RCPCH Progress changes for level 3 training – due in August/September 2021

The General Medical Council (GMC) has approved a set of enhancements to some of our current RCPCH Progress sub-specialty syllabi and general paediatrics. These will be applicable to level 3 trainees in affected sub-specialties and general paediatrics from August/September 2021 (see below for exceptions).

We outline the changes by sub-specialty, including a few videos by your fellow trainees.
Last modified
7 June 2021

What’s new for August/September this year?

Since launching RCPCH Progress in August 2018, we've wanted to ensure our curriculum grows and adapts as needed. We’ve reached out to over 100 clinicians and some CSACs (College Specialty Advisory Committees) to learn what needs to be further improved and refreshed.

The result is that we have made revisions to the syllabi of some sub-specialties and of Level 3 General Paediatrics, as requested.

Essentially the vast majority of the curriculum is unchanged. But in some places we’ve revised the outcomes and key capabilities for learning and demonstrating achievement. These range from significant revisions, as in for example the general paediatrics syllabus to less significant, or administrative, changes.

The revised syllabi have been approved by the GMC and will be implemented for all level 3 trainees in affected sub-specialties and General Paediatrics as of August/September 2021. The exception is those with  a certification of completion of training (CCT) date before September 2022, who will rather complete on the existing syllabi - unless you’d like to move and agree this with your educational supervisor.

What do I need to do now?

If you are a sub-specialty trainee or plan to enter sub-specialty training soon, or if you're an educational supervisor /trainer, check below to see whether and how your sub-specialty is affected. If so, familiarise yourself with the changes to your syllabus before the implementation deadline.

RCPCH ePortfolio will be updated to reflect the correct documentation. 

If you have questions or concerns - whether you are or soon will be a level 3 trainee, or an educational supervisor - contact us in the Quality & Standards team on qualityandstandards@rcpch.ac.uk.

1. Sub-specialties with significant changes

General paediatrics

Dr Fiona Hignett, ST8 in General Paediatrics, introduces the revisions to the level 3 syllabus.

  • Introductory statement amended to include ‘babies’ and ‘young people’. 
  • Learning Outcomes (LOs) were reviewed and redeveloped. This redevelopment resulted in reshuffling the order of the LOs, removal of some vague LOs and introduction of new. This applies to the Key Capabilities (KCs) as well. 
  • The Assessment Grid has since been updated to reflect the changes to the KCs 

General paediatrics (level 3) - access the current syllabus and the syllabus for August/September 2021

Clinical pharmacology

  • Original Learning Outcomes (LOs) 2 and 5 have been removed and replaced with new LOs 5 and 6. 
  • One new illustration (number 2) has been added to LO 1. LO 2 (previously known as LO 3) and a Key Capability (KC) has been moved amended. 
  • LO 3 (previously known as LO 4) has also been moved and one new KC added. 
  • LO 4 (previously known as LO 5) has been moved and two new KC added; six new illustrations (numbers 17 - 22) have also been added. 
  • LO 5 and LO 6 have been newly added. 
  • The Assessment Grid has since been updated to reflect changes to the KCs.

Clinical pharmacology - access the current syllabus and the syllabus for August/September 2021

Paediatric nephrology

Dr Maduri Raja, a trainee in paediatric nephrology, and currently doing research in Sri Lanka, introduces the revisions to this syllabus.

  • The illustrations for Learning Outcome (LO) 1 have been updated ('Demonstrates an understanding'... section has been removed and one new Illustration added). 
  • LO2 has been amended (terms renal replacement therapy and renal transplantation have now been removed). 
  • Key Capabilities (KCs) have also been amended (three new KCs have been added and one removed). 
  • Illustrations have since been updated (AKI - 'Applies knowledge of'... section removed and ‘Demonstrates the following skills'... section has now been updated. CKD and Transplantation sections have been replaced with new Illustrations). 
  • LO3 has been amended (KRT added) and KCs relating to this section have been amended (two added and one removed). 
  • Illustrations have now been updated and a new section on Transplantation added. 
  • LO4 and KC4 has been reworded, and KC5 added. Illustrations have been removed and amended. 
  • LO5 has also been removed. 
  • The Assessment Grid has been updated to reflect the changes to the KCs.

Paediatric nephrology  - access the current syllabus and the syllabus for August/September 2021

2. Sub-specialties with minor amendments

These include revisions to Learning Outcomes, or some new Learning Outcomes and Key Capabilities.

Child mental health

  • Learning Outcome (LO) 3, Key Capability (KC) 1 have been split into two KCs.
  • The Assessment Grid has been updated to reflect the changes to the KCs.

Child mental health - access the current syllabus and the syllabus for August/September 2021

Community child health

  • The introductory statement has been amended; the word ‘lifestyle’ has been removed and replaced with ‘health promotion and protection’. 
  • Learning Outcome (LO) 1 has been amended with the following statements ‘physical and psychological’; ‘as well as counsellors, families and carers’ added. Key Capability (KC) has been amended: ‘and psychological’ added. 
  • LO2 has also been amended: ‘and neglect’ added. KC2 has now been amended where the term ‘physical and psychological’ have been added. 
  • KC3 the statement ‘both physical and psychological development’ has been added. 
  • LO3 and KC1 have been amended by adding the term ‘primary care’. 
  • KC2 has been amended by adding ‘and psychological’. 
  • LO4 has been amended using the term ‘physical and mental health’ and replacing the word ‘lifestyle’ with ‘health promotion and protection' .
  • LO5 has been amended with the term ‘physical and mental health of’ now added. 
  • The Assessment Grid has been updated to reflect the changes to the KCs.

Community child health - access the current syllabus and the syllabus for August/September 2021

Neonatal medicine

  • Learning Outcome (LO) 1, Key Capability (KC) 5 amended to bullet points. LO3, KC amended and three additional KC’s added. 
  • The Assessment Grid has been updated to reflect changes to the KCs. 

Neonatal medicine - access the current syllabus and the syllabus for August/September 2021

Paediatric allergy, immunology and infectious diseases

  • The introductory statement has been updated and a final paragraph added. 
  • Columns with ‘able to’ have been removed and bullet numbers updated. 
  • An Illustration was amended to include the consideration of ethnic, differing skin colours and cultural diets.

Paediatric allergy, immunology and infectious diseases  - access the current syllabus and the syllabus for August/September 2021

Paediatric diabetes and endocrinology

  • LO 1 has had an Illustration relating to Genetics updated and six additional Illustrations added.

Paediatric diabetes and endocrinology  - access the current syllabus and the syllabus for August/September 2021

Paediatric gastroenterology, hepatology and nutrition

  • The introductory statement has been amended, and a paragraph added at the end.
  • Learning Outcome (LO) 1, Key Capability (KC) has been amended where the term ‘judges the suitability of’ has been replaced with ‘is aware of’. 
  • LO 5 the term ‘Gastroscopy and Colonoscopy’ has been added and KC updated by replacing ‘gastrointestinal endoscopy’ with ‘Gastroscopy’ and a new KC added. 
  • Illustration 11 has also been updated by replacing ‘upper gastrointestinal endoscopy’ with ‘Gastroscopy’. 
  • The Assessment Grid has been updated to reflect changes to the KCs. 

Paediatric gastroenterology, hepatology and nutrition - access the current syllabus and the syllabus for August/September 2021

Paediatric inherited metabolic medicine

  • Learning Outcome (LO) 7 has been amended, with the word ‘international’ now being replaced with ‘multicentre’. Key Capabilities (KCs) have also been amended and aligned with LOs.
  • The original KC2 has been moved above KO1 and the original KC1 (now KC2) has been updated where  ‘Phenylketonuria’ and ‘MCAD’ have been removed and added as a separate KC; now KC3, (which now replaces the original KC3). 
  • The original KC4 has been moved and is now listed as the new KC6. 
  • The Assessment Grid has been updated to reflect changes to the KCs. 

Paediatric inherited metabolic medicine - access the current syllabus and the syllabus for August/September 2021

Paediatric intensive care medicine

Learning Outcome (LO) 1 has been amended where the term ‘including paediatric emergencies requiring’ has been added. Key Capability (KC) has been amended by adding the terms ‘respiratory failure’ and ‘the septic or shocked patient, those presenting with reduced level of consciousness, those with major trauma,’ .

  • Illustrations have also been grouped together, and new KC added to LO 2. 
  • A new KC has also been added to LO 4 and Illustration 15 has been amended; ‘demonstrated by Initial Assessment of Competence Certificate (Royal College of Anaesthetists)’.
  • LO 5 has been replaced with a new LO, an existing KC has been amended and five new KCs have now been added.
  • A new Learning Outcome for LO 6 and KCs have also been added.
  • The Assessment Grid has been updated to reflect changes to the KCs.

Paediatric intensive care medicine - access the current syllabus and the syllabus for August/September 2021

Paediatric palliative medicine

Dr Jonathan Downie, Consultant in Paediatric Palliative Care, introduces the revisions to this sub-specialty's syllabus.

  • Learning Outcome (LO) 3 has been updated by adding the statement ‘considering their impact on physical, psychological and emotional health’ . 
  • LO5 has also been updated by removing the statement  ‘ensures good practice and provides appropriate support and guidance in decision-making and advance care planning’ and instead adding it as a new Key Capability (KC). LO8, KCs have been split into three separate KCs, and LO9 KCs have been split into two separate KCs. 
  • The Assessment Grid has been updated with changes made to the KCs. 

Paediatric palliative medicine  - access the current syllabus and the syllabus for August/September 2021

3. Sub-specialties that requested no changes