Developing Countries Center
For
Women Health Training
DCC-WHT

INTRODUCTION
Chronic Pelvic Pain in Women {CPPW} is a common debilitating disease or symptom. CPPW can reduce the quality of life and general wellbeing. CPPW has often been described as a major women's health issue.
CPPW is defined as any kind of pain or any kind of discomfort feeling in the pelvis {any area in the lower abdomen, below the umbilicus and in the lower back} , for six month, and not satisfactory cured by traditionally pain killers.
High incidence of CPPW, it affects approximately 1 in 7 women.1 In one study of reproductive-aged women in primary care practices, the reported prevalence rate of pelvic pain was 39%.2 Of all referrals to gynecologists, 10% are for pelvic pain, 3 also among women of reproductive age in the general population is estimated to be as high as 25 %{ University of Oxford, UK. 2005}.
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1. Mathias SD, Kuppermann M, Liberman RF, et al. Chronic pelvic pain: prevalence, health-related quality of life, and economic correlates. Obstet Gynecol. Mar 1996;87(3):321-7. [Medline].
2. Jamieson DJ, Steege JF. The prevalence of dysmenorrhea, dyspareunia, pelvic pain, and irritable bowel syndrome in primary care practices. Obstet Gynecol. Jan 1996;87(1):55-8. [Medline].
3. Reiter RC. A profile of women with chronic pelvic pain. Clin Obstet Gynecol. Mar 1990;33(1):130-6. [Medline].
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The problem

In the Developing Countries, the problem of Chronic Pelvic Pain in Women – CPPW – consists of the following items :
*1 * The high incidence of women complaining of CPPW.
*2* No enough complete knowledge with physicians with different specialties to solve the problem of CPPW.
*3* No standard effective systemic approach for facing the problem of CPPW.
The patient gets lost, confused, and frustrated due to rotating between the different specialization medical clinics e.g. gynecology, internal medicine, general surgery, orthopedic, urology, neurology, psychology, and physiotherapy, clinics …etc.
When the women patient visits any of these clinics, its specialized physicians try to tailor a diagnosis or try to fit her into one of their own specialized diseases. So, sometimes, the proposed diagnosis is likely not exactly true, and followed by improper treatment.
Also, the concept of multifactorial causes of CPPW is absent in the routine work of these individual clinics, so these different clinics actually act as an isolated islands in the ocean, there is no communications, no connections between them regards the CPPW.

The solution :
The most important approach for facing the problem is the training of physicians of different related specialties by attending highly specialized and well organized program for chronic pelvic pain in women.
Putting the CPPW in the focus, and lighten this area of medicine, both could be performed by raising the consciousness of physicians and other healthcare professionals across the full range of medical specialties and subspecialties about this subject by proper effective advanced specific training, revision and refreshment of all medical knowledge related to CPPW.
Because the causes of CPPW are belong many different medical specialties, so, training should deal with the subject of CPPW as a one independent entity, carefully discussing the details all over the body irrespectively to the borders or limits of the different specialties.

What is DCC-WHT?
Developing Countries Center for Women Health Training DCC- WHT is a new scientific center with old and update experiences, established for valuable goals. It is linked and affiliated, intellectually and philosophically to The Egyptian Society of Chronic Pelvic Pain In Women ES.CPP.W. Which is non-profit organization.
Developing Countries Center for Women Health Training DCC- WHT is a private, independent, nongovernmental and nonpartisan entity. It is mainly involved with the promotion and support of women health training, also try to achieve gender equality and to eliminate all forms of discrimination against women.
The Egyptian Society Of Chronic Pelvic Pain In Women ES.CPP.W seeks to assure physicians that the continuing medical education activities provided by Developing Countries Center For Women Health Training DCC-WHT almost meet the high standards of the Essential Areas, Elements and Policies for Accreditation almost as the same as specified by the American “ Accreditation Council for Continuing Medical Education “ ACCME. Although we are not applied to ACCME due to our practice is not inside America, but our centre inspire and follow ACCME instructions and guided by its wise and correct view.
Members have more than 30 years of medical practicing in the field of Gynecology and Obstetrics, and 10 years of medical education of women health.

MISSION STATEMENT
The mission of continuing medical education at Developing Countries Center For Women Health Training DCC-WHT is to assist physicians in the maintenance of their commitment to lifelong learning and improved patient care through the provision of high quality continuous medical education`s activities and initiatives in the field of chronic pelvic pain in women which represent up to 25 % of all women.
Also, the mission of continuing medical education at Developing Countries Center For Women Health Training DCC-WHT is to provide educational activities to physicians and health care professionals that reinforce basic medical knowledge, impart updated information on clinical practice and health care delivery, introduce new ideas, skills and technology in the area of chronic pelvic pain in women in the developing countries.

CONTINUING MEDICAL EDUCATIONAL {CME} PURPOSE
Developing Countries Center for Women Health Training DCC- WHT is a private medical training center perfectly designed and organized to fulfill the policy of The Egyptian Society of Chronic Pelvic Pain in Women ES.CPP.W. Aiming to raise the consciousness of chronic-pelvic-pain in women whom newly born subspecialty, among the Developing Countries all over in the world.
And also perfectly designed and organized to meet the educational needs of the candidates who desire a challenging and rewarding career in the growing field of the chronic pelvic pain in women.
We emphasis that our main purpose is to provide educational activities to physicians and other health care professionals in order to improve the quality of health care that is delivered by the participants in our programs.
Developing Countries Center For Women Health Training DCC- WHT `s concern is offering the extremely helpful training courses which build the knowledge and the skills for each candidate enabling him/ her to manage easily and successfully any case of chronic pelvic pain CPP in women.
Our continuing medical education program benefits from the combined presence of our long experience of both of medical practicing in the field of Gynecology and Obstetrics, and medical education of women health

TARGET AUDIENCE
Medical educational activities are designed mainly for practicing physicians providing a continuum of care from primary through tertiary and rehabilitative medicine, i.e. for all who can share in management of chronic pelvic pain in women.
Developing Countries Center For Women Health Training DCC- WHT `s continuous medical education activities for consultants, specialists, assistant specialists, fellows, residents, all in different specialties, general-practitioners, physicians, physician’s assistant, internships, final years of medical students and other healthcare professionals across the full range of all medical titles at any age.
Also candidates could be some few of both: high nurses and socially active women in special courses designed for each of them.

CONTENT AREAS
The scope of the content areas of the continuous medical education program at Developing Countries Center for Women Health Training DCC- WHT is comprehensive training for chronic pelvic pain in women.
Reviews of different numerous causes {which belong to most of systems of the body}, new diagnostic techniques, therapies, surgical procedures for diagnosis and treatment and alternative/complementary medicine related to chronic pelvic pain in women.
The majority of activities focus on multi-factorial causes, clinical updates, development of leadership skills and results or recommendations of latest researches concerning all therapeutic areas in the field of chronic pelvic pain in women.
Our program emphasizes and promotes the practice of evidence-based medicine.
Candidate should be asked to perform related research {thesis} which is reviewed by professional professors and consultants.
Developing Countries Center For Women Health Training DCC- WHT is coordinating its efforts with many other professors at many Egyptian Universities and consultants of Egyptian Ministry of Health, all are famous and have excellent reputation in different specialties related to chronic pelvic pain in women.
During the training course, the candidate will be introduced to a variety of subjects ranging from gynecology, general surgery, urology, orthopedics, neurology, anatomy, physiology, pathology, psychology, psychiatric and the other various systems of the human body.
Also, the candidate will learn more about: clinical examination, investigation, diagnosis, assessment documentation, and details of management of chronic pelvic pain - CPP -in women.
Also, the candidate will learn more about influence of some related environmental changes on the women health, and emergency first aid. Also, learn some computer skills (personal use, medical search methods, and etc.).
The course includes also, a wide range of information about different diagnostic approaches like pelvic ultrasonography and pelvic endoscopies which is one of the most important bright spots in our training course due to our vast experiences in practicing and teaching in this field since long time.
Pelvic endoscopy is mainly laparoscopy which enables visualization of the both abdominal and pelvic cavities and their organs. Also, hysteroscopy enables visualization of the uterine cavity from inside.
Besides the training course, the candidate could be introduced to medical ethics and regulations, medical records management, patient charting, front office skills, medical office administration procedures and billing practices.

TYPES OF ACTIVITIES AND SERVICES PROVIDED
Broad spectrum of educational activities is utilized. Our training program performs most of the effective educational activities in harmonic symphony.
Developing Countries Center for Women Health Training DCC- WHT offers continuing medical education free of commercial bias and independent of commercial input.
The candidate will attend highly specialized and well organized program includes: didactic lectures, workshops, symposiums, case-based conferences, journal articles club, case presentations, panel discussions, demonstrations, small group discussions, case presentations, question and answer sessions, self-directed learning materials i.e., instructional videotapes, pictures, and web-based researches and multiple choice questions for continuing medical education activities and for self-assessment modules.
Mandatory, candidate will be asked to perform a related research {thesis} which reviewed by professional consultants.
Our center prepares the candidates with the necessary medical knowledge and technical skills to begin functioning immediately upon graduation as a management of chronic pelvic pain in women professional or specialist.
Our vision is that our candidate immediately upon graduation will be as clinician educators or leaders for other physicians to improve the health care for about up to 25% of all women in their societies { who complaining of chronic pelvic pain }.
We ensure that training of future health care leaders is achieving the mission of The Egyptian Society of Chronic Pelvic Pain in Women ES.CPP.W.

EXPECTED RESULTS
Expected Results of DCC- WHT`s medical education program for physicians and healthcare providers in the developing countries in the area of chronic pelvic pain in women, should be:
 Ensure physicians are advancing their medical knowledge and competence.
 Improve their medical skills.
 Developing their performance in practice.
 Efforts of the continuing medical education CME of Developing Countries Center for Women Health Training DCC- WHT program, enable the physicians and healthcare professionals to gain competency and improve performance, and provide higher quality of care, so the health status and health outcomes of about 25 % of all women in the society will be improved.
 As a result of participation in DCC- WHT`s activities, it is expected that our target audience will be able to improve their medical knowledge and expertise according to new evidence based practices and other recent medical findings.
 Participates in DCC- WHT activities will be motivated to develop strategies and make changes in their clinical practice that will improve their professional performance and competence in providing patient care in their developing countries.
 Providing continuing medical education activities by DCC- WHT, for developing countries physicians considered the bridge which brings latest medical knowledge, expertise, best clinical practice, modern professional performance and competence in providing patient care in the field of chronic pelvic pain in women, from developed countries to the developing countries.
o We expect that DCC- WHT educational program fills the deficit and supports the bad needs of the developing countries in the field of chronic pelvic pain in
• Meeting stated objectives, provide balanced and rigorous information, and stimulate positive responses from participants in terms of impact of the activity on knowledge, skills, attitudes, patient care and/or future actions.
• Pre. And Post. Activity self-assessment to measure knowledge gained, ability to apply strategy to a practice situation using the knowledge gained and increased confidence levels.
* Administrative results: The department responsible for administering the continuous medical education program at DCC- WHT is expected to develop, maintain and improve its administrative systems, and try seriously to maintain compliance with The Accreditation Council for Continuing Medical Education ACCME (US) criteria.
DCC- WHT will periodically evaluate the effectiveness of the program by measuring the results of the program against its mission.

MONITORING AND EVALUATION OF BOTH PROJECTS
Monitoring of the project:
Monitoring of the project could be achieved by the following:
1 - Pre. And Post. Course Exams.
2 - Self-monitoring for educational activities. Report by the director of the project or committee of the project this should be specific, detailed report describing every step in the project,
3 – Monitoring of candidates respond and benefits Report by the director or committee of the project about each candidate CV and evaluates how each candidate interacted and responded to the medical educational activities.
4 - Candidate Form filled by each candidate at the end of course expressing his/ her opinion about all steps of the course, the medical materials and activities and the effect of the course on candidate`s medical knowledge and competence , medical skills and performance in practice and also other items like food , accommodation, staff relationship………etc .
5 - Monitoring and Evaluation Form, filled by the representative of the Egyptian Society of Chronic Pelvic Pain in Women who attended each course.
6 - Donor monitoring and Evaluation Form filled by donor representatives who attended each course.
7 - All the previous Monitoring and Evaluation forms should deliver to the donor headquarter immediately after completion of each course.
8- Periodical Monitoring and Evaluation report. Form filled by the director of the project at the end of certain period, about the detailed activities and candidates of the project during the given period. This report will be sent to the donor.