Module - Andrological Dysfunction (SLS320)

STP

Aim of this module

This module will provide the trainee with knowledge and understanding of the causes, diagnosis and treatment of both male and female infertility and wider aspects of andrological dysfunction. They will understand the psychosocial aspects of male and female infertility and how to support men and women referred for investigation. They will also understand the role of regulation and accreditation in diagnosing and treating infertility and the legislatory quality management aspects of licensed treatments. They will apply their understanding of the interrelationship of the different problems to potential outcomes; the diagnostic and therapeutic modalities available for conditions beyond the field of subfertility and the impact of infertility on the male, their partner, extended family and friends.

 

Work-based learning outcomes


  1. Plan and optimally time andrological investigations.
  2. Review a series of case notes to link the cause of male sexual dysfunction, endocrine dysfunction and/or genital tract pathologies with the suggested treatment plan and produce an interpretive report of the investigations.
  3. Review a series of case notes and recommend treatment pathways, including options based upon clinical presentation.
  4. Perform a risk assessment and audit in a diagnostic setting, analysing the findings and presenting a report with recommendations.

Work-based Competencies


Learning outcome Title Knowledge
1 1

Plan and optimally time andrological investigations exercising their own professional judgement.

  • The relevant health and safety regulations and the potential hazards and risks and the actions taken to minimise these.
  • Endocrinology and andrological function in order to time when assessments can be correctly made and their correct interpretation.
2 1

Perform witness checks during a procedure to meet regulatory and good practice requirements.

  • Good Medical Practice with respect to witnessing requirements and the implications of incorrect identification of patients or their samples.
3 1

Review the required consents appropriate for a variety of diagnostic testing and different treatments.

  • When it is appropriate to run certain tests on a patient or their sample; what level of understanding they require of the said test (e.g. for an S.T.I); correct counseling in that situation and what support measures should be in place.
  • The importance of accurately completing and checking consent forms.
  • The limits of the concept of confidentiality.
4 1

Follow the appropriate guidelines for incident reporting.

  • Local clinical governance procedures.
  • Cause and diagnosis of male subfertility.
  • Different treatment regimens with respect to their mode of action and the reasons why they are used in different clinical situations.
  • Key factors in the case history that may influence the choice of treatment options.
  • Requirements for interpretive reporting.
5 2,3

Review case notes to link the results from semen analysis to fertility prognosis and produce an interpretive report of the investigations.

  • Local clinical governance procedures.
  • Cause and diagnosis of male subfertility.
  • Different treatment regimens with respect to their mode of action and the reasons why they are used in different clinical situations.
  • Key factors in the case history that may influence the choice of treatment options.
  • Requirements for interpretive reporting.
6 2,3

Review case notes to link the cause of male sexual dysfunction with the suggested treatment plan and produce an interpretive report of the investigations.

  • Cause and diagnosis of male sexual dysfunction (including erectile dysfunction, disturbances of desire, arousal, ejaculatory and orgasmic dysfunctions; varicocele).
  • Different treatment regimens with respect to their mode of action and the reasons why they are used in different clinical situations.
  • Key factors in the case history that may influence the choice of treatment options.
  • Requirements for interpretive reporting.
7 2,3

Review case notes to link the cause of male endocrine dysfunction with the suggested treatment plan and produce an interpretive report of the investigations.

  • Cause and diagnosis of male sexual dysfunction (including disorders of sexual development; hypogonadism; male ageing and other conditions from puberty to senescence).
  • Different treatment regimens with respect to their mode of action and the reasons why they are used in different clinical situations.
  • Key factors in the case history that may influence the choice of treatment options.
  • Requirements for interpretive reporting.
8 2,3

Review case notes to assist diagnosis of male genital tract pathologies and design/confirm a suggested treatment plan.

  • The cause and diagnosis of male genital tract pathologies (including infections and inflammations or cancers relating specifically to the male).
  • The different treatment regimens with respect to their mode of action and the reasons why they are used in different clinical situations.
  • The key factors in the case history that may influence the choice of treatment options.
  • Requirements for interpretive reporting.
  • When a patient requires referral to specialist GU medicine versus local medical team treatment.
9 4

Perform a risk assessment for screening for sexually transmitted infections.

  • The risks associated with testing procedures and the influence of procedural and other external factors which may have a bearing on test outcome.
  • The importance of performing risk assessment and the implications of non-compliance with requirements.
  • Governance, audit cycle, action planning and re-audit.
10 4

Perform an audit for an endocrine diagnostic laboratory procedure related to this module.

  • The risks associated with testing procedures and the influence of procedural and other external factors which may have a bearing on test outcome.
  • The importance of performing risk assessment and the implications of non-compliance with requirements.
  • Governance, audit cycle, action planning and re-audit.
11 4

Analyse the data, present a report and discuss and implement recommendations.

  • The risks associated with testing procedures and the influence of procedural and other external factors which may have a bearing on test outcome.
  • The importance of performing risk assessment and the implications of non-compliance with requirements.
  • Governance, audit cycle, action planning and re-audit.

Work-based assessment


Complete 2 Case-Based Discussion(s)
Complete 2 of the following DOPS and/or OCEs
Type Title
DOPS Perform identity checks with a patient having a procedure meeting regulatory and good practice requirements
DOPS Perform witness checks during a procedure meeting regulatory and good practice requirements
DOPS Review the required consents and what is appropriate for a variety of diagnostic testing, including for endocrine and STI tests
DOPS Perform a blood endocrine assay for a male patient
DOPS Perform a witnessing audit
DOPS Perform a risk assessment
OCE Discuss a male patient case where endocrine diagnosis has been indicated at an MDT, include discussion of endocrine markers beyond testosterone.
OCE Discuss subsequent pathways for a patient with male sexual dysfunction / spinal cord injury / psychosexual issues in an appropriate MDT or specialist clinic team meeting.
OCE Discuss male patient experience/needs either at a group or individual level within a service.
OCE Present and evaluate to colleagues an array of treatment options for men beyond simple assisted conception (e.g. varicocele surgery / vibratory stimulation for anejaculation / etc).
OCE Discuss the impact of STI diagnosis on the individual and the couple.