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.
