The GMC has stipulated that all specialties must move trainees to a single version of their curriculum by December 2015. To comply with this regulation, the RCOG moved to a single version of the core curriculum from 1 August 2013.
This page provides guidance on managing the transition. For more information about the reasons behind this change, please read the GMC’s position statement.
Are any trainees exempt?
Two groups of trainees are exempt from moving to the 2013 curriculum:
- Trainees entering ST7/SpR5 before 31 October 2013
- Trainees in subspecialty training at 1 August 2013
What changes have been made to the core curriculum for 2013?
Following an extensive review of the core curriculum in O&G, a number of competences which previously had to be achieved in the final 2 years of the curriculum have been moved forward to the intermediate and basic training years. Basic ultrasound modules now have to be completed by the end of ST3 rather than the end of ST5. For a full list of the changes and how they affect you, please see our implementation plan (Excel document, 605 kb).
These changes have been incorporated into the 2013 core curriculum which launched on 1 August 2013; this is the RCOG curriculum that all trainees must follow (barring the exemptions listed above). All changes have been approved by the GMC.
How will the transition be managed?
Barring the exemptions listed above, all trainees currently within the training programme will have to achieve the new competencies during transition from older versions of the curriculum. The RCOG recommends that 1–2 training years be allowed to gain these competencies (this should be applied pro rata for those in LTFT and academic training).
To ensure that current trainees can plan their training over the transition period, it’s important that trainees and Educational Supervisors meet to discuss progress as soon as possible after 1 August 2013. This may involve altering rotations to ensure training opportunities are available, and is especially important for trainees who are training primarily in either obstetrics or gynaecology who are commencing ST6 in August 2013 (i.e. those undertaking obstetrics-only ATSMs or gynaecology-only ATSMs).
Trainees aiming to enter subspecialty training will need to achieve the revised intermediate core competencies of the single curriculum before entering subspecialty training.
SpRs affected by this change will need to move to the Specialty Training (ST) curriculum and the ePortfolio, and will need to achieve basic ultrasound competencies and two ATSMs to gain their CCT. The RCOG recognises that this group presents more difficulties in changing to the single version of the core curriculum because there are more differences between the SpR curriculum and the ST curriculum, and has therefore developed specific guidance for moving SpRs to the single curriculum.
All trainees and Educational Supervisors will be required to use the ePortfolio as this will be the only place where logbook competencies can be signed off. There will be no new hard-copy logbooks. Trainee progress at the 2014 ARCPs and RITAs will be assessed against this curriculum.
The table below provides more information about what this change will mean at different levels of training. Please also see the full implementation plan for moving to the single version of the core curriculum (Excel document, 605 kb), which looks at each module in more detail.
||The 2013 curriculum will apply to all ST1s who will follow the new curricular changes as they progress through training.
||Note basic ultrasound modules to be completed by end of ST3.
||For changes to the basic competencies – ST2s will have to achieve these in one year.
||This should be feasible as there are not too many; however, gynaecological competencies may be more problematic. The changes are considered essential. Note basic ultrasound modules to be completed by end of ST3.
||For changes to the basic competencies – ST3s will have to achieve these if they have not already done so, including the basic ultrasound modules. Generally ST3s will be allowed 1 year to achieve these. The exceptions are those that apply to less frequent clinical events.
||Most basic changes will be easy for ST3s to achieve.
||For changes to the intermediate competencies – ST3s will have 3 years to achieve these as they progress through training.
||For changes to the basic competencies – ST4s will have to achieve these if they have not already done so, including the basic ultrasound competencies. Generally ST4s will be allowed 1 year to achieve these. The exceptions are those that apply to less frequent clinical events.
||Most basic changes will be easy for ST4s to achieve.
||For changes to the intermediate competencies – ST4s will have 2 years to achieve these as they progress through training.
||For changes to the basic competencies – ST5s will have to achieve these if they have not already done so, including the basic ultrasound competencies. Generally ST5s will be allowed 1 year to achieve these. The exceptions are those that apply to less frequent clinical events.
||Most basic changes will be easy for ST5s to achieve.
||For changes to the intermediate competencies – ST5s will be allowed 2 years to achieve these.
||This means that they will not achieve the completion of all intermediate competencies by the end of ST5. However, it is felt that during transition to the single version of the curriculum and the incorporation of the ‘advanced competency changes’, this is reasonable.
||There is a requirement for ST6s to catch up the basic and intermediate competency changes. Generally ST6s will be allowed 2 years to achieve this, unless the competency is considered straightforward to achieve, when only 1 year will be allowed.
||The number of competencies that will only be allowed 1 year is very small.
||For changes to the advanced competencies – ST6s will be allowed 2 years to achieve these.
||The issue for these trainees is the access to training opportunities that may be limited by their clinical rotations, which should be tailored to their ATSM choices (e.g. achieving the obstetric competencies which occur in antenatal clinics may be difficult for those whose main interest is gynaecology).
|ST7, SpR5, subspecialty
||As per the GMC guidance – these trainees will not need to move to the single version of the curriculum.
||This is especially welcome as these trainees could have been severely affected by the need to achieve a large number of curriculum changes.
|SpR (completed SpR logbook)
||Need to complete the additional competencies of the ST logbook including those that are related to ultrasound training AND complete 2 ATSMs. These must be completed by the end of SpR 5.
||Trainees will need to be proactive to achieve these targets and should discuss their rotations with their Educational Supervisor and senior deanery trainers.
|SpR (not completed SpR logbook)
||Complete any outstanding SpR logbook competencies by recording them in ST logbook. Also need to complete the additional competencies of the ST logbook including those that are related to ultrasound training AND complete 2 ATSMs. These must be completed by the end of SpR 5.
||Trainees will need to be proactive to achieve these targets and should discuss their rotations with educational supervisor and senior deanery trainers.
If you have any questions that can’t be answered at a local deanery level, please email firstname.lastname@example.org.