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Community Sexual and Reproductive Health Specialty Training Programme (CSRH)

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CSRH Specialty Training Programme is the most competitive specialist training programme in the UK. Launched in 2010, the Specialty curriculum in SRH aims to train a consultant workforce with the necessary leadership skills – and clinical skills - for community based Sexual and Reproductive Health services.  It aims to produce medical consultants who are trained both to deliver specialist clinical care themselves; but also, to be highly-skilled systems leaders who provide leadership to the bulk of routine SRH care that comes from nurses, GPs, healthcare assistants or other professionals. 

 

Decision aid for ARCPs - COVID-19

There are two routes available through the FSRH for medical practitioners who wish to gain specialist registration in Sexual and Reproductive Healthcare (SRH): 

  • CSRH - Community Sexual and Reproductive Healthcare
  • CESR - Certificate of Eligibility for Specialist Registration

Hear from one of our Specialty trainees about training on the CSRH programme.

Who to contact
For any questions regarding any of the two specialty training routes, please contact Mitesh Chauhan (Specialty Development Officer)
at specialty@fsrh.org or 020 7724 5187. 

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.

CSRH route & information

Entry requirements

Please download the CSRH person specification: ‘Community Sexual and Reproductive Health ST1’ for full details of eligibility at the following link.

Programme information 

Please download the full trainee handbook for a detailed overview of the programme. 

CSRH Curriculum & Pathway

The CSRH Specialty Training Programme is a six-year programme, divided into basic, intermediate and advanced training, across 15 modules. It is one of two training routes available through the FSRH for medical practitioners who wish to gain specialist registration in Sexual and Reproductive Healthcare (SRH).

2017 CSRH Curriculum pathway

 

 

 

 

 

 

 

 The CSRH Specialty Training Programme is a six-year programme, divided into basic, intermediate and advanced training, across 15 modules. It is one of two training routes available through the

Modules
Module 1 Basic Clinical Skills
Module 2 Contraception
Module 3 Unplanned Pregnancy & Abortion Care
Module 4 Gynaecology
Module 5 Specialist Gynaecology
Module 6 Pregnancy
Module 7 Menopause & PMS
Module 8 Genitourinary Medicine
Module 9 Public Health
Module 10 Teaching, Appraisal & Assessment
Module 11 Ethics and Legal Issues
Module 12 Leadership, Management & Governance
Module 13 IT, audit and Research
Module 14 Sexual Assault
Module 15 Sexual Problems

Link to full existing curriculum here. 

How will I learn?

You will learn using various methods including: 

  • Work-based learning
  • Induction and educational meetings (appraisal)
  • Training Courses/Events
  • e-Learning Resources

How will I be assessed?

You will be assessed using various methods including: 

  • MFSRH Examination
  • Workplace-based assessments (WPBAs)
  • Directly Observed Procedural Skills (DOPS)
  • Directly Observed Clinic (DOC)
  • Multi-source Feedback – Team Observation
  • Multi-source Feedback  - Patient Feedback
  • Reflective practice and recording reflection

Outcomes?

  • Upon successful completion of the CSRH Specialty Training Programme, the trainee will be eligible to apply to the GMC for Certificate of Completion of Training (CCT).
  • Specialist Registration, eligible to register as a Specialist GP

Fees

How to apply?

How to apply

Information and guidance

 Centralised recruitment for the Community Sexual and Reproductive Healthcare (CSRH) specialty is managed by Health Education England (HEE) on behalf of the FSRH programme at various locations. Further information on CSRH Specialty recruitment and application procedures can be found on the Health Education England Website here. You may also find the CSRH Applicant Guide and the CSRH FAQ section helpful in answering your application query.

 Online Application form

To apply for a place on the CSRH Specialty Training Programme, please complete the online application on the Oriel NHS recruitment portal here.

 If you have any queries about CSRH recruitment that cannot be answered via the methods above, please contact HEEE.recruitmenthelpdesk@nhs.net

 

CESR route & information

Please download the GMC Specialty Specific Guidance for ‘Community Sexual and Reproductive Health’, which provides a detailed overview of application requirements and evidence required for CESR applications.

CSRH Specialty Curriculum
Please refer to the latest version of the CSRH Specialty Curriculum at the time of submission

Programme information - please down load the CESR Applicant Guide  for information on how to apply 

The CESR is one of three training routes available through the FSRH for medical practitioners who wish to gain specialist registration in Sexual and Reproductive Healthcare (SRH).

Current key dates

  • August 2020 - submission to the GMC Curriculum Advisory Group (CAG) with the new CSRH Curriculum & MFSRH Examination
  • November 2020 - initial response from the GMC CAG
  • January 2021 - decision from GMC on the new CSRH Curriculum and MFSRH examination
  • February 2021 - launch of revised ePortfolio
  • March 2021 - new CSRH Curriculum will be launched
  • October 2021 - deliver the new Part 1 MFSRH examination
  • June 2022 - deliver the new Part 2 MFSRH examination
  • August 2020 - submission to the GMC Curriculum Advisory Group (CAG) with the new CSRH Curriculum & MFSRH Examination

Please note, these dates may change and are subject to GMC approval in January 2021.

If you are a CESR applicant
The GMC CESR guidance for applicants states that applications are assessed against the curriculum that is in place at the time they apply. Any CESR application must be in alignment with the new Specialty Specific Guidance.

We will publish more guidance closer to the planned GMC decision date of January 2021, but please note that this date may change.

If you are a MFSRH Part 1/Part 2 exam candidates
We will share detailed guidance to support candidates as soon as possible after GMC approval.

Who is it for?

A CESR is a way for doctors who have not completed a UK approved training programme to gain a specialist qualification, providing they can show they have the full skills, knowledge, qualifications and experience required by the relevant curriculum (e.g. CSRH Curriculum)

The Equivalence CESR programme requires you to submit evidence in support of your application for a CESR. Evidence must cover the knowledge, skills and qualifications to demonstrate the required competencies in all areas of the CSRH Curriculum.

What are the outcomes of completing the CESR route?

Successful CESR applicants will be eligible to apply for:

  • Entry onto the Specialist Register with a Certificate of Eligibility for Specialist Registration (CESR)
  • Specialist Registration, eligible to register as a Specialist GP

(The application for full registration is separate to the CESR application, but can be applied for at the same time)

How do I apply for a CESR qualification?

Doctors who wish to find out more about the application process for a CESR should refer to the GMC´s specialty specific guidance for CESR and CEGPR applicants available on its website. This pack provides applicants with the generic information they need to start putting together an application.

Is there any funding available?

There is up to £5,000 funding per applicant

 

If you are applying for Equivalence (CESR), there is an opportunity to apply for a grant towards your application. Grants will be awarded up to £5,000 per successful applicant. 

CESR Top-Up-Fund Application and criteria 
Please follow this link to apply for the CESR top-up fund

CSRH Curriculum Review 2020

We're conducting an extensive revision of the Community Sexual and Reproductive Health (CSRH) training curriculum, to be completed in 2021.

We’re delighted that we’ve submitted the proposed new CSRH curriculum to the GMC for their consideration. This is a significant milestone in this important project.

The redesigned curriculum will equip the CSRH professional with the skills, knowledge and attributes needed for patient care now and in the future.

Please note the submitted CSRH curriculum awaits approval from the GMC and is subject to change. GMC approval is expected in January 20201.

What are the proposed changes?

The CSRH curriculum has been designed to develop a consultant who is a Clinical Expert, a Systems Leader, an NHS Professional and a Trainer/Educator, reflecting the core work of the CSRH consultant.

  • The curriculum is broken down in to 10 high-level outcomes or Capabilities in Practice (a mix of clinical, non-clinical and generic)
  • There are changes proposed to the MFSRH examination
  • The curriculum will be delivered through an improved (NES) e-portfolio

Guidance and support resources 

In time a suite of resources will be available on our website and the e-portfolio to support the successful transition to the new curriculum. Resources will include:

  • the Curriculum Definitive Document
  • information on changes to the MFSRH examination
  • an implementation plan to demonstrate how the changes impact trainees at different levels
  • information relating to the global judgement process
  • a guide to Curriculum Capabilities in Practice including evidence required and the Annual Review of Competence

Progression process

  • information on transferring to the improved CSRH Training e-Portfolio
  • guidance for Educational Supervisors on the Educational Supervisors Report, educational supervision meetings, professional development plans and more

New CSRH ePortfolio
We are currently working with NES to significantly develop the Training e-Portfolio to support a more user-friendly progression through the curriculum. We’re grateful for the input from trainers and trainees.

In partnership with patients
We’re confident that our curriculum will support the development of CSRH trainees in becoming top class specialists. We know that CSRH consultants, not only have the medical knowledge and technical skills they need to provide great care, but also have the essential communication skills to develop productive partnerships with their patients.

Key dates to note

  • August 2020: Submission to the GMC Curriculum Advisory Group with the new CSRH Curriculum & MFSRH examination
  • November 2020: Initial response from the GMC
  • January 2021: Decision from GMC on the new CSRH Curriculum
  • January 2021: Launch of new CESR Specialty Specific Guidance
  • August 2021: Launch of revised ePortfolio
  • August 2021: New CSRH Curriculum will be launched*
  • August 2021: Launch of revised ePortfolio
  • October 2021: deliver the new Part 1 MFSRH examination
  • June 2022: deliver the new Part 2 MFSRH examination

*It is important to note that the expected launch of the new curriculum has changed since previous communications. All trainees will transfer to the new curriculum on the ePortfolio on 1 August NOT after the March and October ARCPs as previously communicated.

Please note these dates may change and are subject to GMC approval in January 2021.
If you have any questions or would like to feedback on the new CSRH curriculum, please email specialty@fsrh.org

 

 

Background to the GMC Curriculum Review

The General Medical Council, in its 2017 report Excellence by Design has stated that the curricula for all medical specialties must be revised by 2020.

In response to the 2013 Shape of Training review, all curricular will also need to incorporate Generic Professional Capabilities framework. The aim is that this will meet patient, professional and service need, by embedding common generic outcomes and content across all specialty and subspecialty curricular.

2020 CSRH Specialty Curriculum
The FSRH are revising the CSRH curriculum, and although, much of the current clinical content will be the same, it will, however, be described, packaged and assessed differently, in order to:

  • Incorporate the new Generic Professional Capabilities Framework
  • describe generic, shared and specialty-specific outcomes
  • streamline the granular “tick box” approach to assessing competencies
  • emphasise the knowledge, skills and attitudes that can be applied to a wide range of circumstances.