Following the introduction of the new PMETB approved curriculum and logbook and in order to ensure that ultrasound training becomes embedded in the training of all obstetricians and gynaecologists, the Standing Joint Committee of the RCOG/RCR has reviewed future requirements for ultrasound training in both obstetrics and gynaecology. This has resulted in major changes to how training in this area will be delivered.
For all trainees commencing at ST1 to ST3 levels from August 2008, completion of the two basic ultrasound modules will be mandatory for progression into advanced training (i.e. transition from ST5 to ST6) or for entry into subspecialty training (i.e. after completion of ST5).
Those starting at ST1 in August 2008 should commence the two basic modules at the beginning of specialty training in parallel with their other training. The modules must be completed by the end of ST5, although ideally, ST1 trainees should aim to complete the modules by the end of ST3. In the future, when these basic ultrasound modules have become embedded in core training, it is envisaged that completing both modules will become mandatory by the end of ST3.
For all trainees commencing training as ST4-7 from August 2008 (or for those retaining SpR status), there is no mandatory requirement to complete the basic modules. However, these trainees should avail themselves of the training opportunities and aim to complete the modules if practically possible.
Intermediate ultrasound training is only available after completion of basic clinical training. The three intermediate modules are ‘free-standing’ but do align with certain ATSMs and Subspecialty Training (SST) programmes. Intermediate ultrasound modules will be undertaken selectively. For certain ATSMs, intermediate ultrasound modules may be undertaken prior to (usually at ST 4-5 level) or parallel to the ATSM (i.e at ST6-7 level).
Mandatory completion of intermediate ultrasound modules
The majority of ATSMs and Subspecialty Training programmes do not require mandatory completion of intermediate ultrasound modules. The following are specific exceptions:
- From August 2009, completion of the fetal anatomy intermediate module will be mandatory prior to starting the fetal medicine ATSM or Maternal and Fetal Medicine SST.
- From August 2009, completion of the early pregnancy complications intermediate module will be mandatory prior to, or parallel to, undertaking the ATSM in acute gynaecology and early pregnancy.
For more information concerning intermediate level ultrasound module requirements and recommendations, relating to advanced training (ATSMs) or SST, refer to the specific advanced/subspecialty modules and the guidance later in this section.
Although the intermediate modules align with certain ATSMs, we appreciate that trainees undertaking other ATSMs may wish to undertake an intermediate ultrasound module. This must be discussed with their Education Supervisor and College Tutor before seeking prospective approval from the Deanery Ultrasound Co-ordinator.
|Module||Level||Completion date for trainees commencing ST4 to ST7 in August 2008 (and for ALL retaining SpR status)||Completion date for trainees commencing ST1 to ST3 in August 2008|
|Early pregnancy ultrasound (8-12 weeks)||Basic||As soon as is practically possible (NB – not mandatory but recommended)||Mandatory completion by end of ST5 (preferably by the end of ST3 if commencing at ST1)|
|Ultrasound assessment of fetal size, liquor and the placenta||Basic|
|Ultrasound of normal fetal anatomy||Intermediate||Undertake selectively, either prior to undertaking ATSM/Subspecialty Training (i.e. during ST 4–5 or at SpR 2 and 3 level), or in some cases parallel to ATSM/Subspecialty Training (i.e. during ST6-7 or SpR 4–5). Refer to information later in this section for further information.|
|Ultrasound in gynaecology||
|Ultrasound of early pregnancy complications||Intermediate|