Overview of the Community Sexual and Reproductive Health Specialty Training Programme

The FSRH oversees the Community Sexual and Reproductive Healthcare (CSRH) Specialty Training Programme. The CSRH Programme is only one of the routes available to medical practitioners who wish to specialise in the area of Sexual and Reproductive Healthcare (SRH). Read more about the Certificate of Equivalence in Specialty Training.

Previously the training pathway in the UK in Sexual and Reproductive Healthcare (SRH) was through Obstetrics and Gynaecology as a sub specialty. In 2009 the UK Parliament recognised SRH as an independent specialty in its own right.

The FSRH is focussed on ensuring the Specialty is established, recognised and influential in practice by producing medical experts in contraception, medical/office gynaecology, menopause, unplanned pregnancy with knowledge in GUM, Public Health and sexually transmitted infection care with the vision that medical practitioners have the skills and tools to lead and manage the community based Sexual Health services of the future and lead large multidisciplinary teams.

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How to become an SRH Consultant

The aim of the CSRH Training Programme requires Registrars to successfully complete the six year run-through training programme commencing at ST1.

The programme follows the CSRH curriculum and is divided into basic (years 1-3), intermediate (years 4-5) and advanced (year 6) training. It comprises of basic training in Obstetrics and Gynaecology and Sexual and Reproductive Health. Trainees will follow different competencies from O&G trainees which are focused towards medical Gynaecology rather than Labour Ward expertise. Gynaecological competencies will need to be maintained throughout training. The MFSRH Part 1 must be achieved before entering intermediate training.

Intermediate training will extend the strand of Gynaecology and SRH, which will continue to include unplanned pregnancy and Abortion Care, but now also encompass training in Genitourinary Medicine, Public Health, Sexual Assault and Sexual Problems. The MFSRH Part 2 must be achieved before entering advanced training.
Advanced Training will be a year of completing all outstanding competencies but with opportunities for shadowing and preparing for a role as a consultant.

Throughout the programme the trainee will undergo training in leadership and management. The programme develops the skills required to lead and manage the community based Sexual Health services of the future and lead large multidisciplinary teams.

Once the programme has successfully been completed, the trainee will be able to apply to the GMC for Certificate of Completion of Training (CCT) or a Certificate of Eligibility for Specialist Registration – Combined Programme (CESR(CP)) depending on the route taken.

See below for a diagram outlining the CSRH curriculum
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Who is responsible for the Specialty Programme?

The FSRH Specialty Advisory Committee (SAC) has overall responsibility for overseeing the CSRH Specialty Programme. The FSRH SAC works with ARCP Panels to ensure trainees meet required competencies throughout their training journey.

Read more information on the FSRH Specialty Advisory Committee’s structure and responsibilities.

Interested in a career in SRH?

Recruitment to the CSRH specialty programme is conducted centrally. This means that applications to speciality posts will no longer be to individual Deaneries/Local Education and Training Boards but will be managed centrally between the FSRH and Health Education England.


Read more information about the CSRH Programme and what it is like to work as a consultant.

Further information about a career in CSRH can be found in this article published in the BMJ, Careers in community sexual and reproductive health by Heike Gleser.