Table 1.

Hypothesised competency levels for the FSEP assessment variable

RANZCOG FSEP Expert a priori specified competency levels
Level 1	CTG use under supervision. • Understanding the basic physiology of fetal heart rate control • Being able to recognise what is normal and physiologically correct • Being able to recognise an abnormal CTG or heart rate pattern • Knowing who to call for assistance • Being able to set up and apply a CTG • Know the principles of conservative management and be able to apply these under supervision
Level 2	Recognising trends in FHR Patterns and the implications of those trends. • Being able to perform as an independent practitioner, with access to senior/supervisory staff • Being able to recognise and manage an abnormal CTG and appreciate the underpinning physiology • Having a detailed knowledge of indications for EFM • Appreciate the different modes of fetal monitoring and the indications and implications for each • Appreciate the implications of different management strategies • Being able to provide basic education for Level 1 practitioners
Level 3	Recognising errors in the interpretation and management of CTG abnormalities, and the implications of those errors. • Being able to instruct and teach others in EFM and fetal surveillance • Have a detailed knowledge of the normal and abnormal CTG, including the underpinning physiology • Being able to recognise and manage unusual abnormalities • Be able to manage multiple cases in a range of circumstances and understand the implications of those actions • Being able to nominate other investigations as required and understand their limitations and implications • Circumstances for referral and applied systems