Registration for the Course of 5 (an element of the FSRH Diploma)

*The Course of 5 (C5) lesson plans are only available to Faculty Registered Trainers (FRTs) on application to the FSRH office – certificationmanager@fsrh.org. Please quote your FRT number when making the request.

It is the responsibility of the C5 Convenor to ensure the following conditions are met - the full list of requirements is contained in the Guidelines for Course of 5 Convenors click here to view this document. Please ensure that you read through these points before filling in the rest of the form.

By filling in the remainder of this form, you are agreeing to meet these conditions. 

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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Confirmation on Conditions of delivering a Course of 5 (C5)

Please ensure that you have read through and understood the following conditions of delivering a Course of 5 (C5). 

The full list of requirements can be found in the Guidelines for the Course of 5 Convenors  here.

1. You have read the most recent C5 materials* and these have been used to plan the meeting.
2. The Convenor for the C5 is a Faculty Registered Trainer (FRT) currently working in Sexual and Reproductive Healthcare.
3. Before the course, facilitators have signed to say that they have read the Guidelines for Course of 5 Facilitators.
4. Each group will have a facilitator, and no group will have more than 4 delegates.
5. Ensuring that, before the course starts, the relevant entry requirements have been completed and the eKA passed.
6. All delegates have received the ‘Guidelines for Course of 5 Delegates’, and that the pre course preparation required has been highlighted.
7. The Faculty is provided with 4 weeks’ notice of the course.
8. Within 3 weeks of the C5, a copy of the list of delegates in attendance and the completed Facilitators declaration form should be received by the FSRH.
9. To encourage C5 delegates to complete an online evaluation form about their C5 experience.
10. Agreement is given by the course organiser for the FSRH to publish the information provided below on its website.

I confirm that I have met the list of requirements for delivering a course of 5.*
Proposed Course Details

Please note, the following details will be listed on our website under the relevant Course of 5 listing. Please ensure if you are filling contact details for someone else that you have been given permission to do so.

 

By filling in the following details, you are confirming that under data protection laws, you have permission to share these details publicly. Thank you. 

Please indicate which modules are offered on your Course of 5 (C5)

Please can you indicate which sessions you will be offering on the Course of 5 you are running.

Session 1 - Taking a sexual history and HIV pre test discussion and testing*
Session 2 - STI screening and testing and teaching the use of condoms*
Session 3 - Practical aspects of contraception*
Session 4 - Young people; consent, confidentiality, Fraser guidelines and safeguarding children*
Session 5 - Managing Sensitive scenarios*
Course Convenor Details - For FSRH information only

Please fill in the information requested below. This information is for FSRH only, not for listing on the website or publicly.

Verification

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