How to set up a service: how to teach and train

doi:10.1017/CBO9780511527036.041

40 - How to set up a service: how to teach and train

from Part III - Management of specific disorders

Published online by Cambridge University Press: 04 May 2010

Edited by

Jane MacDougall and

Jane MacDougall: Affiliation:
Current Chair of the British Society for Paediatric and Adolescent Gynaecology and Addenbrooke's Hospital, Cambridge, UK
Adam H. Balen: Affiliation:
Leeds Teaching Hospitals, University Trust
Sarah M. Creighton: Affiliation:
University College London Hospitals
Melanie C. Davies: Affiliation:
University College London
Jane MacDougall: Affiliation:
Addenbrooke's Hospital, Cambridge
Richard Stanhope: Affiliation:
Great Ormond Street Hospital

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Summary

Introduction

Preceding chapters have discussed the specialist management of paediatric and adolescent patients with gynaecological problems. They have also addressed some of the generic issues associated with their care. When many of us began to be interested in this area of gynaecological care, we did not fully appreciate its breadth. Adolescent and paediatric gynaecology covers any gynaecological condition presenting in a girl less than 19 years of age and includes intersex, developmental and endocrine disorders as well as menstrual dysfunction, infection, vulval disorders and the sequelae of oncological treatment of childhood tumours.

In the past, children with complex problems who outgrew the paediatric clinic were either discharged to their general practitioners (GPs) or care was transferred to a variety of adult clinics. Many of these adolescents have gynaecological problems. These require a specific approach, both in consultation and subsequent management, that involves an understanding of both gynaecology and the specific needs of adolescents. The adolescent gynaecologist acts as a transitional carer between the paediatricians and the adult physician and needs to act in liaison with both. Some adolescents with gynaecological problems, and in particular those with genetic problems, also need to see a variety of other specialists. A lack of coordinated care and multiple visits has negative implications both socially and emotionally. Throughout this book we have, therefore, advocated a multidisciplinary approach to our patients.

Type: Chapter
Information: Paediatric and Adolescent Gynaecology
A Multidisciplinary Approach
, pp. 533 - 540

DOI: https://doi.org/10.1017/CBO9780511527036.041 [Opens in a new window]

Publisher: Cambridge University Press

Print publication year: 2004

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