Urodynamic investigations are an essential component in the management of women who present with lower urinary tract symptoms. This module is designed to equip individuals with the knowledge and skills required to undertake urodynamic investigations within the correct clinical context. Once the module is successfully completed a clinician should be able to;

1.     Undertake an appropriate urogynaecological clinical evaluation.

2.     Perform all relevant urodynamic investigations.

3.     Establish a diagnosis and formulate a treatment plan.

4.     Effectively communicate the information required to both the patient and colleagues

ENTRY CRITERIA

1.     The trainee must have passed the MRCPI in Obstetrics and Gynaecology.

2.     The trainee must be a member of the Institute of Obstetricians and Gynaecologists

TRAINING PROGRAMME

1.     Training should be undertaken under the supervision of a named preceptor for one year. The preceptor must be competent in undertaking urodynamic investigations and supervise at least one urodynamic session a week. The preceptor must undertake direct supervision of the trainee for the bulk of the module. The trainee may undertake a limited number of sessions under the supervision of professionals other than the preceptor. In these circumstances, it is the preceptor's duty to ensure that the profession to whom the duty of training is delegated is sufficiently confident to train the trainee. 

2.     The trainee should obtain an application form for the Advanced Practice Module from the administrator of the Institute of Obstetricians and Gynaecologists. It should be signed by the nominated of preceptor and the head of the Department indicating that both agreement for the trainee to undertake the module.

3.     The trainee should attend a theoretical course that provides the essential knowledge component of training for this module. Ideally this should be the aerodynamics course run by the Institute of Urology in Bristol. It would be expected that the trainee supplement the knowledge provided on this course by reading the appropriate textbooks and current literature. The theoretical course should be undertaken during the years training module.

4.     The trainee must attend a minimum of 30 urodynamic clinics and the attendance documented in the appropriate section of the logbook.

5.     The trainee must write up 10 reference case reports of interesting patients, covering a range of different conditions.  These should include details of the patient's assessment and diagnosis and a critical review of the urodynamic traces.  Each of these case reports should be not more than a thousand words.

ASSESSMENT

On completion of the logbook it should be submitted to the Institute of Obstetricians and Gynaecologists for independent assessment.  Provided it is assessed as satisfactory a certificate of competence will be awarded by the Institute.

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