 |
 |
 |
 |
 |
| I. |
Explain sex and gender differences in normal development and pathophysiology as they apply to prevention and management of diseases. |
 |
A. |
Compare differences in biological functions, development, and pharmacologic response in males and females. |
 |
1. |
Normal Physical and Psychological Differentiation and Development |
 |
2. |
Anatomic Differences in the Adult |
 |
3. |
Hormonal Variation over the Life Span |
 |
4. |
Cognition and Behavior |
 |
5. |
Sexual Response, Function, and Dysfunction |
 |
6. |
Reproduction, Contraception, and Sterilization |
 |
7. |
Pharmacology |
 |
B. |
Discuss the pathophysiology, etiology, differential diagnosis, and treatment options for conditions that are more common, more serious, or have interventions that are different in women. |
 |
1. |
General |
 |
2. |
Autoimmune Diseases |
 |
3. |
Bone and Joint Disease |
 |
4. |
Osteoporosis |
 |
5. |
Soft Tissue Disorders |
 |
6. |
Occupational/Environmental Health |
 |
7. |
Breast Disease (See also Comp. VI.2.(i) Breast Cancer and Comp VI.12.g. Breast-feeding) |
 |
8. |
Cardiovascular Diseases |
 |
9. |
Endocrine |
 |
10. |
Gastrointestinal (GI) Disorders |
 |
11. |
Fecal Incontinence |
 |
12. |
Urologic Conditions |
 |
13. |
Pelvic Organ Prolapse |
 |
14. |
Abdominal and Pelvic Pain |
 |
15. |
Sexually Transmitted Diseases |
 |
16. |
HIV |
 |
17. |
Infertility |
 |
18. |
Mental Health (See also Comp. I.C.13. Perinatal Psychiatric Disorders and VI.7. Mental Health) |
 |
19. |
Neurology |
 |
C. |
Discuss the pathophysiology, etiology, differential diagnosis, and treatment options for conditions and functions that are specific to women. |
 |
1. |
Uterine Bleeding |
 |
2. |
Amenorrhea/Oligomenorrhea |
 |
3. |
Dysmenorrhea |
 |
4. |
Premenstrual Syndrome/Premenstrual Dysphoria Disorder (PMS/PMDD) |
 |
5. |
Endometriosis |
 |
6. |
Induced Pregnancy Termination |
 |
7. |
Normal Pregnancy and Birth |
 |
8. |
Vaginal Bleeding - Third Trimester |
 |
9. |
Preeclampsia-Eclampsia Syndrome |
 |
10. |
Spontaneous Pregnancy Loss and Ectopic Pregnancy |
 |
11. |
Preterm Labor |
 |
12. |
Maternal and Newborn Mortality |
 |
13. |
Perinatal Psychiatric Disorders |
 |
14. |
Menopause and Possible Sequelae (See also Comp. VI.15. Postmenopausal Hormone Replacement Therapy) |
 |
15. |
Benign Vaginal and Vulvar Disease |
 |
16. |
(i) Gynecologic Cancers - Cervical Neoplasia |
 |
|
(ii) Gynecologic Cancers - Vulvar Neoplasms |
 |
|
(iii) Gynecologic Cancers - Ovarian Neoplasms |
 |
|
(iv) Gynecologic Cancers - Endometrial Cancer |
 |
|
(v) Gynecologic Cancers - Gestational Trophoblastic Disease |
 |
| II. |
Effectively communicate with patients, demonstrating awareness of gender and cultural differences. |
 |
| III. |
Perform a sex-, gender-, and age-appropriate physical examination. |
 |
| IV. |
Discuss the impact of gender-based societal and cultural roles, and context on health care and on women. |
 |
1. |
Social and Political Discrimination |
 |
2. |
Poverty |
 |
3. |
Family Caregiver Role |
 |
4. |
(i) Special Populations - Lesbians |
 |
|
(ii) Special Populations - Women with Disabilities |
 |
|
(iii) Special Populations - Immigrants |
 |
|
(iv) Special Populations - Women of Color |
 |
5. |
Allied Health Professionals |
 |
6. |
Impact of Patient and Provider Beliefs and Practices |
 |
| V. |
Identify and assist victims of physical, emotional, and sexual violence and abuse. |
 |
1. |
Background and Epidemiology |
 |
2. |
Acute and Chronic Clinical Manifestations |
 |
3. |
Screening and Assessment |
 |
4. |
Intervention Options |
 |
5. |
Prevention Strategies |
 |
6. |
Reporting Requirements |
 |
| VI. |
Assess and counsel women for sex- and gender- appropriate reduction of risk, including lifestyle changes and genetic testing. |
 |
1. |
Cardiovascular Disease |
 |
2. |
(i) Common Malignancies - Breast Cancer |
 |
|
(ii) Common Malignancies - Cervical Cancer (See Comp. I.C.16.(i) Gynecologic Cancers - Cervical Neoplasia) |
 |
|
(iii) Common Malignancies - Colon Cancer |
 |
|
(iv) Common Malignancies - Lung Cancer |
 |
|
(v) Common Malignancies - Skin Cancer |
 |
3. |
Osteoporosis |
 |
4. |
Diabetes |
 |
5. |
Vision and Hearing |
 |
6. |
Oral Health |
 |
7. |
(i) Mental Health - Mood Disorders: Depression and Bipolar Disorders (See also Comp. I.B.18. Mental Health) |
 |
|
(ii) Mental Health - Anxiety (See also Comp. I.B.18. Mental Health) |
 |
|
(iii) Mental Health - Stress Management |
 |
|
(iv) Mental Health - Eating Disorders |
 |
8. |
(i) Substance Abuse - Illicit drugs |
 |
|
(ii) Substance Abuse - Misuse of Legal Medications |
 |
|
(iii) Substance Abuse - Tobacco (See also Comp. I.B.18. Mental Health) |
 |
|
(iv) Substance Abuse - Alcohol (See also Comp. I.B.18. Mental Health) |
 |
|
(v) Substance Abuse - Other Addictions |
 |
9. |
Immunization |
 |
10. |
Exercise |
 |
11. |
Nutrition |
 |
12. |
Preconception and Prenatal Screening |
 |
13. |
High-Risk Sexual Behavior and Sexually Transmitted Diseases (See also Comp. I.B.15. Sexually Transmitted Diseases) |
 |
14. |
Contraceptive Practices, Family Planning, and Unintended Pregnancy |
 |
15. |
Postmenopausal Hormone Replacement Therapy (See also Comp. I.C.14. Menopause and Possible Sequelae) |
 |
| VII. |
Access and critically evaluate new information and adopt best practices that incorporate knowledge of sex and gender differences in health and disease. |
 |
| VIII. |
Discuss the impact of health care delivery systems on populations and individuals receiving health care. |
 |
1. |
Delivery of Health Services to Women |
 |
2. |
Access to Health Care for Women |
 |
3. |
Quality |
 |
4. |
Policy |