A curriculum for SHO training--what is it and why has it changed?

Area of Science:

• Medical Education
• Physician Training Standards

Background:

• The Royal Colleges of Physicians have updated the core curriculum for Senior House Officers (SHOs) in medicine and medical specialties.
• The previous curriculum lacked an objective-based framework, potentially impacting training consistency and assessment.
• Regular appraisal rates for SHOs in medicine were found to be low, affecting feedback and development.

Purpose of the Study:

• To introduce an objective-based core curriculum for SHOs in medicine and medical specialties.
• To implement a new appraisal system to replace the personal training record for improved reflection and identification of training gaps.
• To establish standards for assessing SHO competence to inform the postgraduate deans' RITA process.

Main Methods:

• Revision of the core curriculum to incorporate objective-based learning.
• Inclusion of 'core skills' using clinical scenarios and 'generic skills' such as communication and teamwork.
• Development of a new appraisal system focused on reflection and training gap identification.

Main Results:

• The revised curriculum is objective-based, covering core and generic skills, practical procedures, and investigation selection.
• A new appraisal system has been designed to facilitate SHO self-reflection and identify training needs.
• The updated curriculum and appraisal aim to standardize competence assessment for SHOs.

Conclusions:

• The revised objective-based curriculum and new appraisal system are expected to enhance SHO training in medicine.
• These changes will provide a framework for consistent competence assessment, supporting postgraduate deanery processes.
• The initiative aims to elevate the standards of medical training and professional development for SHOs.