Paediatric and perinatal pathology

This section of the website is currently for paediatric and perinatal pathology trainees who start specialty training from August 2021.

Paediatric and perinatal pathology curriculum 2021

The new 2021 curricula will be assessed by high level outcomes, which are included in the form of capabilities in practice (CiPs). CiPs describe the professional tasks or work within the scope of postgraduate pathology training; they are based on the format of entrustable professional activities, which are a method of using the professional judgement of appropriately trained assessors as a key aspect of the validity of assessment and a defensible way of forming global judgements of professional performance.

Paediatric and perinatal pathology syllabus

This syllabus is an adjunct to the curriculum and is to guide aspects of learning expected to be covered during paediatric and perinatal pathology training.

Independent reporting

Workplace-based assessments

Trainees will be expected to undertake supervised learning events (SLEs) throughout their specialty training. Further information on the SLEs and assessment programme can be found in the 2021 curriculum.

Annual review of competence progression decision aids

Transitional arrangements webinar

All current trainees not starting their specialty training in August/September 2021 will remain on their current curriculum until after the spring 2022 annual review of competence progression (ARCPs). Existing trainees will be transferred to the new curriculum in the spring after their ARCPs.

Please see below for the video and slides from the 'Transitional arrangement' webinar held on 28 April 2022.

Cellular pathology transitional arrangement FAQs

2021 curriculum questions

Can you explain how those who are part time and/or who have taken maternity leave can transfer what they have done already for that stage?

All trainees will be able to transfer content from the old LEPT platform to the new LEPT platform.

Training time is whole time equivalent – so all trainees will get the requisite extra time per training year as required in accordance with their working pattern.

Trainees undertaking maternity leave or working less than full time will not be disadvantaged.

The importance of the conversation with educational supervisors in advance is emphasised, so that everything can be reviewed together (what is done, what is still to do when transferring to the new curriculum and to plan ahead) to ensure that appropriate support is in place.

Please can you clarify between HST and ICPT?

ICPT is integrated cellular pathology training and is the first 2.5 years of training, which combines all the cellular pathology specialties to provide broad-based experience and exposure across all of cellular pathology.

HST is higher specialty training that is undertaken in either histopathology, diagnostic neuropathology, forensic histopathology or paediatric and perinatal pathology following completion of ICPT. Trainees undertaking histopathology training in HST are not required to undertake a further interview but competitive interviews are required for entry to diagnostic neuropathology, forensic histopathology and paediatric and perinatal pathology.

How will SIPs affect us administratively? Will there be a requirement to link evidence to each SIP and is this needed every year?

As trainees go through training, they will be expected to produce evidence to show that they have covered the capability in practice for each training year.

The new LEPT platform is mapped to the new curriculum and has all of the new SIPs built in – trainees will be able to automatically link everything they upload and it will be easy to demonstrate.

Is getting rid of Stage D safe? Especially if you are in a centre that does not practice a supervised sign out?

For trainees who are still on this curriculum, they must have a minimum of 6 months in Stage D, in accordance with the annual review of competence progression derogation guidance.

However, a trainee should not be forced to finish Stage D early if they are not ready – it is a question of safe practice. This is a decision for the educational supervisor, trainee and training programme director, perhaps with a dean oversight to make that decision (whether extended training time is necessary – however, there is no obligation). The same principle applies to the new curriculum.

What are the main differences between the current curriculum and the new curriculum?

The new curriculum is based on the new General Medical Council standards, which all Colleges must meet. Instead of listing large numbers of competencies, the new curricula are broad based, incorporating generic professional capabilities, as well as transferable skills.

The new curriculum is written from the practical viewpoint of preparing trainees for the job of a consultant.

There is also a curriculum webinar available on the College website, which was conducted last year, and this also included FAQs.

Finally, the workplace-based assessments are now in the form of supervised learning events. These are integrated into the new LEPT platform but copies are also available for reference on the College website.

I will be in the middle of my ST4 as I am part time. How do I transfer my assessments, etc. I have already done under the old curriculum and those I have left, but in the new curriculum?

For those trainees part way through the ST year, you will be able to keep the assessments you have done, and these will be moved over to the new platform. You should then speak to your educational supervisor to map what you have already done and agree what assessments you need to do for the remainder of the ST year.  

Do you move onto the new curriculum when you change ST year, which might be out of sync with the ARCP if you work less than full time, or straight after ARCP 2022?

Trainees should move to the new curriculum after their annual review of competence progression (ARCP). Please see the answer above. 

I have been on maternity leave for the past year. My only 3 attempts for the Part 2 exam were either cancelled or I was shielding. Does this mean I cannot get a 10.2 outcome for this ARCP year?

The definition for 10.2 is "Progress is satisfactory but the acquisition of competences/capabilities by the trainee has been delayed by COVID-19 disruption. The trainee is at a critical progression point in their programme and additional training time is required." Trainees who are at a critical progression point (e.g. cannot proceed in training without passing an examination) and who have been affected by COVID-19 would receive a 10.2 outcome. It should be noted that none of the histopathology examinations have been cancelled since spring 2020 (the spring 2020 examinations did not go ahead and the additional autumn 2020 histopathology Part 2 examination due to take place in January 2021 was moved to the spring 2021 session). 

 

Curriculum transfer questions

Have trainees been individually contacted by the College as to whether they will or will not need to transfer to the new curriculum?

No, trainees are asked to meet with their educational supervisor to discuss whether or not they are required to transfer to the new curriculum. For trainees with a provisional Certification of Completion of Training date past the 31 July 2023, it is mandatory to transfer curriculum.

Please contact the Training team (training@rcpath.org) if there are any queries.

Why have the rules changed for applying for subspecialty?

The curriculum has changed as the College wanted to give more emphasis to all the cellular pathology specialties having adequate coverage during the first part of training (e.g. neuropathology, forensic pathology and paediatric pathology as well as histopathology).

The transition from 2 years to 2.5 years is to provide extra exposure and opportunity across all cellular pathology specialties.

What about trainees not having an annual review of competence progression this year? Trainees who are going on maternity leave this year.

For trainees on maternity leave, there will not have an annual review of competence progression (ARCP) as such. However, the deanery will note the approximate time when the ARCP would have taken place, and transition onto the new curriculum accordingly. There will need to be a discussion with educational supervisors to agree the best way to take things forward.

It is vital to plan ahead to come back from maternity leave to the new curriculum.

Why not transfer trainees at the end of the stage? Not mid-way through

The College is using the annual review of competence progression (ARCP) as a sensible point to transfer from the old to the new curriculum because it is at the end of a training year, moving into the next training year.

The College is also bound by the General Medical Council requirements to ensure that curriculum transition takes place within 2 years of a new curriculum being introduced.

I'm a TPD and have a ST2 who started in August 2020 and will finish the ST year in July 2022. They have been appointed to diagnostic neuropathology training – how would this work please?

The trainee will finish their ST2 year, provided they have passed their FRCPath Part 1 and they will transfer to diagnostic neuropathology in August at ST3 (if they have finished their ST2 year).

If you achieve an outcome 1 and miss your ARCP for Stage B, ST2, would you need to cover the 2021 curriculum requirements for ST2 or would you automatically move to ST3?

You would move to ST3 – however, it is strongly advised to look at the curriculum for any gaps you may have not covered and how you would address those in the following year.