Welcome to the BSUG Training Subcommittee webpage. Our mission is to improve standards of training and assessment in urogynaecology. We aim to achieve our goals by liaising with the relevant RCOG committees on matters pertaining to urogynaecology. We welcome members contacting us with suggestions and comments on training.   We will provide urogynaecology educational updates on this webpage.

Training Subcommittee Update

Recent developments

The main focus of the committee’s activity in 2015-2016 has been liaison with the RCOG on curriculum development for the laparoscopic Urogynaecology module and working towards making the Advanced Training Skill Module (ATSM) in urogynaecology and vaginal surgery more fit for purpose. 

The Laparoscopic Urogynaecology module went live in February 2015 and most Subspecialty Trainees (SST’s) are registered for this module. In May 2016 it was approved as being mandatory for SST and centres applying for reaccreditation will have to demonstrate they can provide this component of the training to retain their SST accreditation status.

The ATSM curriculum launched in 2011 took a broader view of the subspecialty, combining the existing urogynaecology and benign vaginal surgery modules. This curriculum is available on the RCOG website. In 2016 the training committee undertook an assessment of the trainees registered for this ATSM to gauge opinion on future developments to this going forwards. Changes to the curriculum were recommended to make it more suitable. Laparoscopic Urogynaecology is in the process of being approved as an ATSM available to trainees undertaking the Vaginal surgery and Urogynaecology ATSM.

Training statistics

Subspecialty Training

As of January 2016 there were 13 approved subspecialty training centres and 13 approved programmes in the UK. Till date (January 2016) there are 66 accredited subspecialists who have already completed RCOG subspecialty training programmes. However a recent survey of new consultant appointments indicates that less than 50% of those that complete subspecialty training in urogynaecology are appointed as a subspecialist in urogynaecology; this position is very different from other subspecialties.

ATSM Training

As of January 2016, 88 trainees have completed the Urogynaecology and benign vaginal surgery ATSM since 2011. 101 trainees completed the Urogynaecology ATSM before the 2011 curriculum was launched. Dowload here

Future developments

Laparoscopic Urogynaecology will become a mandatory component of SST. We aim to provide ATSM preceptors with standards for ATSM training centres. Laparoscopic Urogynaecology will be available to those undertaking the Vaginal surgery ATSM.
We anticipate changes to the ATSM curriculum in 2017.

Registering for Training

How do I register for ATSM training in urogynaecology?

Trainees should seek career advice from their educational supervisor, deanery ATSM director and urogynaecology ATSM preceptor in their region. They should discuss their ATSM preferences and rotations within their region. STs should plan their ATSM options during year 4 which should be documented on their ARCP on conclusion of year 4. During year 5 they should make arrangements for ATSM training and confirm their rotation commencing at the end of year 5.

For advice on RCOG regulations for ATSM Training, please click here.

How do I register for subspecialty training in urogynaecology?

Trainees should seek career advice from their educational supervisor and the urogynaecology subspecialty training programme director or urogynaecology subspecialist within their region.

For advice on regulations for SST, please click here.

What is the difference between subspecialty training and ATSM in urogynaecology?

Subspecialty training programmes are a minimum of 3 years incorporating a 12month period of research.  Trainees with research exemption are expected to complete a minimum of 2 years clinical training. Details of criteria for research exemption can be found here. 

The SST Committee of the RCOG is in the process of introducing a Clinical Research Advanced professional Module (APM). This can be undertaken in replacement for the existing research components of SST. 

In addition to research experience, subspecialty trainees will be expected to complete basic science training and modular attachments in related specialties. By virtue of the duration and nature of subspecialty training, SSTs should progressively develop skills that will enable them to manage recurrent and complex cases of pelvic floor dysfunction. 

ATSM trainees will be expected to spend at least 2 sessions /week in urogynaecology. The remainder of their time will be spent undertaking general training in obstetrics and gynaecology. ATSM trainees will develop a more general skill base in obstetrics and gynaecology in addition to acquiring the competencies required to manage primary cases of urinary incontinence and pelvic organ prolapse.

RCOG Curricula

Subspecialty Training

For the curriculum for subspecialty training, please click here.

A list of programmes with Subspecialty Training programme Supervisors (STPS), their Deputies and projected completion dates for these programmes is given below:  




Projected Completion Date

London (North East Thames)

University College Hospital

Miss ElNeil

Mr Alfred Cutner


London (South West Thames)

Croydon University Hospital

Miss Ranee Thakar

Mr Abdul Sultan


London (North West Thames)

St Mary's Hospital, London

Mr Vik Khullar

Mr Alex Digesu


London (South East Thames)

King's College Hospital

Mr Dudley Robinson

Prof Linda Cardozo


York and Humber

Sheffield Teaching Hospitals

Mr Stephen Radley

Miss Swati Jha



Women's Hospital, Liverpool  

Mr Ruben Trochez

Miss Gillian Fowler


Severn & Penisula


Mr Bob Freeman

Miss Anu Dua


North Western

St Mary's Hospital, Manchester

Miss Fiona Reid

Miss Karen Ward


East of England

Addenbrooke's Hospital

Mr Mark Slack

Mr Ashish Pradhaan


East Midlands

Leicester General Hospital 

Mr Rob Teo

Mr Chris Mayne


West Midlands

Birmingham Women's Hospital

Mr Toozs-Hobson

Miss Pallavi Latthe



The John Radcliffe Hospital

Mr Simon Jackson

Miss Natalia Price


West Region (Scotland)

Southern General Hospital, Glasgow

Miss Karen Guerera

Mr Stewart Pringle 



ATSM Training

For the current curriculum for Urogynaecology and benign vaginal surgery training, please click here.

Details of ATSM Directors and Urogynaecology Preceptors in the different regions are as follows. 

The preceptor is responsible for overall training but there will be Educational supervisors for the ATSM in individual units. 


Urogynae ATSM Preceptor

East Midlands LETB (South) (Northampton; Leicester; Kettering)

Misa Salmon/Doug Tincello/Sunil Doshi

East Midlands LETB (North) (Derby; Nottingham; Linclon)

Paul Hooper

East of England LETB

Helen Johnson


Jonathan Duckett

London South LETB

Demetri Panayi

London - North West London LETB

Vik Khullar

London - North East London LETB

Arvind Vashisht

North West LETB (Mersey)

Kevin Thomas

North East LETB (Northern)

Karen Brown

Oxford LETB

Jill Ablett

South West LETB (Severn)

Mark James

South West LETB (Peninsula)

Morven Leggott

Wessex LETB

Christian Phillips

West Midlands LETB

Jason Cooper

Yorkshire and the Humber LETB

Carmel Ramage

Northern Ireland

Lucia Dolan

Scotland East

Zbig Tkacz

Scotland South East

Carolyn McKinley

Scotland West

Karen Guerrero


Jeremy Gasson


If you would like to contact the preceptors - Please do so via

Workplace-based Assessments

Both SST and ATSM trainees are expected to complete workplace-based assessments contemporaneously which demonstrate progression towards full competency in the skills required for signing off completion of training. As many formative OASTs as possible and a minimum of 3 summative OASTs are required before level 3 competency can be signed off. 

Trainees should download generic mini-Clinical Evaluation Exercise and OSATs for colposuspension, mid-urethral tape, vaginal hysterectomy and anterior colporrhaphy, posterior colporrhaphy, cystoscopy, sacrospinous fixation, sacrocolpopexy and urodynamics.

Urodynamics Training

Urogynaecology subspecialty and ATSM trainees are expected to receive training in dual channel subtracted cystometry. A curriculum for training in all types of urodynamics is outlined in the ‘Joint statement on minimum standards for urodynamics practice in the UK’.

There are 6 modules outlining minimum skills required for six types of urodynamics investigation:

A1 (female) and A2 (male) basic cystometry

Module B (Videourodynamics)

Module C (Urodynamics in neuropathic patients)

Module D (Ambulatory urodynamics)

Module E (Urodynamics in children)

A trainee undertaking an ATSM would be expected to complete A1(female) and SST would be expected to have completed A1 and have had experience of B, C and D.

To download the minimum standards curriculum for training in urodynamics, please click here.

Trainees are expected to attend a theoretical course, in addition to practical experience acquired through regular attendance at urodynamics clinics.

For further information about the RCOG theoretical course please click here.

Resources for Trainers and ATSM Preceptors

Subspecialty training - for information about subspecialty training centre criteria click here.

ATSM training– there are no criteria for ATSM training centres or for Educational supervisors delivering the ATSM. It is strongly advised that trainers should be members of BSUG and use the BSUG database to facilitate audit of outcomes and review of complications.

Heads of School and ATSM preceptors may find the following information helpful when assessing the ability of a centre to deliver the ATSM in vaginal surgery and urogynaecology with or without the laparoscopic urogynaecology ATSM. Centres offering the laparoscopic surgery ATSM should meet the requirements for the vaginal surgery ATSM, in addition to the laparoscopic ATSM criteria:

For a checklist to assess ability to deliver vaginal surgery and urogynaecology ATSM, please click here

The suggested centre criteria for the laparoscopic urogynaecology ATSM are the same as for those of the laparoscopic module of urogynaecology subspecialty training. i.e. the centre should perform more than 20 laparoscopic apical procedures (sacrocolpopexy and / or sacrohysteropexy) per year and have arrangements in place for trainees to access laparoscopic hysterectomy.

Current BSUG Training Subcommittee

Karen Ward (Chair)

Anu Dua (Vice Chair)

Sunil Dhoshi

Demetri Panayi

Helen Johnson

Karen Guerrero

Dr Carmel Ramage


Victoria Kershaw

Rufus Cartwright