Professional Certificate in Conservative Management of Pelvic Organ Prolapse

Overview

The Professional Certificate in Conservative Management of Pelvic Organ Prolapse is designed to support post graduate learning for physiotherapists, nurses and medical practitioners, registered to practise in Australia or New Zealand, who conservatively manage pelvic organ prolapse. The courses will cover anatomy of pelvic floor muscles and suspensory mechanisms, risk factors and aetiology of pelvic organ prolapse, assessment and conservative management of pelvic organ prolapse, theory and practice of use of pessaries in the management of pelvic organ prolapse, theory and practice of transperineal ultrasound, clinical reasoning and evidence-based practice.

Who can attend?

Students must be physiotherapists, nurses or medical practitioners, registered to practise in Australia or New Zealand, with a current Australian National Police Certificate (or equivalent).

Applicants must provide evidence of:

  1. University level post-graduate training in the management of pelvic floor dysfunction or have undertaken at least three professional development courses in pelvic floor dysfunction. This must include: practical training in the conduct of vaginal examinations; training in the assessment and management of pelvic organ prolapse and bladder and bowel dysfunction.
  2. Attending at least one professional development activity relevant to pelvic floor dysfunction in the past 2 years.
  3. A minimum of 1 year full time equivalent clinical experience in managing women with pelvic floor dysfunction and regular conduct of vaginal examinations subsequent to their training.
  4. Treating women with pelvic floor dysfunction in the past 5 years.

The professional certificate is composed of two 4.5 unit courses which are delivered across one year - Conservative management of pelvic organ prolapse 1, Conservative management of pelvic organ prolapse 2.

Conservative management of pelvic organ prolapse 1

Aim: To provide physiotherapists, nurses and medical practitioners, who are registered to practise in Australia or New Zealand, with advanced skills and knowledge to assess and conservatively manage pelvic organ prolapse.

Course content

Anatomy of the female pelvis, including the pelvic floor muscles, the pelvic organs and suspensory mechanisms; Pelvic organ prolapse: symptoms, aetiology, risk factors; Intra-abdominal pressure generation and implications for pelvic organ prolapse, including recommendations for general exercise; Surgical procedures for pelvic organ prolapse; Infection control and informed consent principles and practice; Advanced palpation skills, including assessment of pelvic floor muscles, levator hiatus,avulsion injuries and pessary sizing; Assessment of pelvic organ prolapse using staging and POPQ; Principles of evidence-based conservative management of pelvic organ prolapse, including lifestyle changes and pelvic floor muscle training (PFMT); Practice and clinical application of adjunctive therapies: biofeedback and electrical stimulation for pelvic organ prolapse management; Outcome measures for assessment of pelvic organ prolapse and pelvic floor dysfunction.

Course outcomes

On completion of this course, students should be able to:

  1. Describe the anatomy of the female pelvis in relation to pelvic organ support, the aetiology of pelvic organ prolapse and the risk factors, in particular the role of intra-abdominal pressure.
  2. Perform a digital vaginal examination to identify and assess key pelvic structures (pelvic floor muscles, pelvic organs) in relation to pelvic organ prolapse and to size a ring pessary.
  3. Describe and objectively assess pelvic organ prolapse by using POP ‘staging’ and understand the pelvic organ prolapse quantification (‘POPQ’) assessment method.
  4. Describe and accurately demonstrate the application of electrical stimulation and biofeedback as adjuncts to pelvic floor muscle training in the management of pelvic organ prolapse.
  5. Demonstrate how to apply principles of informed consent and infection control with all procedures.
  6. Use clinical reasoning and an evidence-based approach to assess and design a comprehensive management program, including pelvic floor muscle training, general exercise and lifestyle advice, for a range of presentations of pelvic organ prolapse.
  7. Choose appropriate outcome measures to assess the response to the conservative management of pelvic organ prolapse.

Course delivery

This course is online with compulsory attendance at a two day weekend workshop (practical skills are assessed in this workshop).

Assessment

  • Quiz – 1 hour
  • Online Discussion – 1 post per week x 6 weeks
  • Case Study – 3500 words
  • Practical assessment (conducted face to face in a two day weekend workshop)

Conservative management of pelvic organ prolapse 2

Before commencing this course, students must have completed the course Conservative management of pelvic organ prolapse 1.

Aims:

  1. To provide physiotherapists, nurses and medical practitioners who are registered to practice in Australia or New Zealand, with the advanced knowledge and skills to prescribe and fit support pessaries in the conservative management of pelvic organ prolapse.
  2. To use two-dimensional real-time transperineal ultrasound for biofeedback purposes to train pelvic floor muscle function in women.

Course content

  • Theory and procedures relating to the use of pessaries in the management of pelvic organ prolapse, including risks and complications, clinical care pathway and clinical reasoning;
  • The practical skills related to the prescription and fitting of support pessaries for pelvic organ prolapse including instruction in patient self-care;
  • Two-dimensional real time transperineal ultrasound in relation to the female pelvic floor and POP with specific application to:
    • Image production, optimisation and interpretation.
    • Theory and procedures for its clinical use as a biofeedback modality, including advantages and limitations
    • Practical skills to assess post-void residual urine
  • Clinical reasoning to integrate the use of support pessaries and pelvic floor muscle training, using biofeedback methods, including two-dimensional real time transperineal ultrasound, in the conservative management of women with pelvic organ prolapse.

Course outcomes

On completion of this course, students should be able to:

 

  1. Explain the theory and procedures relating to the use of pessaries to manage pelvic organ prolapse.
  2. Demonstrate practical skills in fitting the main types of pessaries and teaching patient ‘self care’.
  3. Explain the theory and procedures relating to two dimensional real-time transperineal ultrasound in the assessment of the pelvic floor muscles and pelvic organ prolapse.
  4. Produce and interpret two dimensional transperineal ultrasound images that relate to pelvic organ prolapse and pelvic floor muscle training.
  5. Use clinical reasoning and an evidence based approach to manage pelvic organ prolapse using pessaries.
  6. Explain the role of two dimensional real-time transperineal ultrasound as a biofeedback tool in comparison with other biofeedback methods in the teaching of pelvic floor muscle exercises.
  7. Use clinical reasoning and an evidence based approach to incorporate a range of biofeedback strategies, including two dimensional real time transperineal ultrasound.

 

Course delivery

This course is online with compulsory attendance at a two day weekend workshop (practical skills are assessed in this workshop).

Assessment

  • Quiz – 1 hour
  • Online Discussion – 1 post per week x 6 weeks
  • Case Study – 3500 words
  • Practical assessment (conducted face to face in a two day weekend workshop)

Course dates 2018/2019
(may be subject to change)

Conservative management of pelvic organ prolapse 2

Commencement Monday March 4th 2019
Weekend Workshop held in Adelaide
Venue:  UniSA, Physiotherapy Clinic
Level 8 Centenary Bldg, C8-17/18
City East Campus
Saturday 6th and Sunday 7th April 2019
End Friday 7th June 2019

Conservative management of pelvic organ prolapse 1

Commencement Monday July 2th 2019
Weekend Workshop held in Adelaide Saturday 31st August and Sunday 1th September 2019
End Friday 8th November 2019

Conservative management of pelvic organ prolapse 2

Commencement Monday March 2nd 2020
Weekend Workshop held in Adelaide Saturday 4th and Sunday 5th April 2020
End Friday 12th June 2020

All weekend workshops are held in Adelaide at:
UniSA, Physiotherapy Clinic, Level 8 Centenary Bldg, City East Campus.

Places in these courses are limited. Please register with your payment to secure a place.

Other information

At the compulsory workshop teaching methods include peer physical examination (PPE). For information about what PPE is, why it is used and what will be asked of you, please contact the School of Health Science. Email healthstudy@unisa.edu.au

During the on-line discussions and for the written assignment you will be required to demonstrate your understanding of evidence based practice. The ability to search for, critique and reference published research is assumed. Support for refreshing your skills in this area will be provided via the online course site for those who require it. It is recommended that, if this support is required, time is put aside prior to the course commencing to access the resources.

Download the registration form

Areas of study and research

+ Click to minimise