April 18
08:00 AM - 12:00 PM
This course best serves those licensed physicians and advanced practice clinicians who have an intermediate to advanced level of medical knowledge and colposcopic practice. It is expected that participants are interested in learning LEEP to offer a wider range of treatment to the women in their communities. Participants will have taken either a basic colposcopy course or completed a colposcopy rotation in residency or training and desire more in-depth learning about LEEP. After successfully completing this course, since it will not prepare learners for independent practice, participants are expected to participate in hands-on mentored performance training as required for credentialing in new procedures by their home institutions. Participants will likely be those who have a sufficient patient volume to ensure that LEEP skills, once mastered, will be maintained.
Educational objectives
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 Knowledge:
- 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
- Advocate for quality patient care and assisting patients through system complexities
Course Level: Intermediate to Advanced
Course Director: Christine Conageski, MD
Speakers: Alan Waxman, MD, MPH // Peter Schnatz, DO
08:00 AM - 08:05 AM
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Welcome and Opening Remarks
Christine Conageski, MD
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08:05 AM - 08:30 AM |
Review of 2013 ASCCP Guidelines for Management of Abnormal Cytology and Histology for which LEEP is Recommended
Peter Schnatz, DO
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08:30 AM - 08:55 AM |
Physics and Electrosurgical Principles of Electrosurgical Loop Excision
Alan Waxman, MD, MPH
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08:55 AM - 09:20 AM |
Selection of Patients, Procedure Description
Christine Conageski, MD
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09:20 AM - 09:45 AM |
Comparison of Treatments: Ablation, LEEP and Cold Knife Conization
Peter Schnatz, DO
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09:45 AM - 10:00 AM |
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10:00 AM - 10:15 AM |
The Post-LEEP Cervix
Alan Waxman, MD, MPH
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10:15 AM - 10:30 AM |
Questions & Answers
All Faculty
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10:30 AM - 11:15 AM |
Session A: Equipment and Supplies
- Electrosurgical Generators
- Dispersive Pads
- Smoke Evacuators
- Electrodes: Loop and Ball
- Supplies: Insulated Materials
- Procedure video
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11:15 AM - 12:00 PM |
Session B: LEEP Practicum - Preliminary Essentials
- Technique of Injection of Anesthesia/Supplies
- Simulated Procedure Practice
- Simple Excision
- Top-hat Excision
- Documentation/Informed Consent
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12:00 PM |
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