Colposcopists Resources

Answers to questions about implementing HPV testing and changes to the Ontario Cervical Screening Program.

This document provides an overview of the OCSP’s seven pathways for investigation and management of abnormal cervical screening results. These pathways are informed by someone’s immediate risk and five-year risk of developing cervical pre-cancer (high-grade squamous intraepithelial lesion or adenocarcinoma in situ histology) or invasive cancer. The pathways outline key decisions, such as number of colposcopy visits, necessary interventions, tests, discharge eligibility and the recommended post-discharge screening intervals.

This new form is the only requisition that providers offering colposcopy can use to order an HPV test for their patients as part of the Ontario Cervical Screening Program. This form is different from the Ministry of Health and Long-Term Care laboratory requisition. Providers offering colposcopy should add this to their inventory of test request forms.

Instructions on how to complete each section of the new HPV and cytology requisition form for colposcopy are also provided.

A letter a colposcopist can send to a provider to let them know their referral was declined. The letter may include an explanation on the reason for referral decline.

A letter that a colposcopist can send to a patient when they are discharged back into primary care. The discharge letter indicates whether the patient received treatment in colposcopy and what their recommended screening interval is post-discharge.

A letter that a colposcopist can send to a patient or to a referring primary care provider when the patient has had a hysterectomy and is discharged back into primary care. The discharge letter indicates whether vaginal vault testing is required based on hysterectomy results.

A letter that a colposcopist can send to a patient or to a referring primary care provider when the patient is discharged back into primary care and has met the screening cessation criteria. The discharge letter indicates final colposcopy results.

A letter that a colposcopist can send to a referring primary care provider when their patient is discharged back into primary care. The discharge letter indicates:
– The patient’s final colposcopy results
– The recommended risk based screening interval post-discharge
– How to manage screening results post-discharge

There are two versions of the letter. Each letter has a different layout to accommodate provider preference and electronic medical record (EMR) software capabilities.