Flexibility and interdependency with curricula of other specialties and professions

Accreditation of Transferable Competences Framework  

The Academy of Medical Royal Colleges has developed the Accreditation of Transferable Competences Framework (ATCF) to assist trainee doctors in transferring the competences achieved in one training programme to another, where this is both appropriate and valid.  

Many of the core capabilities and competences are common across curricula. When using the ATCF, a doctor can be accredited for relevant competences acquired during previous training. This will usually allow a reduction of 6 months in training time for doctors who decide to change to GP training after completing a part of another training programme. In very exceptional circumstances this could be increased to 12 months. 

The ATCF applies only to those moving between periods of GMC-approved training. It is aimed at the early years of training. To qualify for the ATCF, doctors must have completed at least 1 year of training in their original specialty. The reduction in GP training time to be recognised within the ATCF is subject to review at the first ARCP in the GP training programme. All doctors achieving a CCT will have gained all of the required competences outlined in the RCGP curriculum. 

From August 2015, the RCGP has accepted accredited transferable competences from the following GMC-approved curriculum and assessment programmes: 

  • Acute Common Care Stem (ACCS) programmes  
  • Anaesthetics (CCT programme in Anaesthetics and ACCS) 
  • Emergency Medicine (ACCS and ST1–3) 
  • General (Internal) Medicine (Core Medical Training programme) 
  • General Psychiatry (Core Training in Psychiatry programme) 
  • Obstetrics and Gynaecology (CCT programme in Obstetrics and Gynaecology) 
  • Paediatrics (CCT programme in Paediatrics).

For details of the ATCF process and a map of the transferable competences please refer to the detailed guidance on the RCGP and GMC websites.  

Shared capabilities in a multiprofessional workforce 

Primary care is dependent on close cooperation and working relationships across a broad range of professions. The RCGP curriculum has been compared with the capabilities included in the curricula for clinical pharmacists, and general practice nursing9 and clinical pharmacists.10 The common Areas of Capability included: 

  • knowing yourself and relating to others 
  • managing complex and long-term care 
  • working well in organisations and systems of care 
  • caring for the whole person and wider community

As expected, the main differences occurred in the capability of applying clinical knowledge and skills, specifically data gathering, clinical examination, procedural skills, clinical management and urgent care.

Three doctors

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