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Loop Electrosurgical Excision
Procedure (LEEP)

Is this educational activity right for me?

The ASCCP Loop Electrosurgical Excision Procedure (LEEP) course best serves those licensed physicians and advanced practice clinicians who are intermediate to advanced in their level of medical knowledge and colposcopic practice. It is expected that most participants are interested in learning LEEP in order to offer a wider range of treatment to the women in their communities. 

Participants will have either taken a basic colposcopy course or undergone a colposcopy rotation in residency and desire more in-depth learning about LEEP. After successfully completing the course, participants are expected to conduct hands-on mentored performance training as required for credentialing in new procedures by their home institutions, as the course will not prepare participants for independent practice. Participants will likely be those who have a sufficient patient volume to ensure that LEEP skills will be maintained.

Course Competencies and Objectives

Upon completion of this educational activity, the pre-/post-test, course evaluation and short post-course survey, the course participant will improve their competencies in:

Medical Knowledge

• apply the physics and electrosurgical principles of loop excision, especially as they relate to equipment safety;

• implement the criteria for appropriate triage of women to LEEP;

• assess the equipment and supplies needed to perform LEEP;

• recognize the potential complications—both immediate and delayed—and how to manage them;

• select the follow-up protocol for women after LEEP;

Patient Care
• perform loop excision on inanimate models with sufficient skill to perform procedures under mentorship but not independently;

Practice-based Learning and Improvement

• assess practice populations to identify adolescent, middle reproductive age, and postmenopausal women appropriate for LEEP treatment;

• adopt standardized guidelines on the treatment of women with cervical intraepithelial neoplasia;

• analyze practice experience to perform improvement activities;

Systems-based Practice

• demonstrate how practice systems differ, including resource allocation and controlling health care costs; and

• advocate for quality patient care


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