Objectives
  • To be able to describe the epidemiology, aetiology and methods of prevention of cervical cancer

  • To be able to perform specialist assessment, treatment and counselling of patients with primary cervical cancer

  • To be able to counsel and treat patients with recurrent cervical cancer

Awareness
  • Appreciation of the staging system for cervical cancer

  • Awareness of the importance of the multimodality approach to treatment, including the role of surgery and radiation oncology

  • Appreciation of the role of surgery versus chemo-radiation in early-stage disease

  • Awareness of options for fertility preservation in early-stage disease

  • Recognition of the role of chemo-radiation in locally advanced cervical cancer

  • Awareness of treatment options for primary advanced (stage IVB) and recurrent or persistent disease, including the indications for pelvic exenteration

  • Appreciation of the role of systemic therapies, including antiangiogenic therapy in cervical cancer treatment

Knowledge
  • Knowledge of staging procedures, including diagnostic and radiological procedures for staging cervical cancer

  • Familiarity with the role, indications and limitations of staging studies, including magnetic resonance imaging (MRI), positron emission tomography (PET)/computed tomography (CT), and staging lymphadenectomy with respect to treatment planning

  • Understanding of the role of primary surgery in early-stage disease and the risks and benefits of surgery versus chemo-radiation in early-stage disease with respect to post-treatment side effects and cancer cure rates

  • Understanding of options for fertility preservation, including radical trachelectomy, neoadjuvant chemotherapy and ovarian transposition

  • Understanding of the indications for adjuvant therapy following radical surgery for early-stage disease

  • Familiarity with the indications and value of surgery, radiation therapy, chemotherapy and antiangiogenic drug therapy in cervical cancer, but also with their limitations

  • Understanding of the role of chemotherapy in combination with irradiation in locally advanced cervical cancer

  • Understanding of the role of chemotherapy and antiangiogenic therapy in the management of patients with advanced, persistent or recurrent disease

  • Understanding of treatment options for advanced or recurrent disease, including tumour vaccines

  • Understanding of the complications that derive from disease progression and those that are treatment-associated in the context of being familiar with supportive and palliative care strategies

Skills
  • Ability to contribute actively to a variety of cervical cancer clinical scenarios and patient presentations

  • Ability to discuss critically the treatment options/recommendations

  • Ability to perform a history and physical examination in patients with cervix cancer, including different stages of disease as well as pelvic and rectal examinations

  • Ability to contribute to discussions on general management strategies in order to understand all the considerations on which treatment to use

  • Ability to prescribe chemotherapy with pelvic irradiation, including managing acute toxicity during treatment

  • Ability to manage side effects of radical surgery, radiation and chemo-radiation therapy

  • Ability to discuss prevention strategies with patients