Training Syllabus (Practical Competences)

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These competencies have been developed using a Delphi process for the purposes of training and assessment of trainees

Preparatory/Preliminary Skills

  1. Understanding of the development of cervical cancer and pre-cancer
  2. To be able to take a relevant history
  3. To be able to correctly position a patient
  4. To be able to pass a speculum
  5. To be able to perform a cervical cytology sample
  6. To be able to position and adjust the colposcope
  7. To be able to perform bacteriological swabs
  8. Practice complies with health and safety recommendations

Colposcopic Examination

  1. To be able to identify the transformation zone (TZ)
  2. To be able to examine the TZ with saline and green filter
  3. To be able to examine the TZ with acetic acid
  4. To be able to expose the endocervix with endocervical speculum
  5. To be able to recognise abnormal vascular patterns
  6. To be able to examine the vagina with acetic acid
  7. To be able to use Schiller's test

The normal cervix

  1. To be able to recognise original squamous epithelium
  2. To be able to recognise columnar epithelium
  3. To be able to recognise metaplastic epithelium
  4. To be able to recognise a Congenital TZ
  5. To understand and be able to recognise the effects of pregnancy
  6. To be able to recognise the normal features of a postmenopausal cervix

The abnormal lower genital tract

  1. To be able to recognise low grade pre-cancerous cervical abnormality
  2. To be able to recognise high grade pre-cancerous cervical abnormality
  3. To be able to recognise features suggestive of invasion
  4. To be able to recognise and assess VaIN
  5. To be able to recognise and assess VIN
  6. To be able to determine extent of abnormal epithelium
  7. To be able to recognise cervictic/vaginitis
  8. To be able to recognise human papilloma virus

Practical Procedures

  1. To be able to administer local analgesia
  2. To be able to determine where to take directed biopies
  3. To be able to perform a directed cervical biopsy
  4. To be able to perform a directed vaginal biopsy
  5. To be able to perform a directed vulval biopsy
  6. To be able to control bleeding from biopsy sites
  7. To be able to remove an IUCD

Administration

  1. Documentation of cervical findings
  2. Understand modes of data collection and storage
  3. Understand clinical administration
  4. Arrange appropropriate aftercare/follow-up
  5. Arrange clinic appointments

Communication

  1. To be able to counsel patients prior to colposcopy
  2. To be able to correctly obtain informed consent
  3. To be able to counsel patients after colposcopy
  4. To be able to break bad news
  5. To be able to refer to a gynaecologist/other specialist where appropriate

Audit

  1. To be able perform an audit
  2. To be able to present an audit report