Like Alexander of Macedon, the new curriculum has swept all before it. For Egypt, read regional anaesthesia; for the sacked cities of Tyre and Persepolis, read the subspecialties.

Although Pain may seem distant, much like Alexander reached India, the new curriculum has reached it.

In 2010 Pain featured as a module requiring a sign off (with 17 syllabus points) and Intermediate Level (18), and was optional at Higher and Advanced.

This has been replaced by compulsory HALOs at Stages 1, 2 and 3, with new and more generalised curriculum points.