Gynecology Oncology

Program Description:

Along with the progress in obstetrics and gynecology in Iranian universities, and their scientific development in this field, establishment and expansion of fellowship courses such as gynecology oncology have been attended to since 1990s.Therefore, it was  essential to revise this fellowship curriculum along with the curriculum of the original discipline. To this end, a committee titled "the compilation committee of the curriculum and standards of clinical gynecology oncology fellowship" was formed, and reviewed the current curricula in local universities and examined curricula of the selected foreign universities, revised and compiled the curriculum of gynecology oncology fellowship. This revision is the first step toward upgrading the educational quality of this course as well as developing new educational centers in the country's major universities which do not have this fellowship. Given the history of implementing this program, it is hoped that this course is continued as a subspecialty after revision. 

Definition

Gynecology oncology fellowship is a branch of the specialized field of obstetrics and gynecology, engaging in the fields of management, consultation, screening, prevention, diagnosis, treatment, followup, education, and research of female genital tract cancers. A gynecologist-oncologist is a physician who has graduated in the specialized field of obstetrics and gynecology, and then passed the gynecology oncology fellowship, and offers the above services to the society.

Expected Competencies at the End of the Program

General Competencies*

Specific Competencies and Skills

Procedural Skills (Diagnostic-Therapeutic Measures):

Colposcopy of the vulva, vagina and cervix                                                   

Acetic acid, toluidine blue, and Lugol's solution staining                                     

Hysteroscopy                                                                                

Cystoscopy                                                                              

Proctosigmoidoscopy                                                                      

Direct cervical biopsy, endocervical curettage, cone biopsy and LEEP                 

Vulvar and vaginal biopsy                                                                             

Endometrial biopsy, dilation and curettage                                                      

Inguinal and pelvic lymph node biopsy, and open para-aortic lymph node biopsy          

Vaginal hysterectomy                                                                        

Abdominal hysterectomy                                                                       

Radical hysterectomy                                                                        

Using diagnostic laparoscopy related to gynecologic oncology  

Laparoscopic salpingo-oophorectomy                      

Inguinal - femoral - pelvic and para-aortic lymphadenectomy                                       

Simple and radical vaginectomy 

Different types of vulvectomy as a surgeon or assistant surgeon                                                                                                                                    

Omentectomy                                                                                  

Laser therapy of vulvar and cervical lesions                                                          

Small intestinal resection and anastomosis                                                   

Repair of uncomplicated vesicovaginal, recto-vaginal, and ileovaginal fistulas              

Partial cystectomy                                                                         

Cystostomy                                                                                 

Incisional hernias                                                                          

Placement of CVP catheter and/or observing the procedure   

BLS (CPR, ALS) and/or observing the procedure