Transition to new curricula in the JRCPTB specialties

The JRCPTB curricula have been revised in line with the requirements of the General Medical Council’s standards in Excellence by Design. The GMC's policy statement on the transition of learners to a new curriculum sets out the requirements for doctors in training to move to the most recent GMC approved curriculum and programme of assessment. The transition should be completed as soon as it is feasibly possible, taking account of patient and trainee safety whilst also balancing the needs of the service.  

Please find below new guidance and form for carrying out and recording the gap analysis for trainees transferring to the new group 1 curricula from August 2022. The gap analysis form for group 1 specialties is now available on the ePortfolio and can be created by the educational supervisor or trainee.

Group 1 specialties gap analysis and form 2022

Principles and process for transferring curriculum

  • Doctors in their final year of training (pro rata for less than full time trainees) are not required to transfer curriculum. 
  • It is recommended that trainees transfer at the start of the new training year and transition should be completed as soon as possible. Some cohorts of trainees may experience a greater impact than others and require longer to prepare for the transition. As a guide, the GMC considers two years from the implementation date to be a reasonable transition period for all trainees to have moved to a new curriculum.
  • The curriculum version a trainee will be training to should be agreed and documented at the ARCP 
  • Educational supervisors should agree individual transition plans with their trainees taking into account any specialty specific transition guidance detailed in the rough guide.
  • The educational supervisor and trainee should review the new curriculum learning outcomes - 'capabilities in practice' - and identify any gaps that need to be addressed. This gap analysis will help deaneries to tailor the training programme to ensure the trainee encounters relevant learning experiences. Any additional training time and change to the CCT date should be agreed by the first ARCP.
  • For some specialties there will be little difference between the current and new curriculum and the gap analysis will only need to be light touch.
  • The gap analysis form should be completed on the ePortfolio via the Educational Supervisor's login [Progression - Supervisor’s Report - Available Forms].
  • Trainees will not be required to re-link or transfer evidence from the previous curriculum and should start using the new curriculum in their ePortfolio account.
  • If a trainee is not in their final year or covered by the transition exemptions below but it is not in the interests of patient safety or impractical to support a trainee to move to the new curriculum, the trainee may remain on the curriculum in place prior to the new approval. This should be discussed with the training programme director and head of school and must be approved by the postgraduate dean.The reasons for not transferring must be documented.

Transfer to new curricula for the group 1 specialties from August 2022

Most trainees will be required to transfer to the new curricula unless in their final year of training (pro rata for less than full time trainees). Trainees should transfer to the new curriculum at the earliest opportunity. It is strongly advised that this is at the point at which they progress into the next training year/grade. For most trainees this will be August 2022.Trainees and supervisors should discuss transition and refer to the relevant specialty curriculum, rough guide and mapping to the previous curriculum available on the specialties webpages.

Doctors may be expected to contribute to the acute take from the point in time when they transfer to the new curriculum. They are advised to maintain experience in internal medicine from the start of their training programme if this is before the time of transition. They may need support to return to this area of practice and ideally, they should have a GIM educational supervisor to help prepare the trainee for curriculum transition.

The training programme director and head of school must be notified if a trainee is not transferring and secure postgraduate dean approval to remain on the previous curriculum  (unless in final training year as this does not require approval). The transfer decision should be recorded on the ePortfolio. 

Trainees in GUM, Palliative Medicine or Neurology training prior to August 2021

Trainees in new dual training specialties of GUM, Palliative Medicine and Neurology who started training prior to August 2021 will not be mandated to transfer from single to dual CCT training programmes but should be strongly encouraged to do so. This should be discussed with, and supported by, the educational supervisor and training programme director. Trainees who have entered training in Palliative Medicine from General Practice or Anaesthetics will not be required to transfer to the new curriculum and dual train with IM.

A gap analysis was recommended for doctors in training who will transfer to the new curricula and dual train with internal medicine from August 2022 - please see guidance and form below. Some trainees will have undertaken IM placements in preparation for transition to the new curricula and this should be considered at the ARCP. A holistic assessment of the training that the trainee has undertaken should be carried out and if satisfactory progress has been achieved then an ARCP outcome 1 should be used. An outcome 2 may be more appropriate if it is felt that the inclusion of IM training has affected specialty training. This outcome would be used as an indicator that the trainee is changing curricula and their progress in both specialty and IM training should be closely monitored. We recommend that the CCT date is extended to reflect the new four year dual programme for trainees in the new group 1 specialties..It is likely that the trainee will be able to acquire specialty capabilities more quickly because of previous training and the CCT can be amended later in training if appropriate.

New group 1 specialties gap analysis guidance - updated February 2022

New group 1 specialties gap analysis form 

Trainees who started training in GUM, Palliative Medicine, Neurology between August 2021 - August 2022

Doctors who start training in GUM, Neurology and Palliative Medicine between August 2021 and August 2022 have been given notice that they will be expected to transfer to the new curriculum and advised to maintain and develop general medical capabilities, including managing the acute take. It is expected that trainees starting training in these specialties in August 2021 will be able to transfer to the new curricula in August 2022 and dual accredit in specialty and IM, except those entering Palliative Medicine from non-physician core training routes,

If it would not be in the interests of patient safety or impractical to support a trainee to move to a new curriculum the trainee may remain on the curriculum in place prior to the new approval. This should be discussed with the training programme director and head of school and approved by the postgraduate dean. The reasons for not transferring must be documented. 

Trainees in Cardiology only training prior to August 2021

Trainees in cardiology who started training in that specialty alone prior to August 2021 will not be mandated to transfer from single to dual CCT training programmes but should be strongly encouraged to do so. Trainees appointed to dual Cardiology and GIM training in 2020 should not drop GIM; only those in more advanced training may be supported in moving to single accreditation and this must have the approval of the Postgraduate Dean. Please see the joint statement by the JRCPTB and Cardiology SAC.

Trainees in Acute Internal Medicine (AIM)

A key requirement in the new Acute Internal Medicine (AIM) 2022 curriculum is to acquire bedside ultrasound competencies in addition to a specialist skill. A two-year transition period has been agreed with the GMC to allow current trainees with a CCT date prior to August 2024 to remain on the previous curriculum if it is not possible for them to transfer to the 2022 curriculum and acquire the required ultrasound competency, or if their specialist skill is ultrasound and it is not possible to train in an additional specialist skill in the time available. If trainees do wish to transfer to the 2022 curriculum they should discuss their options with the local training programme director.

Trainees in Infection Specialties

Current trainees will remain on the 2015 curriculum and will not transfer to the new curricula prior to August 2022 at which point all trainees, except for those in their final year of training will transfer with a deadline of 31 August 2023.

Trainee in Clinical Pharmacology and Therapeutics (CPT) only or non-GIM dual programmes

A small number of trainees in Clinical Pharmacology and Therapeutics (CPT) may be in single CCT programmes or dual CCT programmes with non-GIM specialties at the time the new curriculum is introduced and may not be able to transfer to the new curriculum. They should be considered on a case by case basis and the reasons for not transferring approved by the postgraduate dean and documented.