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OSATS, colposcopy ATSM

This page sets out the OSATS requirements for the ATSM in colposcopy.

You have to be competent in:

Diagnostic colposcopy

Items under observation:

Preparation of the patient:

  • 1. Ensures correction positioning of the patient
  • 2. Correct positioning of colposcope
  • 3. Demonstrates knowledge of equipment and can trouble shoot problems

Procedure:

  • 4. Correct use of speculum
  • 5. Correct use of magnification
  • 6. Correct use of green filter
  • 7. Inspects entire cervix
  • 8. Applies acetic acid
  • 9. Attempts to identify SCJ or upper extent of lesion, correct use of endocervical speculum if necessary
  • 10. Applies Lugol’s iodine
  • 11. Correct identification of TZ type (i.e 1,2 or 3)
  • 12. Correct interpretation of findings
  • 13. Correct technique to obtain a cervical biopsy
  • 14. Correct technique to bring about haemostasis from biopsy sites
  • 15. Maintains a clean working area and does not contaminate equipment

Treatment – cold coagulation or cryotherapy

Items under observation:

Preparation of the patient:

  • 1. Ensures correct positioning of the patient
  • 2. Correct positioning of colposcope
  • 3. Demonstrates knowledge of equipment, safety issues and can trouble shoot problems
  • 4. Correct use of speculum
  • 5. Correct use of magnification
  • 6. Correct use of green filter
  • 7. Inspects entire cervix
  • 8. Applies acetic acid
  • 9. Attempts to identify SCJ or upper extent of lesion, correct use of endocervical speculum if necessary
  • 10. Applies Lugol’s iodine
  • 11. Correct identification of transformation and area to treat
  • 12. Correct technique in use of local anaesthetic if appropriate
  • 13. Correct choice of size of probe
  • 14. Able to switch on cold coagulator and choose correct power settings or demonstrate how to use cryotherapy probe 
  • 15. Correct technique in use of cold coagulator or cryotherapy (i.e. correct duration of treatment, number of applications and coverage of TZ)
  • 16. Maintains a clean working area and does not contaminate equipment
  • 17. Understands safety issues related to technique to be used

Treatment – laser excision or ablation

Items under observation:

Preparation of the patient:

  • 1. Ensures correct positioning of the patient
  • 2. Correct positioning of colposcope
  • 3. Demonstrates knowledge of equipment, safety issues and can trouble shoot problems

Procedure:

  • 4. Correct use of speculum
  • 5. Correct use of magnification
  • 6. Correct use of green filter
  • 7. Inspects entire cervix
  • 8. Applies acetic acid
  • 9. Attempts to identify SCJ or upper extent of lesion, correct use of endocervical speculum if necessary
  • 10. Applies Lugol’s iodine
  • 11. Correct identification of transformation and area to treat
  • 12. Correct technique in use of local anaesthetic
  • 13. Correct assembly of Laser and micromanipulator
  • 14. Able to switch on Laser choose correct power settings and spot size
  • 15. Correct technique in use Laser to excise or ablate the TZ
  • 16. Maintains a clean working area and does not contaminate equipment
  • 17. Understands safety issues related to technique to be used

Large loop excision of transformation zone

Items under observation:

Preparation of the patient:

  • 1. Ensures correct positioning of the patient
  • 2. Correct positioning of colposcope
  • 3. Demonstrates knowledge of equipment, safety issues and can trouble shoot problems

Procedure:

  • 4. Correct use of speculum
  • 5. Correct use of magnification
  • 6. Correct use of green filter
  • 7. Inspects entire cervix
  • 8. Applies acetic acid
  • 9. Attempts to identify SCJ or upper extent of lesion, correct use of endocervical speculum if necessary
  • 10. Applies Lugol’s iodine
  • 11. Correct identification of transformation and area to treat
  • 12. Correct technique in use of local anaesthetic
  • 13. Correct technique in use of loop diathermy to excise transformation zone
  • 14. Able to switch on diathermy machine and choose correct blend and power settings
  • 15. Correct technique in use of ball diathermy
  • 16. Completes treatment within 10 minutes from start of excision
  • 17. Maintains a clean working area and does not contaminate equipment
  • 18. Understands safety issues related to technique to be used

Elsewhere on the site

OSATS
An explanation of OSATS: what they are and how they are used within O&G training
Resources for trainees
Resources to support specialty trainees in O&G