The Diploma of the Faculty of Sexual & Reproductive Healthcare: An innovative training programme. DFSRH – why change?. National drive to increase access to LARC and ↓ unplanned pregnancy rates (inc. teenage pregnancy)
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National drive to increase access to LARC and ↓ unplanned pregnancy rates (inc. teenage pregnancy)
Demand for sexual health training outstrips supply, leading to delays in training
Trainees arrive at clinics under prepared
Theory, practical training and assessments often not linked
Tension: service v training for trainees and for course organisers, and 3-4 day courses are expensive to run
Major investment in e-learning by Department of Health
To register for the Diploma:
Entry requirements will ensure that trainees access DFSRH training at an appropriate stage in their training
Knowledge/theory component all on e-SRH, and can be refreshed if there is a delay in starting clinical training
9 assessments will have been completed in Course of 5
The components of the two training programmes are not interchangeable.
To be signed by educational supervisor, (self certified if GP or consultant). Before going on Course of 5, trainee must be able to
1. Must be able to perform a basic gynaecological examination including:
2. Has been observed taking a cervical cytology sample and understands the need for audit of cytology results to confirm competence
Has achieved locally agreed competence to participate in cervical cytology screening programme.
The Course of Five
Maximum 4 trainees to each facilitator
Trainees are expected to demonstrate an appropriate professional, non judgemental attitude.
This is an explicit component of the Course of 5 assessments.
Further guidance from the General Medical Council publication ‘Good Medical Practice’ (www.gmc-uk.org)
Trainee-led, more emphasis on experience and assessment, less on teaching basics
Theoretical knowledge has already been assessed in e-learning
Trainees at an appropriate stage in their postgraduate medical training
structured assessment of a directly observed consultation
structured assessment based on a consultation which has not been directly observed
1. Contraception choices 2. Hormonal contraception3. Intra uterine/ subdermal methods 4. Emergency contraception5. Bleeding problems with hormonal methods6. STI risk assessment and screening7. Vaginal discharge and pelvic pain
One ACP in topic 1
One ACP for topic 3
One ACP for topic 6 or 7
One ACP in one of the other topic areas
The remaining assessments may be ACP or RDCP
Summary of progress chart Healthcare:
Check list for topic 1 Healthcare:
An acceptable assessment is one where the trainee is assessed as competent at the level of independent practice in each section
(with the exception of those marked * if not relevant).
February 14, April 17 and October 16
Contact Joanne Borthwick 0191 229 2871