Dr Redman

2. Dr Charles Redman
EFC President

3. Training and Performance in
Colposcopy
CWE Redman
EFC Satellite Meeting 2017

4. EFC Objectives
• Best possible standards of colposcopy
• Standards of Training
• Standards of Treatment
• Liaise with other organisations

5. Screening
Colposcopy
Treatment of CIN

7. The 3 EFC Quality Steps
Education
Training
Practice

8. Education
Developed and revised core curriculum
Agreed standards for basic and advanced courses
EFC recognition of courses
Provision of targeted courses

9. Training
Training programme structure
Caseload
Assessment
Electronic log-book

11. 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.

12. EBCOG Delphi 2017
The following were proposed as being core skills
• Colposcopy with biopsy
• LLETZ
• Conisation

14. Guidelines
 Colposcopy and Programme
Management
 Evidence based guidelines
 Consensus where evidence lacking

16. How can colposcopy be improved?
• Acknowlegement of need for good colposcopy
• High quality training / education
• Certification
• Quality Assurance
• Adjunctive technologies

17. EFC Colposcopy Survey
Charles Redman

18. Q4 What % of gynaecologists perform colposcopy in your country?
52 Respondents
Percentage Number
No Idea 7
<10% 14
15%-20% 9
25%-30% 8
40%-45% 5
50% 3
60% 2
80% 1
Close to 100% 3
What % of gynaecologists perform colposcopy in your
country?
No Idea <10% 15%-20% 25%-30% 40%-45% 50% 60% 80% Close to 100%

19. Q2
Are all gynaecologists trained to perform colposcopy in your
country? 52
Respondents
Answer Percentage Number
No 69% 36 out of 52
Yes 31% 16 out of 52
0%
10%
20%
30%
40%
50%
60%
70%
80%
No Yes
Are all gynaecologists trained to perform colposcopy in your
country?

20. Q1
EBCOG recommends that every gynaecologist should be trained in colposcopy and
undertaking treatment.
Does your National Society agree with this statement? 52 Respondents
Answer Percentage Number
No 35% 18 out of 52
Yes 65% 34 out of 52
0%
10%
20%
30%
40%
50%
60%
70%
No Yes
Does your National Society agree with this statement?

21. Q3
If no, would it possible to train every gynaecologist to perform
colposcopy and undertake treatment?
52 Respondents
Answer Percentage Number
No 54% 28 out of 52
Yes 46% 24 out of 52
42%
44%
46%
48%
50%
52%
54%
56%
No Yes
If no, would it possible to train every gynaecologist to
perform colposcopy and undertake treatment?

22. Q5
How many new cases do you feel a colposcopist with no previous
colposcopy experience would need to become a competent
colposcopist? 52
Respondents
Amount Number
No Idea 3
50 or less 13
75 2
100 15
150 10
200 5
Around 500 3
1000 1
How many new cases do you feel a colposcopist with no
previous colposcopy experience would need to become a
competent colposcopist?
No Idea 50 or less 75 100 150 200 Around 500 1000

23. Summary
• Currently only a minority of gynaecologists
perform colposcopy
• In most countries not all colposcopists are trained
• There is agreement that all gynaecologists
performing colposcopy should be trained
• On basis of current agreed criteria, training all
gynaecologists not feasible