Gynecological examination (7 minutes)

1. WIPER
o Wash hands and put on gloves.
o Introduce
o Patient details, explain procedure, gain consent.
o Expose
o Reposition

(While washing and putting on gloves) Hi, my name is X, your GP/doctor for the day. Can I just
confirm your date and age?
2. General inspection
3. Abdominal exam
On close inspection of the abdomen, I am looking for…
Scars, distension.
On palpation…

4. Speculum exam
5. Swabs
6. Vaginal exam
7. Closing

Obstetric examination (7 minutes)

Case 1: Jane is a 32 year old G2 P1 + 0 at 35 weeks’ gestation presenting to the maternal

hospital’s ED with vaginal bleeding which started this morning. She has no significant medical
history. Her previous birth was a cesarean section, and she gave birth to a healthy baby boy.
Case 2:
Case 3:
Case 4: Sara is a 65 year old women who is coming into her GP after noticing some vaginal
bleeding. She stopped having her periods years ago she is wondering why that is the case. The
first bleed was 2 weeks ago and the second one was 3 days ago.
Case 5:
Case 6:

Counselling and Consent OSCE

Consent Counselling
Laparoscopy (investigation of pelvic pain, for Abnormal cervical screening test result
ovarian torsion, sterilization, assessment of
fertility, suspected ectopic)
Cervical screen Explain how to perform pelvic floor exercises
Evacuation of retained products of Abnormal STI result
conception
Hysterectomy Early pregnancy loss
Planned cesarean section Non-sensitized rhesus women and
importance of anti-D

Consent
1. Introduce yourself and role, and what the purpose of this consultation is.
2. Check patient’s knowledge and what they know.
a. Do you know why you have come in today?
b. Can you tell me what operation you came in to have done?
c. What do you understand about the procedure?
3. Explain what it is.
4. Reason for procedure
5. Risks and benefits
6. Alternatives
7. Close consultation
a. Do you have any questions or concerns?