Women's Health Care Competencies for Medical Students
APGO

Areas of Competency

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Graduates of medical schools will be able to:
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