| Session No. | Date | Title | Learning Objectives | Expert |
|---|---|---|---|---|
| Pre-training & pre-module 1 evaluation quiz (sent through email, open until May 28, 3 pm) | To assess the current attitudes & practice with regard to cancer screening & the current knowledge level with regard to cervical cancer screening, prevalent among the Gynaecologists. | |||
| Orientation | To orient the participants regarding the usage of Zoom and etiquettes of ECHO sessions. | |||
| MODULE 1: CERVICAL CANCER SCREENING | ||||
| Epidemiology, Natural History and Pathogenesis of Cervical Neoplasia | 1) Pathogenesis of cervical cancer 2) Epidemiology of cervical neoplasia: prevalence, incidence, mortality etc. |
Dr. Roopa Hariprasad, Scientist ‘E’, NICPR, Noida | ||
| Introduction to cervical cancer screening and various screening tests | 1) Introduction to cervical cancer screening tests – VIA, Pap smear and HPV testing 2) Discuss the specificity and sensitivity of each test 3) Advantages and limitations of each test Molecular testing platforms for HPV 1. Various methods/platforms for detection of HPV infection 2. FDA-approved commercially available methods for the detection of HPV: advantages and limitations of each 3. HPV DNA testing methods approved for primary screening test |
Dr. Kavitha Dhanasekaran & Dr. Ruchika Gupta, NICPR, Noida | ||
| 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 |
Dr. Roopa Hariprasad, Scientist ‘E’, NICPR, Noida | ||
| Management of women positive on cervical cancer screening tests | 1) When to refer a VIA, Pap and HPV positive patients to higher facility 2) Screen-and-treat strategy and eligiblity (where colposcope available) 3) See-and-treat strategy |
Dr. Sumita Mehta, Sr. Specialist, Babu Jagjjeevan Ram Hospital, New Delhi |
||
| 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 |
Dr Bharti Abhyankar | ||
| 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 |
Dr. Saritha Shamsunder, Senior Specialist in Obstetrics & Gynaecology, Vardhmaan Mahaveer Medical College & Safdarjung Hospital, New Delhi |
||
| 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 |
Dr. Seema Singhal, Associate Professor, AIIMS, New Delhi | ||
| Preventing errors in Colposcopy | 1) Limitations of colposcopy 2) Quality assurance |
Dr. Partha Basu, Group Head, Screening Group, International Agency for Research on Cancer World Health Organization, Lyon, France |
||
| 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. |
Dr. Roopa/Dr. Kavitha, NICPR Noida | ||
| 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 |
Dr. Amita Suneja, Associate Professor, AIIMS, New Delhi |
||
| 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 |
Dr. Nikhil Parwate | ||
| 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 |
Dr. Latha Subramaniam, Gynecologist, GKNMH, Chennai, Tamil Nadu |
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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. |
Dr. Roopa/Dr. Kavitha NICPR Noida | ||
| Post-module 1 evaluation quiz (sent through email, open until Aug 27, 3 pm) | To assess the knowledge level of gynaecologists with regard to cervical cancer screening after the training | |||
| Pre-module 2 evaluation quiz (sent through email, open until Aug 27, 3 pm) | To assess the current knowledge level of gynaecologists with regard to breast cancer screening. | |||
| MODULE 2: BREAST CANCER SCREENING | ||||
| 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 |
Dr. Anurag Shrivastava, Prof & Head, Dept of Surgery, AIIMS, New Delhi |
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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 mammographyTo assess the knowledge level of gynaecologists with regard to breast cancer screening after the training module. |
Dr. Piyush Ranjan, Assc. Prof, AIIMS, New Delhi |
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| Post-module 2 & post-training evaluation quiz (sent through email, open until Sept 10, 3 pm) | To assess the knowledge level of gynaecologists with regard to breast cancer screening & their attitudes & practice with regard to cancer screening, after the training module. | |||
