Application for Recertification of the FSRH Diploma

Before filling in this online form, please have all the relevant information to hand before starting it, you will not be able to save it and then revisit it later, it must be completed in one sitting. 

 

Record of CPD activity

Please note: evidence of CPD activity does not need to be submitted upon application. However, the General Training Committee will audit 10% of all applications and reserves the right to ask for supporting documentation for all activity.

If you would like a copy of your responses (which can be useful, should you apply for other things in the future), please add your email address in the relevant field at the bottom of this form. 

The information you have shared on this form will be used by the relevant FSRH Committee and FSRH staff for the purposes of administration only. FSRH will keep this information securely on our systems. Our full privacy policy can be viewed here. 

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Personal Details

Please complete all parts of this section.

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

Please record your CPD credits for Section One and Section Two

Personal beliefs guidance:

Please see the recertification section of the FSRH website to read the “Guidance for those undertaking or recertifying FSRH qualifications whose personal beliefs conflict with the provision of abortion or any method of contraception”. This was introduced at the FSRH in May 2017 and you should read this before submitting your recertification application. You are asked below to confirm you have read the guidance and will abide by the principles in it in your practice. This is part of the Faculty’s conditions for recertifying a FSRH qualification.

Section One

Gain at least five CPD credits by attending:

  • courses in core topics directly related to SRH, and/or
  • courses relating to consultation skills. 

Evidence required if requested: certificate of attendance, programme of meeting and a brief reflection on how this will influence your future practice.

Section Two

Gain no more than five CPD credits from other activities, such as:

  • Small group teaching and discussion within informal SRH courses. 
    Evidence required if requested: date and a brief description of the sessions, plus a brief reflection on how this will influence your future practice.
  • Peer review of personal clinical SRH practice
    (Observing clinical SRH practice and giving feedback afterwards: 1 CPD credit; being observed providing clinical SRH practice and discussing feedback afterwards: 1 CPD credit.) 
    Evidence required if requested: date and name of observer/person being observed and a brief outline of what you learned from this, either as the observer or the observed.
  • Commissioning or implementing SRH services
    Evidence required if requested: brief description of your activity and a brief reflection on how this will influence your future practice.

  • Completing Faculty distance learning programmes (1 CPD point for completing two e-SRH sessions). 
    Evidence required if requested: certificate print out from e-SRH and a brief reflection on how this will influence your future practice

  • Reading Clinical Effectiveness Unit (CEU) guidance and completing multiple-choice questions
    (Reading: 1 CPD credit; completion of self-assessment questions: 1 CPD credit.) 
    Evidence of reading if requested: date read and a brief reflection on how this will influence your future practice.
    Evidence of questions if requested: mark sheet, date completed and a brief reflection on how this will influence your future practice.

I confirm I 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

Failure to recertify at 5 yearly intervals when due will require further evidence.
  • Up to 6 weeks after the recertification date: The FSRH Diploma qualification will still be held by the doctor but FSRH records will show that the qualification is not CPD maintained and currently recertified. If prospective employers contact the FSRH to check current qualification this will be the information given.

  • More than 6 weeks after the normal recertification date: An additional requirement of 5 CPD credits must be gained to cover the extended time lapse. The total CPD requirement will therefore be 15 CPD credits (a minimum of 10 CPD credits must be claimed under section 1). This can only be undertaken once in a Diplomate’s career and a 2nd late application will entail undertaking the full FSRH Diploma training programme.

  • 10 years plus since FSRH Diploma qualification awarded or last FSRH Diploma recertification date: The applicant will be expected to undertake the full FSRH Diploma training programme, including an eKA pass.
Failure to pay annual subscription fee when due

Please ensure your annual subscription fee has been paid before applying for recertification of the FSRH Diploma.

See recertification requirements for the current policy in relation to lapsed membership.

Data Protection Statement and Confirmation

Data Protection

The Data Protection Act (1998) requires organisations or agencies collecting personal data on individuals to gain their consent before collecting, storing, publishing or analysing their data. By completing and signing this application form you are giving your consent for your data to be stored on databases used by the Faculty of Sexual and Reproductive Healthcare (FSRH) of the RCOG for the purposes of administrating its membership database. All data will be treated with the strictest confidence and will only be used for legitimate FSRH purposes.


Self-certification

I certify that at least 2.5 CPD credits of the above activity was undertaken in the 24-month period prior to the date of recertification and all within the five years prior to the recertification date.

I understand that recertification is self-certificated and that the FSRH reserves the right to audit randomly chosen applications received and that I may, therefore, be requested to produce documentary evidence of my activities.

Verification

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