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Core Curriculum: CiP 9

Capability in Practice 9: The doctor is competent in recognising, assessing and managing emergencies in gynaecology and early pregnancy.

This CiP is grouped under Professional Identity 3: Clinical Expert

 

Key Skills

Descriptors

Manages acute pelvic pain in the non-pregnant woman

 

  • Performs a focused history, appropriate examination and orders appropriate investigations.
  • Formulates a differential diagnosis.
  • Discusses diagnosis in a sensitive manner.
  • Formulates an appropriate individualised management plan taking into account a person’s preferences and the urgency required.
  • Recognises limitations and escalates care to senior colleagues and other specialities when appropriate.
  • Performs surgery where appropriate.
  • Ensures continuity of care, effective handover and appropriate discharge plan.
  • Ensures appropriate risk management procedures are undertaken.

Manages vaginal bleeding in the non-pregnant woman

 

Manages acute infections

Manages acute complications of gynaecological treatment

Manages vaginal bleeding and pain in early pregnancy

  • Performs focused history, appropriate examination and orders appropriate investigations.
  • Formulates a differential diagnosis.
  • Discusses diagnosis in a sensitive manner.
  • Formulates an appropriate and individualised management plan taking into account a person’s preferences and the urgency required.
  • Recognises limitations and escalates care to senior colleagues and other specialities when appropriate.
  • Performs surgery where appropriate.
  • Ensures continuity of care, effective handover and appropriate discharge plan.
  • Demonstrates understanding of the psychological impact of pregnancy loss.

Manages other early pregnancy complications

  • Performs focused history, appropriate examination and orders appropriate investigations.
  • Formulates a differential diagnosis.
  • Discusses diagnosis in a sensitive manner.
  • Formulates an appropriate and individualised management plan taking into account a person’s preferences and the urgency required.
  • Recognises limitations and escalates care to senior colleagues and other specialities when appropriate.
  • Performs surgery where appropriate.
  • Ensures continuity of care, effective handover and appropriate discharge plan.

Manages the acute gynaecological workload

  • Is able to prioritise according to clinical need.
  • Is able to escalate appropriately according to clinical need and workload.
  • Is able to delegate appropriately to other members of the team.
  • Demonstrates prompt assessment of the acutely deteriorating patient.
  • Is able to give a gynaecological opinion for another specialty.
  • Makes safeguarding referrals where appropriate.

 

Evidence to inform decision

  • OSAT
  • CbD
  • Mini-CEX
  • MRCOG
  • Discussion of correspondence Mini-CEX    
  • Reflective practice
  • TO2 (including SO)
  • NOTSS
  • Local and Deanery Teaching
  • RCOG eLearning
  • MRCOG Part 2

 

Mapping to GPCs

Domain 1: Professional values and behaviours
Domain 2: Professional skills

  • Practical skills
  • Communication and interpersonal skills
  • Dealing with complexity and uncertainty
  • Clinical skills (history taking, diagnosis and management, consent; humane interventions; prescribing medicines safely; using medical devices safely; infection control and communicable diseases)

Domain 3: Professional knowledge

  • Professional requirements
  • National legislative requirements
  • The health service and healthcare systems in the four countries

Domain 4: Capabilities in health promotion and illness prevention

Domain 5: Capabilities in leadership and teamworking

Domain 6: Capabilities in patient safety and quality improvement

  • Patient safety
  • Quality improvement

Domain 7: Capabilities in safeguarding vulnerable groups