IANS HRA Hands-on Course 2026

Location: UCSF Medical Center at Mt. Zion
1600 Divisadero St, San Francisco, California

Important Registration Notice

This course is offered on two separate dates with identical content, faculty, and hands-on experience.
Participants may register for one session only.
Please select either Session 1 or Session 2 based on availability.

Course Dates (Identical Offerings)

Session 1 
Saturday, April 19, 2026
8:30 AM – 4:30 PM

Session 2 
Sunday, April 19, 2026
8:30 AM – 4:30 PM

Each session provides the complete course. Attendance at both sessions is not required.

Overview

This one-day, hands-on high-resolution anoscopy (HRA) course is designed to provide the practical skills necessary to begin performing HRA. The course emphasizes foundational technique through supervised hands-on experience, while underscoring that ongoing practice and clinical experience are essential for achieving proficiency. A 1:3 ratio of participants to colposcopes and hands-on stations is ensured to provide ample hands-on time for every attendee. 

To accommodate scheduling needs, the course is offered on two separate dates; both sessions deliver the same curriculum and learning experience.

Target Audience

This course is intended for healthcare providers interested in beginning to practice HRA. It is appropriate for physicians (MD, DO) and advanced practice providers (NP, PA) from a range of clinical specialties, including family medicine, internal medicine, infectious disease, gynecology, gastroenterology, and general or colorectal surgery.

The course is designed for beginners with little or no prior HRA experience (0–25 independent HRAs).

Prerequisite

Participants must have completed the IANS Standard Virtual HRA Course or an equivalent program prior to registration to ensure familiarity with foundational concepts and to maximize the hands-on learning experience.


Learning Objectives

By the end of the course, participants will be able to:

  • Identify the essential equipment, supplies, and documentation required to practice HRA

  • Demonstrate familiarity with HRA-related diagnostic and treatment procedures:
      • Performing digital anal rectal examinations (DARE)
      • Collecting anal cytology specimens
      • Optimizing colposcope focus and visualization
      • Maneuvering the anoscope for optimal examination
      • Obtaining targeted biopsies
      • Administering local anesthesia safely and effectively
      • Performing lesion ablation
  • Recognize anal and perianal squamous intraepithelial lesions 

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