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Differences in Specialty Training O&G vs cSRH

Differences in Specialty Training O&G vs cSRH. January 2013 Dr Tracey Masters Chair of CSRH Curriculum Committee. NEW specialty – BIG challenges. We are working to a vision - preparing leaders for Sexual Health services of the future. Community Sexual & Reproductive Health

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Differences in Specialty Training O&G vs cSRH

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  1. Differences in Specialty Training O&G vscSRH January 2013 Dr Tracey Masters Chair of CSRH Curriculum Committee

  2. NEW specialty – BIG challenges. We are working to a vision - preparing leaders for Sexual Health services of the future.

  3. Community • Sexual & Reproductive • Health • What will future services be like? • Obstetrics • & • Gynaecology • What will future services be like?

  4. SRH Training Modules

  5. KEY MESSAGE-1 • Whilst the cSRH trainee is only on the O&G dept on-call rota for 18 months - their gynaetraining continues all the way through the 6 years

  6. NEW specialty – BIG challenges. We are working to a vision - preparing leaders for Sexual Health services of the future. Where is cSRH curriculum? on GMC website as a single document + Faculty website under “specialty”. at www.fsrh.org each module can be accessed individually and this easier to utilise

  7. NEW specialty – BIG challenges. We are working to a vision - preparing leaders for Sexual Health services of the future. Where is cSRH curriculum? on GMC website as a single document + Faculty website under “specialty”. at www.fsrh.org each module can be accessed individually and this easier to utilise cSRHtrainees are VERY SMALL in number Currently n=20 in UK CfWP has authorised 15 more over the next 3yrs

  8. 15 modules • Module 1 Clinical Skills • Module 2 Contraception • Module 3 Abortion care • Module 4 Gynaecology • Module 5 Specialist Gynae • Module 6 Pregnancy (Obs) • Module 7 Menopause/PMS • Module 8 GUM • Module 9 Public Health • Module 10 Teaching, appraisal and assessment • Module 11 Ethics and legal issues • Module 12 Leadership, governance and management • Module 13 Research Methodology, Audit and IT • Module 14 Sexual Assault • Module 15 Sexual Problems • 19 Modules • Module 1 Clinical skills • Module 2 Teaching, appraisal and assessment • Module 3 IT clinical governance and research • Module 4 Ethics and legal issues • Module 5 Core surgical skills • Module 6 Postoperative care • Module 7 Surgical procedures • Module 8 Antenatal care • Module 9 Maternal medicine • Module 10 Management of labour • Module 11 Management of delivery • Module 12 Postpartum Problems • Module 13 Gynaecological problems • Module 14 Subfertility • Module 15 Sexual and reproductive health • Module 16 Early pregnancy care • Module 17 Gynaecological oncology • Module 18 Urogynaecology and pelvic floor problems • Module 19 Developing professionalism

  9. 15 modules • Module 1 Clinical Skills • Module 2 Contraception • Module 3 Abortion care • Module 4 Gynaecology • Module 5 Specialist Gynae • Module 6 Pregnancy (Obs) • Module 7 Menopause/PMS • Module 8 GUM • Module 9 Public Health • Module 10 Teaching, appraisal and assessment • Module 11 Ethics and legal issues • Module 12 Leadership, governance and management • Module 13 Research Methodology, Audit and IT • Module 14 Sexual Assault • Module 15 Sexual Problems • Sub-fertility • Gynae oncology • Urogynaecology+ pelvic floor problems • Community-basedMx

  10. KEY MESSAGE-2 • This is training for clinicians who will be mostly based in community settings

  11. What is level 3? - Anchor statement: ‘To be deemed competent, the majority of cases are managed with no direct supervision or assistance (senior support will be requested in certain complex cases/complications).’

  12. 15 modules • Module 1 Clinical Skills • Module 2 Contraception • Module 3 Abortion care • Module 4 Gynaecology • Module 5 Specialist Gynae • Module 6 Pregnancy (Obs) • Module 7 Menopause/PMS • Module 8 GUM • Module 9 Public Health • Module 10 Teaching, appraisal and assessment • Module 11 Ethics and legal issues • Module 12 Leadership, governance and management • Module 13 Research Methodology, Audit and IT • Module 14 Sexual Assault • Module 15 Sexual Problems • Areas of concern in Module 5 • Gynae oncologyLevel 2 basic colposcopy + Mx of CIN • Urogynaecology+ pelvic floor problems • Level 3 Interpret urodynamics

  13. 15 modules • Module 1 Clinical Skills • Module 2 Contraception • Module 3 Abortion care • Module 4 Gynaecology • Module 5 Specialist Gynae • Module 6 Pregnancy (Obs) • Module 7 Menopause/PMS • Module 8 GUM • Module 9 Public Health • Module 10 Teaching, appraisal and assessment • Module 11 Ethics and legal issues • Module 12 Leadership, governance and management • Module 13 Research Methodology, Audit and IT • Module 14 Sexual Assault • Module 15 Sexual Problems • Areas of concern in Module 4 • Level 3 • Marsupialisation of Bartholin’s • Endometrial ablation • Level 2 • Diagnostic Laparosopy

  14. 15 modules • Module 1 Clinical Skills • Module 2 Contraception • Module 3 Abortion care • Module 4 Gynaecology • Module 5 Specialist Gynae • Module 6 Pregnancy (Obs) • Module 7 Menopause/PMS • Module 8 GUM • Module 9 Public Health • Module 10 Teaching, appraisal and assessment • Module 11 Ethics and legal issues • Module 12 Leadership, governance and management • Module 13 Research Methodology, Audit and IT • Module 14 Sexual Assault • Module 15 Sexual Problems • Areas of concern • Gynaeultrasound (lev 3) • Measure endometrial thickness • Diagnose fibroids + polyps • Diagnose ov cysts + PCOS (in other modules) • Dating early pregnancy • Localise IUD/ deep implant • (lev2) • T/A scan of pelvis

  15. Requests to GMC for cSRH curriculum changes (Oct 2012) • Removal of Marsupialisation of Bartholin’s • Change “Excision” of vulval lesion to “Biopsy of vulval lesion” and “Interpret urodynamic investigations” to “Understand urodynamic investigations” • Laparoscopic procedures to be Lev 1 final competence - not Lev 2 • Endometrial ablation competency (Lev 3) to be achieved by end of Intermediate Training/ST 5 - not Basic Training/ST3 • Ultrasound competencies (Lev 3) to be achieved by end of Intermediate Training/ST 5 - not Basic Training/ST3

  16. GMC answer (received Dec 19th) GMC approved all the changes requested!

  17. Key Messages • NEW specialty BIG challenges • Working to a vision • Where is cSRH curriculum? GMC website as a single document + Faculty website under “specialty”. • Trainee numbers SMALLCurrently n=20 in UK CfWPhas authorised 15 more over the next 3yrs • This is training for clinicians who will be mostly based in community settings • Whilst the cSRH trainee is only on the O&G deptoncallrota for 18 months - gynaetraining continues all the way through the programme

  18. Thank you for the opportunity to share / discussPlease pass on this info to your colleagues who may work as cSRH Clinical Supervisors

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