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

)