Training & Education

Welcome to TPFS Training committee web page

Our mission is to improve standards of training and assessment in colorectal pelvic floor disease through delivering a quality assurance framework. We aim to achieve our goals by

  • developing with ISCP support a revised and voluntary PF curriculum  Click here for details

  • develop a curriculum for pelvic floor investigation & conservative management   Click here for details

  • developing voluntarry workplace based assessments (see below)

  • develop a voluntary competency sign off for Laparoscopic Ventral Rectopexy

  • developing an e-portfolio

  • development of a QA process for training courses and training centres

  • ultimately move towards trainee portfolio certification

  • development of a process of voluntary certification in anorectal physiology and endoanal ultrasound

  • liaising with other key stakeholders the ISCP, relevant RCS, the speciality SACs, ACPGBI and Health Education England.
  • recruiting a working group accomodating the various stakehoder representatives
  • working closely with the QA & G chair

It is envisaged that these will serve as a tool for trainees to use over and above their CCT, to demonstrate a special interest in pelvic floor surgery.  It will NOT be a requirement for the ICRP, GMC and to obtain your CCT.  The whole process will be voluntary.

We will also move towards providing educational updates on this webpage as well as developing a library of presentations from previous conferences and videos/clinical presentations submitted by members. We also welcome members comments and positive suggestions.


Training Subcommittee Update & Recent developments:

The main focus of the committee’s activity in 2015/16 will be to liaise with the ISCP, T&E committee ACPGBI and the relevant SACs on curriculum development for a potentially new ATSM in Pelvic Floor and its components. This ATSM (currently aspirational) will provide you with the clinical foundation for managing patients with pelvic floor disorders and the development of a life long interest in the subject. 

A curriculum in EAUS will become available and will involve credits from working through lectures on TPFS website & attendance at a course either St Thomas’, Sheffield or Birmingham. Click here for details.

Hosting further "bespoke PFS trainee days" where the focus will be on "interactive discussion"

  • Exeter Feb 2015   
  • West Midlands in 2015
  • Specialty Skills in Coloproctology Stage II RCS March 2015. Click here.

Training statistics for Pelvic Floor:

Of the 67 responding NHS hospitals to the 2014 ACP Census, 104 surgeons reported having a specilaist interest in pelvic floor disorders: 39 have a "fully functioning" PF MDM and 38 run dedicated PF clinics.  A total of 25 units offer SNS.  26 hospitals consider themselves to be tertiary referral centres.  14 units have PF research fellows whilst 6 units offer post CCT PF training.  The number of consultant appointments in 2014 asking for a special interest in PF was 8. 

Subspecialty Training:

As of January 2015 we will be considering establishing subspecialty training centers and PF training programmes throughout the UK as well as working towards setting up a number of PF fellowships.  The success of these programmes will be assessed through the development of appropriate tools. This committee is also keen to establish a register of Pelvic Floor preceptors/mentors, clinical supervisors and trainees. Remember, his PF training is voluntary and is not a requirement for ICRP and the GMC

How will I register for training in pelvic floor?

Trainees should be seeking career advice from their educational supervisor, deanery programme director and once it has been arranged, the pelvic floor preceptor/mentor in their region. They should discuss their preferences and rotations within their region. SpRs will be expected to plan their specialist options during year ST6 which should be documented on their ARCP on conclusion of year 6.  During year ST7 they should make arrangements for specialist pelvic floor training commencing at the end of year 7.

How will I register for subspecialty training?

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

Workplace-based Assessments

Both SST and specialist pelvic floor trainees will be expected to complete workplace-based assessments contemporaneously, which demonstrate progression towards full competency in the skills required for signing off completion of training.

Trainees will be able to download generic mini-Clinical Evaluation Exercise, DOPS [summative and formative] and OSATs (objective structured assessments of technical skills) for ARP, ARUS, Haemorrhoidectomy, fistula surgery, sphincter repair, PPH, STARR, LVMR, SNS/PTNS

The ethos of TPFS e-portfolio will be to support trainees in their PF training, to facilitate the formative and summative assessment processes and ensure that trainees receive appropriate quantity and quality of training. The e-portfolio will be a log book for trainees to record and monitor their PF experience, demonstrate their performance, progression and competencies and to apply for TPFS "certification".  You will NOT be required to submit this log to the RCS, ICRP or the GMC but your school and programme director may want to see evidence of your experience.  Record your training in as much detail as possible, for your own benefit as well as for your PF Preceptor and local deanery.

The purpose of the TPFS e-Portfolio is to provide a format for:

  • Recording previous PF experience
  • Recording recent activity/training  experiences
  • Record PBAs
  • Recording DOPS assessments
  • Creating personal development plans
  • Automatically creating performance data summaries
  • Providing anonymous feedback on training received


Download Procedure based Assessments PBAs


Download Logbook of MDTs and Investigative procedures performed/observed


Anorectal physiology Training

Pelvic floor subspecialty trainees will be expected to receive training in anorectal physiology, biofeedback principles/techniques and endo-anal ultrasound as well as having a working knowledge of urodynamics. Trainees will be expected to attend a theoretical course, in addition to practical experience acquired through regular attendance at anorectal physiology and EAS clinics.

 Curriculum for Anorectal Physiology

Curriculum for imaging modalities

Achieving compitencies in Pelvic Ultrasound


POP-Q measurement made easy

Download the AUGS app now


Chairman: Mr Jonathan Randall, Bristol [member ACP Education & Training committee]


ACPGBI E&T Committee - Click here


Minutes Training Committee March 2013

Minutes Training Committee January 2015