WHEEL: Women’s Health Equity across the European Life-course
WHEEL is a blended intensive elective on the predictable inequalities in women’s health across the life-course. It combines European Union health policy with current clinical practice, AI-enabled risk assessment and precision prevention, taught through four themes: delays in presentation; menopause and post-menopausal cardiometabolic disease (with genitourinary and sexual wellbeing in the spring delivery); osteoporosis and migraine; and delayed cancer diagnosis and perimenopausal neurodivergence.
We will teach this elective in Georgia in November 2026 and, on proposed dates, in March–April 2027. Each delivery has four thematic units taught by live webinar, followed by one on-campus week.
WHEEL
WHEEL: Women’s Health Equity across the European Life-course
WHEEL
WHEEL: Women’s Health Equity across the European Life-course
Learning outcomes
WHEEL · 4 ECTS · November 2026
We will teach this delivery in Georgia in November 2026. Live webinars Tue 20 Oct – Sat 14 Nov 2026 (Tuesdays 10:00–12:30 and Saturdays 10:00–13:30, Georgia time); on campus Mon 16 – Fri 20 Nov 2026. Workload 120 hours: 50 h taught, 4 h examinations, 66 h independent study; 20 h of the taught programme is European Union policy teaching. Up to 30 students.
| Unit | Date · Georgia time · UK time | Session |
|---|---|---|
| Unit 1 | Tue 20 Oct 2026 10:00–12:30 Georgia 07:00–09:30 BST | Delays in presentation Lecture: European approaches to equity, access and timeliness of care; Gender Equality Strategy 2026–2030; European Pillar of Social Rights; health data for equity. |
| Unit 1 | Sat 24 Oct 2026 10:00–13:30 Georgia 07:00–10:30 BST | Delays in presentation Seminar: why women present and are diagnosed late; symptom recognition across the life-course. Formative self-assessment quiz (10 questions with worked answers; not graded). |
| Unit 2 | Tue 27 Oct 2026 10:00–12:30 Georgia 06:00–08:30 GMT | Menopause and post-menopausal cardiometabolic disease Lecture: the EU Cardiovascular Health Plan and women; the AI Act and sex bias in risk scoring. |
| Unit 2 | Sat 31 Oct 2026 10:00–13:30 Georgia 06:00–09:30 GMT | Menopause and post-menopausal cardiometabolic disease Seminar: menopause assessment and management; post-menopausal cardiovascular and kidney-metabolic risk. Formative self-assessment quiz (10 questions with worked answers; not graded). |
| Unit 3 | Tue 3 Nov 2026 10:00–12:30 Georgia 06:00–08:30 GMT | Osteoporosis and migraine Lecture: access to treatment and health data for long-term conditions; Health Technology Assessment Regulation; Cross-border Healthcare Directive; European Health Data Space. |
| Unit 3 | Sat 7 Nov 2026 10:00–13:30 Georgia 06:00–09:30 GMT | Osteoporosis and migraine Seminar: fracture-risk assessment and osteoporosis management; migraine diagnosis and prevention. Formative self-assessment quiz (10 questions with worked answers; not graded). |
| Unit 4 | Tue 10 Nov 2026 10:00–12:30 Georgia 06:00–08:30 GMT | Delayed cancer diagnosis and perimenopausal neurodivergence Lecture: Europe’s Beating Cancer Plan and the Council Recommendation on cancer screening; Strategy for the Rights of Persons with Disabilities 2021–2030. |
| Unit 4 | Sat 14 Nov 2026 10:00–13:30 Georgia 06:00–09:30 GMT | Delayed cancer diagnosis and perimenopausal neurodivergence Seminar: red-flag recognition and referral; unmasking of ADHD, autism and anxiety in perimenopause. Formative self-assessment quiz (10 questions with worked answers; not graded). |
| Exam | Sun 15 Nov 2026 22:00 Georgia 18:00 GMT | Mid-term examination Online: 40 single-best-answer questions, 60 minutes. 60 points. |
| Campus | Mon 16 Nov 2026 Local campus hours UK = Georgia − 4 h | Unit 1 day Policy lecture (1.5 h) and case-based group work (4.5 h): delays in presentation. |
| Campus | Tue 17 Nov 2026 Local campus hours UK = Georgia − 4 h | Unit 2 day Policy lecture (1.5 h) and case-based group work (4.5 h): menopause and post-menopausal cardiometabolic disease. |
| Deadline | Wed 18 Nov 2026 12:00 Georgia | Written capstone project 2,000 words; 5–10 references in Vancouver style; up to 4 tables and 4 figures. Submitted on the learning platform. |
| Campus | Wed 18 Nov 2026 Local campus hours UK = Georgia − 4 h | Unit 3 day Policy lecture (1.5 h) and case-based group work (4.5 h): osteoporosis and migraine. Written capstone project due by 12:00. |
| Campus | Thu 19 Nov 2026 Local campus hours UK = Georgia − 4 h | Unit 4 day Policy lecture (1.5 h) and case-based group work (4.5 h): delayed cancer diagnosis and perimenopausal neurodivergence. |
| Campus | Fri 20 Nov 2026 Local campus hours UK = Georgia − 4 h | Capstone & oral presentation Capstone policy lecture (2 h) in the morning; oral presentation of the capstone project in the afternoon (3 h, two parallel panels). |
WHEEL · 4 ECTS · March–April 2027
Proposed dates for March–April 2027. Live webinars Tue 23 Mar – Sat 17 Apr 2027 (Tuesdays 16:00–18:00 and Saturdays 16:00–17:30, Georgia time); on campus Mon 19 – Fri 23 Apr 2027. Workload 120 hours: 30 h taught, 4 h examinations, 86 h independent study; 20 h of the taught programme is European Union policy teaching. Up to 30 students.
| Unit | Date · Georgia time · UK time | Session |
|---|---|---|
| Unit 1 | Tue 23 Mar 2027 16:00–18:00 Georgia 12:00–14:00 GMT | Delays in presentation Lecture (2 h): European approaches to equity, access and timeliness of care, through the Gender Equality Strategy 2026–2030, principle 16 of the European Pillar of Social Rights, and health data for equity. |
| Unit 1 | Sat 27 Mar 2027 16:00–17:30 Georgia 12:00–13:30 GMT | Delays in presentation Practical class (1.5 h, with 30-min policy-to-practice segment): worked cases on why women present and are diagnosed late, and on symptom recognition across the life-course. Formative self-assessment quiz (10 questions with worked answers; not graded); clinical e-case 1. |
| Unit 2 | Tue 30 Mar 2027 16:00–18:00 Georgia 13:00–15:00 BST | Menopause and post-menopausal cardiometabolic disease Lecture (2 h): the EU Cardiovascular Health Plan and women; the AI Act and sex bias in risk scoring. |
| Unit 2 | Sat 3 Apr 2027 16:00–17:30 Georgia 13:00–14:30 BST | Menopause and post-menopausal cardiometabolic disease Practical class: menopause assessment and management, including genitourinary and sexual wellbeing; post-menopausal cardiovascular and kidney-metabolic risk, with NICE TA1152 as a comparator. Formative self-assessment quiz (10 questions with worked answers; not graded); clinical e-case 2. |
| Unit 3 | Tue 6 Apr 2027 16:00–18:00 Georgia 13:00–15:00 BST | Osteoporosis and migraine Lecture (2 h): European standards, access to treatment and health data for long-term conditions — the Health Technology Assessment Regulation, the Cross-border Healthcare Directive and the European Health Data Space. |
| Unit 3 | Sat 10 Apr 2027 16:00–17:30 Georgia 13:00–14:30 BST | Osteoporosis and migraine Practical class: fracture-risk assessment and osteoporosis management; migraine diagnosis and prevention. Formative self-assessment quiz (10 questions with worked answers; not graded); clinical e-case 3. |
| Unit 4 | Tue 13 Apr 2027 16:00–18:00 Georgia 13:00–15:00 BST | Delayed cancer diagnosis and perimenopausal neurodivergence Lecture (2 h): Europe’s Beating Cancer Plan and the Council Recommendation on cancer screening; the Strategy for the Rights of Persons with Disabilities 2021–2030. |
| Unit 4 | Sat 17 Apr 2027 16:00–17:30 Georgia 13:00–14:30 BST | Delayed cancer diagnosis and perimenopausal neurodivergence Practical class: red-flag recognition and referral for suspected cancer; unmasking of ADHD, autism and anxiety in perimenopause. Formative self-assessment quiz (10 questions with worked answers; not graded); clinical e-case 4. |
| Exam | Sun 18 Apr 2027 21:00 Georgia 18:00 BST | Mid-term examination Online: 40 single-best-answer questions, 60 minutes. 60 points. |
| Campus | Mon 19 Apr 2027 Local campus hours UK = Georgia − 3 h | Unit 1 day Morning (3.5 h): policy lecture (2 h) and practical class (1.5 h) with a further worked case — delays in presentation. Afternoon kept for the capstone project. |
| Campus | Tue 20 Apr 2027 Local campus hours UK = Georgia − 3 h | Unit 2 day Morning (3.5 h): policy lecture and practical class — menopause, genitourinary and sexual wellbeing, and post-menopausal cardiometabolic disease. |
| Deadline | Wed 21 Apr 2027 12:00 Georgia | Written capstone project 2,000 words; 5–10 references in Vancouver style; up to 4 tables and 4 figures. Submitted on the learning platform. |
| Campus | Wed 21 Apr 2027 Local campus hours UK = Georgia − 3 h | Unit 3 day Morning (3.5 h): policy lecture and practical class — osteoporosis and migraine. Written capstone project due by 12:00. |
| Campus | Thu 22 Apr 2027 Local campus hours UK = Georgia − 3 h | Unit 4 day Morning (3.5 h): policy lecture and practical class — delayed cancer diagnosis and perimenopausal neurodivergence. |
| Campus | Fri 23 Apr 2027 Local campus hours UK = Georgia − 3 h | Capstone & oral presentation Capstone policy lecture (2 h) in the morning; oral presentation of the capstone project in the afternoon (3 h, two parallel panels). |
Four units, one integration week
Delays in presentation
Unit 1 · online week. Tuesday lecture on European policy; Saturday case-based session with a 30-minute policy-to-practice segment, followed by a self-assessment quiz with worked answers (not graded). The online mid-term examination follows on the Sunday of the fourth week.
Menopause and post-menopausal cardiometabolic disease
Unit 2 · online week. Tuesday lecture on European policy; Saturday case-based session with a 30-minute policy-to-practice segment, followed by a self-assessment quiz with worked answers (not graded). The online mid-term examination follows on the Sunday of the fourth week.
Osteoporosis and migraine
Unit 3 · online week. Tuesday lecture on European policy; Saturday case-based session with a 30-minute policy-to-practice segment, followed by a self-assessment quiz with worked answers (not graded). The online mid-term examination follows on the Sunday of the fourth week.
Delayed cancer diagnosis and perimenopausal neurodivergence
Unit 4 · online week. Tuesday lecture on European policy; Saturday case-based session with a 30-minute policy-to-practice segment, followed by a self-assessment quiz with worked answers (not graded). The online mid-term examination follows on the Sunday of the fourth week.
Integration and the capstone project
On-campus week · Georgia. One theme per day in the order of Units 1–4; the written capstone project due on the Wednesday; the capstone policy lecture and the oral presentation on the final afternoon.
Methods of assessment — the same structure in every delivery
Two summative assessments in every elective, credit value and term: a 60-point mid-term examination at the end of the four webinar weeks, and the 40-point capstone project, submitted in writing and presented orally in the on-campus week. Weekly self-assessment quizzes support learning and are not graded.
| Component | What it involves | Weighting |
|---|---|---|
| Mid-term examination (summative) | Single-best-answer multiple-choice questions covering Weeks 1–4, sat online, on the secure learning platform (or the university’s Canvas or Moodle, to be confirmed) on the Sunday after the fourth week of webinars, at 18:00 UK time. At least 11 points are needed to sit the final assessment. | 60 points |
| Capstone project (summative) | An individual, policy-informed analysis of a clinical case, allocated from an anonymised case bank or, where available, an anonymised case from the student’s own clinical experience, benchmarked against a stated European objective (2,000 words; 5–10 references in Vancouver style; up to 4 tables and 4 figures). The written project is submitted on the learning platform by 12:00 on the Wednesday of the on-campus week (25 points) and presented to a faculty panel on the final afternoon — a 5-minute presentation followed by questions (15 points). | 40 points |
| Formative self-assessment (not graded) | At the end of each webinar week: 10 multiple-choice questions (WHEEL) or 15 (Cardiometabolic), with worked answers, for practice. Separate from the mid-term examination and the capstone project. | — |
Grading scale (European credit framework)
| Grade | Points |
|---|---|
| A · Excellent | 91–100 |
| B · Very good | 81–90 |
| C · Good | 71–80 |
| D · Satisfactory | 61–70 |
| E · Sufficient | 51–60 |
| FX · Not passed | 41–50 (one additional final assessment permitted) |
| F · Fail | 0–40 |
Key references
Every session is anchored to named, dated and externally verifiable sources. Links open in a new tab.
European policy and law
- European Commission. Gender Equality Strategy 2026–2030. Adopted 5 March 2026.
- Interinstitutional Proclamation on the European Pillar of Social Rights (2017/C 428/09), principle 16.
- European Commission. Europe’s Beating Cancer Plan. COM(2021) 44 final.
- Council Recommendation of 9 December 2022 on strengthening prevention through early detection: cancer screening (2022/C 473/01).
- European Commission. Union of Equality: Strategy for the Rights of Persons with Disabilities 2021–2030. COM(2021) 101 final.
- Directive 2011/24/EU on the application of patients’ rights in cross-border healthcare.
- Regulation (EU) 2024/1689 — Artificial Intelligence Act.
- Regulation (EU) 2025/327 — European Health Data Space.
- Regulation (EU) 2021/2282 — health technology assessment.
Clinical guidelines and consensus
- Hickey M, et al. An empowerment model for managing menopause. Lancet 2024;403:947–957.
- Lambrinoudaki I, et al. Menopause, wellbeing and health: a care pathway from the European Menopause and Andropause Society. Maturitas 2022;163:1–14.
- NICE guideline NG23: Menopause — identification and management (updated November 2024).
- Maas AHEM, et al. Cardiovascular health after menopause transition, pregnancy disorders, and other gynaecologic conditions. Eur Heart J 2021;42:967–984.
- Vogel B, et al. The Lancet women and cardiovascular disease Commission. Lancet 2021;397:2385–2438.
- Kanis JA, et al. European guidance for the diagnosis and management of osteoporosis in postmenopausal women. Osteoporos Int 2019;30:3–44.
- Kanis JA, et al. Algorithm for the management of patients at low, high and very high risk of osteoporotic fractures. Osteoporos Int 2020;31:1–12.
- Eigenbrodt AK, et al. Diagnosis and management of migraine in ten steps. Nat Rev Neurol 2021;17:501–514.
- Steiner TJ, et al. Aids to management of headache disorders in primary care (2nd edition). J Headache Pain 2019;20:57.
- Kooij JJS, et al. Updated European Consensus Statement on diagnosis and treatment of adult ADHD. Eur Psychiatry 2019;56:14–34.
- NICE technology appraisal guidance TA1152 (comparator for post-menopausal cardiometabolic risk). May 2026.
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Last editorial review: 10 October 2026 · Next scheduled refresh: 10 April 2027

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