Pelvic Health Physiotherapy: Managing complex female pelvic pain and pelvic floor dysfunction - advancing your practice: Liverpool

Course type: Practical

Pelvic, Obstetric and Gynaecological Physiotherapy

Pelvic Health Physiotherapy: Managing complex female pelvic pain

and pelvic floor muscle dysfunction - advancing your practice

 

Part A: 30 November 2023 - online via Zoom

 

Part B: 02-03 December 2023 at Liverpool Women’s Hospital

 

£370 POGP member/affiliate/associate

£445 non-member

 

This 2.5 day POGP certified course has been developed for Registered Physiotherapists who have completed the POGP ‘Pelvic Health Physiotherapy: female urinary dysfunction – an entry level course’ (or equivalent) and wish to develop their knowledge and skills in the assessment and management of women with women with complex pelvic floor pain and dysfunction. It is not suitable for physiotherapy students or those with no previous experience of vaginal examination.

The workshop content includes: professional issues; pelvic anatomy; overview of conditions related to female pelvic pain and dysfunction; sexual health issues; the subjective and objective assessment of a woman with complex pelvic floor pain and dysfunction; differential diagnosis and the development of realistic goals. Practical sessions include internal (vaginal) and external mapping as well as internal (vaginal) and external manual treatment techniques.

Participants may act as both clinician and model during the practical sessions. Valid consent procedures are used throughout. A participant acting as a model may opt out of having practical techniques performed on them at any stage.

Programme objectives

To develop advanced assessment skills (internal-vaginal examination and external) and clinical reasoning skills for complex female pelvic floor pain and dysfunction.

To develop advanced internal vaginal and external treatment skills for complex female pelvic floor pain and dysfunction (including manual therapy, exercise prescription and an understanding of pain management).

To consider the current evidence base and expert opinion with respect to advanced assessment and treatment of female pelvic floor pain and dysfunction.

Learning outcomes:

On completion of the programme the participants should:

Be able to comprehensively assess a woman with complex pelvic floor dysfunction

Be able to formulate and implement an appropriate management plan (in-line with patient-centred goals)

Be able to implement advanced treatment techniques (including internal and external manual therapy techniques and exercise prescription) for a woman with complex pelvic floor dysfunction.

Identify and use relevant outcome measures.

To be aware of and conform to professional standards in relation to the assessment and management of women with complex female pelvic floor dysfunction.

 

Programme requirements

This course is intended as a follow on workshop for physiotherapists who have completed the POGP ‘Pelvic Health Physiotherapy: female urinary dysfunction – an entry level course’. Applicants who have not completed this course may apply and will be considered on an individual basis. Individual consideration will be by submission of a summary of the applicants experience and relevant training in the clinical skills of vaginal examination including some information about relevant clinical caseload. In such cases early application is desirable. All applicants must provide details to confirm their eligibility to attend the course.

 

Pre-workshop learning

Prior to the course, please revise:

Pelvic anatomy – internal and external structures.

POGP ‘Physiotherapy assessment and management of female urinary dysfunction’ or equivalent course notes.

Any other relevant pelvic course notes.

It is recommended that you familiarise yourself with the following documents prior to the workshop:

Chartered Society of Physiotherapy (2012) Pelvic floor examination - CSP expectations PD092, Chartered Society of Physiotherapy, UK

Chartered Society of Physiotherapy (2013) Chaperoning and related issues PD104, Chartered Society of Physiotherapy, UK

Any protocols/policies from your own workplace relevant to your professional practice in the assessment and management of women with urinary problems.

It is also recommended that you update yourself on the current legislation/guidance relating to consent. This will include the CSP guidance on consent: PD078. This is available as a downloadable PDF file at: http://www.csp.org.uk/publications/consent-physiotherapy-practice
(accessed 9/5/16) and relevant sections of the HCPC Standards of conduct, performance and ethics (2016). You may also include relevant consent policies in operation in your workplace. Consider how the issues raised in the legislation/guidance apply to this client group.

If you practice outside of the UK it would be appropriate for you to review the legislation and professional guidance applicable in your country. Consider how it applies to practice with this client group.

In addition to the learning listed above you are asked to review the (electronic or paper-based) form you currently use to document your assessment of women presenting with pelvic floor dysfunction. Consider whether this is suitable to document your assessment of the woman with more complex problems. Are there any new questions or sections that you would add to your current form?

As part of this task we advise you to identify other forms (validated or otherwise) that may be useful to you in documenting your assessment of the woman with more complex problems.

 

Course programme (2.5 day taught workshop)

 

Day 1 – 30 November 2023 : online

Registration 8.55

Welcome and introduction 9.00

8.55 Registration 

9.00 Welcome and introduction 

9.30 1. Professional issues 

10.15 Break 

10.30 2. Pelvic and pelvic floor anatomy – external 

11.45 Break 

12.15 3. Pelvic and pelvic floor anatomy – internal 

1330 Q&A 

1400 Close 

 

Day 2 – 02 Decemeber 2023 

9-00     3. Internal and external pelvic mapping (practical)

Break to be taken within session

11-30   Facilitated reflective practice

11-45   4. Overview of conditions related to complex female pelvic pain & dysfunction (part 1)

12-30   Lunch

13-30   4. Overview of conditions related to complex female pelvic pain & dysfunction (part 2)

14-15   5. Subjective Assessment (Physiotherapy and MDT Assessment including case study session)

15-30   Break

16-00   6. Objective Assessment (theory including case study session)

17-30   Close

 

Day 3 –03 December 2023 

9-00     6. Objective assessment (practical)

Break to be taken within session

11-30   Facilitated reflective practice

11-45   7. Case Study session: Differential diagnosis and development of realistic goals

13-00   Lunch

14-00   8. Advanced treatment techniques (theory & practical)

Break to be taken at a suitable time within this session

16-40   Reflection

17-00   Close

 

Information about the practical sessions on this course.

This course includes peer physical examination. The practical skills sessions included in this course include both internal (vaginal) and external (pelvic musculoskeletal) assessment/treatment skills.

All participants have the right to opt in or out of the practical sessions. They also have the right to decline to be examined by any specific course participants due to embarrassment or other factors. Course participants may arrange to have their own ‘live’ model present but they must meet any extra costs incurred.

There is no requirement for a participant to provide an explanation/reason for their decision to opt in or out of the practical sessions, however in the case of a participant declining to complete the examination/treatment skills sessions on a ‘live’ model (as an ‘examining clinician’) it will not be possible for them to demonstrate that they have achieved the learning outcomes.