Core Curriculum: CiP 11

Manages abnormal vaginal bleeding

• Performs focused history, appropriate examination and orders appropriate investigations.
• Formulates a differential diagnosis.
• Discusses diagnosis in a sensitive manner.
• Formulates an appropriate and individualised management plan taking into account patient preferences and the urgency required.
• Recognises limitations and escalates care to senior colleagues and other specialities when appropriate.
• Performs surgery where appropriate.
• Ensures appropriate follow up. 
• Demonstrates awareness of the quality of patient experience.

Manages pelvic and vulval pain

Manages pelvic masses

Manages the abnormal cervical smear

• Demonstrates ability to counsel about cytology reports and HPV testing.
• Refers to colposcopy services in accordance with national guidelines.

Manages suspected gynaecological cancer symptoms

• Performs focused history, appropriate examination and order appropriate investigations
• Discusses diagnosis and prognosis in a sensitive manner.
• Demonstrates knowledge of when referral to a tertiary gynaecological oncology centre will be required.
• Can counsel about surgical and non-surgical treatment options, taking into account the individual woman’s background health and preferences.
• Ensures appropriate follow up in line with national guidance.

Manages urogynaecological symptoms

• Performs focused history, appropriate examination and orders appropriate investigations.
• Formulates a differential diagnosis.
• Discusses diagnosis in a sensitive manner.
• Can counsel about surgical and non-surgical treatment options, taking into account the individual woman’s background health and preferences.
• Ensures appropriate follow up.  
• Demonstrates awareness of the quality of patient experience.

Manages vulval symptoms

• Performs focused history, appropriate examination and orders appropriate investigations.
• Recognise common vulval disorders
• Formulates a differential diagnosis.
• Discusses diagnosis in a sensitive manner and recognise the psychological impact of vulval disease
• Formulates an appropriate and individualised management plan taking into account patient preferences and the urgency required.
• Recognise when to refer to allied specialties and the importance of the multidisciplinary team

Manages menopause and postmenopausal care

• Performs focused history, appropriate examination and orders appropriate investigations.
• Formulates an appropriate and individualised management plan taking into account patient preferences including complimentary therapies and lifestyle modifications.
• Appreciates the impact that the menopause may have on other aspects of wellbeing.

Manages subfertility

• Performs focused history, appropriate examination and orders appropriate investigations.
• Is able to interpret results in order to plan effective care and counsel about management options, including local referral pathways and alternatives for conceiving.
• Understands the ethical issues surrounding IVF treatment.

Manages sexual wellbeing

• Performs focused history, appropriate examination and orders appropriate investigations.
• Offers advice regarding all contraceptive methods and understands the factors affecting choice of contraception, including comorbidities, patient preference, failure rates, etc.
• Demonstrates ability to administer/fit different contraceptive methods
• Demonstrates the ability to manage unplanned pregnancies (including medical and surgical abortion*
• Is aware of alternative sources of support and follow-up for patients, particularly in cases of unplanned pregnancy and termination of pregnancy.
• Offers sexual health screening advice and provides appropriate referral to genitourinary medicine (GUM) services for management of sexually transmitted infections.
• Identifies psychosexual problems, explores and can initiate referral to specialist services where available.
• Recognises the interactions between gynaecological problems and psychosexual problems.

* Trainees who have personal beliefs that conflict with provision of abortion or for those undertaking training in a region where there are legal restrictions to provision of abortion, see Section 10 of this Definitive Document.