Guidelines for Course of 5 Delegates

Also see:
Course Outline.
Course of 5 Programme.
Guidelines for Course of 5 Delegates.
Pre Course Preparation.
Checklist for C5 Delegates.


Diploma of the Faculty of Sexual and Reproductive Healthcare.

Course of 5 (C5):
Five, 1 hour sessions with fixed content and specific assessments that comprises one of the elements of the DFSRH training programme.

Course of 5 Convenor:
A Faculty Registered Trainer who has managerial responsibility for a Course of 5.

Course of 5 Administrator:
Responsible for the administration and organisation of a Course of 5. This may or may not be the same person as the course convenor. The course administrator does not need to be medically qualified.

Course of 5 Facilitator:
Responsible for facilitating a group of 4 delegates or less, and making the relevant assessments during the session.

Register for access to e-learning (e-SRH) – Optional.

Take the on-line Knowledge Assessment in SRH (eKA)

The FSRH e-portfolio which each trainee will be assigned on registration for DFSRH training.

Faculty Registered Trainer:
Faculty Registered Trainers (FRT) are either current holders of the Letter of Competence in Medical Education (LoC MEd), or trainers who are deanery approved trainers in primary care or a Royal College accredited medical trainer/educator. (The FRT accreditation process is documented in Faculty Form FRT/E1.) They should have the skills to provide one-to-one clinical teaching, carrying out teaching in small groups, set learning objectives and carry out initial formative and final summative assessments in the context of the relevant syllabus. Faculty Registered Trainers are required to maintain their qualification/accreditation in medical education.

Primary Trainer:
The Faculty Registered Trainer responsible for overseeing the clinical training of a trainee subject to the approval of the General Training Programme Director. The primary trainer for DFSRH will carry out the initial formative and final summative assessments for the clinical experience and assessment for the DFSRH, and a minimum of 1 ACP (Assessment of Clinical Practice) for this trainee.

General Training Programme Director (GTPD):
An experienced Faculty Registered Trainer who is responsible for overseeing training within a registered General Training Programme. They are responsible for the administration and organisation, and ensuring that the trainers are eligible to be trainers – and that they maintain their competency and skills to deliver training for Faculty qualifications (DFSRH, LoCs).

Before you attend the Course of 5
You will need to have:

  • Successfully completed the e-KA.
  • Completed the e-SRH additional training in sub-dermal contraceptive implants (SDI) module optional.
  • Registered for a FSRH e-portfolio.
  • Arranged to have the pre course requirements form on your e-portfolio completed by your educational supervisor (or self signed if you are a consultant or general practitioner), to demonstrate a baseline competency in consultation skills, gynaecological examination etc.

You will be required to present evidence of completion of these requirements prior to or at the start of the Course of 5. A printed copy of the appropriate pages from your e-portfolio will be acceptable. Convenors may request this evidence prior to acceptance on a Course of 5. Failure to provide this evidence when attending a course will invalidate your Course of 5 attendances for the DFSRH. Course organisers may not refund course fees in these circumstances.

Organisation of a Course of 5
The 5 one hour sessions can be taken in any order.

The Course of 5 can be held as a full day course, or sessions may be run individually or in groups over a period of time.

The content is fixed.

The course is delivered singly or in small groups of 4 or less delegates to one facilitator. Where there are regional variations, for example in abortion law, the course will refer to the situation pertaining locally whilst ensuring that you are aware that there are differences.

If you have ethical objections to abortion please refer to the Faculty statement about conscientious objection and Diploma training, Form DFSRH/I, on the Faculty website.

Aims of the Course of 5
The course will provide you with an opportunity to apply the knowledge from the e-SRH to clinical scenarios in a supportive learning environment.
There will be opportunities to ask questions that may have arisen from the e-SRH.

There will be an opportunity to handle various contraceptive devices and swabs used for STI testing.

There will be an opportunity to demonstrate some practical skills.

Nine assessments for the DFSRH will be made during the Course of 5.

Assessments on the Course of 5

There are 9 assessments:

  1. Has actively and appropriately participated in a workshop discussion on HIV testing and screening.
  2. Is able to demonstrate how to perform common investigations for sexually transmitted infections on male and female models.
  3. Is able to demonstrate how to teach the use of male condoms.
  4. Is able to have an informed discussion on the assessment and management of women choosing barrier methods of contraception and the principles of fitting these methods.
  5. Is able to demonstrate the insertion and removal techniques for a currently marketed implant on a model arm.
  6. Is able to demonstrate that they can apply the principles of confidentiality, Fraser Guidelines, consent and safeguarding children in clinical scenarios.
  7. Has actively and appropriately participated in a discussion on responding to someone presenting with a psycho sexual problem.
  8. Has actively and appropriately participated in a discussion on responding to a woman presenting with an unwanted pregnancy.
  9. Has actively and appropriately participated in a discussion of the management of men and women who request sterilisation.

You are expected to demonstrate an appropriate professional, non judgemental attitude in order to progress through the DFSRH. This is an explicit component of the Course of 5 assessments which prepare you for clinical practice. Delegates who act inappropriately or demonstrate inappropriate attitudes should not expect to proceed to the clinical experience in sexual and reproductive health without first addressing these issues.

Further guidance in this area can be sought from the General Medical Council publication ‘Good Medical Practice’ which can be accessed at

It is anticipated that you should have little difficulty completing the assessments for the Course of 5 if you have:

  • Completed the e-SRH
  • Fulfilled the pre course requirements (consultation skills, pelvic examination etc)
  • Done the recommended pre-course preparation (as set out in this document).

A maximum of 2 outstanding assessments from the Course of 5 may be reassessed during the clinical experience by arrangement with the primary trainer. This will be in addition to the 7 topic assessments for the Diploma.

If you successfully complete less than 7 assessments you should be informed on the same day by the course convenor or someone appropriate delegated by them, such as a facilitator. (This would not be done by a non clinical administrator.) You may be recommended to review your preparation for the course. You will be required to retake the Course of 5 and pass at least 7 assessments at one attempt before moving on to clinical assessments.

If the Course of 5 sessions are held on different days, then you should be informed if you have passed the assessments at the end of each session. The course convenor is responsible for ensuring that brief feedback is given if you have not passed an assessment to ensure that you are able to prepare differently for future sessions.

Also see:
Course Outline.
Course of 5 Programme.
Guidelines for Course of 5 Delegates.
Pre Course Preparation.
Checklist for C5 Delegates.