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Training Syllabus (Theoretical Understanding)

This knowledge can be acquired from: BSCCP approved Basic Colposcopy Course BSCCP approved Advanced Colposcopy Course Personal study Tuition from trainer

Theoretical Understanding

The normal cervix

  1. Normal structure
  2. Metaplasia
  3. The transformation zone
  4. Congenital transformation zone - Changes with age
  5. Tissue basis for colposcopy- the role of epithelium, stroma and surface configuration

Cervical neoplasia

  1. Nomenclature
  2. Epidemiology
  3. Pathogenesis
  4. Natural history
  5. Histological features
  6. Staging

Cervical screening

  1. Rationale
  2. National screening guidelines
  3. Risks of screening, limitations, disadvantages
  4. Failsafe mechanisms
  5. Quality assurance and performance criteria
  6. Indications for referral thresholds (to colposcopy clinic)
  7. Standards of care for colposcopy (NHSCSP)

Vaginal neoplasia

  1. Nomenclature
  2. Epidemiology
  3. Pathogenesis
  4. Natural history
  5. Histological features

Vulval neoplasia

  1. Nomenclature
  2. Pathogenesis
  3. Natural history
  4. Presentation
  5. Histological features

Perianal and anal neoplasia

  1. Nomenclature
  2. Pathogenesis
  3. Natural history
  4. Presentation
  5. Histological features

Other conditions of the lower genital tract

  1. Human papillomavirus
  2. Actinomycosis
  3. Herpes
  4. Bacterial infections
  5. Chlamydia Trachomatis
  6. Trichomonas Vaginalis
  7. HIV
  8. Cervical polyps

Pregnancy and contraception

  1. Normal cervix in pregnancy
  2. Cytology in pregnancy
  3. Abnormal cervix in pregnancy
  4. Physiological change
  5. Effects of oral contraceptive pill on cytology
  6. Effects of oral contraceptive pill on histology
  7. Effects of oral contraceptive pill on colposcopy
  8. Effects of IUCD on cytology

Cytology

  1. Principles of cytological diagnoses
  2. Cytological classifications
  3. The normal smear
  4. The effect of hormones
  5. Different sampling devices

Histology

  1. Preparation of specimens
  2. Principles of histological diagnoses
  3. How biopsy taking might influence histological interpretation

The equipment

  1. The colposcope; its elements, filters, magnifications focal length
  2. Type of spatula
  3. The role and use of saline and green filter1
  4. The role and use of acetic acid
  5. The role and use of Lugol's iodine
  6. The role and use of Monsel's solution
  7. Principles of sterilisation/decontamination of colposcopy clinic equipment
  8. The physics of local treatment modalities
  9. The safety aspects of local treatment modalities
  10. The use and safety aspect of local analgesia

Principles of Management

  1. Expectant management
  2. Destruction v excision
  3. Ectropian
  4. Inadequate smears
  5. Infection
  6. Glandular cytological abnormalities
  7. Proven cGIN
  8. Suspected invasion
  9. Proven stage 1A1
  10. Proven stage 1A2
  11. Proven invasion (stage 1B+)
  12. Follow-up for treated CIN
  13. Follow-up for treated cGIN
  14. VaIN
  15. VIN
  16. The abnormal smear in the postmenopausal patient