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last updated:21/01/2022 @ 3:49 pm
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Frequently asked questions


What has changed?

The obvious change trainees and trainers will notice is the format of the curriculum.  The old list of 21 overarching competences and accompanying 341 attitudes, skills and knowledge competencies has been replaced a succinct, high level curriculum, with a reduced 11 learning outcomes. Except for a handful of mandatory (‘Professional’) capabilities, there is flexibility for the trainee to develop a more personalised learning programme and demonstration of each Learning Outcome.

The Learning Outcome grid is within the main curriculum document. 

What hasn’t changed is the overarching standard required, and most of the skills, knowledge and attitudes that occupational medicine clinicians will need to develop throughout their time in training.  A lot of repetition has been removed, and wording made more concise, and new content reflecting modern service requirements have been added in, but essentially this is the same requirements, done better!

The new structure is as follows:

Curriculum domains

Eleven generic domains, closely aligned to the GMC’s Generic Professional Capabilities (GPCs), which all doctors will need to demonstrate throughout training.

Learning Outcomes

One for each domain. All trainees must achieve all Learning Outcomes to meet the minimum regulatory standards for satisfactory completion of training.

Professional Capabilities

Mandatory capabilities that must be evidenced by the trainee, in their ePortfolio, to contribute towards achievement of the Learning Outcome.


Examples are just that! Examples of evidence that the trainee may use to support their achievement of the Key Capabilities, giving the range of clinical contexts and breadth of experience. These are intended to provide a prompt to the trainee and trainer as to how the overall outcomes might be achieved. They are not intended to be exhaustive, and excellent trainees may produce a broader portfolio or include evidence that demonstrates deeper learning. It is not expected that trainees provide ePortfolio evidence against every individual example (or a set quota); the aim of assessment is to provide evidence against every Professional Capability.


What are the GMCs Generic Professional Capabilities?

See additional paper or visit the GMC website


Who will this impact?

The new curriculum will impact all trainees apart from those who will CCT within the next academic year. These trainees will have the option of moving to the new curriculum or remaining on the existing one.


Why has FOM updated the curriculum?

In 2017 the GMC decided that all postgraduate medical curricula would move to an outcomes-based framework. An underlying concept was that the curriculum while being a crucial document for guiding training, could at the same time be flexible and personalised. being able to be used flexibly to meet the needs of trainees and the evolving service requirements.


When will I start using the new curriculum?

Subject to GMC approval of the 2022 Curriculum, all trainees in ST3 and ST4 will move across to the 2022 Curriculum in August 2022. They will be supported in this process. Trainees in ST5 or ST6 will be given the option to move to the 2022 Curriculum, or to complete their training using the 2017 Curriculum.


What will happen to my existing evidence?

The Faculty has mapped the current curriculum to the proposed new learning outcomes. Faculty staff will work with the ePortfolio team to remap your existing evidence to the new curriculum domains. This will then be an automated process of transfer. You will then have the opportunity to review this mapping and make any changes you wish. Your evidence will remain in the ePortfolio system. It is being restructured not deleted.


As a trainee what can I do to help me plan for this transition?

Once approval from the GMC is obtained you should start discussing and familiarising yourself with the new curriculum with your supervisor. Consider which if any of the learning outcomes you have already achieved and which you may need to give more focus to. You will then be in a good position to put together a learning plan with the help of your supervisor.


What guidance will be given to supervisors?

The faculty will provide additional guidance for supervisors and ARCP panel members to help them in making judgements against the new learning outcomes.


How can I find out more?

The curriculum pages of the FOM website are frequently updated with more information.
Visit: www.fom.ac.uk/education/speciality-training/curriculum-review

Please send any questions, queries or comments regarding the new curriculum to: Curriculum@fom.ac.uk


Last modified:  21 January 2022