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OSATS, reproductive medicine

This page sets out the OSATS requirements for subspecialty training in reproductive medicine.

You have to be competent in:

Caesarean section

Items under observation:

  • Appropriate skin incision (e.g. length, position)
  • Safe entry of peritoneal cavity
  • Careful management of bladder
  • Appropriate uterine incision (e.g. length, position)
  • Safe and systematic delivery of baby
  • Check uterine cavity (e.g. intact, empty, configuration)
  • Safe securing of uterine angles
  • Check for ovarian pathology
  • Appropriate closure of rectus sheath
  • Attention to haemostasis
  • Neatness of skin closure

Examples of minimum levels of complexity for each stage of training:

ST1:

  • First or second caesarean section with longitudinal lie

Core training:

  • Twins/transverse lie
  • Preterm more than 28 weeks

CCT:

  • Preterm less than 28 weeks/grade 4 placenta praevia
  • Fibroids in lower uterine segment

Diagnostic hysteroscopy

Items under observation:

  • Patient selection (i.e. no contraindications to laparoscopy)
  • Appropriate counselling and consent
  • Positioning of patient Insertion of hysteroscope
  • Diagnosis of septum/fibroids/polyps

Diagnostic laparoscopy

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
  • Treatment of endometriosis

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

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