OSATS requirements for subspecialty training in reproductive medicine
You have to be competent in:
- Hysteroscopic surgery
- Laparoscopic adhesiolysis
- Laparoscopic treatment of endometriosis
- Laparoscopic ovarian cystectomy
- Laparoscopic salpingectomy
- Laparoscopic salpingostomy
- Myomectomy
Hysteroscopic surgery
Items under observation:
- Patient selection
- Appropriate counselling and consent
- Pretreatment with GnRH
- Resection of septum
- Resection of fibroid
- Resection of polyp
- Resection of adhesions
Laparoscopic adhesiolysis
Items under observation:
- Patient selection (i.e. no contraindications to laparoscopy)
- Appropriate counselling and consent
- Positioning of patient
- Insertion of Veress needle
- Insertion of trocars
- Assessment of anatomy
- Division of adhesions
Laparoscopic treatment of endometriosis
Items under observation:
- Patient selection (i.e. no contraindications to laparoscopy)
- Appropriate counselling and consent
- Positioning of patient
- Insertion of Veress needle
- Insertion of trocars
- Assessment of anatomy and AFS score
- Division of adhesions
- Endometriosis ablation
Laparoscopic ovarian cystectomy
Items under observation:
- Patient selection (i.e. no contraindications to laparoscopy)
- Appropriate counselling and consent
- Positioning of patient
- Insertion of Veress needle
- Insertion of trocars
- Assessment of anatomy
- Division of adhesions
- Cyst excision
Laparoscopic salpingectomy
Items under observation:
- Patient selection (i.e. no contraindications to laparoscopy)
- Appropriate counselling and consent
- Positioning of patient
- Insertion of Veress needle
- Insertion of trocars
- Assessment of anatomy
- Division of adhesions
- Removal of tube (diathermy/loop)
Laparoscopic salpingostomy
Items under observation:
- Patient selection (i.e. no contraindications to laparoscopy)
- Appropriate counselling and consent
- Positioning of patient
- Insertion of Veress needle
- Insertion of trocars
- Assessment of anatomy
- Division of adhesions
- Cuff salpingostomy
Myomectomy
Items under observation:
- Patient selection (i.e. open or laparoscopic)
- Appropriate counselling and consent
- Pretreatment with GnRH
- Open technique
- Laparoscopic technique