HomeAbout UsHealth Care ProfessionalInformation for WomenArchivesContact Us
Health Care Professional
  Training
  Membership
  Accredited Colposcopists
  Accredited smear Takers
  Guidelines
  Interesting Cases
 Home > Health Care Professional > Training

Training

A.  How to become a smear taker?

B.  How to become a colposcopist?

C.  How to become a colposcopist trainer?

 

 

A.   How to become a smear taker?

 

a)    Smear Taker Training and Accreditation:

 

Smear Takers Accreditation Training Programme

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 HK$ 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

yz: yz: download.png

Smear Takers Training Logbook

Front page

yz: yz: download.png

 

Logsheet

yz: yz: download.png

 

 

 

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 HK$ 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

yz: yz: download.png

Logbook

Front Page:

yz: yz: download.png

Log Sheet

yz: yz: download.png

 

 

 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.

 

 

 

B.   How to become a colposcopist?

 

a)    Colposcopist Training and Accreditation

 

Specialist Colposcopist Training programme

The training programme is a trainer-led competency based structured theoretical and practical programme that involves all of the followings:

1.  50 new cases under direct supervision with at least 15 with high grade neoplasia and 5 non-cervical lesions including vulval lesions.

2.  100 new cases under indirect supervision with at least 30 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.  The first will be done during the first 25 cases as interim assessment and the second near the end of the first 50 cases as assessment of competence before proceeding to performing colposcopy under indirect 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 trainees capability to perform diagnostic colposcopy and LLETZ.  More OSATS may be required until the trainee can perform these independently.

8.  Attend at least one basic colposcopy course AND at least one clinic-pathological conference on cervical / lower genital tract pathology AND 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.

 

The maximum duration of training is 36 months.

 

Assessment

1.    Logbook:

All colposcopic examinations have to be logged in the logbook and verified by a trainer and assessed by an assessor.  A sample of at least 10% of individual submissions will be referred to a second and independent assessor in order to facilitate an audit of quality.

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 at least one basic colposcopy course, at least one clinic-pathological conference on cervical / lower genital tract pathology and one laboratory visit or video virtual tour.

 

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.

 

Application Procedure:

To be accredited as a colposcopist, the applicant should

1.      Fellow or Member or registered trainee of the Hong Kong College of Obstetricians & Gynaecologists

2.      Submit the Specialists Colposcopist Training Logbook, relevant evaluation forms and evidence of attendance of above mentioned course and conference.

3.      Pay HK$2400 assessment fee

 

 

Downloadable forms:

 

Colposcopist Training Programme

yz: yz: download.png

Colposcopist Training Logbook

yz: yz: download.png

CEX, CBD, OSATS forms

yz: yz: download.png

 

 

 

b)    Reaccreditation

 

Reaccreditation Cycle

1.  3 yearly

2.  For those who become a specialist colposcopist through training or reinstatement within the first two years of a reaccreditation cycle, they should join the reaccreditation exercise right after the date of accreditation and reinstatement respectively.

 

Reaccreditation Criteria

The basic requirements include performing or directly supervising 150 colposcopy examinations and obtaining six CME points related to lower genital tract cancer screening and management.

1.   150 Colposcopy examinations

-    The indications of the colposcopy examinations should follow that of the College guideline on the management of an abnormal cytology.

-    For colposcopists who can provide evidences that he/she has performed ≥25 colposcopy examinations or directly supervise ≥ 25 colposcopy examinations within a 6-month period within the time frame of a 3-year reaccreditation cycle, further logging is not required.

-    For those who have perform ≥25 but < 150 colposcopy examinations within the 3-year reaccreditation cycle, the short-falls could be made up by attending refresher courses organized by the Hong Kong Society for Colposcopy and Cervical Pathology (HKSCCP).

 i)        Attendance of one refresher course is equivalent to performing 25 colposcopic examinations.

 ii)        For those who pass the assessment test conducted after the refresher course, an equivalent of 10 colposcopy examinations would be awarded.

-      For those who perform <25 colposcopy examinations within 3 years, they would not be reaccredited.

2.    Six CME points

-    Two CME points would be given for attending each refresher course. The two CME points would not be awarded if the applicant chooses to claim an equivalent of 25 colposcopy examinations for attending the refresher course.

-        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.

-        Attendance certificate is needed to support the claim.

 

Application Procedure

1.  Submit an application form with the 6-month time period starting 3 months before and 3 months after the last day of each reaccreditation cycle.

2.  Pay a reaccreditation fee that is currently set at HK$ 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 patients 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 5 case records randomly picked by the College to verify their submitted data.

-    The College may ask for more than 5 case records if deemed necessary.

 

Downloadable forms

Regulations for reaccreditation

yz: yz: download.png

Application form

yz: yz: download.png

Audit form

yz: yz: download.png

 

 

 

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.  Obtain two CME points related to lower genital tract cancer screening and management and perform 50 colposcopy examinations within a 12-month period. This 12-month period should commence after the date they have been notified of their failure to get reaccredited.

2.  Submit an application form.

3.  Submit the 50 colposcopy examination records and the related pathology reports.

4.  Pay an application fee that is currently set at HK$ 500

 

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 restatement

yz: yz: download.png

Application form

Not available yet

 

 

 

C.    How to become a colposcopist trainer?

 

 

Accreditation criteria

For specialist colposcopists that have not been accredited as a trainer in the grandfathering exercise, they could become a trainer through the following steps:

1.  Perform ≥200 colposcopy examinations and ≥ 20 LEEP within the recent 4 years and 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.

2.  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.

3.  The colposcopy subcommittee would process the nomination and make recommendation to the Council.

4.  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 the training in the colposcopy centre.

5.  Trainer status could also be reactivated when the specialist colposcopist get reinstated and is nominated by a lead clinician of the accredited colposcopy centre.

 

Downloadable forms:

Guidelines for accreditation of trainer status

yz: yz: download.png

Application form

yz: yz: download.png

 

 

© 2017 The Hong Kong Society for Colposcopy and Cervical Pathology