O&G Cases · Sexual & reproductive health
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.
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Target exams
Station brief
Format. Communication-and-management station, approximately 12 minutes. You are the registrar in a GP-led abortion service. A practice nurse and a GP supervisor are available. The assessor will play the patient (and, briefly, the partner) and feed you information on request. [1]
Candidate instruction. Conduct the consultation: confirm the request, counsel the methods, screen for coercion, support an informed choice, prescribe and brief on the chosen regimen, and arrange follow-up and contraception. Verbalise your safety-netting and your communication moves. [1][4]
References4ShowHide
- [1]Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) Clinical Guideline for Abortion Care (version 1.4) RANZCOG, Melbourne, 2026.Source
- [2]Brandell K, Jar-Allah T, Reynolds-Wright J, et al. Randomized Trial of Very Early Medication Abortion N Engl J Med, 2024.PMID 39504520
- [3]Allen RH, Singh R Society of Family Planning clinical guidelines pain control in surgical abortion part 1 - local anesthesia and minimal sedation Contraception, 2018.PMID 29407363
- [4]Saldanha S, Botfield J, Mazza D Recognising and responding to reproductive coercion in general practice: a qualitative study BMJ Sex Reprod Health, 2026.PMID 41052903