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:

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

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

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

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

OSATS: An explanation of OSATS: what they are and how they are used within O&G training