Core Module 14: Subfertility Learning outcomes: To understand the issues and demonstrate appropriate knowledge, skills and attitudes in relation to subfertility Knowledge criteria Clinical competency Professional skills and attitudes Training support Evidence/assessment GMP GMP GMP Epidemiology, aetiology, pathogenesis, 1,2 Take history and examine a couple presenting 1,2 Show an appreciation of the 4 **Use of low fidelity Logbook clinical features, treatment and prognosis with subfertility importance of psychological factors for [box] trainers or of male and female subfertility women and their partners virtual reality (VR) Reflective Arrange basic investigations simulation to Demonstrates respect for a 3,4 enhance Log of experiences Indications, limitations and interpretation Counsel couples about diagnosis and 3,4 dignity and confidentiality psychomotor skills of investigations: management options Mini CEX endocrine measurements Has an understanding of the issues 1 Appropriate (male and female) Perform the following: 1,2 relating to NHS funding and rationing postgraduate CbD semen analysis Diagnostic laparoscopy** of treatment education courses ultrasound Staging of endometriosis** Case reports other imaging techniques Assessment of tubal patency** Demonstrates the ability to deal 1,3,4 Multi-disciplinary and genetic analysis Diagnostic hysteroscopy** sensitively with issues relating to the clinical team Audit projects operative procedures welfare of the child meetings OSATS: Indications, techniques, limitations and Has the ability to acknowledge cultural StratOG.net: Diagnostic laparoscopy complications of surgery in relation to: issues and the issues relating to same subfertility e-tutorials male and female sex partnerships and single MRCOG Part One subfertility parenthood Subfertility clinics endometriosis MRCOG Part Two developmental disorders Demonstrates the need to liaise Assisted reproduction effectively with colleagues in other sessions MRCOG Part Three Indications, limitations and complications disciplines, clinical and non-clinical of assisted reproductive techniques: National Institute for Ovulation induction Clinical Excellence IVF & ICSI website Gamete Donation Scottish Legal and ethical issues Intercollegiate Guidelines Network Able to describe the natural history of website conditions that run a chronic course Scottish Health on Have knowledge of long term the Web website management plans for chronic conditions (see Module 2) British Fertility Society website
Core Module 14: Subfertility Learning outcomes: To understand the issues and demonstrate appropriate knowledge, skills and attitudes in relation to subfertility Knowledge criteria GMP Clinical competency GMP Professional skills and attitudes GMP Training support Evidence/assessment Epidemiology, aetiology, pathogenesis, clinical features, treatment and prognosis of male and female subfertility Indications, limitations and interpretation of investigations: endocrine measurements (male and female) semen analysis ultrasound other imaging techniques genetic analysis operative procedures Indications, techniques, limitations and complications of surgery in relation to: male and female subfertility endometriosis developmental disorders Indications, limitations and complications of assisted reproductive techniques: Ovulation induction IVF & ICSI Gamete Donation Legal and ethical issues Able to describe the natural history of conditions that run a chronic course Have knowledge of long term management plans for chronic conditions (see Module 2) 1,2 Take history and examine a couple presenting with subfertility Arrange basic investigations Counsel couples about diagnosis and management options Perform the following: Diagnostic laparoscopy** Staging of endometriosis** Assessment of tubal patency** Diagnostic hysteroscopy** 1,2 3,4 1,2 Show an appreciation of the importance of psychological factors for women and their partners Demonstrates respect for a dignity and confidentiality Has an understanding of the issues relating to NHS funding and rationing of treatment Demonstrates the ability to deal sensitively with issues relating to the welfare of the child Has the ability to acknowledge cultural issues and the issues relating to same sex partnerships and single parenthood Demonstrates the need to liaise effectively with colleagues in other disciplines, clinical and non-clinical 4 3,4 1 1,3,4 **Use of low fidelity [box] trainers or virtual reality (VR) simulation to enhance psychomotor skills Appropriate postgraduate education courses Multi-disciplinary and clinical team meetings StratOG.net: subfertility e-tutorials Subfertility clinics Assisted reproduction sessions National Institute for Clinical Excellence website Scottish Intercollegiate Guidelines Network website Scottish Health on the Web website British Fertility Society website Logbook Reflective Log of experiences Mini CEX CbD Case reports Audit projects OSATS: Diagnostic laparoscopy MRCOG Part One MRCOG Part Two MRCOG Part Three
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