Following the FFLM Board meeting on 03 March 2021, the route to LFFLM (c) for senior doctors, experienced in conducting forensic child sexual abuse (CSA) examinations has been updated.
This route to the LFFLM is via recognition of prescribed/equivalent experience by accreditation of prior learning and experience in combination with some elements of the LFFLM (c) examination.
Entry requirements include that a candidate:
- Must hold the MRCPCH/FRCPCH, or MFSRH/FFSRH, or MRCOG/FRCOG or MRCGP/FRCGP or another appropriate Royal College or Faculty membership.
- Have at least two years of active participation in CSA examinations in the three years prior to application. The senior doctor must be conducting an adequate number of examinations in order to maintain competency of experience in forensic, holistic, and safeguarding care of children of all ages and all genders.
- Candidates’ application must include an extended CV detailing this experience of CSA examinations (time period, number of examinations, number of statements written, court attendances, role in teaching and mentoring, publications) as well as a description of their local service and the procedures for CSA examinations and Safeguarding.
- Child Safeguarding Level 3 or above
- Attendance and successful completion (with a pass at the final assessment) at the 2-day forensic training course run by RCPCH with observation of practical elements.
Attendance and successful completion of a course which includes the following:
Candidates must be able to:
- Describe the use of early evidence kits and other early evidence.
- Discuss accurately the logistics for the forensic medical examination, including the nature of the assault, assailant (type/number involved), persistence of evidence, suitability of premises for examination and preservation of evidence.
- Define and identify different types of injury by undertaking a full examination. Thoroughly and accurately document positive and negative findings with regards to the known account of the alleged assault.
- Discuss current persistence data and recovery methods for trace evidence.
- Demonstrate the collection of forensic samples, including how to ensure minimal cross-contamination and appropriate labelling and packaging of forensic and/or STI samples with the regard to the chain of evidence and admissibility of evidence.
- Be aware of the differential diagnosis of findings e.g. dermatological conditions that may mimic injury.
- Discuss the potential use of highly sensitive images: the necessary consent, confidentiality and disclosure requirements; the limitations of digital images; aspects of how and when they are taken and their storage.
- Explain the forensic requirements for collection, storage and use of products of conception as evidence following termination of pregnancy
FFLM specific requirements include:
Submission of a Compendium of Validated Evidence (COVE). This can be completed partly by case-based discussions (CBD) with an Educational Supervisor (face to face and/or virtually) with inclusion of observed practical techniques from the RCPCH 2 day forensic training course assessment. There is the option of further observed cases if required.
Portfolio of 5 core topics (see below) illustrated by a mixture of anonymised statements for Court or child protection reports with at least 500 words of reflection.
The core topics include:
- Capacity, consent, confidentiality
- Safeguarding: children and/or vulnerable adult
- Reflection on aftercare
- Documentation of injuries
- Mental health issues
Note that the elements of LFFLM (c) in relation to Part 1 of 150 SBA questions and Part 2 OSCE (x11) of child and adolescent scenarios will be substituted by prior equivalent experience by the submission of evidence as outlined above (in entry requirements 1-4).
This route to the LFFLM (c) is available until 31 December 2022.