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Charles Redman - Review of EFC and performance standards

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Dr Redman

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Charles Redman - Review of EFC and performance standards

  1. 1. Dr Charles Redman EFC President
  2. 2. Training and Performance in Colposcopy CWE Redman EFC Satellite Meeting 2017
  3. 3. EFC Objectives • Best possible standards of colposcopy • Standards of Training • Standards of Treatment • Liaise with other organisations
  4. 4. Screening Colposcopy Treatment of CIN
  5. 5. The 3 EFC Quality Steps Education Training Practice
  6. 6. Education Developed and revised core curriculum Agreed standards for basic and advanced courses EFC recognition of courses Provision of targeted courses
  7. 7. Training Training programme structure Caseload Assessment Electronic log-book
  8. 8. 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.
  9. 9. EBCOG Delphi 2017 The following were proposed as being core skills • Colposcopy with biopsy • LLETZ • Conisation
  10. 10. Guidelines  Colposcopy and Programme Management  Evidence based guidelines  Consensus where evidence lacking
  11. 11. How can colposcopy be improved? • Acknowlegement of need for good colposcopy • High quality training / education • Certification • Quality Assurance • Adjunctive technologies
  12. 12. EFC Colposcopy Survey Charles Redman
  13. 13. 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%
  14. 14. 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?
  15. 15. 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?
  16. 16. 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?
  17. 17. 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
  18. 18. 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

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