You are currently using an unsupported browser which could affect the appearance and functionality of this website. Please consider upgrading to the latest version or using alternatives such as Mozilla Firefox, Google Chrome or Microsoft Edge.

Maternal and Fetal Medicine subspecialty training

Subspecialty training in Maternal and Fetal Medicine (MFM), including the curriculum and assessments

Maternal and Fetal Medicine – Definitive Document

This is the Definitive Document for the Maternal and Fetal Medicine curriculum 2019 approved by the GMC, which contains full details of the Maternal and Fetal Medicine curriculum. Please use this document as a reference point.

Capabilities in Practice (CiP)

The Maternal and Fetal Medicine curriculum is divided into 14 Capabilities in Practice (CiP).

Please see the Matrix of progression page for training matrix documents for both ST6-7 who have switched to the 2019 core curriculum, and ST6-7 who are staying on the pre-2019 core curriculum.

Maternal and Fetal Medicine Matrices (COVID-19 version)

The COVID-19 version of the matrices have been developed to accommodate the temporary derogation approved by the GMC due to the pandemic.
Following engagement with the Statutory Education Bodies and wider system, the GMC has approved the removal of the temporary derogation and this should take into effect from August 2022.

Subspecialty Curriculum guidance

See our Subspecialty guidance document on RCOG eLearning developed to support the new Maternal and Fetal Medicine subspecialty curriculum.

Cross specialty guidance

In order to achieve CCT at the end of subspecialty training, pre-CCT trainees following the new 2019 core curriculum are required to provide evidence for the cross specialty Capabilities in Practice (CiPs). See our Subspecialty curriculum guidance document  developed on how evidence for the cross specialty CiPs can be achieved.


In line with the previous curriculum, only fetal ECHO, amniocentesis and CVS require three OSATs evidencing competent independent practice for this Maternal and Fetal Medicine subspecialty.

However, it is recommended that the other specific procedural skills listed in the procedure table in the curriculum which also require Level 5 sign-off should also ideally be evidenced by at least 3 competent OSATs where possible before sign-off. You have to be competent in the below:

  • Chorionic villus sampling
  • Fetal echocardiography
  • Amniocentesis

Find out more

If you need any help or advice, email the Advanced Training Coordinator at  or call +44 20 7045 6789.