Pre Course Preparation

Also see:
Course Outline.
Course of 5 Programme.
Guidelines for Course of 5 Delegates.
Pre Course Preparation.
Checklist for C5 Delegates.

Very friendly teaching experience “Have fun while you learn” seemed to be the motto very useful
thank you .

If this is done there is no reason why you should not pass all of your assessments. The assessments in each session are explicit. There are no trick questions! Theoretical knowledge from the e-SRH will be assumed.

The requirement for active participation is explicit. If you are unable or unwilling to participate actively in the discussions you will not complete the assessments. If more than 2 assessments are not completed by the end of the course of 5, then you will be required to resit the entire course of 5.

Session 1 – Taking a Sexual History and HIV pre test discussion and testing

Aims and objectives

  • The session is intended to build on the theoretical knowledge from the e-SRH (elearning) modules.
  • You will be able to apply your knowledge of risk assessment, sexual history taking and HIV testing to clinical scenarios in a supportive learning environment, in preparation for your clinical work.
  • There will be opportunities to ask questions that may have arisen from the e-SRH.

Assessment

‘Has actively and appropriately participated in a workshop discussion on HIV testing and screening.’

Pre course information

This session will give an opportunity to apply knowledge from the e-SRH to clinical scenarios in a supportive learning environment.

The following modules or sessions will be particularly relevant to this session:

  • Risk assessment and sexual behaviour
  • Testing for HIV and Blood borne viruses
  • Partner notification
  • Understanding the Client’s Perspective.

You will be expected to be familiar with the components of sexual history taking, and be ready to describe what is required for a pre-HIV test discussion.

Session 2 – STI Screening and Testing and Teaching the use of Condoms

Aims and objectives

  • The session is intended to build on theoretical knowledge from the e-SRH modules.
  • This is an opportunity to review how to assess and test appropriately for asymptomatic STI screening and investigate common presentations of STI and non-STI genital symptoms.
  • You will be able to apply your knowledge of testing for STIs and demonstrate your ability to take the appropriate samples on male and female models. This will be assessed during the session.
  • A summary of any local variations in sample taking practice will be provided.
  • There will be an opportunity to ask questions that may have arisen from the e-SRH.
  • There will be an opportunity to review and demonstrate some of the advantages and limitations of condoms as contraceptives and STI barriers.
  • Your ability to teach the use of male condoms will be assessed, and you will be expected to know how female condoms are used.

Assessments

‘Is able to demonstrate how to perform common investigations for sexually transmitted infections on male and female models.’

‘Is able to demonstrate how to teach the use of male condoms.’

Pre course information to delegates

The following e-SRH modules or sessions will be particularly relevant to this session:

  • Testing for sexually transmitted and genital infections
  • Problem based approach to STI testing
  • Starting and using barrier contraceptives.

You will be expected to demonstrate how and when to perform common investigations for sexually transmitted infections on male and female models. This will be assessed. You will be expected to demonstrate how you would teach the use of male condoms using a model. This will be assessed. You should be able to demonstrate the use of a female condom.

Session 3 – Practical Aspects of Contraception

Aims and objectives

  • The session is intended to build on the theoretical knowledge from the e-SRH.
  • There will be opportunities to ask questions that may have arisen from the e-SRH.
  • To review and assess practical aspects of diaphragm use.
  • To demonstrate and assess the ability to fit and remove a sub dermal implant in a model arm.
  • To be able to see and handle commonly used contraceptive methods.

Assessments

‘Is able to have an informed discussion on the assessment and management of women choosing barrier methods of contraception and the principles of fitting these methods.’

‘Is able to demonstrate the insertion and removal techniques for a currently marketed implant on a model arm.’

Pre course information to delegates

You should be prepared to describe how you might explain to a woman how to insert a diaphragm and give advice regarding its ongoing use.

You should also be knowledgeable on the theory of how to insert caps and diaphragms and be:

  • Aware of different types and sizes of diaphragms and caps
  • Aware of pelvic assessment regarding size, musculature and anatomy
  • Able to demonstrate how to insert the device and then check placement in a model
  • Able to describe how to assess the fit of a diaphragm
  • Able to remove the device
  • Able to give clear instructions to a women regarding device use and spermicideapplication.

You should have reviewed the e-SRH additional training in sub-dermal contraceptive implants (SDI) module on implant removal and insertion, as you will have an opportunity to do this on a model arm.

Session 4 – Young people; Consent, Confidentiality, Fraser Guidelines and Safeguarding children

Aims and objectives

  • The session is intended to build on the theoretical knowledge from the e-SRH elearning.
  • This session will prepare you for working with young people who require sexual health advice and treatment, including under 16s. Topics to be covered include Consent, Confidentiality, Fraser Guidelines and Safeguarding children.
  • There will be opportunities to ask questions that may have arisen from the e-SRH.

Assessment

‘Is able to demonstrate that they can apply the principles of confidentiality, Fraser Guidelines, consent and safeguarding children in clinical scenarios.’

Pre course information to delegates

The purpose of this session is to prepare you for working with young people who require sexual health advice and treatment, including under-16s. To gain the maximum benefit from this session, you will be expected to have done some pre-course preparation (see below for each station) and to have considered the issues listed.

The following e-SRH sessions will be particularly relevant to this session:

  • Working with Young People
  • Choosing and using a method – Young People
  • The law relating to sexual activity
  • Confidentiality, Consent and Chaperones

There will be an opportunity to address any questions you may have on these topics from the e-SRH.

5 Stations of 12 minutes each.

Station 1: Confidentiality
Ensure that you understand what is meant by confidentiality for clerical and medical/nursing staff working with young people.

Think about how you would answer a 14 year olds question ‘Is everything I say confidential?’

Station 2: Fraser Guidelines
You should understand what the Fraser Guidelines are and be able to list the 5 criteria if asked.

Station 3: Consent
You should understand the principles involved in obtaining valid consent to examination / treatment from under 16s. Where could you seek further advice?

Station 4: Safeguarding children
Find out what the steps for referral of a Safeguarding Children case to social services or the police would be in your current place of work in the event of a disclosure by a young person.

Know the law in relation to sexually active under 16s and under 13s.

Station 5
In Station 5 you will be observing a consultation with a young person. You will then be asked to make Fraser Competency and Safeguarding Children assessments.
Assessment will be based on your contributions to discussions at stations 1 – 4 and your performance at the final assessment station 5.

Useful resources:
FSRH Guidance: Contraceptive Choices for Young People, October 2004
http://www.fsrh.org/admin/uploads/YoungPeople.pdf
General Medical Council publication: 0-18 years: guidance for all doctors.
http://www.gmc-uk.org/guidance/ethical_guidance/children_guidance_index.asp
Department of Health: Best practice guidance for doctors and other health professionals on
the provision of advice and treatment to young people under 16 on contraception, sexual and
reproductive health. July 2004. –
http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/publicationspolicyandguidanc
e/DH_4086960

Session 5 – Managing Sensitive Scenarios

Aims and objectives

  • The e-SRH will have provided the theoretical knowledge necessary to be able to manage sensitive sexual health scenarios, but sometimes it is difficult to know exactly how to phrase questions to elicit the information needed and to provide the information required. This session will provide an opportunity to consider how such a scenario might be approached.
  • This is also an opportunity to consider how a non-judgemental attitude might be conveyed.
  • The scenarios will also be an opportunity to explore personal reactions to issues that some find ethically or morally difficult, before confronting them in clinical practice.

Assessments

‘Has actively and appropriately participated in a discussion on responding to someone presenting with a psycho sexual problem.’

‘Has actively and appropriately participated in a discussion on responding to to a woman presenting with an unwanted pregnancy.’

‘Has actively and appropriately participated in a discussion of the management of men and women who request sterilisation.’

Pre course information to delegates

The following e-SRH modules and sessions will be particularly relevant to this session:

  • Understanding the Client’s Perspective
  • Confidentiality, Consent and Chaperones
  • Early Pregnancy Assessment and Referral
  • Psychosexual Medicine
  • Assessment & referral for sterilisation.

You will be expected to take an active part in the case discussions, and be able to discuss the following:

  • Male and female sterilisation techniques, safety, failure rates.
  • Medical and surgical abortion methods available locally, and their availability in relation to gestation. (You should be aware that laws on abortion differ across the UK. Each course will refer specifically to the legal requirements pertaining locally, but those in NI will be expected to be familiar with what is available in mainland UK.)

If you have conscientious objections to some aspects of sexual and reproductive health care then please refer to Form DFSRH/I on the Faculty website.

Also see:
Course Outline.
Course of 5 Programme.
Guidelines for Course of 5 Delegates.
Pre Course Preparation.
Checklist for C5 Delegates.