SPECULUM WORKSHOP
Advanced Pessary Selection, Fitting, and Clinical Reasoning

Many pelvic health clinicians are now fitting pessaries, yet few have had formal training in speculum examination.

A speculum assessment can play an important role in evaluating vaginal tissue health and determining the suitability of pessary management. However, opportunities for physiotherapists and other allied health professionals to gain practical, hands-on training in this skill are limited.

This highly practical workshop is designed to fill that gap.

Through expert instruction, demonstration, and practical training, you'll learn how to confidently and safely use a speculum within your professional scope of practice. By the end of the workshop, you'll have the knowledge and practical skills to assess vaginal mucosal integrity, perform visual inspection of the cervix, and enhance your clinical decision-making when managing patients with prolapse and pessaries.

Why Learn Speculum Examination?
For many clinicians, speculum assessment is the missing link between internal examination skills and comprehensive pessary management.
 
Adding speculum skills to your clinical toolkit can help you:
  • Assess vaginal tissue health before pessary fitting.
  • Monitor the vaginal mucosa during ongoing pessary management.
  • Identify when referral or further medical assessment may be appropriate.
  • Improve clinical confidence when managing prolapse patients.
  • Deliver a more comprehensive pelvic health service.
What You'll Learn
Speculum Fundamentals
  • Patient symptoms
  • Lifestyle and activity demands
  • POP-Q findings
  • Prolapse location and severity
  • Levator hiatus dimensions
  • Levator ani muscle function
  • Vaginal dimensions
  • Pelvic floor support characteristics
Clinical Assessment Skills
  • Patient symptoms
  • Lifestyle and activity demands
  • POP-Q findings
  • Prolapse location and severity
  • Levator hiatus dimensions
  • Levator ani muscle function
  • Vaginal dimensions
  • Pelvic floor support characteristics
Advanced Pelvic Floor Assessment
  • Assessment of levator ani avulsion using our unique silicone vaginal model, Lily.
  • Understanding the clinical significance of levator ani injury.
  • Applying findings to pelvic health management and patient education.
Scope of Practice
This workshop focuses on teaching speculum examination skills that support pelvic health assessment and pessary management within the scope of practice of appropriately trained health professionals.
 

The workshop does not provide training in the diagnosis of gynaecological pathology or medical conditions, as these assessments sit outside the scope of practice of most allied health professionals.

Participants will learn how to recognise normal and abnormal findings and understand when referral for medical assessment is indicated.

Who Can Enrol?
This workshop is open to registered health professionals who are in good standing with their professional regulatory body. Registration must be held with the relevant professional board or regulatory authority in your home country. We welcome female, male, and gender-diverse health professionals.
Course Outcomes PLACEHOLDER
By the end of this course, you will be able to:
  • Fit a significantly wider range of pessaries with confidence.
  • Improve clinical reasoning around pessary selection.
  • Better manage complex prolapse presentations.
  • Troubleshoot challenging pessary cases.
  • Apply biomechanical principles to pessary fitting
  • Confidently assess when alternative pessaries may be appropriate
  • Improve patient outcomes and long-term success rates
Who Is This Course For? PLACEHOLDER
This course is suitable for experienced registered health professionals who assess and manage women with pelvic organ prolapse, including:
  • Nurse Practitioners
  • Registered Nurses
  • Clinical Nurse Specialists
  • Physiotherapists
  • General Practitioners
  • Gynaecologists
  • Osteopaths
  • Women's Health Clinicians
  • Other registered health professionals
Participants typically have existing experience in prolapse assessment and pessary fitting and are looking to expand their scope into more advanced pessary management.
Learn From an Expert
Dr Melissa Davidson is New Zealand's only Specialist Physiotherapist in Pelvic Health and has more than 35 years of clinical experience.

Known for her engaging teaching style and evidence-based approach, Melissa makes complex pelvic health concepts easy to understand and immediately applicable in practice.
 
Read more in About Us
What Participants Say
"This course offers an important missing link to pessary fitting. A must for all clinicians fitting pessaries." - Genevieve, Physiotherapist
"The speculum component was incredibly valuable. I had been looking for practical training in this area for some time. It really helped build my skills and knowledge." - Adela, Physiotherapist
"This was a wonderful course providing both the theoretical basis for speculum use within a practitioner's scope of practice, as well as the knowledge and practical application to feel confident completing these examinations clinically." - Simone, Physiotherapist
"The speculum workshop allowed me to refine my speculum skills. It's not often that such a workshop is offered anywhere else for physiotherapists." - Valerie, Physiotherapist
"I feel much more confident in my assessment skills and look forward to applying this knowledge in clinical practice." - Jewel, Physiotherapist
"Melissa was an excellent presenter providing evidence-based education and learning. Her clinical expertise was evident throughout." - Melissa, Physiotherapist
Investment
NZ$495 including gst.
Length of course: 4.5 hours
Downloadable resources:
  • Course Workbook
  • Screening tools for your clients and health professionals
  • Learning About Pain
  • Graded Exposure – Returning to Normal Function
  • Stretching – Leg and Hip
  • Stretching - Pelvis