SPECIALTY TRAINING PROGRAM IN GENITOURINARY MEDICINE
Manila Genitourinary Clinic, Manila, Philippines
- Expected Competencies of a Trainee in Genitoutinary Medicine The trainee is expected to possess and demonstrate knowledge in the following areas:
- Data Gathering (History and Physical Examination)
- Basic Science
- STI pathogens
- Syndromes
- Complications
- Laboratory Tests and Procedures
- Management
- Prevention
- Counseling
- The trainee must be able to:
- Discuss the anatomy, physiology, microbiology and immunology of the genitourinary and reproductive tract.
- Discuss the nature, variations, pathology, pathophysiology, signs and symptoms of common and uncommon STI process affecting the genitourinary and reproductive tract.
- Interpret, analyze and synthesize the various data gathered through history taking, physical examination and laboratory procedures and in the process derive a primary diagnosis and differential diagnosis as well.
- Enumerate or write the diagnostic and therapeutic plans to arrive at a definite diagnosis in the most efficient manner; prioritizing examinations and taking into consideration the comfort, risk, ethical and financial impact on the patient as well as the relevance and usefulness of the procedure.
- Recognize, interpret and analyze the effects of the diagnostic and therapeutic actions and decide on further interventions, when necessary.
- Discuss the natural course of the disease process, proper timing of diagnostic and therapeutic interventions, and the clinical course as influenced by the therapeutic interventions.
- Enumerate the natural complications of the disease process.
- Discuss the indications, contraindications and the cost of various diagnostic procedures.
- Discuss the clinical pharmacology, pharmacokinetics and pharmacodynamics of various therapeutic agents applied to different STIs.
- Discuss the methods of preventing the occurrence and recurrence of STIs and how to control the spread of the infection.
- Enumerate the available community resources for the achievement of the above and for follow up and rehabilitation.
- Utilize and cite medical literatures pertinent to specific STI cases.
- Define the pattern of STIs as they occur in the local setting or community
- Identify the root causes of STIs and propose control measures
- Generate realistic interventional measures as well as mobilize the community and its resources to implement them
- Identify necessary resources, whether locally available or unavailable, through linkages with government and non-government agencies or organizations.
- Discuss both sides of controversial issues regarding treatment of STIs.
- Do microscopy studies
- Do culture isolation and identification
- Interpret Imaging studies
- Do surveillance studies
- Report of cases and review of literature
- Research project (write or present at least one paper)
- Know highlights of articles pertaining to STIs and venereology.
- Critical appraisals of medical literatures pertaining to STIs and its complications and other related genitourinary and reproductive problems.
- List of topics, diagnostic procedures and disorders that a trainee should know.
- Historical Background of STIs
- Definition and Classification of STIs
- Sexual Psychology and Behaviors
- Basic Science
- Anatomy, Histology, Physiology and Pathology of Male and Female Genitourinary and Reproductive Tract
- Genitourinary Mucosal Defenses
- Normal Genital Flora
- Pathogenesis of Sexually Transmitted viral and bacterial infections
- Microbiology and Immunology of STIs
- Epidemiology of STI in the Philippines
- Evaluation and Treatment
- Evaluation of the Patient
- History Taking
- Physical Examination
- Specimen Collection
- Management, Diagnosis and Treatment of Specific Etiologic Agents
- Virus
- Herpesvirus
- Infectious Mononucleosis
- Human Papilloma Virus
- Cytomegallovirus
- Hepatitis Virus
- Molluscum Contagiosum Virus
- Human Immunodefficiency Virus
- Bacteria
- Nisseria sp.
- Chlamydia trachomatis
- Gardnerella vaginalis
- Enterics: shigella, salmonella, Campylobacter
- Treponema pallidum
- Haemophilus ducrei
- Calymatobacterium granulomatis
- Anaerobes
- Mycoplasmas
- Staphylococcus spp.
- Streptococcus spp.
- Fungus
- Candida albicans
- Blastomycosis
- Cryptococcus, Histoplasmosis
- Protozoa
- Trichomonas vaginalis
- Giardia lambdia
- Ectoparasites
- Phthirius pubis
- Sarcoptes scabei
- Problems Encountered in Diagnosis and Treatment
- Complications
- Lower Genital Tract Infection in Women: Cystitis, Urethritis, Vulvovaginitis, and Cervicitis.
- Bacterial Vaginosis
- Pelvic Inflammatory Disease
- Prostatitis
- Epididimmytis and Orchitis
- Male and Female Infertility
- Infection in Pregnancy
- Infection in Children
- Sexually Transmitted Proctitis and Diarrheal disease
- Genital Ulcer Adenopathy Syndrome
- Reiter’s Syndrome and Arthritis associated with STIs
- Disseminated Infections
- Fitz-Hugh-Curtis Syndrome
- Pharmacology
- Basic Concepts (Mechanism of action, pharmacokinetics, pharmacodynamics, dosage)
- Penicillins
- Cephalosporins
- Aminoglycosides
- Tetracyclines
- Macrolides, Lincomycin, clindamycin
- Chloramphenicol
- Vancomycin
- Metronidazole
- Antituberculosis drugs
- Quinolones
- Sulfas and Urinary Antiseptics
- Mechanism of Bacterial Resistance
- Laboratory
- Microscopy
- Gram Staining
- Tzanck Smear
- Wright stain
- KOH
- Wet Mount
- Dark field
- Culture and Sensitivity Testing
- Antigen Antibody Testing
- Immunoflourescence
- Enzyme Linked Immunoassay
- Particle Agglutination
- Molecular Diagnostic Procedures
- Polymerase Chain Reaction
- Ligase Chain Reaction
- DNA Probe
- Imaging Studies
- Prevention of STIs and its complications and other related genitourinary diseases
- Patient Education and Counseling
Prepared by: Noel E. de Vera, MD, CFP, DPSV / Antonio E. Feliciano, Jr, MD, FPSV