training and performance in colposcopy€¦ · quality standards abstract objective: optimization...

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Training and Performance in Colposcopy CWE Redman EFC Satellite Meeting 2017

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Page 1: Training and Performance in Colposcopy€¦ · Quality standards ABSTRACT Objective: Optimization of colposcopy practice requires a program of quality assurance including the monitoring

Training and Performance in

Colposcopy

CWE Redman

EFC Satellite Meeting 2017

Page 2: Training and Performance in Colposcopy€¦ · Quality standards ABSTRACT Objective: Optimization of colposcopy practice requires a program of quality assurance including the monitoring

EFC Objectives

• Best possible standards of colposcopy

• Standards of Training

• Standards of Treatment

• Liaise with other organisations

Page 3: Training and Performance in Colposcopy€¦ · Quality standards ABSTRACT Objective: Optimization of colposcopy practice requires a program of quality assurance including the monitoring

Screening

Colposcopy

Treatment of CIN

Page 4: Training and Performance in Colposcopy€¦ · Quality standards ABSTRACT Objective: Optimization of colposcopy practice requires a program of quality assurance including the monitoring
Page 5: Training and Performance in Colposcopy€¦ · Quality standards ABSTRACT Objective: Optimization of colposcopy practice requires a program of quality assurance including the monitoring

The 3 EFC Quality Steps

Education

Training

Practice

Page 6: Training and Performance in Colposcopy€¦ · Quality standards ABSTRACT Objective: Optimization of colposcopy practice requires a program of quality assurance including the monitoring

Education

Developed and revised core curriculum

Agreed standards for basic and advanced courses

EFC recognition of courses

Provision of targeted courses

Page 7: Training and Performance in Colposcopy€¦ · Quality standards ABSTRACT Objective: Optimization of colposcopy practice requires a program of quality assurance including the monitoring

Training

Training programme structure

Caseload

Assessment

Electronic log-book

Page 8: Training and Performance in Colposcopy€¦ · Quality standards ABSTRACT Objective: Optimization of colposcopy practice requires a program of quality assurance including the monitoring
Page 9: Training and Performance in Colposcopy€¦ · Quality standards ABSTRACT Objective: Optimization of colposcopy practice requires a program of quality assurance including the monitoring

EBCOG Training Recommendation

(2014)

All colposcopists should have had formal training and be recognised or

certificated as suitable to practice colposcopy. All European training

programmes should comply with European Federation for Colposcopy

(EFC) training standards.

Page 10: Training and Performance in Colposcopy€¦ · Quality standards ABSTRACT Objective: Optimization of colposcopy practice requires a program of quality assurance including the monitoring

EBCOG Delphi 2017

The following were proposed as being core skills

• Colposcopy with biopsy

• LLETZ

• Conisation

Page 11: Training and Performance in Colposcopy€¦ · Quality standards ABSTRACT Objective: Optimization of colposcopy practice requires a program of quality assurance including the monitoring
Page 12: Training and Performance in Colposcopy€¦ · Quality standards ABSTRACT Objective: Optimization of colposcopy practice requires a program of quality assurance including the monitoring

Guidelines

Colposcopy and Programme

Management

Evidence based guidelines

Consensus where evidence lacking

Page 13: Training and Performance in Colposcopy€¦ · Quality standards ABSTRACT Objective: Optimization of colposcopy practice requires a program of quality assurance including the monitoring
Page 14: Training and Performance in Colposcopy€¦ · Quality standards ABSTRACT Objective: Optimization of colposcopy practice requires a program of quality assurance including the monitoring

How can colposcopy be

improved?

• Acknowlegement of need for good colposcopy

• High quality training / education

• Certification

• Quality Assurance

• Adjunctive technologies