This workflow is for DFSRH candidates who are working through the official e-SRH e-learning and want to turn that passive consumption into an active coverage audit rather than a stack of completed modules. It addresses the eKA knowledge component only — not the Course of Study or the supervised clinical experience. The principal limitation, and the whole reason this article exists, is that e-SRH is e-learning, not a question bank or a mock exam: it teaches, and it cannot score you or tell you whether the knowledge will survive an unseen, timed question. So the method here extracts the audit signal from e-SRH and gets the measurement from somewhere designed to provide it.
Current-state box (last checked 21 July 2026)
- What it is: e-SRH (Sexual and Reproductive Healthcare) is an e-learning programme produced by elearning for Healthcare in partnership with the College of Sexual & Reproductive Healthcare. It is explicitly e-learning — interactive multimedia sessions — not an exam question bank or a mock.
- Question count: not applicable in the bank sense; e-SRH contains e-learning sessions with embedded knowledge checks, not a scored question bank. Verify the current session list on e-lfh.org.uk; do not expect a bankable question count.
- Access period and price: access is via elearning for Healthcare (typically available to eligible NHS and health/care staff); verify current eligibility, access and any fees on e-lfh.org.uk.
- AI/adaptive features: none. It is structured e-learning, not an adaptive engine.
- Supported components: e-SRH is described as the go-to knowledge resource for the redesigned DCSRH; it covers contraception, STIs, pregnancy planning, early pregnancy and abortion referral, psychosexual medicine and SRH for specific populations. It supports the knowledge you need for the eKA; it does not reproduce the eKA.
Naming note: e-SRH itself references the "redesigned Diploma of the College of Sexual & Reproductive Healthcare (DCSRH)", reflecting the August 2025 rebrand from FSRH to CoSRH (fsrh.org redirects to cosrh.org). Confirm the current assessment name and format on cosrh.org.
Exam anchor
The eKA is the knowledge gate: on the standing specification, 100 single-best-answer questions, five options each, up to two hours, computer-based, no negative marking, immediate pass/fail with no score breakdown. e-SRH teaches the content this exam samples but does not present it as timed single-best-answer questions, so it cannot rehearse either the format or the pace. Keep the official/third-party line clear: e-SRH and cosrh.org define the knowledge; a bank rehearses it. Where a revision product's claim conflicts with the official curriculum, the College is authoritative.
Inventory the official examples and label each one
e-SRH is full of teaching examples, case vignettes and knowledge-check items. Inventory them as you go and label each by its usability for measurement — the same discipline that keeps official material honest:
- Unseen — a knowledge-check or example you have not yet opened. Rare and worth protecting for a single honest attempt.
- Attempted once — worked through but not memorised; useful for review.
- Contaminated by review — you have read the teaching around it, so it can no longer measure you; it is now learning material.
The value of the inventory is that it stops you mistaking "I completed the e-learning" for "I can answer unseen questions on it" — two very different claims.
Choose the calibration date
Because e-SRH cannot itself be a mock, your calibration date is really the date you first test the e-SRH knowledge on unseen questions elsewhere. Set it late enough that you have covered the relevant sessions and early enough to act on what it reveals — commonly four to six weeks before the eKA. The e-learning is the input; the calibration is a separate, timed event on unseen items.
Reproduce exam conditions exactly (where you can)
You cannot sit e-SRH as an exam, so reproduce exam conditions on the measurement side: when you test the knowledge from a block of e-SRH sessions, do it as a single timed block of unseen questions, roughly one minute and a little per item, no pausing, no references, computer-based. That is the only way to know whether the e-learning actually converted into retrievable, exam-usable knowledge rather than a pleasant sense of familiarity.
Code every error by domain, process and format
After the timed measurement, code each error three ways — domain, cognitive process (knowledge gap, misread, reasoning slip, recency error) and format — exactly as you would after any calibration. The difference here is that each coded error points you back to a specific e-SRH session or an external source, so your review is precise: not "revise contraception" but "re-do the emergency-contraception session and check the ulipristal interaction against current CEU guidance".
Map each error to fresh practice, keeping e-learning out of daily repetition
Convert coded errors into targeted relearning against e-SRH and the primary sources (CEU guidance, UKMEC 2025, SmPC via the eMC), then rehearse each principle on fresh, unseen questions. Do not try to drill the e-learning itself daily — it is not built for that, and re-reading a session you already understand is low-yield. iatroX is designed to provide the unseen transfer volume that e-SRH structurally cannot, so the e-learning stays your knowledge source and the bank does the repetition. No claim is made here about any proprietary algorithm; the mechanism is simply spaced retrieval of your flagged weak domains.
Repeat only with genuinely unseen material
Re-audit only against sessions or examples you have not yet worked through, or against a newly released official resource. Re-testing on e-SRH content you have already studied measures recall of the teaching, not readiness. Once your unseen e-SRH material is used up, your ongoing measurement runs on transfer questions in an unseen bank, with e-SRH retained as the reference source for anything you need to relearn.
Worked example: a seven-day plan
Consider a GP with a special interest in women's health, using e-SRH for one defined job — building and auditing knowledge coverage — with iatroX providing adaptive transfer practice and timed measurement.
- Day 1: Complete the e-SRH sessions on emergency contraception and UKMEC application; note the embedded knowledge-check items as "attempted once".
- Day 2: Timed iatroX block of unseen questions on those two domains — the measurement e-SRH cannot provide. Mark, do not review mid-block.
- Day 3: Code the misses; most cluster on UKMEC 2025 recency. Re-do the relevant e-SRH segment and check UKMEC 2025 directly.
- Day 4: Complete the e-SRH sessions on STIs and safeguarding; then a timed iatroX transfer block on those domains.
- Day 5: Mixed, timed iatroX block across all four domains plus two strong ones — confirm the fixes held and check pace.
- Day 6: Review only new misses; re-test the two most stubborn cold on unseen items.
- Day 7: Light retention check or rest. No re-reading of already-completed sessions as if they were practice questions.
e-SRH built and audited the coverage; iatroX measured it on unseen items. Because the e-learning was never mistaken for a mock, the audit stayed honest.
Decision checklist: continue, supplement, switch or stop
- Continue e-SRH while sessions remain that cover curriculum domains you have not yet learned — it is your knowledge source, so finish the map.
- Supplement with unseen iatroX blocks from the start, because e-SRH cannot measure you and you need a timed signal throughout.
- Switch your ongoing measurement fully to unseen transfer questions once you have completed the relevant e-SRH sessions.
- Stop relying on e-SRH for anything beyond reference once coverage is complete and your unseen, timed performance is stable — completing every session is a coverage milestone, not a readiness one.
Frequently asked questions
Is e-SRH enough for DFSRH on its own? As the official knowledge source, e-SRH covers the curriculum the eKA samples, so for learning the content it is close to comprehensive and is explicitly recommended for the redesigned DCSRH. What it is not, and does not claim to be, is a scored question bank or a mock, so on its own it cannot tell you whether the knowledge will hold up on unseen, timed single-best-answer questions. Treat e-SRH as the input and add a bank for the measurement it structurally cannot provide.
Which DFSRH component does e-SRH not reproduce well? e-SRH does not reproduce the eKA itself — neither its single-best-answer format nor its pace — because it is e-learning rather than a timed question exam. It equally does not stand in for the supervised clinical experience or the practical competences, which are separate requirements assessed by a registered trainer. Its strength is teaching the knowledge; the format rehearsal and the clinical sign-off have to come from a bank and from your training placement respectively.
How many e-SRH questions should I complete per day for DFSRH? The question does not quite apply, because e-SRH is organised as e-learning sessions with embedded knowledge checks rather than as a daily question bank, so you progress by sessions, not by a daily question quota. A sustainable rhythm is one or two sessions studied properly, each immediately followed by unseen questions in a bank to test transfer. For a daily count of practice questions, use a third-party bank, and verify the current e-SRH session list on e-lfh.org.uk.
When should I stop using e-SRH and move to mixed mocks? Move to mixed, timed blocks as soon as you have completed the e-SRH sessions covering a domain — you do not need to finish the entire programme first, and in fact you should be testing each domain on unseen questions as you go. e-SRH then remains your reference source for relearning specific gaps, while your mocks run on an unseen bank. Because e-SRH cannot be a mock, "moving to mocks" simply means moving your measurement to where measurement is possible.
How should I combine e-SRH with iatroX without duplicating practice? Give them non-overlapping roles: e-SRH teaches and audits coverage, and iatroX supplies the unseen, timed measurement and transfer practice that e-learning cannot. There is little risk of literal duplication because e-SRH is not a question bank — the real discipline is not to mistake a completed session for a passed test, and to make sure every domain you learn on e-SRH is then measured on questions you have never seen. Used this way, the e-learning and the bank reinforce each other instead of overlapping.
Editorial notes and references
Written by Dr Kolawole Tytler, NHS GP and founder of iatroX. Last checked 21 July 2026. e-SRH is described here as e-learning produced by elearning for Healthcare with the College of Sexual & Reproductive Healthcare; verify the current session list, eligibility and access on e-lfh.org.uk. Because the Faculty rebranded to CoSRH in August 2025 (fsrh.org redirects to cosrh.org) and DFSRH is being redesignated DCSRH, confirm the current assessment name and format on cosrh.org before relying on any figure here. Body-reported details are dated 21 July 2026.
Disclosure: iatroX operates a UK question bank. Its role in this article is confined to the job e-SRH does not claim to do — providing unseen, timed questions for measurement of the eKA knowledge layer — and this article states plainly that e-SRH is the official e-learning source and is not replaced by any bank. iatroX does not deliver the e-learning, the Course of Study or the clinical experience. Corrections via the feedback route on iatrox.com.
References: Sexual and Reproductive Healthcare (e-SRH), elearning for Healthcare, e-lfh.org.uk; College of Sexual & Reproductive Healthcare, cosrh.org (curriculum, eKA); UKMEC 2025 (CoSRH); FSRH Clinical Effectiveness Unit guidance; medicines detail via SmPC on the eMC. Internal: the DFSRH content-gap checklist; the FSRH official-resources calibration protocol; Your Q-Bank Percentage Is Not Your Exam Score; the iatroX DFSRH question bank and comparison hub.