You are currently using an unsupported browser which could affect the appearance and functionality of this website. Please consider upgrading to the latest version or using alternatives such as Mozilla Firefox, Google Chrome or Microsoft Edge.

Knowledge Area 10 Gynaecological problems

Capability in practice (CiP)

  • 1: The doctor is able to apply medical knowledge, clinical skills and professional values for the provision of high-quality and safe patient-centred care
  • 6: The doctor takes an active role in helping self and others to develop
  • 11: The doctor is competent in recognising, assessing and managing non-emergency gynaecology and early pregnancy care

 

Summary Knowledge Requirements

PART 1 MRCOG

  • Anatomy, physiology and histopathology of the pituitary gland and female reproductive tract, including an understanding of changes at puberty, at menopause and during the menstrual cycle, including ovulation
  • Epidemiology, microbiology and therapeutics of benign gynaecological conditions, including infection
  • How to interpret results of commonly performed investigations for benign gynaecological conditions
  • Principles of medical and surgical management of gynaecological problems

PART 2 MRCOG

  • Demonstrate knowledge of the aetiology, signs, symptoms, investigation and treatment of common gynaecological problems
  • Appreciate the influence of psychosocial factors on the presentation and management of gynaecological problems using a patient-centred approach

PART 3 MRCOG

  • Demonstrate knowledge of the aetiology, signs, symptoms, investigation and treatment of common gynaecological problems
  • Appreciate the influence of psychosocial factors on the presentation and management of gynaecological problems using a patient-centred approach
  • Demonstrate your understanding of the importance of audit, clinical governance and taking informed consent

 

Detailed Knowledge Requirements

  • To understand the epidemiology, aetiology, biological behaviour, patho-physiology, clinical characteristics, prognostic features and management of Paediatric gynaecology
  • Able to describe the natural history of diseases and illnesses that run a chronic course
  • Have knowledge of long-term management plans for chronic conditions
  • Able to describe the anatomy and physiology of the vulva, and its variation between prepubertal, reproductive and post-menopausal state
  • To understand the epidemiology, aetiology, biological behaviour, patho-physiology, clinical characteristics, prognostic features and management of Menstrual Disorders: Menstrual irregularity, Excessive menstrual loss, Investigation of menstrual disorders, Medical and surgical management of menstrual disorders
  • To understand the epidemiology, aetiology, biological behaviour, patho-physiology, clinical characteristics, prognostic features and management of, Fibroids and Non menstrual bleeding (intermenstrual, postcoital)
  • To understand the epidemiology, aetiology, biological behaviour, patho-physiology, clinical characteristics, prognostic features and management of Problems of the climacteric: Abnormal bleeding, Postmenopausal bleeding, Hormone replacement therapy, Non-hormonal therapy, Osteopenia and osteoporosis, Breast cancer in relation to the climacteric
  • To understand the epidemiology, aetiology, biological behaviour, patho-physiology, clinical characteristics, prognostic features and management of Amenorrhoea and endocrine disorders: Investigation and interpretation, Hypothalamic/pituitary disorders, Hyperprolactinaemia, Premature ovarian insufficiency, Polycystic ovaries and polycystic ovary syndrome, Other causes of hyperandrogenism, Thyroid / adrenal disorders, Autoimmune endocrine disease, premenstrual syndrome
  • To understand the epidemiology, aetiology, biological behaviour, patho-physiology, clinical characteristics, prognostic features and management of Vulval disorders: Pruritus vulvae, Non-neoplastic cysts, Vulvodynia, Vulval pain, Lichens (sclerosus, simplex, chronicus and planus), Contact dermatitis, Psoriasis
  • To understand the epidemiology, aetiology, biological behaviour, patho-physiology, clinical characteristics, prognostic features and management of vaginal discharge (non sexually transmitted causes)
  • To understand the epidemiology, aetiology, biological behaviour, patho-physiology, clinical characteristics, prognostic features and management of Pelvic pain: Dysmenorrhoea, Dyspareunia, Endometriosis (staging, treatment), Pelvic inflammatory disease, Non-gynaecological disorders
  • To understand the epidemiology, aetiology, biological behaviour, patho-physiology, clinical characteristics, prognostic features and management of Benign ovarian neoplasms and Functional ovarian cysts
  • To understand the epidemiology, aetiology, biological behaviour, patho-physiology, clinical characteristics, prognostic features and management of Emergency gynaecology: Pelvic inflammatory disease, Bartholin's and vulval abscess, Ovarian cyst accidents, Acute vaginal bleeding outwith pregnancy, Miscarriage and ectopic pregnancy
  • To understand the epidemiology, aetiology, biological behaviour, patho-physiology, clinical characteristics, prognostic features and management of Congenital abnormalities of genital tract: Ambiguous genitalia, Imperforate hymen, Vaginal septae, Uterine anomalies, Mullerian duct development, Gonadal dysgenesis
  • To understand the epidemiology, aetiology, biological behaviour, patho-physiology, clinical characteristics, prognostic features and management of Puberty: Physiology and chronology, Precocious puberty, Delayed puberty, Excessive menstrual loss