The Virtual High Resolution Anoscopy Course will be open March 1 through November 30, 2022. This will be a self-paced course with pre-recorded thematic modules that can be completed at any time during the 4-month period the course is open.
In addition to the recorded modules, a live Q&A session with faculty members will be scheduled towards the end of the 4-month period. Questions can be submitted at any time during the course for discussion during the Q&A session. You can submit questions to the HRA Q&A Forum. A recording of the live Q&A will be available for those who cannot attend live.
For instructions on the course, click LMS Instructions. Once you have registered you can enter the course by clicking on the button below. Login to the course using your IANS user name and password.
Module 1
HPV Background (Epidemiology, Pathogenesis and Anatomy)
Objectives:
1. Introduction to HPV: General Epidemiology - 28 mins
2. Epidemiology of Anal Cancer and Squamous Intraepithelial Lesions (SIL) – 25 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 2.2 hours
Module 4
Treatment of ASIL
Objectives:
1. Principles of Treatment – 30 mins
2. Topical Therapies – 30 mins
3. Ablative Therapies 1: Background - 30 mins
4. Ablative Therapies 2: Technique – 49 mins
5. Anesthesia for Procedures – 11 mins
Total time: approximately 2.5 hours
Module 5
Screening for HPV-associated Lesions
Objectives:
1. The WHO Screening Criteria – 34 mins
2. Screening for prevention of anal cancer: where do we stand today? - 31 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. Incorporating research into clinical practice – 11 mins
6. 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 – 39 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
Download the printable program