JCU - January 2022 - 70

1021329
URO
Journal of Clinical UrologyHarvey et al.
Literature Review
The urology 2021 curriculum
Neil J Harvey1 , Georgia Savvides2
and Philip A Cornford3
Abstract
A new urology curriculum has been approved by the General Medical Council and will be rolled out from August 2021.
Major changes include phasing of training with a hard checkpoint at ST5 that facilitates focussed development on core
skills during phase 2 (ST3-5) and the development of a special interest during phase 3 (ST6-7). While the syllabus
remains unchanged, supervision levels will replace many of the workplace-based assessments currently used in wider
clinical practice, learning agreements will transition from placement to placement, and indicative numbers have been
replaced with index procedures, in a move from box-ticking to a professional assessment of competency and totality of
practice. While change can be daunting, the 2021 urology curriculum can be viewed positively as a move away from the
arbitrary collection of records of workplace-based assessments and exposure to indicative numbers, and towards the
holistic professional judgements of competency that are more in keeping with lifelong consultant practice.
Level of evidence: Not applicable.
Keywords
Education, assessment, education procedure, curriculum, critical condition
Date received: 25 February 2021; accepted: 5 May 2021
Introduction
A new urology curriculum has been approved by the
General Medical Council (GMC) and will be rolled out
from August 2021.1 It was last updated in 2016.1,2 This
article will outline the most significant changes relevant to
trainers and trainees alike. Major changes that will be discussed
include phasing of training with a hard checkpoint
at ST5 that facilitates focussed development on core skills
during phase 2 (ST3-5) and the development of a special
interest during phase 3 (ST6-7). While the syllabus
remains unchanged, supervision levels will replace many
of the workplace-based assessments (WBAs) currently
used in wider clinical practice, learning agreements will
transition from placement to placement, and indicative
numbers (INs) have been removed, in a move from box
ticking to a professional assessment of competency and
totality of practice. There is also greater emphasis on
ensuring trainees are emergency safe when they attain a
Certificate of Completion of Training (CCT).
Phasing of training
Phasing of training is a significant shift in the structure
of higher urological training, focussing assessment on
core skills in the earlier years while empowering senior
trainees to develop a subspeciality interest. Training is
being structured more accurately to represent modern
subspeciality practice with the aim to develop a district
general consultant urologist with a special interest.
Phasing of training should also facilitate better trainee
1 Urology Department, Manchester University NHS Foundation Trust, UK
2 Faculty of Biology, Medicine and Health, University of Manchester, UK
3 Urology Department, Liverpool University Hospitals NHS Foundation
Trust, UK
Corresponding author:
Neil J Harvey, Department of Urology, Manchester Royal Infirmary,
Manchester University NHS Foundation Trust, Oxford Road,
Manchester M13 9WL, UK.
Email: neiljames.harvey@doctors.org.uk
Twitter: @Neil_J_Harvey
Journal of Clinical Urology
2022, Vol. 15(1) 70 -76
© British Association of
Urological Surgeons 2021
Article reuse guidelines:
sagepub.com/journals-permissions
DOI: 10.1177/20514158211021329
journals.sagepub.com/home/uro
https://doi.org/10.1177/20514158211021329
https://uk.sagepub.com/en-gb/journals-permissions https://www.doi.org/10.1177/20514158211021329 https://journals.sagepub.com/home/uro

JCU - January 2022

Table of Contents for the Digital Edition of JCU - January 2022

Contents
JCU - January 2022 - Cover1
JCU - January 2022 - Contents
JCU - January 2022 - 2
JCU - January 2022 - 3
JCU - January 2022 - 4
JCU - January 2022 - 5
JCU - January 2022 - 6
JCU - January 2022 - 7
JCU - January 2022 - 8
JCU - January 2022 - 9
JCU - January 2022 - 10
JCU - January 2022 - 11
JCU - January 2022 - 12
JCU - January 2022 - 13
JCU - January 2022 - 14
JCU - January 2022 - 15
JCU - January 2022 - 16
JCU - January 2022 - 17
JCU - January 2022 - 18
JCU - January 2022 - 19
JCU - January 2022 - 20
JCU - January 2022 - 21
JCU - January 2022 - 22
JCU - January 2022 - 23
JCU - January 2022 - 24
JCU - January 2022 - 25
JCU - January 2022 - 26
JCU - January 2022 - 27
JCU - January 2022 - 28
JCU - January 2022 - 29
JCU - January 2022 - 30
JCU - January 2022 - 31
JCU - January 2022 - 32
JCU - January 2022 - 33
JCU - January 2022 - 34
JCU - January 2022 - 35
JCU - January 2022 - 36
JCU - January 2022 - 37
JCU - January 2022 - 38
JCU - January 2022 - 39
JCU - January 2022 - 40
JCU - January 2022 - 41
JCU - January 2022 - 42
JCU - January 2022 - 43
JCU - January 2022 - 44
JCU - January 2022 - 45
JCU - January 2022 - 46
JCU - January 2022 - 47
JCU - January 2022 - 48
JCU - January 2022 - 49
JCU - January 2022 - 50
JCU - January 2022 - 51
JCU - January 2022 - 52
JCU - January 2022 - 53
JCU - January 2022 - 54
JCU - January 2022 - 55
JCU - January 2022 - 56
JCU - January 2022 - 57
JCU - January 2022 - 58
JCU - January 2022 - 59
JCU - January 2022 - 60
JCU - January 2022 - 61
JCU - January 2022 - 62
JCU - January 2022 - 63
JCU - January 2022 - 64
JCU - January 2022 - 65
JCU - January 2022 - 66
JCU - January 2022 - 67
JCU - January 2022 - 68
JCU - January 2022 - 69
JCU - January 2022 - 70
JCU - January 2022 - 71
JCU - January 2022 - 72
JCU - January 2022 - 73
JCU - January 2022 - 74
JCU - January 2022 - 75
JCU - January 2022 - 76
JCU - January 2022 - 77
JCU - January 2022 - 78
JCU - January 2022 - Cover3
JCU - January 2022 - Cover4
https://www.nxtbookmedia.com