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Module 4 Gynaecology

inital management of chronic pelvic pain www. skills and attitudes to diagnose and manage common gynaecological problems Perform appropriate basic gynaecological ultrasound examination Knowledge. diagnose uterine fibroids and endometrial polyps  to diagnose polycystic ovaries and ovarian cysts Professional Skills and Attitudes  Demonstrates the ability to communicate prognosis and counsel women sensitively about the options available Explains the nature. skills and attitudes to undertake basic surgical gynaecological procedures Manage simple paediatric and adolescent gynaecological disorders Medical Gynaecology: Knowledge Criteria  The Gynaecological Problems e-tutorials Supervised clinical sessions Evidence/Assessment   Logbook Reflective diary CBD Audit project MSF Annual Review         Specific courses and academic meetings Multidisciplinary vulval clinics Menstrual disorders clinics Local and regional courses in paediatric gynaecological problems and disorders of puberty RCOG guidance documents eg female genital mutilation. endometriosis. pathophysiology. prognostic features and management of:  Menstrual disorders  Postmenopausal bleeding  Benign conditions of the genital tract  Endocrine disorders  Pelvic pain  Emergency gynaecology  Pre-conceptual care  Cervical pathology  Congenital abnormalities of the genital tract  Paediatric gynaecology  Puberty  Female genital mutilation Clinical Competency  Diagnoses. biological behaviour. polycystic ovarian syndrome. complications and effects of medical treatments Demonstrates the ability to formulate and implement a plan of management and have the ability to modify this as necessary Recognises the need for appropriate referral for more complex or detailed evaluation with ultrasound or other imaging techniques Liaises with colleagues in other disciplines where required Demonstrates an understanding of the use appropriate referral pathways and local protocols if abnormal findings suspected Training Support  StratOG. investigates and manages common gynaecological disorders Performs ultrasound scan:  to diagnose and facilitate appropriate management of women with common ovarian and uterine abnormalities  to measure endometrial         . clinical characteristics.CSRH Curriculum Module 4: Gynaecology Learning Outcomes:     Knowledge.

uk  www.operative complications of surgery General principles of postoperative care   Commonly encountered infections. NICE guidelines eg heavy menstrual bleeding Surgical Gynaecology: Knowledge Criteria  Legal issues around valid consent to surgical procedures.operative and Surgical Procedures and postoperative Care e-tutorials Basic practical skills in O&G course (RCOG approved) Obtaining Valid Consent (RCOG.rcog. complications and effects of surgical treatments Demonstrates the ability to formulate and implement a plan of management and have the ability to modify this as necessary Recognises the need for and initiates collaboration with other disciplines. including an understanding of the principles of infection control Principles of nutrition. during and after surgery Shows the need to appreciate and recognise that decision making is a collaborative process between doctor and patient Demonstrate the ability to work effectively with members of the theatre team Training Support  StratOG. assisting and discussion with senior medical staff RCOG guidelines on thromboembolism Useful websites:  2008) RCOG Consent Advice series Evidence/Assessment   Logbook Reflective diary Audit project MSF DOPS CBD Annual Review Morbidity and mortality meetings attended                    DH website  Local courses   www. electrolyte and acid base balance and cell biology Appropriate use of blood and blood products Basic science (anatomy and physiology) related to undertaking basic gynaecological surgical procedures Clinical Competency    Arranges preoperative management Interprets preoperative investigations Recognises potential comorbidity Obtains valid consent Explains procedures to patient Advises patient on postoperative course Professional Skills and Attitudes  Demonstrates the ability to communicate prognosis and counsel women sensitively about the options available Provides information and explains the nature. Ethical and legal issues e-tutorial Observation of.nice. including consent of children.  Manages common post-operative complications Offers psychological support to patient and relatives Endometrial biopsy (under local and general anaesthetic) Evacuation of uterus Biopsy of vulval lesion Observe diagnostic laparoscopy Observe Laparoscopic sterilisation Diagnostic hysteroscopy (under local and general anaesthetic)               . and adults with incapacity Name and mode of use of common surgical instruments and sutures Common The Obstetrician and Gynaecologist as a Professional.

 Minor cervical procedures (under local and general anaesthetic) .

Fibroids Non-menstrual bleeding (inter-menstrual. Amenorrhoea and endocrine disorders:  Investigation and interpretation  Hypothalamic/pituitary disorders  Hyperprolactinaemia  Premature ovarian failure  Polycystic ovaries and polycystic ovary syndrome  Other causes of hyperandrogenism  Thyroid/adrenal disorders  Autoimmune endocrine disease Female genital mutilation Congenital abnormalities of genital tract:  Ambiguous genitalia  Imperforate hymen  Vaginal septae  Uterine anomalies  Müllerian duct development  Gonadal dysgenesis. breakthrough bleeding.Appendix to Curriculum Module 4: Details of Knowledge Criteria Menstrual disorders:  Irregular menstrual bleeding  Heavy menstrual bleeding  Investigation of menstrual disorders  Medical and surgical management of menstrual disorders. Puberty: . postmenopausal bleeding). post-coital.

Ovary:  Benign ovarian neoplasms  Functional ovarian cysts. treatment)  Pelvic inflammatory disease  Non-gynaecological disorders. Vagina:  Vaginal discharge (non-sexually transmitted causes) Pelvic pain:  Dysmenorrhoea  Dyspareunia  Endometriosis (staging. Benign conditions of the lower genital tract: Vulva:  Pruritus vulvae  Non-neoplastic cysts  Non-neoplastic epithelial disorders  Vulvodynia.    Physiology and chronology Precocious puberty Delayed puberty Excessive menstrual loss. Emergency gynaecology:  Pelvic inflammatory disease  Bartholin’s and vulval abscess  Ovarian cysts  Acute vaginal bleeding outwith pregnancy  Early pregnancy problems .

Module 4: Gynaecology Skills Competency level: Basic training Not required Level 1 MEDICAL GYNAECOLOGY Diagnose. investigate and manage the following clinical problems: Menstrual disorders: Heavy menstrual bleeding Irregular menstrual loss Amenorrhoea/oligomenorrhoea Dysmenorrhoea Pelvic pain: Dyspareunia Endometriosis Pelvic inflammatory disease Non-gynaecological causes Others: Postmenopausal bleeding Benign ovarian cysts Date Signature of trainer Intermediate training Level 2 Date Signature of trainer Advanced training Level 3 Date Signature of trainer .

Fibroids Hirsuitism Vulval disorders Transvaginal ultrasound: Use of machine Measure endometrial thickness Diagnose uterine fibroids and endometrial polyps Diagnose ovarian cysts and polycystic ovarian syndrome Abdominal ultrasound scan of pelvis Surgical Gynaecology Arrange preoperative management Interpret preoperative investigations Obtain informed consent Arrange postoperative management Offer psychological support to patient undergoing surgery and their relatives Skills: Endometrial biopsy Evacuation of uterus .

varying techniques Laparotomy – opening and closing the abdomen Hysterectomy – abdominal. vaginal and laparoscopically assisted Training courses or sessions Title Signature of Educational Supervisor Date .Biopsy of vulval lesion Diagnostic laparoscopy Laparoscopic hydrotubation Laparoscopic sterilisation Diagnostic hysteroscopy Hysteroscopic sterilisation Cervical biopsy Endometrial ablation.

Authorisation of signatures – please print your name and sign Name (please print) Signature Completion of Module 4: I confirm that all components of the module have been successfully completed. Date Name of Educational Supervisor Signature of Educational Supervisor .