Pre-invasive disease of the lower genital tract
Provided by Royal College of Obstetricians and Gynaecologists
About the course
This course is part of the RCOG Core Knowledge series.
Pre-invasive disease of the female lower genital tract encompasses a spectrum of intraepithelial neoplasia of the cervix, vulva and vagina. These changes are referred to as cervical, vulval and vaginal intraepithelial neoplasia (CIN, VIN and VAIN, respectively).
When you have completed this course you will be able to:
- describe the basic anatomy and histology of the cervix
- explain the concept of pre-invasive disease
- describe basic knowledge of the biology of human papillomavirus
- relate the role of human papillomavirus testing in the management of CIN
- recognise the benefit of screening for pre-invasive disease
- recall the treatment options for pre-invasive disease
- identify the benefits and limitations of immunisation against human papillomavirus disease
The content of this course relates to the following Capabilities in Practice (CiPs) and key skills:
CiP 1: Clinical skills and patient care
Relevant to all key skills
CiP 2: Working in health organisations
Understands ethical principles
CiP 3: Leadership
Effective use of resources
CiP 5: Human factors
Demonstrates insight into decision making
Understands systems and organisational factors
CiP 6: Developing self & others
Commits to continued learning
Promotes excellence
Performance management
CiP 8: Educator
Interprofessional learning
CiP 9: Emergency gynaecology and early pregnancy
Manages non-pregnancy vaginal bleeding
Manages complications of treatment
CiP 11: Non-emergency gynaecology and early pregnancy
Manages abnormal vaginal bleeding
Manages pelvic and vulval bleeding
Manages the abnormal cervical smear
Manages suspected cancer symptoms
Manages vulval symptoms
Manages sexual wellbeing
CiP 13: Non-discrimination and inclusion
Promotes non-discriminatory practice
Understands cultural determinants of health
CiP 14: Health promotion
Relevant to all key skills
Further details about each CiP can be found within the O&G Core Curriculum 2024 Definitive Document, available here .
National Institute of Clinical Excellence. Guidance on the Use of Liquid-Based Cytology for Cervical Screening. Technology Appraisal 69. NICE; 2003.
Royal College of Obstetricians and Gynaecologists. Progress in Cervical Screening in the UK. Scientific Impact Paper No. 7. London: RCOG; 2016.
Public Health England. Guidance: Cervical Screening. Programme and Colposcopy Management. London: PHE, 2021 [Accessed September 2022].
Morrison J, Baldwin P, Buckley L, Cogswell L, Edey K, Faruqi A et al. British Gynaecological Cancer Society (BGCS) Vulval Cancer Guidelines: Recommendations for Practice. May 2020. [Accessed October 2023] .
Gurumurthy M, Peevor R, Fiander A. Human papillomavirus update (including vaccination). Obstet Gynae Repod Med 2013;23:231–7.
Product Details: Product Name Price Pre-invasive disease of the lower genital tract - 12 Month Access £50.40 Login to purchase
| Product Name | Price | |
| Pre-invasive disease of the lower genital tract - 12 Month Access | £50.40 | Login to purchase |
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