Table 2

Comparison of key points of a time based versus a competency based approach to SHO training in medical specialties

Years in training approachCompetency based training
Specified number of years assumed to acquire specific skills of specialtyTime taken to acquire the required knowledge, skills, attitudes irrespective of time period
No specific standardised measure to document competency (satisfactory progress documented by educational supervisor)Competency judged by programme director using a number of standardised requirements
MRCP examination usually completed at end of two years’ trainingNo limits on time in training (define maximum and minimum)
Trainees may not feel competent in specialty at end of designated time period?Examination