulmonary embolism in late pregnancy. Tests the imaging choice, the immediate anticoagulation, the transition plan, the multidisciplinary response, and the postpartum prophylaxis. Includes assessor timeline, marking domains, assessor key and fail criteria.

Open

Domain

Antenatal care — maternal malignancy

1

communication

Newly diagnosed breast cancer at 18 weeks — communication and planning station

Communication and planning station: a pregnant woman newly diagnosed with breast cancer. Tests the candidate's ability to convene the multidisciplinary team, communicate the prognosis evidence honestly, present the SMFM Consult Series #76 framework, address the woman's fears, and commit to a written plan. Includes assessor key and marking domains.

Open

Domain

Antenatal care — maternal medicine

5

communication

Newly diagnosed gestational diabetes — counselling and shared decision-making station

Simulated-patient counselling station on newly diagnosed gestational diabetes: delivering the diagnosis, correcting misinformation, negotiating a monitoring plan around shift work, explaining escalation to metformin or insulin, agreeing timing of birth, and closing with the postpartum plan. Includes assessor timeline, marking domains, assessor key and fail criteria.

Open

communication

Preconception clinic in type 1 diabetes — counselling and planning station

Simulated-patient preconception counselling station in type 1 diabetes: delivering honest risk information tied to HbA1c, negotiating a contraception-until-ready plan, stopping teratogenic medications, prescribing folate and planning aspirin, addressing severe hypoglycaemia and hypoglycaemia unawareness, and agreeing a pregnancy-readiness checklist. Includes assessor timeline, marking domains, assessor key and fail criteria.

Open

resus

Preeclampsia with pulmonary oedema — emergency management station

Emergency management station: acute pulmonary oedema complicating severe preeclampsia, precipitated by iatrogenic fluid. Tests recognition, oxygen and positioning, diuresis, severe-range blood pressure control with named drugs and doses, magnesium, the fluid-restriction principle, escalation to critical care, and the decision to deliver. Includes assessor timeline, marking domains, assessor key and fail criteria.

Open

resus

Severe-range hypertension in the antenatal day unit — emergency management station

Emergency management station: severe-range hypertension with neurological symptoms in a stand-alone antenatal day unit. Tests recognition of a hypertensive emergency, the 30 to 60 minute treatment target with named drug and dose, magnesium loading, fluid restriction, corticosteroids, escalation and transfer, and communication with a frightened woman. Includes assessor timeline, marking domains, assessor key and fail criteria.

Open

communication

The booking visit that prevents preeclampsia — communication and decision station

Communication and shared-decision station: the booking risk assessment that must convert into a prescription. Tests risk stratification without biomarker screening, the full aspirin and calcium prescription, addressing a specific medication fear with evidence, adherence problem-solving, culturally safe communication, and building a surveillance plan a regional service can deliver. Includes assessor timeline, marking domains, assessor key and fail criteria.

Open

Domain

Professional practice — professionalism, ethics and regulation

1

communication

Notification of a colleague's possible impairment — communication and ethics station

FRANZCOG-format communication and ethics station: dealing with a possible impairment of a senior colleague, the mandatory-notification framework, indemnity, open disclosure, mentor support, and the second victim. Includes assessor key and marking domains.

Open

Domain

Intrapartum care — birth injury and repair

1

procedural

OASIS recognition and repair — procedural station

Procedural station on obstetric anal sphincter injury: systematic genital tract assessment with rectal examination, correct grading under uncertainty, the decision to move to theatre, layer-by-layer repair with named suture materials, and the postoperative package. Includes assessor timeline, marking domains, assessor key and fail criteria.

Open

Domain

Professional practice — ethics, law and regulation

1

communication

Open disclosure after an intrapartum stillbirth — communication and medico-legal station

High-stakes open-disclosure and medico-legal station testing team alignment, plain disclosure, response to emotion, audit and coronial pathway, AHPRA notification thresholds, expert-witness preparation, MDO involvement and staff support. Includes assessor timeline, marking domains, assessor key and fail criteria.

Open

Domain

Perioperative — diagnostic and operative gynaecology

1

resus

Operative hysteroscopy with intravascular absorption syndrome — emergency recognition and management station

Team-based emergency station: intravascular absorption syndrome (TURP-like syndrome) recognition and management, glycine hyponatraemia correction with hypertonic saline 3% and controlled correction rate, uterine perforation recognition, and structured handover. Includes assessor key and marking domains.

Open

Domain

Antenatal care — fetal medicine

1

resus

Parvovirus hydrops — fetal anaemia management station

Fetal-medicine management station: parvovirus B19 aplastic anaemia with early hydrops. Tests the pathogenesis explanation, the MCA-PSV surveillance and 1.5 MoM threshold, intrauterine transfusion technique and survival, and honest counselling. Includes assessor key and marking domains.

Open

Domain

Professional practice — patient safety and systems

1

communication

Pathological CTG at 02:40 — escalation and CRM station

Communication and escalation station built around crew resource management on labour ward: situation awareness, graded assertion, closed-loop communication, SBAR/iSoBAR handover, and a structured debrief. Tests whether the candidate can name and apply the CRM tools under time pressure. Includes assessor key, timeline and marking domains.

Open

Domain

Postpartum care — perineal health and wound care

1

communication

Perineal wound breakdown at day 5 — assessment and counselling station

Assessment and counselling station testing the day-5 postnatal perineal wound complication: telephone triage using the four NICE NG194 questions, the same-day disposition decision, the examination with rectal examination obligation, the conservative management package, and the safety-net counselling. Includes assessor key and marking domains.

Open

Domain

Perioperative care — positioning and nerve injuries

1

communication

Perioperative nerve injury — communication and disclosure station

Communication and disclosure station: a perioperative peripheral nerve injury detected in PACU. Tests clinical assessment, documentation, duty of candour, structured disclosure, and prevention learning. Includes assessor key and marking domains.

Open

Domain

Neonatal care — outcomes of prematurity

1

communication

Periviability counselling — communication + emergency station

Communication and emergency station for periviability counselling at 23+4 weeks. Tests the survival number with its denominator, the four obstetric levers, the natural-frequency counselling script, and the parallel actions of steroids, magnesium and in-utero transfer. Includes assessor key and marking domains.

Open

Domain

Antenatal care — abnormal placentation

1

procedural

Planned caesarean for placenta praevia with accreta risk — procedural station

Procedural and team-leadership station: the planned caesarean for anterior placenta praevia with sonographic placenta accreta spectrum. Tests pre-operative planning and consent, team assembly, the intraoperative decision not to separate the placenta, the haemorrhage ladder, and the hysterectomy decision point. Includes assessor timeline, marking domains, assessor key and fail criteria.

Open

Domain

Intrapartum care — place of birth and care model

1

communication

Planning a home birth — counselling and transfer planning station

Communication and counselling station on planning a home birth: candidate elicits the woman's values, gives the parity-specific Birthplace numbers, explains eligibility and the transfer pathway, and supports an informed choice — whichever way it goes. Includes assessor timeline, marking domains, assessor key and fail criteria.

Open

Domain

Postpartum care — recovery and perioperative care

1

resus

Post-caesarean sepsis on day 2 — emergency management station

Team-based emergency station: postoperative puerperal sepsis after caesarean. Tests the sepsis six bundle in the first hour, empirical antibiotic choices with doses, source control, communication with the team and the woman, and the documentation and governance that follow. Includes assessor key and marking domains.

Open

Domain

Perioperative care — post-operative complications

1

resus

Post-operative complications — emergency management station

Team-based emergency station: day-5 anastomotic leak with sepsis after major gynaecologic oncology surgery. Tests parallel assessment, NEWS2 escalation, sepsis bundle, criteria for surgical re-look, closed-loop communication and the decision point for return to theatre. Includes assessor key and marking domains.

Open

Domain

Urogynaecology — pelvic floor disorders

1

resus

Post-operative complications after prolapse surgery — resuscitation and counselling station

Resuscitation and complication-management station: post-operative ureteric injury/obstruction and voiding dysfunction after uterosacral suspension. Tests recognition of the procedure-specific complication, investigation sequencing (renal tract imaging, creatinine, cystoscopy), escalation, and counselling. Includes assessor key and marking domains.

Open

Domain

Urogynaecology — fistula

1

management

Post-radiation vesicovaginal fistula — multidisciplinary management station

Outpatient multidisciplinary station on post-radiation vesicovaginal fistula: candidate recognises irradiated tissue, defends the use of vascularised tissue interposition (gracilis flap), addresses the realistic chance of continence and the possibility of urinary diversion, and coordinates multidisciplinary care including psychosocial support.

Open

Domain

Antenatal care — timing of birth

1

communication

Post-term at 41+5 — communication and counselling station

Communication and shared-decision-making station: a capable, informed woman declining induction at post-term gestation. Tests risk literacy, balanced counselling, respect for autonomy, enhanced-surveillance planning, safety-netting, documentation, and the communication domains. Includes assessor key and marking domains.

Open

Domain

Critical care — renal

1

resus

Postpartum acute kidney injury — emergency management and RRT decision station

Resuscitation station on pregnancy-related AKI stage 3 after PPH with sepsis. Tests KDIGO recognition against the pregnant baseline, immediate management of hyperkalaemia and acidosis, the avoidance of nephrotoxins, the AEIOU indications for RRT, and the multidisciplinary decision. Includes assessor key and marking domains.

Open

Domain

Postpartum care — contraception and reproductive planning

1

communication

Postpartum contraception counselling — communication station

Communication station testing postpartum contraceptive counselling in a young Aboriginal woman: opening with a reproductive-intention question, defending the implant against the lactogenesis myth with evidence, addressing the historical weight of coercive practice, and demonstrating non-coercive, culturally safe shared decision-making. Includes assessor key and marking domains.

Open

Domain

Postpartum care — infection and sepsis

1

resus

Puerperal sepsis with suspected group A Streptococcus — recognise-and-treat station

Recognise-and-treat station: puerperal sepsis with pointers to invasive group A streptococcal disease. Tests the first-hour bundle with antibiotic names, the antitoxin role of clindamycin, source control, and the communication of a deteriorating patient. Includes assessor timeline, marking domains and assessor key.

Open

Domain

Neonatal care — metabolic and transitional care

1

resus

Recurrent neonatal hypoglycaemia — escalation and investigation station

Escalation and investigation station: recurrent critical neonatal hypoglycaemia in an infant of a diabetic mother. Tests recognition of the dosing ceiling, intravenous and glucagon escalation, the glucose infusion rate trigger for hyperinsulinism, and diagnostic sampling. Includes assessor key and marking domains.

Open

Domain

Urogynaecology — infection

1

management

Recurrent UTI in a post-menopausal woman — management station

Outpatient management station on recurrent UTI in a post-menopausal woman: tests the candidate's ability to identify oestrogen deficiency as a modifiable risk factor, choose vaginal oestrogen as the first-line non-antibiotic prevention, defend the antibiotic strategy, and counsel on the antibiotic stewardship principle of not treating asymptomatic bacteriuria.

Open

Domain

Gynae-surgery — cervical insufficiency and preterm birth prevention

1

resus

Rescue cerclage for a dilated cervix — emergency management station

Procedural decision station: examination-indicated (rescue) cerclage. Tests the exclusion of labour and infection before theatre, membrane reduction, the technique and tocolysis, and the counselling of a woman with a threatened second-trimester loss. Includes assessor key and marking domains.

Open

Domain

Intrapartum care — third stage of labour

1

resus

Retained placenta with bleeding — emergency management station

Team-based emergency station: retained placenta complicated by haemorrhage in a woman at risk of accreta. Tests the bleeding-override decision, parallel resuscitation, honest appraisal of the failed medical options, manual removal technique, and the accreta stop rule. Includes assessor key and marking domains.

Open

Domain

Antenatal care — screening and prenatal diagnosis

1

communication

Screen-positive result — counselling and diagnostic decision station

Simulated-patient counselling station on a screen-positive cfDNA result: explaining that cfDNA is a screening test, naming the diagnostic pathway (CVS), putting the risk in context, supporting a shared decision, and acknowledging the emotion. Includes assessor timeline, marking domains, assessor key and fail criteria.

Open

Domain

Intrapartum care — multiple pregnancy

1

resus

Second twin transverse after birth of twin 1 — emergency management station

Team-based emergency station: transverse second twin with fetal bradycardia after vaginal birth of twin 1. Tests the interval drill, decision-making between internal podalic version and caesarean, the technique of version and breech extraction, prevention of combined delivery, anticipation of postpartum haemorrhage, and team communication. Includes assessor timeline, marking domains and assessor key.

Open

Domain

Postpartum care — haemorrhage

1

resus

Secondary PPH with a vascular lesion — emergency management station

Emergency-management station: secondary PPH driven by a uterine artery pseudoaneurysm. Tests resuscitation, recognition of the vascular lesion, the refusal to curette, interventional-radiology activation, and communication. Includes assessor timeline, marking domains and assessor key.

Open

Domain

Postpartum care — hypertensive disease

1

resus

Seizure on day 11 after birth — postpartum eclampsia emergency station

Team-based emergency station: late postpartum eclampsia in a woman with no antenatal hypertension. Tests immediate seizure management, magnesium and blood pressure control with named doses, active exclusion of the mimics, closed-loop team leadership, and communication with a frightened partner. Includes assessor timeline, marking domains, assessor key and fail criteria.

Open

Domain

Gynae-surgery — early pregnancy and abortion care

1

resus

Septic miscarriage — emergency management station

Team-based emergency station: septic miscarriage with haemodynamic compromise. Tests the sepsis six, source control by evacuation, antibiotic choice, anti-D, and the decision to operate after rather than during resuscitation. Includes assessor key and marking domains.

Open

Domain

Early pregnancy care — pregnancy loss

1

resus

Septic miscarriage with shock — emergency management station

Team-based emergency station: septic miscarriage with septic shock in a regional unit. Tests sepsis recognition and the one-hour bundle, the decision to evacuate a septic uterus, escalation and transfer thresholds, and closed-loop team communication. Includes assessor key and marking domains.

Open

Domain

Antenatal care — fetal surveillance

1

resus

Severe early-onset FGR with absent end-diastolic flow — decision station

Decision station: severe early-onset FGR with AEDF and evolving pre-eclampsia. Tests the candidate's ability to admit and surveil, administer the corticosteroid and neuroprotection bundle, sequence the Doppler and cCTG monitoring, and reach a TRUFFLE-informed delivery decision with senior input. Includes assessor key and marking domains.

Open

Domain

Reproductive endocrinology and infertility

1

resus

Severe OHSS after a fresh embryo transfer — emergency management station

Team-based emergency station: severe, late OHSS with haemoconcentration and oliguria. Tests recognition that the normal blood pressure hides intravascular depletion, the VEGF pathophysiology, the balanced fluid strategy, paracentesis and thromboprophylaxis, and the decision to escalate to high-dependency care. Includes assessor key and marking domains.

Open

Domain

Reproductive endocrinology & infertility — fertility-treatment complications

1

resus

Severe OHSS after oocyte retrieval — emergency management station

Emergency management station: severe OHSS progressing towards critical. Tests severity grading with Golan-REI, the resuscitation bundle, the prophylaxis ladder, the differential of worsening abdominal pain, the multidisciplinary escalation, and communication with the distressed patient and her partner. Includes assessor key and marking domains.

Open

Domain

Sexual and reproductive health

1

management

Sexual dysfunction and dyspareunia — communication and assessment station

Sexual dysfunction and dyspareunia — communication and assessment station

Open

Domain

Antenatal care — neurological disorders

1

resus

Status epilepticus in pregnancy — emergency management station

Emergency management station on status epilepticus in pregnancy. Tests the candidate on the status epilepticus bundle with drug doses, exclusion of eclampsia, fetal monitoring, and the postpartum plan including the lamotrigine clearance and dose-reduction principles. Includes assessor key and marking domains.

Open

Domain

Gynaecological health — sexually transmitted infections

1

communication

STI screening and partner notification — clinic station

Communication and management clinic station on a positive chlamydia diagnosis: counselling, treatment with the verbatim first-line dose, partner notification including the PDPT option, and the retest-at-3-months plan. Includes assessor key and marking domains.

Open

Domain

Neonatal care — birth trauma

1

resus

Subgaleal haemorrhage after vacuum — emergency management station

Emergency management station for subgaleal haemorrhage after a difficult vacuum. Tests parallel resuscitation, the RANZCOG C-Obs 28 tiered surveillance protocol, escalation to retrieval, and communication with the parents. Includes assessor key and marking domains.

Open

Domain

Antenatal care — substance use and addiction

1

communication

Substance use in pregnancy — booking-visit communication and management station

Communication and management station: a late-booking woman with concealed polysubstance use and a child-protection history. Tests trauma-informed universal screening with AUDIT-C and 4Ps, the principle of opioid agonist therapy over detox, FASD counselling, neonatal abstinence syndrome planning, and the scored rapport, respect and communication domains. Includes assessor key and marking domains.

Open

Domain

Gynaecological oncology — survivorship and MDT working

1

communication

Survivorship clinic — integrated survivorship and MDT station

Communication and integrated-care station on gynaecological cancer survivorship: tests the structured survivorship assessment, the sexual-function restorative ladder, lymphoedema and premature-menopause management, evidence-based surveillance reasoning, fear-of-recurrence communication, and activation of the multidisciplinary team. Includes assessor key and marking domains.

Open

Domain

Gynaecological oncology — survivorship

1

communication

Survivorship review — assessment and shared-care station

Assessment and shared-care station on gynaecological cancer survivorship: applying the symptom-driven surveillance principle, working up the swollen leg to exclude recurrence before diagnosing lymphoedema, managing sexual dysfunction and treatment-induced menopause, distinguishing adjustment from clinically significant fear of recurrence with the FORT trial, and producing a written survivorship care plan. Includes assessor key and marking domains.

Open

Domain

Neonatal care — infection

1

resus

Suspected early-onset neonatal sepsis — emergency management station

Emergency management station for suspected EOS in a term infant with the full risk tier. Tests parallel resuscitation, the empirical antibiotic regimen with doses, the 48-hour stewardship checkpoint, and closed-loop communication with the neonatal team and the mother. Includes assessor key and marking domains.

Open

Domain

Antenatal care — multiple pregnancy

2

communication

Suspected twin-twin transfusion syndrome in a regional centre — referral and communication station

Communication and decision station: suspected stage II twin-twin transfusion syndrome in a regional centre. Tests Quintero staging, the decision to refer for fetoscopic laser rather than serial amnioreduction, communication of the diagnosis and prognosis to a distressed primigravida, and the practical logistics of transfer. Includes assessor timeline, marking domains, assessor key and fail criteria.

Open

communication

Twin pregnancy at the booking scan — counselling and planning station

Counselling and planning station: a new diagnosis of monochorionic diamniotic twin pregnancy. Tests the candidate's ability to explain chorionicity and its implications, sequence the surveillance, counsel on timing and mode of birth, and address the maternal risks. Includes assessor key and marking domains.

Open

Domain

Intrapartum care — birth after caesarean

1

resus

Suspected uterine scar rupture in labour — emergency management station

Emergency station on suspected uterine scar rupture during planned VBAC: recognition when the epidural has removed the pain sign, the immediate bundle, category 1 transfer, intraoperative decision-making between repair and hysterectomy, resuscitation targets, structured handover and the future-pregnancy conversation. Includes assessor timeline, marking domains, assessor key and fail criteria.

Open

Domain

Antenatal care — fetal medicine and immunohaematology

1

communication

The sensitised booking visit — antenatal counselling and surveillance station

Communication and clinical-reasoning station on the newly-identified alloimmunised pregnancy: candidate explains sensitisation in plain language, sets up serial MCA-PSV surveillance with the 1.5 MoM threshold, describes intrauterine transfusion and outcomes, and addresses the woman's anxiety. Includes assessor key and marking domains.

Open

Domain

Critical care — escalation and safety-net

1

resus

Triggered obstetric early warning score — bedside response and escalation station

Team-based resuscitation station: triggered obstetric early warning score in a postpartum woman with evolving haemorrhagic and septic compromise. Tests parallel ABCDE with obstetric modification, the SBAR escalation call, the four-domain response bundle, and the disposition decision. Includes assessor key and marking domains.

Open

Domain

Intrapartum care — malpresentation and operative birth

1

resus

Undiagnosed breech at full dilatation — emergency management station

Team-based emergency station: an undiagnosed footling breech delivering at full dilatation. Tests rapid recognition, the hands-off principle under pressure, the manoeuvre sequence in order, management of head entrapment with Dührssen incisions, closed-loop team leadership and the post-event conversation. Includes assessor timeline, marking domains and assessor key.

Open

Domain

Professional practice

1

communication

Unexpected neonatal death — communication station

High-stakes perinatal-loss communication station testing team alignment, plain disclosure, response to emotion, memory-making, investigation and review, longitudinal follow-up and staff wellbeing.

Open

Domain

Gynaecological surgery — intraoperative complications and lower urinary tract injury

1

resus

Ureteric and bladder injury recognised intraoperatively — emergency management station

Intraoperative emergency station: a ureteric injury (absent left jet) and an incidental bladder cystotomy recognised at cystoscopy during a difficult laparoscopic hysterectomy. Tests parallel recognition, level-specific ureteric reconstruction, two-layer bladder repair with thermal-margin debridement, closed-loop communication and honest disclosure. Includes assessor key and marking domains.

Open

Domain

Antenatal care — maternal immunisation

1

communication

Vaccine-hesitant woman at booking — communication and counselling station

Communication and counselling station: a vaccine-hesitant pregnant woman with a supportive but similarly concerned family member. Tests knowledge of the recommended and contraindicated vaccines, motivational interviewing and the trusted-provider approach, evidence-based reassurance, and the documentation of a decision. Includes assessor key and marking domains.

Open

Domain

Gynaecological oncology — vagina

1

resus

Vaginal cancer MDT — staging and treatment-planning station

Staging and treatment-planning station on primary vaginal cancer. Tests the FIGO primary-vaginal definition, the verbatim staging applied to imaging, the radiotherapy-dominant management with brachytherapy, the narrow surgical role, and the HPV field effect. Includes assessor key and marking domains.

Open