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2010/1 Module Catalogue
Module Provider: Postgraduate Medical School Short Name: PGMSGEM02
Level: M Module Co-ordinator: BALLARD K Dr (PGMS)
Number of credits: 15 Number of ECTS credits: 7.5
Module Availability

One and a half days of contact. Clinical supervision for normally three hours per week over three months. Self directed learning.

Assessment Pattern

The critical reflective portfolio contains:


  • A case book of specified clinical procedures undertaken and assessed as competent


  • A 1,000 words summary of the ‘cases’ undertaken


  • A 2,000 words critical reflection on the clinical experience


A log book of all clinical procedures undertaken during the clinical training programme
Module Overview

Much gynaecological endoscopy centres around the diagnosis and management of adnexal disease, including ovarian pathology, tubal pathology and adhesive disease.  This module considers the pathophysiology of different adnexal diseases and the appropriate diagnostic tests and management strategies for dealing with these.  In addition students will develop advanced surgical skills necessary for the treatment of adnexal disease. They will also consider the management of ectopic pregnancy and the evidence base underpinning this.

Module Aims

By the end of the module students will be able: 



  • To understand the aetiology and pathophysiology of adnexal disease.


  • To critically evaluate the medical and surgical approaches to managing adnexal disease.


  • To develop skills for assessing adnexal disease.


  • To develop advanced skills in the surgical treatment of adnexal disease.


  • To understand the theories underpinning the management of ectopic pregnancy


Learning Outcomes

Subject Knowledge and Understanding


The aetiology and pathophysiology of adnexal disease.


The theories underpinning the management of adnexal disease.


Different scoring systems for assessing adnexal disease.



Cognitive Skills


Critically appraise the theories underpinning the medical and surgical treatment of adnexal disease.


Recognise different adnexal pathology.


Assess and prepare patients undergoing surgery for adnexal disease.


Evaluate different diagnostic and treatment strategies for the management of adnexal disease.


Draw on appropriate literature to reflect on clinical activity.



Practical Skills


The ability to accurately diagnose and appropriately manage adnexal masses.


The ability to accurately diagnose and appropriately manage ectopic pregnancy



Key Transferable Skills


Critically appraise and integrate appropriate published work into written assignments.


To use appropriate published work to inform clinical decisions.


Communicate ideas, principles and theories effectively by oral and written means.


Use information technology, i.e. databases, word processing, and statistical packages.
Module Content

The pathophysiology of different adnexal disease.

The pathophysiology of different ovarian masses.


Understanding of relative malignancy index and related scoring systems.


Use of scoring systems to assess tubal disease, tubal pathology and ovarian fixity.


The pathology of different ovarian masses.


Management of ectopic pregnancy in different locations.


Laparoscopic surgical skills in the management of ovarian and tubal pathology including appropriate tissue extraction techniques.

Methods of Teaching/Learning

A combination of lectures, seminars, plenary sessions, small group tutorials, workgroups and peer review / presentations. Hands-on clinical training with supervison.

Selected Texts/Journals

This module will be supported by printed notes where necessary. Students will be provided with relevant published papers and have access to the lecture materials and background examples in power point presentations. Further recommended reading includes:


Essential Text


Lower A, Sutton C, Grudzinskas G. Introduction to Gynaecology Endoscopy ©1996 Isis Medical Media Ltd [ISBN: 1 899066 28 4]


Mencaglia L and Wattiez A. Manual of Gynecological Laparoscopic Surgery ©2002 Endo-Press. (Courtesy of Storz) [ISBN: 3-89756-405-X]


Current Opinion in Obstetrics and Gynaecology.  Lippincott, Williams and Wilkins. August 2000


Recommended Text


Practical Gynaecological Ultrasound.  Ed Jane Bates.  Greenwich Medical Media Ltd 1997


The Management of Tubal Pregnancy. Royal College of Obstetricians and Gynaecologists Green Top Guideline No. 21, May 2004.


Background Reading


Grudzinskas JG, O’Brien PMS. Problems in Early Pregnancy. Advances in Diagnosis and Management ©1997 Royal College of Obstetricians and Gynaecologists [ISBN:1-900364-01-8]


Robbins SL, Contran RS, Kumar V. Robbins Pathologic Basis of Disease.  WB Saunders Company
Last Updated

24th June 2008