Box 11. Healthcare and care in gynecologic and obstetric infections.

General goal: acquisition of competencies related to diagnosis and treatment of infections in gynecology and obstetrics.
LEVEL	COMPETENCIES	COMPONENTS
R1	- Demonstrates knowledge of the prevalent vertically transmitted infections: hepatitis B and C, herpes virus, HTLV I/II, influenza, rubella, toxoplasmosis, cytomegalovirus, HIV infection, syphilis, arboviruses;	K
	- Demonstrates knowledge and recommends appropriate vaccinations at each stage of the women's life;	K / S
	- Performs the initial assessment, formulates a differential diagnosis, and initiates treatment for the common infectious diseases in the obstetric and gynecologic outpatient care (low urinary tract infections (UTI), vulvovaginitis, genital ulcers, pelvic inflammatory disease (PID), puerperal and non-puerperal mastitis, latent syphilis and toxoplasmosis in pregnancy);	K / S
	- Performs and interprets the wet mount microscopy for diagnosis of common vaginitis;	K / S
	- Performs simple biopsy of lesions of the lower female genital tract;	S
	- Performs treatment of external genital warts and vulvovaginal condylomatosis including application of trichloroacetic acid, podophyllin, imiquimod and surgical excision;	S
	- Provides appropriate counseling on sexually transmitted infections (advise patient to bring their sex partners to medical evaluation, requests serology, respects confidentiality);	K / S / A
R2	- Demonstrates knowledge and recommends appropriate vaccinations in complex situations (HIV, autoimmune disease, immunosuppression, transplanted patient and women undergoing cancer treatment);	K / S / A
	- Performs the initial assessment, formulates a differential diagnosis, and initiates treatment for the infectious diseases in the obstetric and gynecologic hospital care (complicated mastitis, acute pelvic inflammatory disease (PID), tubo-ovarian abscess, infected abortion, endomyometritis, pyelonephritis, sepsis);	K / S
	- Performs gynecological, prenatal and postpartum follow-up of HIV-positive women;	K / S / A
R3	- Manages patients with complex infectious diseases (recurrent vulvovaginitis, infections refractory to initial treatment);	K / S / A
	- Performs surgical treatment of complex external genital warts and vulvovaginal condylomatosis (LEEP or extensive surgical exeresis);	S
	- Uses multidisciplinary approach for patients with complex infectious diseases;	K / S / A

Abbreviations: A, attitudes; K, knowledge; S, skills.