CO
RE LO
GB
OO
K
Module 1
Com
munication skills..........................................................................................................................................2
Module 2
Teaching..............................................................................................................................................................4
Module 3
Data handling, audit and research
......................................................................................................................6
Module 4
Basic surgical skills............................................................................................................................................18
Module 5
Postoperative care............................................................................................................................................10
Module 6
Surgical procedures..........................................................................................................................................12
Module 7
Antenatal care
..................................................................................................................................................14
Module 8
Obstetric ultrasound..........................................................................................................................................16
Module 9
Maternal com
plications of pregnancy..............................................................................................................18
Module 10
Managem
ent of labour......................................................................................................................................20
Module 11
Managem
ent of delivery....................................................................................................................................22
Module 12
Postpartum problem
s........................................................................................................................................24
Module 13
Gynaecological problem
s..................................................................................................................................26
Module 14
Infertility and psychosexual problems
..............................................................................................................28
Module 15
Contraception and term
ination of pregnancy....................................................................................................30
Module 16
Pregnancy loss..................................................................................................................................................32
Module 17
Oncology
..........................................................................................................................................................34
Module 18
Urogynaecology and pelvic floor problem
s......................................................................................................36
Appendix 1
History taking
..................................................................................................................................................38
2
MO
DU
LE 1
No
tes for train
ers
History taking should be observed directly and a form
al assessment m
ade.
The table presented as an A
ppendix to this logbook provides one possible model for this assessm
ent. It may be used to assess generic skills.
Specialised skills may be required in certain areas of practice. T
he table may also be used as a fram
ework for the assessm
ent of history taking in thefollow
ing areas:
•G
eneral obstetrics•
Maternal diseases com
plicating pregnancy•
Problems affecting fetal developm
ent or wellbeing
•G
eneral gynaecology•
Psychosexual disorders•
Menstrual disorders
•Infertility
•Fertility regulation
•U
rogynaecology
The relevant E
ducational Superviser should authenticate in the introductory section of the logbook the signatures of those certifying the satisfactorycom
pletion of each course or training session.
Exam
ination skills should, whenever possible, be taught and assessed initially using m
odels rather than patients.
Trainin
g co
urses o
r session
s
* It is expected that the regional education programm
e will provide an appropriate training course. E
ducational resources to assist trainers in deliveringthe theoretical com
ponent is provided to all College Tutors by the R
CO
G in the C
ore Logbook E
ducational Resources C
D-R
OM
.
3
Targets th
at mu
st be ach
ieved d
urin
g SH
O train
ing
are desig
nated
:
Co
mm
un
ication
Ob
stetric histo
ry
Trainin
g co
urses o
r session
s
TitleSig
natu
re of ed
ucatio
nal su
perviso
rD
ate
Co
mm
un
ication
skills *
Breakin
g b
ad n
ews *
Clin
ical examin
ation
in o
bstetrics an
d g
ynaeco
log
y
MO
DU
LE 1TO
PIC :
Basic C
linical Skills
Skill1
23
Co
mp
etence Level
45
Gyn
aecolo
gical h
istory
Co
un
selling
skills
Examin
ation
Breast exam
inatio
n
Ab
do
min
al examin
ation
no
n-p
regn
ant
preg
nan
t
Specu
lum
examin
ation
Cu
sco’s
Sims’
Take micro
bio
log
y swab
s:
vagin
a
cervix
ureth
ra
perfo
rm cervical sm
ear
4
MO
DU
LE 2
No
tes for train
ers
The follow
ing should be assessed:
•Plan of educational session, including aim
s, objectives, material to be used and structure
•C
onduct of session, including rapport with audience, appropriateness of presentation, effective use of m
aterials, clarity, audienceparticipation and feedback
•A
nalysis of success of session and possible modification for future use
•Interaction w
ith patients in bedside teaching, including attitudes imparted to those taught
•A
bility to identify specific needs of individual tutees and deal with these effectively
•O
bjectivity in appraisal and use of methodical, structured approach
•A
cquisition of appropriate information for m
entorship and comm
unication with relevant trainers
The relevant E
ducational Superviser should authenticate in the introductory section of the logbook the signatures of those certifying the satisfactorycom
pletion of each course or training session.
5
Teachin
g an
d assessm
ent
Prepare teach
ing
session
MO
DU
LE 2TO
PIC :
Teachin
g
Skill1
23
Co
mp
etence Level
45
Teach sm
all gro
up
s (< 10)
Lecture larg
e gro
up
s (> 20)
Teach at b
edsid
e
Teach p
ractical pro
cedu
res
Perform
app
raisal
Act as m
ento
r
Targets th
at mu
st be ach
ieved d
urin
g SH
O train
ing
are desig
nated
:
Trainin
g co
urses o
r session
s
TitleSig
natu
re of ed
ucatio
nal su
perviso
rD
ate
Presentatio
nal skills
Ap
praisal an
d assessm
ent
6
MO
DU
LE 3
No
tes for train
ers
The follow
ing should be assessed:
•C
omputing skills by direct observation: it m
ay be helpful to devise a specific exercise in data managem
ent•
The ability to undertake an audit project w
ith appropriate assistance, to present and discuss the results, to suggest modification of practice
and to design a re-audit project•
Com
petence in the interrogation of web-based inform
ation on clinical standards, in the preparation of a précis of the information acquired,
in the evaluation of the quality of the evidence and in the synthesis of a practical approach for everyday use within the current w
orkingenvironm
ent•
Presentation of analyses of research publications either to the trainer directly or to a journal club. A w
ritten account of the analysis is easierto assess and a copy should be included in the T
raining Portfolio
7
Use o
f IT systems:
To acq
uire in
form
ation
MO
DU
LE 3TO
PIC :
Data H
and
ling
, Au
dit an
d R
esearch
Skill1
23
Co
mp
etence Level
45
To sto
re data
To an
alyse data
To p
resent d
ata
Au
dit
Defin
e stand
ard
Prepare p
roject
Co
llate data
Form
ulate p
olicy
Clin
ical stand
ards
Review
eviden
ce
Evaluate g
uid
elines
Prepare p
roto
col
Research
Critically ap
praise p
ub
lication
Evaluate m
ulticen
tre trial
Targets th
at mu
st be ach
ieved d
urin
g SH
O train
ing
are desig
nated
:
Trainin
g co
urses o
r session
s
TitleSig
natu
re of ed
ucatio
nal su
perviso
rD
ate
Au
dit
8
MO
DU
LE 4
No
tes for train
ers
The follow
ing should be assessed:
•R
elevance and completeness of preoperative investigations, including those needed for gynaecological and anaesthetic m
anagement as w
ell asthose related to potential co-m
orbidity•
Ability to recognise and initiate collaboration w
ith other disciplines before, during and after surgery•
Selection of operative procedure with due regard to degree of urgency, likely pathology and anticipated prognosis
•C
ompetence in dealing w
ith the unexpected during surgery
The relevant E
ducational Supervisor should authenticate in the introductory section of the logbook the signatures of those certifying the satisfactorycom
pletion of each course or training session.
Trainin
g co
urses o
r session
s
* It is expected that the regional education programm
e will provide an appropriate training course. A
ll trainees must w
ork through and complete the
tutorial on ‘Obtaining C
onsent and Minim
um Standards of C
omm
unication’, excerpted from the StratO
G distance learning program
me, to the satisfaction
of their trainer. This resource is provided to all C
ollege Tutors by the RC
OG
on the Core L
ogbook Educational R
esources CD
-RO
M.
** All trainees m
ust attend a Basic Surgical Skills C
ourse based on the programm
e developed by the RC
OG
, and assessed as prescribed. A m
anual andaccom
panying video can be purchased from the C
ollege for each trainee for this purpose. Trainees m
ay attend a course held at the College or in any
local/regional venue that has demonstrated the necessary resources to run the m
andatory components of the C
ourse. Guidance notes are available from
the RC
OG
Education D
ivision on request. Note that this course also provides basic skills training for som
e elements of M
odule 11.
9
Interpret preoperative investigations
Arrange preoperative m
anagement
MO
DU
LE 4TO
PIC :
Basic Su
rgical Skills
Skill1
23
Co
mp
etence Level
45
Ob
tain in
form
ed co
nsen
t
Ch
oo
se app
rop
riate op
eration
Exhib
it techn
ical com
peten
ce
Make appropriate operative decisions
Man
age in
traop
erative pro
blem
s
Targets th
at mu
st be ach
ieved d
urin
g SH
O train
ing
are desig
nated
:
Trainin
g co
urses o
r session
s
TitleSig
natu
re of ed
ucatio
nal su
perviso
rD
ate
Ob
tainin
g co
nsen
t *
Basic su
rgical skills **
10
MO
DU
LE 5
No
tes for train
ers
The follow
ing should be assessed:
•A
bility to manage routine postoperative care
•R
ecognition of abnormality
•C
omm
unication skills, especially when there has been a deviation from
the preoperative plan•
Collaboration w
ith appropriate colleagues
11
Targets th
at mu
st be ach
ieved d
urin
g SH
O train
ing
are desig
nated
:
Co
nd
uct ap
pro
priate review
of:
Fluid
/electrolyte b
alance
MO
DU
LE 5TO
PIC :
Posto
perative C
are
Skill1
23
Co
mp
etence Level
45
Cath
eter
Surg
ical drain
age
Sutu
res
Man
age w
ou
nd
com
plicatio
ns
Co
mm
un
icate
With
colleag
ues
With
relatives
Explain
pro
cedu
re to p
atient
Ad
vise on
po
stop
erative pro
gress
Man
age p
osto
perative co
mp
lication
s, collab
oratin
g w
ith o
thers w
here ap
pro
priate
Gyn
aecolo
gical
No
n-g
ynaeco
log
ical
12
MO
DU
LE 6
No
tes for train
ers
The follow
ing should be assessed:
•A
bility to perform surgical procedures in a fluent and safe m
anner•
Appropriate choice of instrum
ents, sutures, drains and catheters•
Safe and efficient use of diathermy, endoscopic and other equipm
ent•
Evidence of thinking ahead during procedure
•A
bility to alter procedure appropriately when necessary
•E
ffective delegation to other mem
bers of the theatre team
13
Targets th
at mu
st be ach
ieved d
urin
g SH
O train
ing
are desig
nated
: N
ote: A
dd
ition
al surg
ical experien
ce can b
e record
ed in
the Lo
g o
f Experien
ce
Emerg
encies
Evacuatio
n o
f retained
pro
du
cts
MO
DU
LE 6TO
PIC :
Surg
ical Proced
ures
Skill1
23
Co
mp
etence Level
45
Marsu
pialisatio
n o
f Barth
olin
’s abscess
Laparo
tom
y for ecto
pic p
regn
ancy
Laparo
tom
y for o
ther co
nd
ition
s
Secon
dary h
aemo
rrhag
e
Up
per g
enital tract
Ovarian
cystectom
y
Ab
do
min
al hysterecto
my ±
BSO
Abdom
inal hysterectomy + adhesiolysis
Transab
do
min
al myo
mecto
my
Stagin
g lap
aroto
my fo
r cancer
Diag
no
stic laparo
scop
y
Therap
eutic lap
arosco
py
Tub
al surg
ery
Diag
no
stic hystero
scop
y
Therap
eutic h
ysterosco
py
Min
or cervical p
roced
ures
Low
er gen
ital tractSu
prap
ub
ic con
tinen
ce pro
cedu
res
Rep
air of an
terior p
rolap
se
Rep
air of p
osterio
r pro
lapse
Vag
inal h
ysterectom
y
Vag
inal rep
air of vau
lt pro
lapse
Ab
do
min
al repair o
f vault p
rolap
se
Excision
of vu
lval lesion
s
Elective perin
eal op
eration
s
14
MO
DU
LE 7
No
tes for train
ers
The follow
ing should be assessed:
•A
bility to explain correctly:
Pick-up rates and limitations of anom
aly screeningPrinciples of screening for neural tube defects, D
own syndrom
e and haemoglobinopathies
Genetic disorders and their inheritance w
ith examples such as Tay-Sachs disease, cystic fibrosis and thalassaem
iaE
ffects upon fetus and neonate of infections during pregnancy, including HIV
, measles, chickenpox, cytom
egalovirus, parvovirus andtoxoplasm
osis
•For assessm
ent of the managem
ent of a specific problem, it is suggested that the candidate present a w
ritten summ
ary for use in conjunctionw
ith the case notes. The follow
ing procedure is recomm
ended:
The sum
mary should not contain the patient’s nam
e, hospital number or any other identifying m
arkT
he summ
ary and the case notes should be presented to the relevant educational supervisor for discussionA
fter modification, w
ith the agreement of the educational supervisor, the sum
mary should be included in the T
raining Portfolio forfuture reference
•Interpretation of C
TG
s and comm
on abnormalities should be carried out form
ally on a yearly basis. Use of appropriate training program
mes
is recomm
ended for this purpose.
The relevant E
ducational Supervisor should authenticate in the introductory section of the logbook the signatures of those certifying the satisfactorycom
pletion of each Title.
Trainin
g co
urses o
r session
s
* It is expected that the regional education programm
e will provide an appropriate training course. E
ducational resources to assist trainers in deliveringthe theoretical com
ponent is provided to all College Tutors by the R
CO
G in the C
ore Logbook E
ducational Resources C
D-R
OM
.
15
Targets th
at mu
st be ach
ieved d
urin
g SH
O train
ing
are desig
nated
:
Co
nd
uct b
oo
king
visit
Co
un
sel abo
ut:
Trainin
g co
urses o
r session
s
TitleSig
natu
re of ed
ucatio
nal su
perviso
rD
ate
CTG
interp
retation
*
MO
DU
LE 7TO
PIC :
An
tenatal C
are
Skill1
23
Co
mp
etence Level
45
Prenatal screen
ing
Gen
etic disease
Fetal abn
orm
ality
Haem
olytic d
isease
Infectio
n
Co
nd
uct fo
llow
up
visit
Arran
ge ap
pro
priate in
vestigatio
n
Man
age m
ultip
le preg
nan
cy
Perform
cervical cerclage
External cep
halic versio
n
Man
age an
tepartu
m h
aemo
rrhag
e
Man
age m
alpresen
tation
Man
age PPR
OM
Man
age g
row
th restrictio
n
Assess fetal w
ellbein
g b
y interp
retation
of:
Card
ioto
cog
raph
Ultraso
un
d
16
MO
DU
LE 8
No
tes for train
ers
Training in basic obstetric ultrasound has been standardised and this m
odule summ
arises the competencies that m
ust be acquired before completion of
basic training can be certified. The program
me of training is laid out in full later in this logbook.
The relevant E
ducational Supervisor should authenticate in the introductory section of the logbook the signatures of those certifying the satisfactorycom
pletion of each course or training session.
17
Basic o
bstetric u
ltrasou
nd
:th
eoretical co
urse
practical exercise 1
practical exercise 2
practical exercise 3
practical exercise 4
practical exercise 5
Targets th
at mu
st be ach
ieved d
urin
g SH
O train
ing
are desig
nated
:
Gen
eric skillsM
anag
emen
t of p
atient
Trainin
g co
urses o
r session
s
TitleSig
natu
re of ed
ucatio
nal su
perviso
rD
ate
MO
DU
LE 8TO
PIC :
Ob
stetric Ultraso
un
d
Skill1
23
Co
mp
etence Level
45
Use o
f mach
ine
Co
mm
un
ication
of fin
din
gs
Viab
ility
Nu
mb
er of fetu
ses
Measu
remen
t of C
RL
BPD
HC
AC
Femu
r leng
th
First trimester scan
nin
g
Basic fetal m
easurem
ents
Third
trimester scan
nin
gV
iability
Fetal presen
tation
Estimatio
n o
f fetal weig
ht
Placental lo
calisation
18
MO
DU
LE 9
No
tes for train
ers
The follow
ing should be assessed:
•A
bility to recognise abnormality
•C
ompetence in form
ulating list of differential diagnoses•
Ability to direct investigations in order to determ
ine correct diagnosis•
Com
petence in formulating m
anagement plan
•A
bility to implem
ent plan of managem
ent and modify if necessary
•E
ffectiveness in liaising with colleagues in other disciplines, clinical and non-clinical
•For assessm
ent of the managem
ent of a specific problem, it is suggested that the candidate present a w
ritten summ
ary for use in conjunctionw
ith the case notes.T
he following procedure is recom
mended:
✦T
he summ
ary should not contain the patient’s name, hospital num
ber or any other identifying mark
✦T
he summ
ary and the case notes should be presented to the relevant educational supervisor for discussion✦
After m
odification, with the agreem
ent of the educational supervisor, the summ
ary should be included in the Training Portfolio for
future reference
19
Targets th
at mu
st be ach
ieved d
urin
g SH
O train
ing
are desig
nated
:
Diag
no
se, investig
ate and
man
age w
ith ap
pro
priate co
nsu
ltation
:
Pregn
ancy-in
du
ced h
yperten
sion
MO
DU
LE 9TO
PIC :
Matern
al Co
mp
lication
s of Preg
nan
cy
Skill1
23
Co
mp
etence Level
45
Thro
mb
oem
bo
lism
Imp
aired g
luco
se toleran
ce
Insu
lin-d
epen
den
t diab
etes
Diag
no
se and
coo
rdin
ate man
agem
ent o
f wo
men
with
the fo
llow
ing
pro
blem
s:
Essential h
yperten
sion
Kid
ney d
isease
Liver disease
Matern
al haem
og
lob
ino
path
y
Co
agu
lation
diso
rders
Acu
te abd
om
inal p
ain
Asth
ma
Inflam
mato
ry bo
wel d
isease
Intercu
rrent in
fection
Psycho
log
ical diso
rders
Infectio
us d
isease
Epilep
sy
End
ocrin
op
athies
Dru
g an
d su
bstan
ce abu
se
Do
mestic vio
lence
20
MO
DU
LE 10
No
tes for train
ers
The assessm
ent of skills in this module should be by direct observation on labour w
ard or, in rare emergencies, by supervised training drills
The follow
ing should be assessed:
•A
ppropriate decision making and com
petence in methods of inducing labour
•A
ppropriate use of Syntocinon® (oxytocin)
•A
bility to provide appropriate information and advice regarding pain relief in labour
•A
bility to recognise, classify and act appropriately on CT
G patterns
•A
ppropriate use of steroids and tocolysis in preterm labour
•U
se of appropriate protocols for the managem
ent of eclampsia and severe pre-eclam
psia•
Ability to prioritise cases and supervise the m
anagement of a labour w
ard
The relevant E
ducational Supervisor should authenticate in the introductory section of the logbook the signatures of those certifying the satisfactorycom
pletion of each course or training session.
Trainin
g co
urses o
r session
s
* It is expected that the regional education programm
e will provide an appropriate training course. E
ducational resources to assist trainers in deliveringthe theoretical com
ponent is provided to all College Tutors by the R
CO
G in the C
ore Logbook E
ducational Resources C
D-R
OM
.
21
Targets th
at mu
st be ach
ieved d
urin
g SH
O train
ing
are desig
nated
:
Induce labour
Manage delay in labour
Trainin
g co
urses o
r session
s
TitleSig
natu
re of ed
ucatio
nal su
perviso
rD
ate
Eclamp
sia drill *
Drill fo
r ob
stetric collap
se
Co
mm
un
ication
in an
emerg
ency
MO
DU
LE 10TO
PIC :
Man
agem
ent o
f Labo
ur
Skill1
23
Co
mp
etence Level
45
Advise on pain relief
Interpret cardiotocograph
Perform fetal blood sam
pling
Manage preterm
labour
Manage labour after previous CS
Manage severe pre-eclam
psia
Manage eclam
psia
Manage obstetric haem
orrhage
Manage obstetric collapse
Manage intrauterine infection
Prioritise labour ward problem
s
Evaluate clinical risk
Liaise with other staff
Manage in utero transfer
Manage in utero fetal death
22
MO
DU
LE 11
No
tes for train
ers
The assessm
ent of skills in this module should be by direct observation on labour w
ard or, in the case of rare emergencies, by supervised training drills
The relevant E
ducational Supervisor should authenticate in the introductory section of the logbook the signatures of those certifying the satisfactorycom
pletion of each course or training session.
Trainin
g co
urses o
r session
s
* It is expected that the regional education programm
e will provide an appropriate training course. E
ducational resources to assist trainers in deliveringthe theoretical com
ponent is provided to all College Tutors by the R
CO
G in the C
ore Logbook E
ducational Resources C
D-R
OM
.
Note that the R
CO
G B
asic Surgical Skills Course described in the trainers’ notes for M
odule 4 provides basic skills training for some elem
ents of thism
odule.
23
Targets th
at mu
st be ach
ieved d
urin
g SH
O train
ing
are desig
nated
:
Man
age ap
pro
priately:
No
rmal d
elivery
Trainin
g co
urses o
r session
s
TitleSig
natu
re of ed
ucatio
nal su
perviso
rD
ate
Basic o
bstetric skills co
urse
Sho
uld
er dysto
cia drill *
MO
DU
LE 11TO
PIC :
Man
agem
ent o
f Delivery
Skill1
23
Co
mp
etence Level
45
Vacuum extraction w
ithout rotation
Forcep
s delivery w
itho
ut ro
tation
Ro
tation
al assisted d
elivery
Vag
inal b
reech d
elivery
Vag
inal d
elivery of tw
ins
Co
rd p
rolap
se
Un
com
plicated
caesarean sectio
n
Rep
eat caesarean sectio
n
Caesarean section + placenta praevia
Acute em
ergency caesarean section
Retain
ed p
lacenta
Delivery w
ith fetal malpresentation
Uterin
e rup
ture
24
MO
DU
LE 12
No
tes for train
ers
The assessm
ent of skills in this module should be by direct observation on labour w
ard, postnatal wards and clinics
The follow
ing should be assessed:
•A
cute resuscitation skills•
Diagnosis and appropriate m
anagement of severe obstetric haem
orrhage•
Appropriate investigation and m
anagement of acute m
aternal collapse•
Appropriate repair of third degree perineal tear
•R
ecognition, investigation and appropriate referral of puerperal psychological problems
The relevant E
ducational Supervisor should authenticate in the introductory section of the logbook the signatures of those certifying the satisfactorycom
pletion of each course or training session.
Trainin
g co
urses o
r session
s
* It is expected that the regional education programm
e will provide an appropriate training course. E
ducational resources to assist trainers in deliveringthe theoretical com
ponent is provided to all College Tutors by the R
CO
G in the C
ore Logbook E
ducational Resources C
D-R
OM
.
** It is expected that your regional education programm
e will provide an appropriate training course. A
ll trainees must w
ork through and complete the
tutorial on ‘Managem
ent of Postpartum H
aemorrhage’, excerpted from
the StratOG
distance learning programm
e, to the satisfaction of their trainer. This
resource is provided to all College Tutors by the R
CO
G on the C
ore Logbook E
ducational Resources C
D-R
OM
.
25
Targets th
at mu
st be ach
ieved d
urin
g SH
O train
ing
are desig
nated
:
Trainin
g co
urses o
r session
s
TitleSig
natu
re of ed
ucatio
nal su
perviso
rD
ate
Basic n
eon
atal resuscitatio
n *
Massive h
aemo
rrhag
e drill **
Co
un
selling
after perin
atal loss
Prob
lems after ch
ildb
irth
MO
DU
LE 12TO
PIC :
Postp
artum
Prob
lems
Skill1
23
Co
mp
etence Level
45
Man
age ap
pro
priately:
Primary p
ostp
artum
haem
orrh
age
Secondary postpartum haem
orrhage
Oth
er po
stpartu
m h
aemo
rrhag
e
Acu
te matern
al collap
se
Perineal an
d vag
inal tears
Dam
age to rectum and anal sphincters
Imm
ediate resuscitation of neonate
Puerp
eral pyrexia
Puerp
eral psych
olo
gical p
rob
lems
26
MO
DU
LE 13
No
tes for train
ers
The follow
ing should be assessed:
•A
bility to recognise abnormality
•C
ompetence in form
ulating list of differential diagnoses•
Ability to direct investigations in order to determ
ine correct diagnosis•
Com
petence in formulating m
anagement plan
•A
bility to implem
ent plan of managem
ent and modify if necessary
•E
ffectiveness in liaising with colleagues in other disciplines, clinical and non-clinical
•For assessm
ent of the managem
ent of a specific problem, it is suggested that the candidate present a w
ritten summ
ary for use in conjunctionw
ith the case notes.T
he following procedure is recom
mended:
✦T
he summ
ary should not contain the patient’s name, hospital num
ber or any other identifying mark
✦T
he summ
ary and the case notes should be presented to the relevant educational supervisor for discussion✦
After m
odification, with the agreem
ent of the educational supervisor, the summ
ary should be included in the Training Portfolio for
future reference
The relevant E
ducational Supervisor should authenticate in the introductory section of the logbook the signatures of those certifying the satisfactorycom
pletion of each course or training session.
27
Diag
no
se, investig
ate and
man
age th
e follo
win
g clin
ical pro
blem
s:M
enstru
al diso
rders:
Men
strual irreg
ularity
Excessive men
strual lo
ss
Premen
strual syn
dro
me
Am
eno
rrho
ea
Dysm
eno
rrho
ea
Pelvic pain
:D
yspareu
nia
End
om
etriosis
Pelvic inflam
mato
ry disease
No
n-g
ynaeco
log
ical diso
rders
Prob
lems o
f the clim
acteric:A
bn
orm
al bleed
ing
Ho
rmo
ne rep
lacemen
t therap
y
Oth
ers:V
agin
al disch
arge
Fibro
ids
Hirsu
tism
Ab
no
rmalities o
f gen
ital tract
Targets th
at mu
st be ach
ieved d
urin
g SH
O train
ing
are desig
nated
:
Trainin
g co
urses o
r session
s
TitleSig
natu
re of ed
ucatio
nal su
perviso
rD
ate
Paediatric g
ynaeco
log
ical pro
blem
s
Prob
lems o
f pu
berty
Rap
e
MO
DU
LE 13TO
PIC :
Gyn
aecolo
gical Pro
blem
s
Skill1
23
Co
mp
etence Level
45
28
MO
DU
LE 14
No
tes for train
ers
The follow
ing should be assessed:
•A
bility to recognise abnormality
•C
ompetence in form
ulating list of differential diagnoses•
Ability to direct investigations in order to determ
ine correct diagnosis•
Com
petence in formulating m
anagement plan
•A
bility to implem
ent plan of managem
ent and modify if necessary
•E
ffectiveness in liaising with colleagues in other disciplines, clinical and non-clinical
•For assessm
ent of the managem
ent of a specific problem, it is suggested that the candidate present a w
ritten summ
ary for use in conjunctionw
ith the case notes.T
he following procedure is recom
mended:
✦T
he summ
ary should not contain the patient’s name, hospital num
ber or any other identifying mark
✦T
he summ
ary and the case notes should be presented to the relevant educational supervisor for discussion✦
After m
odification, with the agreem
ent of the educational supervisor, the summ
ary should be included in the Training Portfolio for
future reference
The relevant E
ducational Supervisor should authenticate in the introductory section of the logbook the signatures of those certifying the satisfactorycom
pletion of each course or training session.
29
Take histo
ry from
cou
ple
Investig
ate female in
fertility
Investig
ate male in
fertility
Man
age an
ovu
lation
Investig
ate tub
al fun
ction
Co
un
sel abo
ut m
anag
emen
t op
tion
s
Assess p
sycho
sexual p
rob
lem
Targets th
at mu
st be ach
ieved d
urin
g SH
O train
ing
are desig
nated
:
Trainin
g co
urses o
r session
s
TitleSig
natu
re of ed
ucatio
nal su
perviso
rD
ate
Assisted
repro
du
ction
Psycho
sexual p
rob
lems
MO
DU
LE 14TO
PIC :
Infertility an
d Psych
osexu
al Prob
lems
Skill1
23
Co
mp
etence Level
45
30
MO
DU
LE 15
No
tes for train
ers
Note that there m
ay be conscientious objections to the acquisition of certain skills in this module. H
owever, all trainees are expected to acquire appropriate
knowledge in order to offer counselling.
The follow
ing should be assessed:
•A
bility to recognise abnormality
•C
ompetence in form
ulating list of differential diagnoses•
Ability to direct investigations in order to determ
ine correct diagnosis•
Com
petence in formulating m
anagement plan
•A
bility to implem
ent plan of managem
ent and modify if necessary
•E
ffectiveness in liaising with colleagues in other disciplines, clinical and non-clinical
•For assessm
ent of the managem
ent of a specific problem, it is suggested that the candidate present a w
ritten summ
ary for use in conjunctionw
ith the case notes.T
he following procedure is recom
mended:
✦T
he summ
ary should not contain the patient’s name, hospital num
ber or any other identifying mark
✦T
he summ
ary and the case notes should be presented to the relevant educational supervisor for discussion✦
After m
odification, with the agreem
ent of the educational supervisor, the summ
ary should be included in the Training Portfolio for
future reference
The relevant E
ducational Supervisor should authenticate in the introductory section of the logbook the signatures of those certifying the satisfactorycom
pletion of each course or training session.
31
Take a histo
ry in relatio
n to
:
Un
wan
ted p
regn
ancies
Co
un
sel abo
ut:
Co
ntracep
tion
Un
plan
ned
preg
nan
cy
Sterilisation
Man
age th
e follo
win
g clin
ical pro
blem
s:
Emerg
ency co
ntracep
tion
Med
ical termin
ation
of p
regn
ancy
Late termin
ation
of p
regn
ancy
Perform
the fo
llow
ing
:
Insertio
n o
f IUC
D
Fitting
of d
iaph
ragm
First trimester term
inatio
n o
f preg
nan
cy
Targets th
at mu
st be ach
ieved d
urin
g SH
O train
ing
are desig
nated
:
Trainin
g co
urses o
r session
s
TitleSig
natu
re of ed
ucatio
nal su
perviso
rD
ate
Co
ntracep
tion
trainin
g co
urse
Co
ntracep
tive techn
iqu
es
MO
DU
LE 15TO
PIC :
Co
ntracep
tion
and
Termin
ation
of Preg
nan
cy
Skill1
23
Co
mp
etence Level
45
32
MO
DU
LE 16
No
tes for train
ers
The follow
ing should be assessed:
•A
bility to recognise abnormality
•C
ompetence in form
ulating list of differential diagnoses•
Ability to direct investigations in order to determ
ine correct diagnosis•
Com
petence in formulating m
anagement plan
•A
bility to implem
ent plan of managem
ent and modify if necessary
•E
ffectiveness in liaising with colleagues in other disciplines, clinical and non-clinical
•For assessm
ent of the managem
ent of a specific problem, it is suggested that the candidate present a w
ritten summ
ary for use in conjunctionw
ith the case notes.T
he following procedure is recom
mended:
✦T
he summ
ary should not contain the patient’s name, hospital num
ber or any other identifying mark
✦T
he summ
ary and the case notes should be presented to the relevant educational supervisor for discussion✦
After m
odification, with the agreem
ent of the educational supervisor, the summ
ary should be included in the Training Portfolio for
future reference
33
Miscarriag
e
Clin
ical assessmen
t
Ultraso
un
d assessm
ent
Clin
ical man
agem
ent
Co
un
selling
Managem
ent recurrent miscarriage
Ectop
ic preg
nan
cy
Diag
no
sis
Man
agem
ent
Oth
er con
ditio
ns
Managem
ent of trophoblastic disease
Targets th
at mu
st be ach
ieved d
urin
g SH
O train
ing
are desig
nated
:
MO
DU
LE 16TO
PIC :
Pregn
ancy Lo
ss
Skill1
23
Co
mp
etence Level
45
34
MO
DU
LE 17
No
tes for train
ers
The follow
ing should be assessed:
•A
bility to recognise abnormality
•C
ompetence in form
ulating list of differential diagnoses•
Ability to direct investigations in order to determ
ine correct diagnosis•
Com
petence in formulating m
anagement plan
•A
bility to implem
ent plan of managem
ent and modify if necessary
•E
ffectiveness in liaising with colleagues in other disciplines, clinical and non-clinical
•For assessm
ent of the managem
ent of a specific problem, it is suggested that the candidate present a w
ritten summ
ary for use in conjunctionw
ith the case notes.T
he following procedure is recom
mended:
✦T
he summ
ary should not contain the patient’s name, hospital num
ber or any other identifying mark
✦T
he summ
ary and the case notes should be presented to the relevant educational supervisor for discussion✦
After m
odification, with the agreem
ent of the educational supervisor, the summ
ary should be included in the Training Portfolio for
future reference
All trainees should be fam
iliar with the w
orking of a colposcopy clinic but any trainee who intends to perform
colposcopy to level 5 should register with
the BSC
CP training program
me and m
aintain the appropriate log of experience. It is not expected that all CC
ST holders w
ill be accredited colposcopists.
During the course of their training, all trainees should attend training sessions on breaking bad new
s (see Module 1) and palliative care. O
ther relevanttraining could include visits to a radiotherapy unit or hospice and training courses on colposcopy.
The relevant E
ducational Supervisor should authenticate in the introductory section of the logbook the signatures of those certifying the satisfactorycom
pletion of each course or training session.
35
Cervical cyto
log
y
Co
un
sel abo
ut cyto
log
y repo
rts
Co
lpo
scop
y
Perform
basic exam
inatio
n
Man
age p
remalig
nan
t con
ditio
ns
Cervical
End
om
etrial
Vu
lval
Reco
gn
ise, cou
nsel an
d p
lan in
itial man
agem
ent o
f carcino
ma o
f:
Cervix
End
om
etrium
Ovary
Vu
lva
MO
DU
LE 17TO
PIC :
On
colo
gy
Skill1
23
Co
mp
etence Level
45
Targets th
at mu
st be ach
ieved d
urin
g SH
O train
ing
are desig
nated
:
Trainin
g co
urses o
r session
s
TitleSig
natu
re of ed
ucatio
nal su
perviso
rD
ate
Trainin
g in
palliative care
36
MO
DU
LE 18
No
tes for train
ers
The follow
ing should be assessed:
•A
bility to recognise abnormality
•C
ompetence in form
ulating list of differential diagnoses•
Ability to direct investigations in order to determ
ine correct diagnosis•
Com
petence in formulating m
anagement plan
•A
bility to implem
ent plan of managem
ent and modify if necessary
•E
ffectiveness in liaising with colleagues in other disciplines, clinical and non-clinical
•For assessm
ent of the managem
ent of a specific problem, it is suggested that the candidate present a w
ritten summ
ary for use in conjunctionw
ith the case notes.T
he following procedure is recom
mended:
✦T
he summ
ary should not contain the patient’s name, hospital num
ber or any other identifying mark
✦T
he summ
ary and the case notes should be presented to the relevant educational supervisor for discussion✦
After m
odification, with the agreem
ent of the educational supervisor, the summ
ary should be included in the Training Portfolio for
future reference
All trainees should be fam
iliar with the theory of urodynam
ic assessment although they m
ay not be proficient at performing the tests. T
hey should attendat least one clinic and have received training in basic urodynam
ics.
The relevant E
ducational Supervisor should authenticate in the introductory section of the logbook the signatures of those certifying the satisfactorycom
pletion of each course or training session.
37
MO
DU
LE 18TO
PIC :
Uro
gyn
aecolo
gy an
d Pelvic Flo
or Pro
blem
s
Skill1
23
Co
mp
etence Level
45
Take uro
gyn
aecolo
gical h
istory
Interp
ret:
Urin
ary frequ
ency vo
lum
e charts
Uro
flow
metry p
rofiles
Cysto
metric in
vestigatio
ns
Resid
ual vo
lum
e measu
remen
t
Man
age n
on
-surg
ically:
Blad
der vo
idin
g d
isord
ers
Urg
ency o
f mictu
rition
Utero
vagin
al pro
lapse
Assess
Man
age n
on
-surg
ically
Targets th
at mu
st be ach
ieved d
urin
g SH
O train
ing
are desig
nated
:
Trainin
g co
urses o
r session
s
TitleSig
natu
re of ed
ucatio
nal su
perviso
rD
ate
Basic u
rod
ynam
ics
38
Techn
iqu
e
Acq
uirin
g in
form
ation
Imp
arting
info
rmatio
n
An
alysing
pro
blem
s
Plann
ing
man
agem
ent
ASSESSM
ENT
SKILL
APPEN
DIX
1
Histo
ry taking
The follow
ing table provides one possible model for assessm
ent of history taking. It may be supplem
ented in order to assess specialised skills in certainareas of practice.
Rap
po
rt with
patien
t
Time m
anag
emen
t
Basic
Detailed
Accu
racy
Lang
uag
e
Ap
pro
priaten
ess
Explan
ation
Effectiveness
Co
nsen
sus
Poo
r(n
eeds fu
rther train
ing
)B
ord
erline
(need
s re-assessmen
t) G
oo
d(n
o fu
rther review
)
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