POSTGRADUATE SCHOOL OF OBSTETRICS AND GYNAECOLOGY

Oxford Deanery

‘Quick Look’ Handbook

on training course requirements and curriculum targets

for Specialty Trainees

Jane Siddall

Deputy Head of School & ATSM Director

May 2010


This document is intended to provide a ‘quick look up’ guide to training targets. It is not exhaustive, but outlines the minimum targets required in 2010. The content may be subject to changes required by the SEAC at the RCOG. You are advised to check the RCOG web pages at least every six months to ensure that new curriculum developments and requirements are not missed. Some of the courses listed as essential are driven by NHSLA (NHS Litigation Authority) standards for good clinical practice and are subject to regular updating. These include Child Protection, CTG interpretation and basic life support skills.

Most of the course which are described as ‘desirable’ in the first year of basic, intermediate or advanced training become ‘essential’ by the final year of that period of training, particularly if part of the RCOG curriculum for specific modules. These are shown in bold typeface.

All trainees are strongly advised to make a well prepared attempt at MRCOG examinations at the earliest time they become eligible. Progress cannot be made from ST2 or ST5 without the relevant part of the exam having been passed.

All trainees must, EVERY YEAR, achieve these WPBAs target as a minimum:

·  OSATS are both formative (ie used to monitor progress) and summative (ie ‘sign off’ for independent practice.) There is no fixed number of formative OSATS required, but we would expect two or three per skill, and that all those completed should be filed in the training portfolio. In addition three summative OSATS are required for all skill ‘sign offs’.

·  6 CbDs and 6 mini C-Exs across curriculum: it is suggested three of each for obstetrics AND for gynaecology for each tool.

·  Reflective practice pieces

MRCOG examinations: Part 1 can be sat once a doctor is qualified, but the RCOG indicates that some training in O&G is also desirable. Some Foundation schools do not advise F2 doctors to attempt part 1 exams in F2, so early in ST1 is the most appropriate time. Part 2 cannot be sat until the doctor has been qualified for four years AND is on the GMC register as a FULLY REGISTERED practitioner AND two years have passed since obtaining part 1. UK trainees should have completed 2 years in O &G. There is no mandatory requirement for any formal training in Family Planning (theory or practical).

Training year / Essential courses in this phase of training / Desirable courses (those in bold are required to satisfy RCOG curriculum ) / Essential Exam passes / Desirable exams / Curriculum progress
All trainees, every year, should ensure that they have a valid certificate in the following areas:
Obstetric emergencies inc eclampsia, shoulder dystocia, obs collapse, massive obs haemorrhage,(locally provided)
Child protection training (locally provided, face to face training every three years and online update annually)
Basic neonatal resus(locally provided)
Basic adult life support (locally provided)
CTG interpretation (eg K2, locally available)
These skill sets are required by employing Trusts as part of their evidence for NHS Litigation Authority indemnity in addition to many, but not all, being RCOG requirements.
ST1 / Basic surgical skills.
Perineal trauma course / Basic USS theory / Part 1 MRCOG / Steady progress through all modules (white boxes)
WPBA as described on page 1
ST2 / Training in breaking bad news
Basic USS theory if not in ST1
Completion of basic practical skills course / Third degree tear course (if not covered in perineal trauma training).
Family Planning theoretical course +/- practical training / Part 1 MRCOG / Completion of all basic training targets (white sections of log book)
Complete 3 independent OSATS for each of fetal blood sampling, non rotational ventouse, non rotational forceps, uncomplicated LSCS, perineal repair , manual removal of placenta, ERPC, opening & closing an abdomen,
ST3 / Assessment & appraisal
Teaching skills
Presentation skills
Problems of puberty
Rape & forensic gynae
Paediatric gynae
Assisted reproduction
Family Planning theoretical course +/- practical training / Steady work through the pale pink sections of all modules
Scanning OSATs in trans abdominal early pregnancy scanning, fetal biometry, presentation, placental localisation, AFI.
ST4 / Part 2 MRCOG / Steady work through the pale pink sections of all modules
ST5 / Part 2 MRCOG / Completion of all (pale pink) intermediate training targets.
Independent sign off 3x OSATs each for diagnostic laparoscopy, diagnostic hysteroscopy, repeat (>2) LSCS, twin LSCS, preterm >28 week premature LSCS, rotational ventouse delivery
USS : see below
All ST5 trainees should review curriculum requirements for ATSMs they wish to pursue and begin to make preparations, such as identifying specific courses or skill sets required, during ST5 training so that they can commence ATSMs immediately on transfer to ST6
ST6 / Basic colposcopy training.
Management course.
Oxford O&G senior trainees’ day. / MOET / Steady progress through the dark pink elements of all modules
ST7 / Basic colposcopy training.
Management course.
Oxford O&G senior trainees’ day. / Completion of all advanced training (dark pink) targets.
Completion of 2 ATSMs
OSATs for complex assisted vaginal deliveries (eg trials), premature <28 week LSCS, rotational deliveries, LSCS after a failed attempt at instrumental delivery etc.

Ultrasound: Basic skills are required of all trainees who commenced UK training at ST1-3 on or after August 2008. Basic scanning should be complete by the end of ST3 (see necessary OSATS in table above).

The RCOG advises that the intermediate modules are free-standing and may be done during ST4-5 or in ST6-7.The modules are in fetal anatomy & biometry, the normal female pelvis, assessments of fibroids, ovarian tissue, endometrium and pelvic pain, normal early pregnancy, early fetal loss, suspected ectopic pregnancy. If the trainee wishes to undertake specific ATSMs such as Acute gynaecology & early pregnancy, Advanced antenatal practice , Fetal medicine etc., he or she will have to extend their skills beyond the intermediate modules, and should therefore complete the relevant intermediate modules before embarking upon the ATSM.

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