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2010/1 Module Catalogue
Module Provider: Postgraduate Medical School Short Name: PGMSGEM03
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 for 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 their clinical experience


A log book of all clinical procedures undertaken during the clinical training programme
Module Overview
Endometriosis is a disease of unknown aetiology and disputed pathology.  In this module, students will consider the pathophysiology of endometriosis and critically evaluate the evidence underpinning theories of its aetiology.  They will also learn about different management techniques for patients with endometriosis and the potential value of medical strategies and pain management. In addition, the relationship between endometriosis, adhesive tubal disease following pelvic infection, and infertility, will be considered.
Module Aims

By the end of the module students will be able:



  • To understand the pathophysiology of endometriosis and adhesions.


  • To critically evaluate the medical and surgical approaches to managing endometrial disease, including pain management.


  • To develop the skills required for assessing endometrial disease and to critically appraise methods used in assessment.


  • To assess and appropriately manage ovarian endometriomas.


  • To evaluate the theories underlying different techniques for the management of ovarian endometriomas.


  • To understand the pathophysiology and the management of infective tubal disease and strategies for its management.


  • To develop advanced skills in the surgical treatment of superficial endometriosis and adhesions.


Learning Outcomes

Subject Knowledge and Understanding


The pathophysiology of endometriosis.


The pathophysiology of infective tubal disease.


The pathophysiology of adhesions formation.


The theory underpinning the management of these conditions.


The principles of pain management



Cognitive Skills


Critically appraise the theories underpinning the medical and surgical treatment of endometriosis and adhesions.


Recognise endometrial and adhesive pathology.


Assess and prepare patients undergoing surgery for endometriosis and adhesions.


Assess the severity of endometriosis prior to and during surgery.


Evaluate different diagnostic and treatment strategies for the management of endometriosis and adhesions.


Select the appropriate treatment modality for surgically treating endometriosis and adhesions.


Draw on appropriate literature to reflect on clinical activity

Practical Skills


The ability to accurately diagnose, and appropriately manage superficial endometriosis and adhesions



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



Other Skills


The ability to communicate the information learned in this module to doctors in training and teach them to be able to recognise and appropriately treat superficial endometriosis and adhesions.

Module Content

The aetiology and pathophysiology of endometriosis


The aetiology and pathophysiology of adhesions


The methodology of diagnosis and the severity scores for adhesions and endometriosis


An understanding of the pathophysiology and relevance of ovarian endometriomas


The theory surrounding medical management of endometriosis


The theory underpinning pain management techniques


Laparoscopic techniques for the treatment of adhesions


Laparoscopic techniques for the treatment of superficial endometriosis


Laparoscopic techniques for the treatment of ovarian endometriomas
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


Tulandi T, Redwine D. Endometriosis Advances and Controversies ©2004 Marcel Dekker, Inc. [ISBN: 0-8247-4777-1]


Sutton, Adamson & Jones: Modern Management of Endometriosis [ISBN:1842142763]


Donnez J, Nisolle M. Laparoscopic management of large ovarian endometrial cyst: use of fibrin sealant. J Gynecol Surg 1991; 7(3):163-166.


d.Trew G. Consensus in adhesion reduction management. ©2004 Royal College of Obstetricians and Gynaecologists


Recommended Text


Redwine DB. Surgical Management of Endometriosis. ©2004 Martin Dunitz [ISBN: 1-84184-248-6]


Background Reading


RCOG Green Top Guideline – Chronic pelvic pain


Journal: Gynecological Surgery, Springer


Journal: Fertility and Sterility, Elsevier Sciences Inc.


Journal: British Journal of Obstetrics and Gynaecology, Blackwell Publishing

Last Updated

24th June 2008