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Gynaecology

	RCGP RCOG Joint Statement
	West Midlands

RCGP RCOG Joint Statement competency based

Vocational training in obstetrics and gynaecology should help future general practitioners to acquire the knowledge, skills and values that will enable them to provide a broad range of service for women and to an acceptable standard.

Training should concentrate particularly on those conditions and activities that are common in general practice with particular emphasis on the normal and the prompt recognition of the abnormal.

Gynaecology including Genitourinary Conditions and Family Planning

The doctor should:

understand the role of the general practitioner in and techniques used in general practice:

for health education and sex education in children, adolescents and older women.

for the prevention of gynaecological disease e.g. cervical carcinoma, genital infection.

be able to take a gynaecological history, carry out a full and appropriate examination and conduct appropriate investigations on patients of all ages;

understand the physical problems relating to congenital abnormalities of the female genital tract;

be able to advise and provide suitable methods for family planning.

understand the principles involved in counselling patients with psychosexual problems;

be able to advise, investigate and where appropriate refer patients with problems relating to infertility;

be able to manage abortion in general practice, including emergency treatment, counselling and aftercare;

understand the management of common problems relating to menstruation e.g. amenorrhoea, dysmenorrhoea, menorrhagia, polymenorrhoea, premenstrual syndrome;

understand the management of patients suffering from infections of the genital tract, including sexually transmitted disease;

know the steps required for the early diagnosis of neoplasia of the genital tract and the general practitioner's role in management;

understand the physiology and management of the menopause;

understand the management of stress incontinence and prolapse;

be aware of ethical and legal aspects of gynaecological problems e.g. chaperoning, age of consent, assault, sexually transmitted disease;

understand the role of other professionals in these fields.

Source:
RCGP & RCOG General Practitioner Vocational Training In Obstetrics & Gynaecology 1998;

West Midlands

Consultation skills.

	Take competent gynaecological history.
	Full and appropriate examination (patients of all ages)

Diagnosis and management

	Amenorrhoea.
	Menorrhagia
	Dysmenorrhoea
	Dyspareunia
	Premenstrual syndrome
	Post-coital bleeding, and intermenstrual bleeding
	Pelvic infection
	Vaginal discharge, sexually transmitted disease.
	Infertility
	Menopausal symptoms
	Incontinence (stress, urge).
	Prolapse
	Post menopausal bleeding
	Pelvic pain
	Pelvic mass
	Abnormal smear
	Gynaecological malignancy
	Psychosexual problems.
	Abortion, (ethics and management).

Gynaecological procedures (observe, assist or perform)

	Perform a D.&C.
	Be competent carrying out pipelle biopsies.
	Fit a ring pessary
	Observe and assist at a colposcopy session.
	Assist at a hysterectomy
	Observe a gynaecological and obstetric U/S session.

Source: D Rapley Surviving GP Training (Download Word version)

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