O&G Cases · Gynaecological oncology — screening and prevention
Cervical screening pathway — abnormal result navigation station
Abnormal-result navigation and counselling station on cervical screening: explaining the NCSP and self-collection, applying the reflex cytology triage pathway for an HPV-positive self-collected sample, defending the colposcopy referral for HPV 16, discussing the obstetric consequences of over-treatment, and counselling the patient through the workup. Includes assessor key and marking domains.
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Station brief
Format. Abnormal-result navigation and counselling station, approximately 12 minutes. You are the GP registrar. The assessor feeds the screening result and the patient's questions as you go. [1]
Candidate instruction. Explain the NCSP and the self-collection option, navigate the reflex cytology triage pathway for this HPV-16-positive self-collected result, defend the next step, and counsel the patient through the workup, addressing her anxiety honestly and empathically. [1]
References5ShowHide
- [1]Smith M, Hammond I, Saville M, et al. Lessons from the renewal of the National Cervical Screening Program in Australia. Public Health Res Pract, 2019.PMID 31384888
- [2]Arbyn M, Castle PE, Schiffman M, et al. Meta-analysis of agreement/concordance statistics in studies comparing self- vs clinician-collected samples for HPV testing in cervical cancer screening. Int J Cancer, 2022.PMID 35179777
- [3]Kyrgiou M, Athanasiou A, Paraskevaidi M, et al. Adverse obstetric outcomes after local treatment for cervical preinvasive and early invasive disease according to cone depth: systematic review and meta-analysis. BMJ, 2016.PMID 27469988
- [4]Hall MT, Simms KT, Lew JB, et al. The projected timeframe until cervical cancer elimination in Australia: a modelling study. Lancet Public Health, 2019.PMID 30291040
- [5]Australian Technical Advisory Group on Immunisation Human papillomavirus (HPV) The Australian Immunisation Handbook, 2025.Source