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, 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, with a current Australian National Police Certificate (or equivalent). Current clinical knowledge and experience in managing pelvic floor muscle dysfunction, which has included the conduct of a vaginal examination is assumed. Applicants must provide evidence that they have undertaken at least one post-graduate course or professional development training in pelvic floor dysfunction and/or are currently managing women with pelvic floor dysfunction in their clinical practice.

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, 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 and avulsion injuries; Assessment of pelvic organ prolapse using staging and modified 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: pressure biofeedback, electromyography (EMG) 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 and identify and assess key pelvic structures (pelvic floor muscles, pelvic organs) in relation to pelvic organ prolapse.
  3. Describe and objectively assess pelvic organ prolapse by using ‘staging’ and the modified pelvic organ quantification (‘POPQ’).
  4. Describe and demonstrate the practical application of pressure biofeedback, electromyography (EMG) biofeedback and electrical stimulation for the management of pelvic organ prolapse.
  5. 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.
  6. Choose appropriate outcome measures to assess the response to physiotherapy 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.

Aim: To provide physiotherapists, nurses and medical practitioners who are registered in Australia, with the advanced skills and knowledge to conservatively manage pelvic organ prolapse using pessaries and to assess and train pelvic floor muscle function in women using real-time transperineal ultrasound.

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; Theory of two dimensional transperineal ultrasound, image production, storage and processing in relation to the female pelvic floor; The theory and procedures relating to two dimensional transperineal ultrasound to assess the female pelvic floor muscles and pelvic organ prolapse, including pelvic floor biometry, biofeedback, measurement of post void residual, with advantages and limitations; Practical skills in clinical use of transperineal ultrasound for pelvic floor biometry, biofeedback, measurement of post void residual; Clinical reasoning to integrate the use of support pessaries and biofeedback methods including real-time transperineal ultrasound in the 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 accurately 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 relative 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 transperineal ultrasound, pressure and electromyographic biofeedback.

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 February 26th 2018
Weekend Workshop held in Adelaide Saturday 7th and Sunday 8th April 2018
End 8th June 2018

Conservative management of pelvic organ prolapse 1

Commencement Monday July 23rd 2018
Weekend Workshop held in Adelaide Saturday 25th and Sunday 26th August 2018
End 2nd October 2018

Conservative management of pelvic organ prolapse 2

Commencement Monday February 25th 2019
Weekend Workshop held in Adelaide Saturday 6th and Sunday 7th April 2019
End 7th June 2019

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.

 

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Areas of study and research

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