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Exemption from transition to the new curricula

Curriculum transfer exemption video

Most current trainees will be required to transfer to the new group 1 and General Internal Medicine/Internal Medicine Stage 2 curricula but some will be exempt under the transitional arrangements agreed with the GMC.

The reasons a trainee may be exempted from transferring curricula are:

•    You are in your final year of training (pro rata for less than full time trainees)
•    You started training in Cardiology (single accrediting), Genito-urinary Medicine, Palliative Medicine or Neurology prior to August 2021
•    You are in your final two years of Acute Internal Medicine (AIM) training
•    The postgraduate dean has agreed it is not in the interests of patient safety or impractical to support you moving to the curriculum.

The deadline for completing a curriculum transfer exemption form was Monday 18 July and this form is no longer available on the ePortfolio. If you have not completed the form but are exempt from transitioning for one of the reasons listed above, please email confirming the reason for your exemption and your GMC number. 

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

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.  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 recommended that this is at start of a training year/grade and 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.

Gap analysis

The trainee and educational supervisor should meet in the first few weeks of the new training year to review the new curricula and training completed to date in order to identify any gaps to be addressed. Where there are significant changes to the curriculum, the  gap analysis may be done before the start of the training year so any changes to placements can be made. The gap analysis should consist of a documented review of the experience gained to date and a recording of which capabilities need to be gained during the training programme. Any immediate learning needs should be identified with a plan for how these will be achieved. The educational supervisor should discuss with the training programme director if specific learning experiences are required which require tailoring of the training programme. The gap analysis should include a review of both specialty and internal medicine capabilities. If a trainee has a separate educational supervisor assigned for IM, they should be actively involved in the gap analysis process.  

The previous curriculum including links and ratings will be accessible and there is no requirement to re-link evidence to the new CiPs. The ES and trainee should review the previous curriculum and the evidence recorded to date when conducting the gap analysis. This can be referred to in the gap analysis form and when rating the 2022 CiPs and procedures.

The gap analysis form group 1 specialties is available on the ePortfolio. Detailed guidance including a copy of the form is given below. 

Group 1 specialties gap analysis and form 2022

Specialty specific guidance

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 are strongly encouraged to. 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.

Trainees in Cardiology only training prior to August 2021

Trainees in Cardiology single specialty 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. Trainees appointed to dual Cardiology and GIM training in 2020 should not drop GIM and only those in more advanced training can 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 the Infection specialties

The new curricula for infectious diseases, tropical medicine, medical microbiology and medical virology were implemented in August 2021. Infectious disease and tropical medicine are group 2 when combined with medical microbiology or virology and group 1 when in dual programmes with internal medicine. Transition of current trainees will take place from August 2022 and doctors in training will need to transfer to the new curriculum unless their CCT date is on or before 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.