Loop Electrosurgical Excision Procedure (LEEP)
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 either taken 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.
- 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;
- Identify the equipment and supplies needed to perform LEEP;
- Recognize potential complications—both immediate and delayed—and how to manage them;
- Explain the follow-up of women after LEEP;
- Perform loop excision on inanimate models with sufficient skill to perform procedures under mentorship but not independently;
- 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; and
- Advocate for quality patient care and assist patients through system complexities.
Continuing Medical Education (CME)
ASCCP is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
AMA PRA Category 1 Credit(s)TM
ASCCP designates this live activity for a maximum of 3.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
All those who have an opportunity to control content (Faculty, Program Directors, Reviewers, Staff, etc), are required to complete a COI based on the following instructions:
ASCCP members and the general public place great trust in the work of the Society. Real or perceived undisclosed conflicts of interest may jeopardize that trust and ASCCP’s effectiveness. Conflicts of interest also may affect the objectivity of decisions that ASCCP officers and volunteers make. To minimize the potential impact of possible conflicts of interest, the Board of Directors has determined that all participants in ASCCP activities must report all real or potential conflicts prior to the activity being developed and delivered to the learners. All disclosure forms are reviewed by the Course Director of each activity. Course Director disclosure forms are reviewed by ASCCP’s Education Committee. Most conflicts involve financial relationships with commercial interests. A commercial interest is defined as any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients. These may include pharmaceutical companies, device manufacturers or distributors, service companies, or other for-profit entities. Relationships with commercial interests may affect how officers or volunteers view products or services. They may also prompt outsiders to assume bias even when none exists, harming the reputation and effectiveness of the Society. Specific relationships with potential to create conflict of interest can include direct employment, management positions including directors and officers, royalties, consultants or board or advisory board positions, lecture fees paid by an entity (including membership on speakers bureaus or review panels), expert testimony especially to regulatory bodies or in litigation, ownership or beneficial ownership of stock or stock options, research funding, honoraria, gifts including travel or other in-kind payments (e.g., accommodations, sports tickets, appliances, electronic devices, etc.), intellectual property rights received or pending, and participation in sponsored research as a principal investigator. Contracted research funded by a commercial source also creates a potential conflict of interest; this includes research funding by which an employing institution receives a grant and manages funds and the CME provider serves as principal or named investigator on the grant. Investments made through diversified mutual funds or blind trusts in which the participant does not exercise decisional control are excluded. Usually primary employment by a nonprofit or governmental organization does not create potential for conflict, but compensation to employers based on an individual’s work with a for-profit company may create bias that must be reported. Income from commercial entities unrelated to health care does not create a potential for conflict of interest. By disclosing all relationships, participants and the Society allow others to judge the extent to which conflicts may have affected judgments in conscious or unconscious ways. If the potential for any relationship to create conflict of interest appears doubtful, then it should be disclosed.