| Sl.No. | Title | Learning Objectives |
|---|---|---|
| Epidemiology, Natural History and Pathogenesis of Cervical Neoplasia | 1. Pathogenesis of cervical cancer 2. Epidemiology of cervical neoplasia: prevalence, incidence, mortality etc. |
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| Introduction to cervical cancer screening and various screening tests | 1. Introduction to cervical cancer screening tests – VIA, Pap smear and HPV testing 2. Eligibility criteria of individuals subjected to each test (VIA, Pap smear, HPV) 3. Discuss the specificity and sensitivity of each test 4. Advantages and limitations of each test 5. Share research papers with above information/ data, if possible 6. Specificity and sensitivity of co-testing (with HPV) |
|
| Cervical cancer screening by visual inspection with acetic acid (VIA) | 1. Anatomy of transformation Zone 2. Principle of VIA 3. Step-by-step procedure of VIA with video, including the preparation of 5% acetic acid 4. Interpretations of VIA 5. Advantages and limitations of VIA |
|
| Management of women positive on cervical cancer screening tests | 1. When to refer a VIA, Pap and HPV positive patients to higher facility 2. Co-tetsing 3. Screen-and-treat strategy 4) Eligibility for screen-and-treat |
|
| Principles and Practice of colposcopy | 1. Colposcope: Instrumentation in detail 2. Step-by step procedure of colposcopy with video 3. Rationale behind every step of colpocopy 4. Indications for colposcopy 5. Documentation of colposcopy 6. Scoring of colposcopy findings: Swede score 7. IFCPC terminology |
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| Colposcopic features of normal, benign and inflammatory conditions of cervix | 1. Appearance of normal (mature, metaplasia, atrophic, pregnancy) cervix during colposcopy 2. Colposcopic features of beningn (polyp) cervix 3. Colposcopic features of inflammatory (TB) cervix |
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| Colposcopic features of premalignant and malignant changes of cervix | 1. Colposcopic features of low and high-grade lesions with lots of pictorial representations (address all signs of high grade lesions) 2. Colposcopic features of microinvasive and invasive lesions with pictorial representations 3. Colposcopic features of glandular lesions |
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| Preventing errors in Colposcopy | 1. Limitations of colposcopy 2. Quality assurance |
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| Treatment of cervical pre-cancers by ablative methods | 1. Priniciples of tretament of CIN 2. Modalities for the treatment of pre-malignant conditions of cervix: ablative & excisional methods 3. Discuss ablative methods in detail including thermoablation and cryotherapy: indications, eligibility, procedure, complications, follow up, advantages and limitations etc. |
|
| Treatment of cervical pre-cancers by excisional methods | 1. Excisional methods for pre-cancerous lesion of cervix 2. Detailed procedure of LLETZ/ LEEP: video of the procedure, indications, types, procedure, complications and follow up, advantages and limitations 3. Cold knife conization: video of the procedure, indications, types, procedure, complications and follow up, advantages and limitations 4. Why not to do hysterectomy 5. IFCPC terminology of cervix addendum: excision treatment |
|
| A brief overview of management of cervical cancer | 1. Priniciples of tretament of cervical cancer (why is surgery the primary mode of treatment, why is radiology the primary mode of treatment, why go for post operative radio therapy) 2. FIGO Staging of cervical cancer and treatment based on this staging 3. Why and when should staging be done 4. Principles of different types surgical treatment of cervical cancer 5. Stagewise treatment modalities of cervical cancer (radio, chemotherapy) 6. Post treatment follow up |
|
| HPV Vaccines: Principles, efficacy & safety | 1. Association of HPV with cervical cancer 2. Mechansim of action of HPV vaccines 3. Types of HPV vaccines available in India and other countries 4. HPV vaccine dosage, efficacy, safety, beneficiaries of HPV vaccine, various trials in India and other countries (importanat ones), learnings, herd immunity, impact of HPV vaccination etc. 5. Screening of vaccinated population |
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| Case scenarios | 1. Discuss different case scenarios, challenges, difficult cases etc. 2) Screening in special situations: pregnancy, HIV patients, vaccinated individuals, post-menopausal indviduals etc. | |
| Breast cancer screening in India | 1. Burden of breast cancer 2. Risk factors, causes and signs and symptoms of breast cancer 3. Screening methods 4. Operational guidelines of MoHFW, India for breast cancer screening 5. Role of follow up and referral in reducing the burden of cancer |
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| Management of benign and malignant breast lesions | 1. Triple assessment 2. Types of benign lesions of breast 3. Confirmation of diagnosis 4. Conservative treatment 5. Role of surgery 6. Staging of breast cancer 7. Stage-wise treatment of breast cancer 8. Screening mammography and diagnostic mammography |