Box 10. Healthcare and care in endocrine gynecology.
| General goal: acquisition of competencies related to the diagnosis and treatment of endocrine-gynecological disorders and sexual dysfunctions. | ||
|---|---|---|
| LEVEL | COMPETENCIES | COMPONENTS |
| R1 | - Demonstrates basic knowledge of the physiology of the menstrual cycle, the relationships between the endocrine and reproductive systems and the sex steroid hormone metabolism; | K |
| - Demonstrates basic knowledge of normal and abnormal pubertal development; | K | |
| - Demonstrates knowledge of bone metabolism, the hormonal and non-hormonal regulatory influences, the age-related disorders and the impact of the menopause transition on bone mass; | K | |
| - Demonstrates basic knowledge of female and male sexual response and biopsychosocial perspective of sexuality, including aspects of sexual orientation and gender identity; | K | |
| - Demonstrates basic knowledge of sexual dysfunctions; | K | |
| - Demonstrates basic knowledge of differential diagnoses of chronic pelvic pain; | K | |
| - Demonstrates basic knowledge of signs and symptoms related to common women's endocrine and metabolic disorders (amenorrhea, chronic anovulation and polycystic ovarian syndrome (PCOS), infertility, climacteric, premenstrual tension, dysmenorrhea, pelvic pain, endometriosis and obesity); | K | |
| R2 | - Formulates diagnosis and provides treatment of the main causes of chronic anovulation; | K |
| - Demonstrates basic knowledge of the main drugs used in gynecological endocrinology, their indications and contraindications: estrogens, progestogens, androgens, GnRH agonists, SERMS (clomiphene, raloxifene, tamoxifen), letrozole, antiandrogens, bisphosphonates, denosumab, teriparatide, thyroxine, and bromocriptine; | K | |
| - Demonstrates basic knowledge of the definition of fecundity, fertility and infertility; | K | |
| - Demonstrates basic knowledge of the investigation of infertility and subfertility; | K | |
| - Formulates differential diagnosis, follow-up and multiprofessional therapeutic approach of women's endocrine and metabolic disorders, such as: disorders of puberty, amenorrhea, chronic anovulations and PCOS, Müllerian abnormalities, premature ovarian insufficiency, climacteric, infertility, osteoporosis, dysmenorrhea, chronic pelvic pain; | K / S / A | |
| - Formulates differential diagnosis, follow-up and multiprofessional therapeutic approach of female sexual dysfunction (dyspareunia, vaginismus, vulvodynia) and gender dysphoria; | K / S / A | |
| R3 | - Demonstrates basic theoretical and technical knowledge of methods to test hormonal levels (radioimmunoassay, enzyme immunoassay, chemiluminescence, electrochemiluminescence, high-performance liquid chromatography and mass spectrometry) and their inaccuracies (cross reaction, sensitivity, intra and inter-assay coefficients of variation). Demonstrates knowledge of stimulus tests for assessment of hypothalamic-pituitary-ovarian axis or investigation of adrenal gland disorders; | K |
| - Demonstrates basic knowledge of the main therapeutic procedures used in Assisted Human Reproduction: intrauterine insemination (IUI), in vitro fertilization (IFV) and intracytoplasmic sperm injection (ICSI), including the general principles of techniques, ethical and legal issues, ovarian stimulation protocols and laboratory procedures; | K | |
| - Performs monitoring of patients in low-complexity assisted fertilization cycles; | K / S | |
| - Identifies indications for transfer of care for patients who need high complexity assisted reproductive treatment; | K / S / A | |
| - Formulates the differential diagnosis and therapeutic approach of patients with disorders of puberty; | K / S | |
| - Performs clinical management and follow-up of patients with vaginal agenesis and urogenital sinus malformations; | K / S / A | |
Abbreviations: A, attitudes; K, knowledge; S, skills.