A. Sexuality

The student will be able to:

1. Describe the physiology of the normal male and female sexual response.

2. Obtain a sexual history from a patient.

3. Identify the modifications in the sexual response that can occur as a result of;

- pubertal changes

- after initiation of sexual activity

- with contraception

- with concern about sexually transmitted diseases

- during pregnancy and the puerperium

- with menopause

- after gynecologic surgery and malignancy

- with infertility

4. Identify the factors in the student's own sexuality that may influence his/her perception and management of patients.

5. Identify the clinical situations where a sexual history is appropriate.

6. Recognize after a history and physical examination the following common problems in sexuality such as;

- ejaculatory dysfunction

- orgasmic dysfunction

- dyspareunia

- erectile dysfunction

- vaginismus

7. Outline the principles of sexual counseling.

8. Contrast the sexual behavior patterns and social issues of people who are;

- heterosexual

- homosexual

- bisexual

- transgender

B. Sexual Assault and Domestic Abuse

The student will be able to:

1. Describe the appropriate examination, reporting and documentation of patients who have suffered sexual assault as well as the preservation of possible evidence for patients who state they have experienced a sexual assault and would like to pursue charges against the offender.

2. Describe the short and long term physical and emotional consequences of sexual assault.

3. List the appropriate medical investigations and forensic investigations to be done, given patient consent.

4. Outline a plan of management for the immediate and long term medical treatment and counseling of the patient and her family.

5. Identify, evaluate and provide assistance to the patient who is a victim of domestic abuse, using the following critical steps;

- asking during history taking if abuse is present

- evaluating any barriers to disclosure or seeking help

- providing supportive clinical care

- documentation of the abuse

- evaluating the risk to the patient and her family

- providing education regarding the dynamics of abuse and assistance available.

- providing follow-up