RCOG Curriculum Consultation 2009 s1

Key: Common competency framework competencies Medical leadership framework competencies Health inequality framework competencies Core Module 16: Early Pregnancy Care Learning outcomes: . To understand and to demonstrate appropriate knowledge, skills and attitudes in relation to early pregnancy loss

Professional Evidence/assessmen Knowledge criteria Clinical competency skills and Training support GMP GMP GMP t attitudes

Epidemiology, aetiology, 1,2 Clinical assessment of 2,3 Demonstrat 3,4 Basic Practical Meetings pathogenesis and clinical miscarriage and ectopic es the Skills Course attended features of miscarriage pregnancy, ability to (RCOG communicat approved) Case reports Trophoblastic disease and Biochemical assessment of early e effectively 3,4 ectopic pregnancy pregnancy with StratOG.net: Reflective diary patients Gynaecological Medical management of Communication of findings and Problems and Audit project ectopic pregnancy relatives Early Pregnancy Appropriate referral for more 3,4 Loss e-tutorials Mini CEX Indications and limitations complex or detailed evaluation Has the of Investigations: with ultrasound or other imaging ability to Management of CbD . endocrine techniques break bad Early Pregnancy . anatomical news and Loss RCOG MRCOG Part . immmunological Surgical, minimal access surgery appreciate guideline. One . genetic and non-surgical management of and RCOG website. . radiological miscarriage and ectopic by describe MRCOG Part . bacteriological appropriate techniques the possible The Two long term Obstetrician and Understanding of Exhibit technical competence consequenc Gynaecologist MRCOG Part management options surgically, and make appropriate es for the journal Three operative decisions woman in a

GMC Good Medical Practice (GMP) Domains: Domain 1: Knowledge, skills and Performance Domain 2: Safety and quality Domain 3: Communication, Partnership and Teamwork. Domain 4: Maintaining Trust Key: Common competency framework competencies Medical leadership framework competencies Health inequality framework competencies

Professional Evidence/assessmen Knowledge criteria Clinical competency skills and Training support GMP GMP GMP t attitudes Prognosis after sensitive Association of OSATS miscarriage(s) and ectopic manner Early Pregnancy Laparoscopic pregnancy 2,3 Units website management of Has the ectopic desired Recommended pregnancy skills terminology: necessary surgical to counsel management of patients in miscarriage an acute (SMM) - and http://www.early outpatient pregnancy.org.u environmen k/Surgical_Man t agement_of_Mi scarriage.asp Demonstrat es the ability to communicat e findings to patients and other health care professional s using appropriate

Professional Evidence/assessmen Knowledge criteria Clinical competency skills and Training support GMP GMP GMP t attitudes terminology at the time of pregnancy loss

Has the skills to work with other healthcare professional s to achieve better patient outcomes

Has the ability to recognise limits of own competenc e and develop the skills to

Professional Evidence/assessmen Knowledge criteria Clinical competency skills and Training support GMP GMP GMP t attitudes refer appropriatel y

Competence level Basic level Intermediate level Advanced level Not required Core Module 16 Logbook Level 2 Level 3 Signature Date Signature Date Signature Miscarriage: Miscarriage: clinical assessment

Medical management of miscarriage

Conservative management of miscarriage

Surgical management of miscarriage (SMM)

Counselling

Manage recurrent miscarriage

Ectopic pregnancy: Diagnosis

Conservative management

Medical management

Laparoscopic management

Laparotomy for ectopic pregnancy

Other conditions: Early management of trophoblastic disease

Training Courses or sessions

Date Title Signature of educational supervisor

Authorisation of signatures (to be completed by the clinical trainers)

Name of clinical trainer (please print) Signature of clinical trainer

Authorisation of signatures (to be completed by the clinical trainers)

Name of clinical trainer (please print) Signature of clinical trainer

OSATS Each OSATS should be successfully completed for Independent Practice on 3 occasions before the module can be signed off

Date Date Date Uterine evacuation Signat Signature Signature ure

COMPLETION OF MODULE 16 I confirm that all components of the module have been successfully completed: Date Name of educational supervisor Signature of educational supervisor

GMC Good Medical Practice (GMP) Domains: Domain 1: Knowledge, skills and Performance Domain 2: Safety and quality Domain 3: Communication, Partnership and Teamwork. Domain 4: Maintaining Trust