Structured · Evidence-based · Exam-focused

Everything in reproductive medicine.
One platform.

Curriculum, guidelines, question banks and OSCE — the whole subspecialty in a single system. ESHRE-anchored, MRCOG/EBCOG-rooted, and every competency traced from its foundation to the guideline that governs it.

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8domains
172competencies
9OSCE stations
4trace layers per line
The four-layer trace — one competency, four addresses
MRCOG root
Subfertility
Basic O&G foundation
↓
EBCOG · PACT
Reproductive endocrinology
Specialist competency
↓
ATCRM · EFRM
Diagnostic work-up & management of PCOS
ATCRM.1.22 · subspecialty
↓
Guideline
ESHRE PCOS 2023
The governing authority ↗
The one idea

Every competency carries its address — and its authority.

Other resources give you notes, or a question bank. StudyEFRM shows you where each piece of knowledge comes from — its MRCOG/EBCOG root — and which guideline is the source of truth. You learn the subspecialty as a connected map, not a pile of facts.

The StudyEFRM mark: M, E and G beads threaded down the reproductive tract into an open book
The mark is the method
M

MRCOG foundation

The basic O&G knowledge area the competency grows out of — what you already trained on.

E

EFRM · ATCRM competency

The subspecialty line itself, numbered and addressable: one of 172 across 8 domains.

G

Guideline authority

The ESHRE, NICE, ASRM or WHO recommendation that governs it — named, dated and graded.

R

Rooted

Each competency is pinned to its MRCOG knowledge area and its EBCOG PACT theme — so you build on what you already know instead of starting again.

A

Anchored

Every line resolves to its governing guideline, cited by body, name, year and strength of recommendation. No unsourced assertions.

T

Traced end-to-end

Theory → evidence → assessment → OSCE station, all hanging off the same competency. One thread, four ways to master it.

The platform

Six layers on one knowledge graph.

The library, the questions, the cases and the guidelines are not separate products — they are the same system, cross-linked, all hanging off the traced competency. Open any line and every layer is already there.

01

Traced Curriculum

Every competency with its four-layer trace, its evidence-based theory, and its place in the domain map.

8 domains · 172 lines
02

OSCE Case Library

De-personalised stations written as full examiner vivas — candidate brief, model answers, mark scheme, fail-traps and sources.

9 exam stations · 12-min format
03

Assessment

Guideline-anchored SBA and EMQ mapped line by line, with the discriminating variable and the trap made explicit in every explanation.

Timed · scored · per-line
04

Guideline Hub

ESHRE, NICE, ASRM and WHO guidance deconstructed into graded recommendations, tied to the competencies each one governs.

Cited by body · year · grade
05

Orientation & Exam Pathway

Exam architecture, eligibility, the pathway and the logbook — the front door, open before you pay anything.

Free · open access
06

Continuing Education

Modules built to CME structure — needs assessment, learning outcomes, post-test and references — so practice stays current as guidance moves.

Outcomes · post-test · references

See it on a real competency.

Orientation modules and the curriculum map are open access — no payment, no waiting.

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The curriculum

The whole ATCRM syllabus — 8 domains, 172 competencies.

The complete reproductive-medicine curriculum, line by line, each competency mapped to its root and its governing guideline — and each opening into theory, evidence, questions and OSCE.

D1

Reproductive Endocrinology

39 competencies
D2

Infertility & MAR

31 competencies
D3

Laboratory · Embryology & Genetics

20 competencies
D4

Andrology

14 competencies
D5

Reproductive Surgery

12 competencies
D6

Early Pregnancy & Implantation

15 competencies
D7

Fertility Preservation

20 competencies
D8

Non-Technical Skills

21 competencies
What one line contains

Diagnostic work-up & management of PCOS

ATCRM.1.22 · Domain 1 · rooted in MRCOG Subfertility · anchored to ESHRE PCOS 2023
Theory

Structured sections — physiology, diagnosis, management — written to the guideline, with tables and decision rules.

Evidence

The recommendations that govern the line, cited by body, year and strength, with the conflicts shown.

Questions

SBA and EMQ written for this line, each explaining the discriminating variable and the trap.

OSCE

The station this competency appears in — brief, examiner questions, mark scheme, fail-traps.

The method

The Vantage-Point System.

One concept. Five clinical angles. Different language every time. Not pattern recognition — encoding. The exam rotates the vantage point deliberately; so does the platform. Here is a single concept, AMH, seen five ways.

01
Physiology

AMH as an ovarian reserve marker

Secreted by granulosa cells of small antral follicles. Reflects the recruitable pool — not the total primordial reserve.

Endocrinology
02
Protocol decision

AMH in stimulation strategy

Low AMH with a low antral follicle count places a patient in a POSEIDON group — translating a number into a protocol.

MAR / Infertility
03
Research appraisal

AMH as a study outcome

When AMH appears as a primary outcome in a trial — is it patient-relevant, or a surrogate standing in for one?

Abstract & statistics
04
Post-surgical context

AMH after ovarian surgery

Cystectomy versus ablation for endometrioma — differential impact on reserve, and when preservation must precede surgery.

Fertility preservation
05
Concept inversion

Which patient would not benefit from AMH-guided dose adjustment?

Reverse reasoning. Discordant AMH/AFC, prior ovarian surgery or premature luteinisation may not follow the standard prediction curve. The exam tests the boundaries of a concept, not its centre.

Any stationTrap question
The principle: one concept — five stations, five reasoning frameworks. A candidate who memorised “AMH = ovarian reserve” fails vantages 3, 4 and 5. The goal is not a high mock score. The goal is decision stability under pressure — when the question looks unfamiliar but the concept is not.
The assessment layer

Try three questions.

Every question names its governing guideline and explains the discriminating variable — the single fact that separates the right answer from the plausible one. Choose an option to see the reasoning.

SBA · Domain 1 · Reproductive Endocrinology · ATCRM.1.22
A 27-year-old with anovulatory PCOS and a normal semen analysis wishes to conceive. BMI 29. Which is the recommended first-line pharmacological agent for ovulation induction?
Letrozole. International evidence-based guidance on PCOS recommends letrozole as first-line pharmacological therapy for ovulation induction in anovulatory PCOS, with higher live-birth and ovulation rates than clomifene. Clomifene remains an alternative; metformin alone is weaker for live birth and is used mainly adjunctively; gonadotrophins are second-line. Discriminating variable: first-line status — not efficacy in isolation. ESHRE / international PCOS guideline · 2023
SBA · Domain 2 · MAR / Infertility
A high responder in an antagonist cycle has 24 follicles ≥11 mm on the day of trigger. Which trigger strategy most reduces the risk of ovarian hyperstimulation syndrome?
GnRH agonist trigger with freeze-all. The agonist trigger produces an endogenous LH surge of shorter duration and lower amplitude than exogenous hCG, and — combined with elective freezing to avoid the luteal and pregnancy-driven hCG rise — is the most effective OHSS-prevention strategy in an antagonist cycle. Cabergoline and reduced-dose hCG mitigate but do not remove the hCG stimulus. Discriminating variable: the cycle is an antagonist cycle, so the agonist trigger is available at all. ESHRE ovarian stimulation guideline
SBA · Domain 4 · Andrology
A semen analysis is reported using the WHO laboratory manual, 6th edition (2021) reference limits. Which sperm concentration lies below the lower reference limit?
14 million per mL. The WHO 2021 lower reference limit (5th centile) for sperm concentration is 16 million/mL, so 14 million/mL falls below it and 16 million/mL sits exactly at the limit. Option D quotes the separate total-count limit (39 million per ejaculate) — a different parameter. Trap: reference limits are the 5th centile of fertile men, not a threshold for fertility or infertility. WHO laboratory manual · 6th ed · 2021
Part 2 OSCE

What the EFRM OSCE actually is.

The format is not MRCOG Part 3, and preparing for it as if it were is the most common structural error. It is a knowledge and reasoning examination, conducted face to face.

What it is not

  • No patient actors or simulated colleagues
  • No breaking bad news to a role-player
  • No teamwork or interprofessional stations
  • Not the MRCOG Part 3 format

What it is

  • 9 stations · 12 minutes each
  • One candidate, one examiner, face to face
  • A written clinical or laboratory scenario on paper
  • Knowledge, critical analysis and structured reasoning
The station map
ST1

Reproductive Endocrinology

Ovulatory disorders, hyperprolactinaemia, PCOS, amenorrhoea, endocrine work-up.

ST2

MAR / Infertility

Stimulation strategy, IUI and IVF decisions, OHSS prevention, transfer policy.

ST3

Embryology

Laboratory standards, culture and grading, cryopreservation, witnessing and quality.

ST4

Andrology

Semen analysis, azoospermia work-up, surgical retrieval, male endocrinology.

ST5

Reproductive Surgery

Endometrioma, fibroids, adhesions, tubal disease, hysteroscopic pathology.

ST6

Early Pregnancy & Implantation

Recurrent loss, implantation failure, ectopic, luteal support.

ST7

Fertility Preservation

Oncofertility, elective preservation, counselling and timing decisions.

ST8

Abstract / Statistics

Critical appraisal of a paper — design, bias, outcomes, clinical translation.

ST9

PGT & Genetics

PGT-A/M/SR indications, counselling, mosaicism, consanguinity and screening.

Why one weak station cannot be carried

Examiners classify each candidate at each station as pass, borderline or fail, and the pass mark is derived from the borderline group — calculated independently for every station. Strength elsewhere does not compensate for a station you were not ready for. That is why the platform covers all nine, not the popular three.

Per-station pass marks — independent
No compensation between stations
Borderline-derived standard setting
How a case is practised — the viva framework
1
Read the scenario

Silent reading. Core question, key data, red flags. Do not speak yet.

0–2 min
2
Structured response aloud

A fixed algorithm, spoken. Every answer names the guidance it rests on.

2–6 min
3
Self-interrogation

Act as the examiner. “Why not option B?” “What if the AMH were 0.5?” The step candidates skip.

6–10 min
4
Evidence check & gap log

Open the guideline, compare point by point. Every gap becomes the next session.

10–12 min
Loses marks
“I'm not sure…” · “I think maybe…” · “I don't know the guideline…”
Gains marks
“The evidence here is limited, but per current guidance I would… while monitoring for…”

All nine stations, written as examiner vivas.

Candidate brief, examiner questions with model answers, mark scheme, distinction-versus-pass, fail-traps and the sources behind every point.

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Exam pathways

Built for the reproductive-medicine exam, rooted in the whole ladder.

EFRM is the platform's home ground — Part 1 written and Part 2 OSCE, end to end. Because every competency carries its MRCOG root and its EBCOG PACT theme, the same content reads upward and downward across the O&G ladder.

01

EFRM Part 1 & Part 2 OSCE

European Fellowship in Reproductive Medicine — the full ATCRM curriculum and all nine OSCE stations

02

MRCOG Part 1 · 2 · 3

Every competency names the MRCOG knowledge area it grows from — revision that reads both ways

03

EBCOG · EFOG

Mapped to EBCOG PACT competencies, the European training standard

04

Subspecialty & fellowship training

Structured coverage for anyone training or practising in reproductive medicine — exam or not

Anchored to the evidence

Guideline-first, not opinion-first.

Every recommendation on the platform names its authority — by guideline, year and strength of recommendation — and links to the source. Where guidance conflicts, the conflict is shown rather than smoothed over. No sponsorship, no commercial bias.

ESHRENICEASRMWHO EBCOG · PACTRCOG · MRCOGATCRM
Questions

Before you ask for access.

Who is the platform for?

Anyone training or practising in reproductive medicine: EFRM Part 1 and Part 2 candidates, subspecialty and fellowship trainees, and O&G clinicians who want the reproductive-medicine curriculum organised by competency and anchored to guidance. The exam framing is the spine; the content is the subspecialty itself.

How is access granted?

Request access with your email from the platform. You will receive a link to complete access, and once that is confirmed your account is approved manually and the gated layers open — the traced curriculum, the OSCE case library and the assessment layer. Orientation modules and the curriculum map need no account.

Where does the content come from?

Primary guidance — ESHRE, NICE, ASRM, WHO, EBCOG and the ATCRM curriculum itself — read directly, not summarised second-hand. Each line names the guideline, its year and the strength of the recommendation, so you can check any statement against its source. Guidance changes; lines are revised when it does.

Are the OSCE cases real patients?

No. Every case is de-personalised and re-synthesised as original teaching material. No identifiers, no verbatim records, nothing traceable to an individual. Cases are written to the exam's station structure and mark scheme, not lifted from a clinic.

How is this different from a question bank?

A question bank tests recall of facts it does not source. Here the question, the theory, the guideline and the OSCE station are the same object viewed from different angles — and each explanation names the discriminating variable, so a wrong answer teaches the boundary of the concept rather than just marking it red.

Is the platform accredited?

Modules are written to continuing-education structure — a needs assessment, stated learning outcomes, a post-test with a pass mark, and full references. StudyEFRM is an independent educational platform and is not accredited by, affiliated with or endorsed by ESHRE, EBCOG, the RCOG or any examining body.

Enter the platform.

Orientation modules and the curriculum map are open to everyone. Request access for the full traced curriculum, the OSCE case library and the assessment layer.

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