Specialty specific guidance for CESR in Paediatric Cardiology

The new Paediatric Cardiology curriculum was published in 2021.
This deadline for CESR applications to apply against the previous version of the curriculum ended 31 May 2023. Any CESR applications submitted after this date will be assessed against the new curriculum.

Specialty specific guidance

The Joint Royal Colleges of Physicians Training Board and GMC have produced guidance for the evidence expected for your application:

• Paediatric Cardiology 2021

Previous editions:

Paediatric Cardiology 2010

How to apply

You can apply through your GMC Online account.

2021 curriculum

Our standards for postgraduate medical curricula are Excellence by design and the framework for Generic professional capabilities. These help postgraduate medical training programmes focus trainee assessment away from an exhaustive list of individual competencies, towards fewer broad capabilities needed to practise safely from your first day as a consultant.

As a result, the 2021 physicianly curricula are outcomes based. This means trainees will be assessed against the fundamental capabilities required of consultants in the working week. These include the general skills which all doctors need to have as well as those needed to carry out all the specific day to day tasks undertaken by a consultant physician (Capabilities in Practice – CiPs).

The Paediatric Cardiology curriculum is made up of 19 CiPs. Six Generic CiPs which are common to all physician specialties, five Specialty specific CiPs unique to Paediatric Cardiology, and one or two additional specialty CiPs to be selected from eight optional practices.

In Paediatric Cardiology, two years Internal Medicine Training will replace Core Medical Training as the core training programme. Applicants will be required to demonstrate maintenance of relevant Internal Medicine Stage 1 capabilities.

Content shared between all physicianly specialties

There are six CiPs which are shared between all physicianly specialties:

CiP 1 - Able to function successfully within NHS organisational and management systems
CiP 2 - Able to deal with ethical and legal issues related to clinical practice
CiP 3 - Communicates effectively and is able to share decision making, while maintaining appropriate situational awareness, professional behaviour and professional judgement
CiP 4 - Is focused on patient safety and delivers effective quality improvement in patient care
CiP 5 - Carrying out research and managing data appropriately
CiP 6 - Acting as a clinical teacher and clinical supervisor

Specialty specific content

There are five CiPs which are unique to Paediatric Cardiology:
CiP 1 - Diagnoses and manages acute and chronic structural congenital and paediatric heart disease in general, developing knowledge and ability to contribute to the patient / family centred care of this life-long disease process including awareness of comorbidities and end of life care
CiP 2 - Diagnose and manage acute and chronic functional and acquired heart disease in fetal life and childhood
CiP 3 - Diagnose and manage acute and chronic heart rhythm abnormalities in fetal life, childhood, and in adults with congenital heart disease, including knowledge of pacing
CiP 4 - Participate in and contribute to the acute and chronic care of adult patients with congenital heart disease (ACHD) including during pregnancy
CiP 5 - Working with a complex multidisciplinary team, including community and network provision of patient centred care

In addition, applicants must demonstrate one (to level ST8) or two (to level ST7) of the following Specialty Themed for service CiPs:

Specialty Themed for service CiP 1 - Provide an arrhythmia service including ablation and device therapy for paediatric and CHD patients
Specialty Themed for service CiP 2 - Provide a complex structural interventions service for paediatric and CHD patients
Specialty Themed for service CiP 3 - Provide a comprehensive imaging service for paediatric and CHD patients (this could be echocardiographic and / or cross-sectional imaging)
Specialty Themed for service CiP 4 - Provide a fetal diagnostic and management service for pregnancies affected by CHD
Specialty Themed for service CiP 5 - Manage all aspects of the heart failure service, including transplant assessment and on-going follow up
Specialty Themed for service CiP 6 - Provide a comprehensive diagnosis and treatment service for patients with pulmonary hypertension
Specialty Themed for service CiP 7 - Provide a comprehensive adult congenital heart disease service
Specialty Themed for service CiP 8 - Provide a comprehensive inherited cardiac conditions service