Letter of Competence Subdermal Contraceptive Implants Techniques Insertion and Removal (LoC SDI-IR)

Experienced Practitioners - Please note, if you have undertaken training at another provider some time ago, you may be eligible to undertake a shortened pathway which takes into account past clinical experience. However, all parts of the programme below (including passing the eKA) need to be completed. Page 4 of the Training Record should be completed in this instance. 

Entry Requirements

FSRH Diploma or LoCs - requirement for anaphylaxis training - provide evidence

The entry requirements for the DFSRH, LoC SDI and LoC IUT include the need for trainees to provide evidence that they are up to date with Basic Life Support and Anaphylaxis Training in accordance with their employer’s local policy. Trainees are encouraged to access local training where available. In the rare instances where this is unavailable, online updating which follows the UK Resuscitation Council standards may be deemed acceptable; there are a number of websites which offer e-learning for a fee. Trainers may choose to accept certificates of completion as suitable evidence. Doctors who register with doctors.net.uk can access free on-line learning through this website.

1. Pass Module 17 of the e-SRH & Read the 6 Principles of Care Guidance:

Everybody must complete Module 17 of the e-SRH, which is hosted on the e-LfH website. This is an e-learning package, free to NHS professionals, which contains interactive learning modules on various topics. Each module lasts around 20 minutes. For access you will need to register with e-Learning for Healthcare (e-LfH). This e-SRH is free to anyone holding an nhs.net email address. If you have previously registered on e-LfH site and have forgotten your details you can request a reset , or if you are having issues logging in you can contact e-LfH. 

At the time of application for your FSRH qualification, you need to confirm you have read the 6 principles of care as outlined in the “Guidance for those undertaking or recertifying FSRH qualifications whose personal beliefs conflict with the provision of abortion or any method of contraception” and agree to abide by them in practice. It is, therefore, important to have read this document prior to commencing training.

2. Purchase and Take the eKA 

If you do not hold a current FSRH Diploma, MFSRH or FFSRH, you must pass (or have recently passed) our online knowledge assessment (the ‘eKA in SRH’). Find out more about the eKA. 

If you do hold a current FSRH Diploma, MFSRH or FFSRH, there is no need to take the eKA.

Please note that the duration of the eKA was extended by 15 minutes from 2 January 2019, based on user feedback. This will give you two hours to complete the assessment. For more details, read our news story.

3. Find a Trainer to Undertake Practical Training 

 Trainees must first use a model arm to practice inserting and removing subdermal implants. This practice can take place as part of the Course of 5 for the FSRH Diploma, or in a separate training session.

The training then moves to live volunteers: you must complete as many supervised insertions and removals as necessary until your trainer is satisfied that you are competent.

Please note: 
Your practical training must be completed through a Faculty-recognised General Training Programme – you can find a list of them on our 'Find a Trainer' page when you register or log into 'My FSRH' and click on 'Take a Qualification' behind log in.

4. Download LoC SDI Record of Training

You must document all your practical training and obtain the signature of your trainer when you competently complete each stage / insertion. Download a training record.

5. Submit your Record of Training

Once you have completed both parts of your training, you may apply for your LoC SDI. To do this, log into ‘My FSRH’ and then complete: 
1. Your LoC SDI training record / application form 
2. The online evaluation of your training experience – you can find links to this in ‘My FSRH’.  Your feedback will be shared with the FSRH's General Training Committee to help us improve our programmes.

Intellectual Property Rights

All intellectual property rights for any FSRH qualification including documents, materials and content belonging to and produced by the FSRH should not be used for purposes other than FSRH training. Should you wish to use any of the IPR for purposes other than FSRH training you must seek the FSRH’s approval in writing with your request via our copyright request form. We aim to respond to submissions of this nature within one working week.