Module 1
HPV Background (Epidemiology, Pathogenesis and Anatomy)
Objectives:
1. Introduction to HPV: General Epidemiology - 30 mins
2. Epidemiology of Anal Cancer and Squamous Intraepithelial Lesions (SIL) – 30 mins
3. Anal Anatomy – 13 mins
4. Pathology 1: Anal Squamous Intraepithelial Lesions and Cancer – 30 mins
5. Pathology 2: Interpretation of Anal Cytology – 25 mins
Total time: approximately 2 hours
Module 2
Introduction to HRA and Related Procedures
Objectives:
1. HRA Terminology – 26 mins
2. HRA: Features of the Normal Anal Transformation Zone – 21 mins
3. HRA Procedures/Skills – 45 mins
4. Putting it together: HRA Video – 25 mins
Total time: approximately 2 hours
Module 3
HRA Pattern Recognition
Objectives:
1. HRA: Identification of LSIL – 20 mins
2. HRA: Identification of HSIL – 26 mins
3. HRA: Identification of Perianal Lesions – 28 mins
4. HRA: Identification of Cancer – 33 mins
5. Tips to improving HRA skills – 31 mins
Total time: approximately 2.3 hours
Module 4
Treatment of ASIL
Objectives:
1. Principles of Treatment – 30 mins
2. Topical Therapies – 30 mins
3. Ablative Therapies: Technique – 49 mins
4. Anesthesia for Procedures – 11 mins
Total time: approximately 2 hours
Module 5
Screening for HPV-associated Lesions
Objectives:
1. The WHO Screening Criteria – 35 mins
2. Screening for prevention of anal cancer: where do we stand today? - 35 mins
3. Tools for anal cancer screening – 32 mins
4. Screening guidelines – 21 mins
Total time: approximately 2 hours
Module 6
Management of Anal Cancer
Objectives:
1. Anal Cancer Treatment - 31 mins
2. HRA following Cancer – 14 mins
Total time: approximately 45 mins
Module 7
Management and Counseling
Objectives:
1. Treatment Triage: Cases – 45 mins
2. HRA in the Operating Room: Two Perspectives – 34 mins
3. Messaging: Counseling the Patient with HPV-associated Disease – 28 mins
4. The Patient’s Perspective – 32 mins
Total time: approximately 2.3 hours
Module 8
Practicalities for Establishing an HRA Practice
Objectives:
1. Essential Equipment for HRA – 21 mins
2. Documentation for HRA – 22 mins
3. Guidelines for Creating a New HRA Practice – 20 mins
4. HRA Practice Metrics – 28 mins
5. HPV Vaccination for prevention – 23 min
Total time: approximately 2 hours
Module 9
Anal Neoplasia in Context
To receive full CMEs please choose a minimum of 3 topics (subjects noted as optional do not count towards CMEs)
Objectives:
1. Non-infectious Disease of the Anus and Perianus – 39 mins
2. Vulvar Disease – 31 mins
3. Sexually Transmitted Infections, Testing and Treatment – 22 mins
4. Diseases of the Colon and Rectum – 30 mins
5. Dermatologic conditions – 26 mins
6. Coding and Billing (US based providers) - Optional – 34 mins
7. HRA and Cervical Colposcopy: Differences - Optional – 23 mins
8. Incorporating research into clinical practice - Optional – 11 mins