DCSRH · Core Wisdom

Core Wisdom for the DCSRH

Short pieces on contraception and sexual health — the kind of thing we’d talk through after clinic. Written for the diploma, grounded in UKMEC 2025 and current CoSRH guidance.

This is the GP Diplomas edition of Core Wisdom — separate from our AKT blog, with its own SRH-focused series.

Clinical

Guideline updates & the rules that matter
Dr David Palethorpe

Emergency contraception, decided

Copper IUD vs ulipristal vs levonorgestrel by time window, weight, enzyme inducers and breastfeeding — including the ulipristal–progestogen interaction people miss.

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Core Revision

Quick-starting, decided

Start almost any method today: the FSRH checklist for being reasonably sure someone is not pregnant, what to do when you cannot be, and how long each method takes to work.

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Core Revision

Missed pills without the flowchart

Two questions decide every scenario — how many, and which week — plus the three progestogen-only windows and the drospirenone exception.

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Core Revision

The postpartum window

Day 21, six weeks and six months: the three clocks behind every postpartum question, method by method.

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Core Revision

STI testing: windows, tests and who to tell

Window periods, first-line treatment, the 2025 gonorrhoea test-of-cure change, and partner-notification look-backs.

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Learning

How to revise it, not just what to revise
Dr Victoria Hammond

Learning UKMEC without memorising the grid

How to hold the condition × method logic in your head with a handful of principles instead of brute-forcing the whole table — built for how memory actually works.

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Core Revision

The OTA is open book — use it well

Fifty questions in sixty minutes: what to have open, how to read the stem, and how to spend your look-ups.

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Real life

Revising around a clinical life
Dr Victoria Hammond

Fitting the DCSRH around a full week

The diploma has four moving parts and a day job. A realistic way to sequence the e-learning, the clinical assessments and the theory revision without it taking over.

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Dr Victoria Hammond and Dr David Palethorpe
From both founders
“We’re writing these the way we’d explain them to a colleague after clinic — specific, practical, and current. Tell us what you’d find most useful and we’ll prioritise it.”
Dr Victoria Hammond, Co-Founder, and Dr David Palethorpe, Co-Founder & GP Partner

A note on accuracy and independence. These pieces are written for revision and follow current UK guidance — UKMEC 2025 and the College of Sexual & Reproductive Healthcare (CoSRH, formerly the FSRH). They are not a substitute for the full guideline or clinical judgement. Posts are reviewed, re-audited and corrections logged; always check the current guidance for patient care. Core Revision is an independent educational platform and is not affiliated with CoSRH or the RCGP.

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If there’s a contraception or SRH topic you’d most like explained, we’ll move it up the list.

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Questions? Email admin@corerevision.com

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© 2026 Core Revision Ltd. All rights reserved.

Core Revision Ltd is an independent educational platform and is not affiliated with the RCGP or the College of Sexual & Reproductive Healthcare (CoSRH).

The rest of the DCSRH toolkit

Every part of the DCSRH track, one click away. Work across them rather than through them — the guide explains it, the tools drill the decision, the bank tests it and the Compass tells you what is left.