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Matrix of progression 2019-2020

 

See the matrix below for all STs, grouped into 1-2, 3-5 and 6-7.

Download the matrix as a PDF (516kb)

 

* Indicates procedures not previously assessed in Curriculum 2013 by summative OSATs (implementation phase)

ST1-2

 

ST1

ST2

Curriculum progression

CiP progress appropriate to ST1 as per the CiP guides and matrix of entrustability levels.

CiP progress appropriate to ST2 as per the CiP guides and matrix of entrustability levels.

Examinations

 

MRCOG Part 1

At least 3 summative OSATS (unless otherwise specified) confirming competence by more than one assessor

(can be achieved prior to the specified year)

Cervical smear*

 

 

Caesarean section (basic)

Non-rotational assisted vaginal delivery (ventouse)

Non-rotational assisted vaginal delivery (forceps)

Perineal repair

Surgical management of miscarriage/surgical termination of pregnancy

Endometrial biopsy*

Insertion of IUS or IUCD *

Formative OSATS

Optional but encouraged

Mini-CEX

CBD

Reflective practice

NOTSS

TEF

Each training year

Each training year

TO2

2

2

Recommended courses

Basic Practical Skills in Obstetrics and Gynaecology

CTG training (usually eLearning package) and other local mandatory training

Obstetric simulation course (e.g. PROMPT/ ALSO/other)

Basic ultrasound

3rd degree tear course

Specific courses required as per curriculum to be able to complete basic competencies

Resilience course
e.g. STEP-UP

 

ST3-5

 

ST3

ST4

ST5

Curriculum progression

CiP progress appropriate to ST3 as per the CiP guides and matrix of entrustability levels.

CiP progress appropriate to ST4 as per the CiP guides and matrix of entrustability levels.

CiP progress appropriate to ST5 as per the CiP guides and matrix of entrustability levels.

Examinations

 

 

MRCOG Part 2

MRCOG Part 3

At least 3 summative OSATS (unless otherwise specified) confirming competence by more than one assessor

(can be achieved prior to the specified year)

Manual removal of the placenta

 

Transabdominal ultrasound of early pregnancy

 

Transabdominal ultrasound of late pregnancy

Hysteroscopy

Diagnostic laparoscopy

3rd degree perineal repair

Surgical management of retained products of conception  

Vulval biopsy *

 

Simple operative laparoscopy (laparoscopic sterilisation or simple adnexal surgery e.g. adhesiolysis/ ovarian drilling)

Endometrial ablation *

Caesarean section (intermediate)

Rotational assisted vaginal delivery (any method)

Formative OSATS

Optional but encouraged

Mini-CEX

CBD

Reflective practice

NOTSS

TEF

Each training year

Each training year

Each training year

TO2

2

2

2

Recommended courses

Obstetric simulation course – ROBUST or equivalent

 

 

 

ST6-7

 

ST6

ST7

Curriculum progression

CiP progress appropriate to ST6 as per the CiP guides and matrix of entrustability levels.

CiP progress appropriate to ST7 as per the CiP guides and matrix of entrustability levels.

Examinations

 

 

At least 3 summative OSATS (unless otherwise specified) confirming competence by more than one assessor

(can be achieved prior to the specified year)

 

ATSM/subspecialty training specific

Caesarean section (complex)

Laparoscopic management of ectopic pregnancy

Ovarian cystectomy

Surgical management of PPH

Surgical wound debridement

Formative OSATS

Optional but encouraged

Mini-CEX

CBD

Reflective practice

NOTSS

TEF

Each training year

Each training year

TO2

2

2

Recommended courses

ATSM course

Leadership and Management course

ATSM course

Leadership and Management course

 

* Incidates procedures not previously assessed in Curriculum 2013 by summative OSATs (implementation phase)

For trainees having an ARCP prior to February 2020 no summative OSATs will be required and trainees will then have a further 12 months (WTE) to achieve the required 3 summative OSATs for the procedure.

For trainees having an ARCP after February 2020 a minimum of 1 summative OSAT will be required and trainees will then have a further 12 months (WTE) to achieve the other 2 summative OSATs for the procedure.

Trainees who have already passed a year of training where a new procedure has been added are not required to complete summative OSATs for a new procedure required in an earlier year of training (eg. A ST4 is not required to collect 3 summative OSATs for endometrial biopsy).

 

Further guidance on evidence required for CiPs in the Core Curriculum

The philosophy of the new curriculum is about quality of evidence rather than quantity and a move away from absolute numbers of workplace based assessments (WBAs) and the tick box approach and the new training matrix above demonstrates this.

The CiP guides developed are available for trainers and trainees to give information about what would be appropriate evidence at different stages of training CiP guides.

Rules for CiPs:

  1. There must be some evidence linked to each CiP in each training year to show development in the CiP area.
     
  2. In each stage of training (Basic ST1-2, Intermediate ST3-5, Advanced ST6-7) the expectation is that there should be a minimum of one piece of evidence linked to each key skill for all clinical and non-clinical CiPs. This evidence needs to be appropriate for the stage of training.