differences in specialty training o&g vs csrh january 2013 dr tracey masters chair of csrh...
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Differences in Specialty Training
O&G vs cSRH
January 2013Dr 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
What will future services be like?
Obstetrics &
Gynaecology
What will future services be like?
SR
H T
raining Modules
KEY MESSAGE-1
BasicST1,2&3
IntST 4&5
AdvST6
• Whilst the cSRH trainee is only on the O&G dept on-call rota for 18 months
- their gynae training continues all the way through the 6 years
BasicST1&2
IntST 3,4&5
AdvST6&7
BasicST1,2&3
IntST 4&5
AdvST6
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
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
cSRH trainees are VERY SMALL in number Currently n=20 in UK CfWP has authorised 15 more over the next 3yrs
15 modulesModule 1 Clinical Skills
Module 2 Contraception Module 3 Abortion care Module 4 Gynaecology
Module 5 Specialist Gynae Module 6 Pregnancy (Obs)
Module 7 Menopause/PMSModule 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 ModulesModule 1 Clinical skills
Module 2 Teaching, appraisal and assessmentModule 3 IT clinical governance and research
Module 4 Ethics and legal issuesModule 5 Core surgical skillsModule 6 Postoperative careModule 7 Surgical procedures
Module 8 Antenatal careModule 9 Maternal medicine
Module 10 Management of labourModule 11 Management of delivery
Module 12 Postpartum ProblemsModule 13 Gynaecological problems
Module 14 SubfertilityModule 15 Sexual and reproductive health
Module 16 Early pregnancy careModule 17 Gynaecological oncology
Module 18 Urogynaecology and pelvic floor problemsModule 19 Developing professionalism
15 modulesModule 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 GUMModule 9 Public Health
Module 10 Teaching, appraisal and assessmentModule 11 Ethics and legal issues
Module 12 Leadership, governance and managementModule 13 Research Methodology, Audit and IT
Module 14 Sexual AssaultModule 15 Sexual Problems
•Sub-fertility•Gynae oncology•Urogynaecology + pelvic floor problems
Community-based Mx
KEY MESSAGE-2
BasicST1,2&3
IntST 4&5
AdvST6
• This is training for clinicians who will be mostly based in community settings
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).’
15 modulesModule 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 GUMModule 9 Public Health
Module 10 Teaching, appraisal and assessmentModule 11 Ethics and legal issues
Module 12 Leadership, governance and managementModule 13 Research Methodology, Audit and IT
Module 14 Sexual AssaultModule 15 Sexual Problems
Areas of concern in Module 5
•Gynae oncologyLevel 2 basic colposcopy + Mx of CIN
• Urogynaecology + pelvic floor problemsLevel 3 Interpret urodynamics
15 modulesModule 1 Clinical Skills
Module 2 Contraception Module 3 Abortion care
Module 4 Gynaecology Module 5 Specialist Gynae Module 6 Pregnancy (Obs)
Module 7 Menopause/PMSModule 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 4Level 3 Marsupialisation of Bartholin’sEndometrial ablation
Level 2Diagnostic Laparosopy
15 modulesModule 1 Clinical Skills
Module 2 Contraception Module 3 Abortion care
Module 4 Gynaecology Module 5 Specialist Gynae Module 6 Pregnancy (Obs)
Module 7 Menopause/PMSModule 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 Gynae ultrasound (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
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
GMC answer (received Dec 19th)
GMC approved all the changes
requested!
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 CfWP has 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 dept oncall rota for 18 months - gynae training continues all the way through the programme
Thank you for the opportunity to share / discuss
Please pass on this info to your colleagues who may work as cSRH Clinical Supervisors
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