A trainer-led competency based structured theoretical
and practical programme
1.No less than 10 hours of lectures on Pap smear related topics approved by
the HKSCCP
2.Taking
of 20 smears under direct supervision
3.Taking
of 30 smears under indirect supervision
4. Completion of
the logbook detailing clients seen consecutively during the training period.
5. Has assessment on clinical
and communication skills of trainee.
6.The maximum duration of training is 9 months.
Reaccreditation
required every 3 years
Application
for smear takers accreditation:
To
be accredited as a smear taker, the applicant should
1.Be holder of nursing or medical qualification recognized by
the Hong Kong Nursing Board or the Hong Kong Medical Council respectively.
2.A
member of HKSCCP
3.Pay
HKD 300.00 assessment fee
4.Submit a log book on
clients seen during training and certified by a trainer
5.Submit a certificate of
completion of training on a training programme that fulfills the minimum
Downloadable
forms:
Smear Takers Training Programme
Smear Takers Training Logbook
Front page
Logsheet
b)Reaccreditation
Reaccreditation
Criteria:
To be
re-accredited as a smear taker, the applicant should:
1.Previously be
an accredited smear taker from HKSCCP (within 5 years from the first
accreditation or re-accreditation)
2.Be
a current member of HKSCCP
3.Be
a holder of the current annual practicing certificate recognized by the Hong
Kong Nursing Board or the Hong Kong Medical Council respectively. (Please
provide documents of proof)
4.Submit
a logbook consisting of 50 consecutive cases done within 3 years. (The
identities of the subjects should be kept confidential.) Smear Takers may be
requested to submit more detail if required.
5.Have
the logbook signed by the medical practitioner supervising the cervical cancer
screening service.
6.Submit
evidence of attending continuous training equivalent to 2 CNE/CME points on
cervical screening, cytology or colposcopy within 3 years
7.Pay
the HKD 100 assessment fee (The assessment is not refundable even if the
re-accreditation fails.)
The re-accreditation lasts for 3 years.
Downloadable forms:
Reaccreditation
Guidelines
Logbook
Front Page:
Log Sheet
c)Re-instatement of smear
taker Status
Re-instatement criteria and
Application Procedure
For those who do not get reaccredited,
they can have their smear taker status reinstated after meeting all of the
following criteria:
1. Be a current
member of HKSCCP.
2. Be a holder of a nursing or medical
qualification recognized by the Hong Kong Nursing Board or the Hong Kong
Medical Council respectively.
3. Obtain one CNE/CME points
related to cervical screening, cytology or colposcopy and perform 20 smear
taking within a 12-month period. This 12-month period should commence
after the date they have been notified of their failure to get reaccredited.
4. Submit an
application letter.
5. Submit a logbook consisting
of 20 consecutive cases done within 1 year (the identities of the subjects
should be kept confidential). Smear takers may be requested to submit
more details if required. The logbook should be signed by the medical
practitioner supervising the cervical cancer screening service.
6.
Pay an application fee of HK$ 200.
A
certificate of re-accreditation would be awarded after the reinstatement.
The training programme is a trainer-led competency based
structured theoretical and practical programme that involves all of the
followings:
1.Examine at least 50 cases under direct supervision,
including at least 20 with new indications for colposcopy, at least 10 with
high grade neoplasia, 5 non-cervical lesions including vulval lesions.
2.Examine at least 100 cases under indirect supervision,
including at least 30 with new indications for colposcopy, at least 20 with
high grade neoplasia, and 10 non-cervical lesions including vulval lesions.
3.Treat at least 20 cervical neoplasia under supervision.
4.Completion of the log book composing of all patients
seen during the training period in consecutive sequence.
5.Completion of at least 2 Clinical Evaluation Exercises
(CEX) while the trainee is under direct supervision.
6.Completion of at least 5 Case-Based Discussions (CBD)
during indirect supervision.
7.Completion of at least one each Objective Structured
Assessment of Technical Skills (OSATS) to assess the trainee¡¦s capability to
perform diagnostic colposcopy and LLETZ. More OSATS may be required until
the trainee can perform these independently.
8.All trainees should be supervised by accredited
colposcopy trainers. Any colposcopy examinations not supervised by an
accredited colposcopy trainer will not be counted in the logbook.
9.Attend (i) at least one basic colposcopy course, (ii) at
least one colposcopy CME-accredited clinical-pathological conference on
cervical / lower genital tract pathology, and (iii) one laboratory visit or
video virtual tour. The video virtual tour can be included in the basic
colposcopy workshop run by the HKSCCP. The trainee should be aware of the
practical problems of how specimens are processed and the day to day workings
of the laboratory.
10. Attend at least one refresher course with a pass of
the quiz during the 3-year training period. Certificate of attendance and
pass of the quiz is required.
The maximum duration of training is 36 months.
Application of accreditation should be made within 3 years of completion of
training. Accreditation can only be granted to specialists in O&G.
Assessment
1.Logbook: All colposcopic
examinations have to be logged in the logbook and verified by a trainer and
assessed by an assessor.
2.Submission
of completed forms for at least 2 CEXs, 5 CBDs, 1 OSATS for diagnostic
colposcopy and 1 OSATS for LLETZ.
3.Evidence
of attendance of (i) at least one basic colposcopy course, (ii) at least one
clinical-pathological conference on cervical / lower genital tract pathology
(CME accredited) and (iii) one laboratory visit or video virtual tour.
4. Evidence of
attendance and pass of quiz of at least one refresher course.
Certificate
of training
will be issued jointly by the HKSCCP and the HKCOG upon satisfactory completion
of the training and attaining the status of FHKAM(O&G).
A
fee of HKD 2400 for assessment should accompany the application.
Downloadable
forms:
Colposcopist
Training Programme
Application
Form
Colposcopist
Training Logbook
CEX,
CBD & OSATS forms
b)Reaccreditation
Reaccreditation Cycle
1.3 yearly
2.For those who
become a specialist colposcopists through training or reinstatement in the
middle of a reaccreditation cycle, they should join the reaccreditation
exercise right after the date of accreditation and reinstatement, respectively,
and have to apply for reaccreditation according to the cycle schedule
stipulated by the HKCOG.
Reaccreditation Criteria
The basic requirements include
performing or directly supervising 50 colposcopy examinations and obtaining six
CME points related to lower genital tract cancer screening and management.
1.50 Colposcopy examinations
-The indications of the
colposcopy examinations should follow that of the College guideline on the
management of an abnormal cytology.
-The audit record of all 50
colposcopy or more examinations need to be submitted.
-For those who
have performed or directly supervised <50 colposcopy examinations within the
3 years, they would not be reaccredited.
2.Six CME points
-The 6 CME
points should include at least one refresher course or clinic-pathological
conference.
-Applicants
could apply to the CME Committee for CME points for attending meetings related to lower genital tract
cancer screening and management outside Hong Kong.
This should be done before the said meeting. Retrospective recognition might be
considered in special circumstances.
-CME
record or attendance certificate should be submitted at the time of
reaccreditation.
Application Procedure
1.Submit an application form
and relevant documents 3 months before till 1 month after the last day of
current reaccreditation cycle. For example, to get reaccreditation for the
cycle of Jan 2024 - Dec 2026, applicants need to submit the relevant information
in the cycle of 1 Jan 2021 - 31 Dec 2023, from 1 Oct 2023 till 31 Jan 2024.
2.Pay a reaccreditation fee that is
currently set at HKD 200.
3.Provide evidence that they have met
the reaccreditation criteria:
-Accredited
specialist colposcopists in private practice are required to submit their audit
data on colposcopy activities using the audit form downloadable from the
College website.
-Instead of using the name
and ID to identify individual cases, the initials of the patient¡¦s name
together with the first 4 number of the ID should be entered into the Name and
ID filed in the data entry form.
-For those
working in HA and their colposcopy audit data are captured by the Clinical
Management System (CMS), they can submit the colposcopy service audit report
generated by the CMS.
-Applicants need not submit
the colposcopy records, cytology and pathology reports at the time they submit
the application form. But each applicant may be asked to submit records by the
College to verify their submitted data.
4.Those who cannot submit the required
documents and fee before the deadline would not be considered.
Downloadable forms
Regulations
for Reaccreditation
Application
Form
Audit
Form
c)Re-instatement of
specialist colposcopist Status
Re-instatement criteria and
Application Procedure
For those who do not get reaccredited,
they could get their specialist colposcopist status reinstated after meeting
the following criteria:
1.Perform 50 colposcopy
examinations within a continuous 24-month period. This consecutive
24-month period can be completed any time within 3 months before application
for reinstatement. For example, a person fails to get reaccreditation in
the cycle of Jan 2018 - Dec 2020 but he/she
has performed 25 colposcopy examination in Jan -
Dec 2020. If he/she is able to perform 25 colposcopy examinations in Jan - Jun 2021, he/she can apply for reinstatement
anytime from Jul - Sep 2021 for the
reaccreditation cycle of Jan 2021 - Dec 2023.
2.Obtain four CME points
related to lower genital tract cancer screening and management, including at
least one refresher course or clinic-pathological conference, within a
continuous 24-month period.
3.Submit an application form.
4.Submit the 50 colposcopy examination
records and the related pathology reports, or record generated from the CMS
from HA units
4.Pay an application fee that is
currently set at HKD 500
5. A certificate of
accreditation would be awarded after the reinstatement but the duration of
accreditation would be less than 3 years and ends with the ongoing
reaccreditation cycle to synchronize the reaccreditation cycle with others.
Downloadable forms:
Guidelines for Re-instatement of Specialist
Colposcopist Status
1.specialist colposcopists
they could become a trainer through the following steps (see CO-5):
- Perform at least 50 colposcopy
examinations and at least 10 treatments under local anaesthesia in the last 12
months continuously.
-have their experience
endorsed by the lead clinician of the accredited colposcopy centre.
Colposcopy examinations performed during the training for specialist
colposcopist could also be included in the counting.
-besides adequate clinical
experience, a nomination by the lead clinician of the accredited colposcopy
centre is needed since training can only be conducted in accredited colposcopy
centre.
2.The Colposcopy Accreditation
Subcommittee would process the nomination and make recommendation to the
Council.
3.Trainer status would be lost if the
specialist colposcopist fails to get reaccredited or the lead clinician reports
to the College that the specialist no longer participates in training in the
colposcopy centre.
4.Trainer status could also be
reactivated when the specialist colposcopist get reinstated and is nominated by
a lead clinician of the accredited colposcopy centre.
