Special Skills Modules

About the Modules

A combination of theoretical and practical training leads to a Faculty Certificate in Abortion Care, Menopause, Vasectomy or Ultrasound.

Find out more on each module: Abortion care, Menopause, Vasectomy and Ultrasound under the qualify tab below.

Gaining a Faculty Certificate in one of the four special skills takes five steps.

1. Find a principal trainer who will oversee and manage your practical training.
2. Register for the SSM through our website and pay the £50 fee. Once registered please confirm the details of your trainer with the SSM administrator, Vikki Crowe (examsofficer@fsrh.org), who will then send you the logbook. (Please note, the logbook is not available through the website).
3. Complete the theory course / e-lectures (not required for vasectomy) and your practical training (see ‘Next steps’ below). 
4. Complete your log book and get it signed off by your trainer. 
5. Submit your log book to the Faculty.

Next steps

You can apply for any Special Skill, and access its log book, within the ‘My FSRH’ secure area. Click here to log in, or if you have not yet created an account, Register at the top right of the FSRH website.

Theory Courses

We require trainees to take theory courses for the Menopause and Ultrasound special skills, and to complete a series of e-lectures for the Abortion special skill.

You can find the courses on the events page. Search the events section by selecting, External Conferences and Educational Meetings from the dropdown menu option.

You can buy the Abortion e-lecture series from the Royal College of Obstetricians and Gynaecologists (RCOG) website.

If you are a course organiser and want the Faculty to accredit and advertise your SSM course, please click here to fill in the SSM course accreditation form. If you would like to apply to be a principle trainer for SSM courses, please download and fill in the relevant forms:

Associated fees and costs

All SSM modules require payment of a £50.00 registration fee. This is payable online - to begin your Special Skills Module, please Register or log into 'My FSRH'

Contact Us

If you require any further information on any of the Special Skills Modules, please contact the SSM Administrator by phone +44 (0)20 7724 5187 or by email to examsofficer@fsrh.org.

SSM Pathway Image   

Click on the orange 'Qualify' or 'Recertify' tabs below to read more about these qualifications and download key documents.



Personal beliefs guidance:

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.

Abortion care

This module combines theoretical and practical components and is aimed at doctors, nurses, midwives and others who regularly work in this field and have been peer reviewed. It consists of eight competence-based practical blocks. These cover consultations and the various methods of abortion up to 24 weeks’ gestation.

Doctors may take all eight blocks; for legal reasons, nurses and midwives may only take the three blocks on consultation and medical abortion. After completing each block successfully, the trainee receives the relevant ‘Certificate in Abortion Care’, indicating their ability to do this work within a dedicated abortion service.

Completing the whole module enables you to:

  • Understand the medical, social and legal aspects of abortion care.
  • Understand your role in the service and when you should refer to other specialists, if necessary 
  • Understand the wider aspects of abortion care for all women and be able to help develop local abortion services 
  • Have the necessary skills to work within that component of an abortion service.

The module also gives you the knowledge, skills and attitudes to look after women using abortion services. These include:

  • ethics, the law and abortion (including dealing with children and vulnerable adults)
  • care before and after assessments
  • identification of physical and psychological risk factors
  • clinical examinations 
  • methods of abortion and necessary medications
  • managing complications 
  • early and late post procedure care
  • managing contraception and sexual health issues
  • communication, a non-judgmental attitude and the ability to understand the patient’s perspective 
  • service networking.

To take the Abortion Care Module, please register for an account or log in to view My FSRH.



This is aimed at doctors and nurses who are already experienced in women’s health issues, who wish to gain the skills to work within a dedicated community or GP menopause clinic. Trainees may then choose to train for the ‘Advanced Certificate in Menopause Care’, which will enable them to be a menopause specialist and receive external referrals.

Completion of this module enables you to:

  • understand the medical, psychological and social aspects of the menopause and its consequences
  • assess and manage clinical problems relating to menopause
  • work within a community / GP / hospital setting 
  • understand your role in the specialty and when you should refer cases to other specialists, if necessary
  • understand the wider aspects of care for women and participate in the development of services in the local area.

To take the Menopause Module, please register for an account or log in to view My FSRH.



This module is open to doctors, nurses and midwives who are already working in community SRH and wish to show that they have the necessary skills to conduct ultrasound imaging and handle routine clinical conditions or situations. Please note that the module does not cover the full range of gynaecological problems that you may encounter.

Completing the module enables you to:

  • understand the basic physics of ultrasonography, including safety issues
  • know how to use typical ultrasound machines
  • identify the pelvic organs and their orientation, and establish their normality
  • identify abnormalities of the pelvic organs and correlate findings with the presenting symptoms or endocrine status
  • establish a diagnosis and act accordingly
  • communicate this information to the clients or colleagues sensitively and effectively 
  • gain a realistic understanding of ultrasound’s role within your clinical practice and know when to proceed or to refer on in specific clinical situations
  • develop the knowledge, professional skills, attitudes and clinical competencies to use ultrasound imaging safely and appropriately.

To take the Ultrasound Module, please register for an account or log in to view My FSRH.



This module is open to doctors who wish to show a basic competency in managing vasectomies. Please note that the module does not cover complicated procedures.

Please ensure that your Principal Trainer is skilled in pre-operative assessment and vasectomy surgery under local anaesthesia. He/she should also ensure the competency of any other clinicians training you (e.g. nurses).

Completing the module enables you to:

  • know the basics of how to provide a vasectomy service
  • manage uncomplicated vasectomies, know their limitations and when to refer more difficult cases
  • perform pre-operative assessment, including history taking and explanation of the procedure, addressing the patient’s concerns, as well as gaining informed consent
  • identify physical and psychological risk factors, including the risk of later regret
  • perform a clinical examination of the male genitalia, having acquired the skills to identify the vas and any potential operative difficulties, and also know your own limitations and how to refer complex cases
  • know the various methods of vasectomy and how to operate safely
  • provide early post-operative care and manage simple late complications
  • identify contraceptive, sexual and psychosexual health issues and understand the patient’s perspective
  • demonstrate good teamwork skills, as well as respect, tact, empathy and concern
  • understand the relevant medico-legal issues.

To take the Vasectomy Module, please register for an account or log in to view My FSRH.


Contact Us

If you require any further information on any of the Special Skills Modules, please contact the SSM Administrator by phone +44 (0)20 7724 5187 or by email to examsofficer@fsrh.org.

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.

There is no recertification period for Special Skills Modules. But if you would like to retake a module at a future date to update your knowledge and skills, you can do so at any time by logging into My FSRH and selecting the relevant qualification.