Core Module 13: Gynaecological Problems Learning outcomes: To understand and demonstrate appropriate knowledge, skills and attitudes in relation to common gynaecological disorders To understand paediatric and adolescent gynaecological disorders. Knowledge criteria GMP Clinical competency GMP Professional skills and attitudes GMP Training support To understand the epidemiology, aetiology, biological behaviour, clinical characteristics, prognostic features and management of: Menstrual disorders Benign conditions of the genital tract Endocrine disorders Problems of the climacteric Pelvic pain Vaginal discharge Emergency gynaecology Congenital abnormalities of the genital tract Paediatric gynaecology Puberty Able to describe the natural history of diseases and illnesses that run a chronic course Have knowledge of long term management plans for chronic conditions (see Module 2) 1,2 Diagnose, investigate and manage common gynaecological disorders Endometrial assessment** Diagnostic hysteroscopy** Diagnostic laparoscopy: staging of endometriosis See Module 7 for other surgical competencies Recognise the need for appropriate referral for more complex or detailed evaluation with ultrasound or other imagine techniques See ultrasound modules for other ultrasound competencies 1,2 Demonstrate the ability to communicate prognosis and counsel patients sensitively about the options available Have the necessary skills to explain the nature, complications and adverse effects of medical and surgical treatments Demonstrate the ability to formulate and implement a plan of management and have the ability to modify this as necessary Recognise the need for appropriate referral for more complex or detailed evaluation with ultrasound or other imaging techniques Have the skills to liaise with colleagues in other disciplines where required Demonstrate and understanding of the use of appropriate referral pathways and local protocols if abnormal findings suspected 3 3 StratOG.net: Gynaecological Problems and Early Pregnancy Loss **Use of low fidelity (box) trainers or virtual reality (VR) simulation to enhance psychomotor skills Supervised clinical sessions Specific courses and academic meetings Local and regional courses in paediatric gynaecological problems and problems of puberty National Institute for Clinical Excellence. Scottish Intercollegiate Guidelines Network website Scottish Health on the Web website Logbook Reflective diary Log of experiences MRCOG Part One MRCOG Part Two Audit project MSF (TO1 and TO2) OSATS: Diagnostic Laparoscopy
Able to describe the anatomy and physiology of the vulva, and its variation between prepubertal, reproductive and post-menopausal state Take a vulval history Counsel patient on the use of topical steroids/emollients on the vulva Interpret histopathological reports and ask a histopathologist if needed The Obstetrician and Gynaecologist journal Local and regional courses in assessment and management of vulval disorders British Society for the Study of Vulval Disease website RCOG Greentop Guideline No 58 – Management of vulval skin disorders (2011) Appendix to Module 13: details of knowledge criteria Menstrual Disorders: Menstrual irregularity Excessive menstrual loss Investigation of menstrual disorders Medical and surgical management of menstrual disorders Fibroids Non menstrual bleeding (intermenstrual, postcoital) Premenstrual syndrome Problems of the climacteric: Abnormal bleeding Postmenopausal bleeding Hormone replacement therapy Non hormonal therapy Benign conditions of the lower genital tract: Vulva Pruritus vulvae Non-neoplastic cysts Vulvodynia Vulval pain Lichens (sclerosus, simplex, chronicus and planus) Contact dermatitis Psoriasis Vagina Vaginal discharge (non sexually transmitted causes) Pelvic pain: Dysmenorrhoea Dyspareunia Endometriosis (staging, treatment)