PYR process for Hepatology 2022/2023

The Hepatology PYA process no longer applies since PYAs were disbanded during COVID in favour of a PYR (penultimate year review) system.

Gastroenterology TPDs should document a hepatology PYR as part of the gastro PYR process. Trainee eligibility for hepatology subspecialty accreditation is as follows:

• Completion of 6 months’ core hepatology in level 2 or 3 centre
• Completion of the 12 month hepatology ATP via national recruitment process
• Total 24 months hepatology training with no more than 6 months in level 1 centre (DGH)
• Completion of core and advanced hepatology curriculae with established competence in variceal banding

Academic trainees eg NTN(A) holders / clinical lecturers do not need to complete an ATP but do require a minimum of 3 months experience in a liver transplant centre. 24 months training in hepatology is still required.

At Final ARCP if trainees have met the above criteria then hepatology subspecialty accreditation should be documented in order to correctly inform the JRCPTB.

Queries can be passed to Dr Bill Griffiths, BASL SAC representative (

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