Structure of postgraduate training, with information about who’s responsible for each level of training. This information is designed for RCOG trainers.
Who manages training?
There’s a clear structure of training, which is detailed in the Gold Guide (7th edition):
- Postgraduate Deans provide quality management
- The School Board, Head of School/Chair of the Specialty Training Committee (STC) and Training Programme Directors manage the day-to-day training programme
- At trust level, the Director of Medical Education manages and quality-controls the education programme through a network of College Tutors and Educational Supervisors
More information about each of these roles is provided below.
Deanery education committee structure
Each deanery has a Dean of Postgraduate Education who’s responsible for the provision of postgraduate medical education in that deanery. There are usually several associate deans, one of whom will be responsible for O&G.
Each deanery will have a School Board or STC. The Head of the School Board/Chair of the STC responsible for O&G is a joint appointment between the Dean and the RCOG. The constitution of the School Board/STC varies between deaneries, but the committees will always include several if not all College Tutors. Most deaneries organise an annual meeting for all of their College Tutors and Educational Supervisors.
Training Programme Director
The Training Programme Director, on behalf of the School Board/STC, is responsible for organising trainee rotations within that deanery and for trainees’ Annual Review of Competence Progression (ARCP). The Training Programme Director is also responsible for dealing with trainees who have problems with their training, whether for personal reasons or because of the standard of training within a particular hospital.
NHS education structure
Each hospital has a Clinical Tutor or Director of Medical Education, a hospital consultant with responsibility for postgraduate medical education within the trust as well as continuing medical education for hospital doctors and GPs. The Clinical Tutor/Director of Medical Education:
- Provides overall management of the education of doctors in training
- Provides career counselling and pastoral support
- Manages the postgraduate centre, including staff
- Provides leadership and strategy for medical education in the trust
If medical students are attached to the hospital unit, there’s usually also a Clinical Tutor with responsibility for undergraduate education.
Directors of Medical Education and Clinical Tutors often take on additional duties, such as organising hospital courses (train the trainers, GP refreshers) and chairing hospital committees. Clinical Tutors may also be responsible for the study leave budget for all training grades, although this varies across the country.
RCOG education and training structure
The Global Education Directorate at the RCOG supports all education, training and assessment needs for the O&G specialty training programme. The curriculum, trainee registration, educational events and exams are all governed by committees that report to the Education Board. The Education Directorate is also responsible for quality assurance of all RCOG educational products, such as eLearning, events, etc.
Contact the RCOG
See the list of useful contacts in the education and training team, or an A–Z list of all useful contacts at the College.