Applying for a CESR

1. Applying for a CESR

2. What the Specialist Apps Team do • Deal with all applications for entry onto the Specialist Register or GP • Certificate of Completion of Training (CCT) • Certificate of Eligibility for Specialist Registration (CESR) • Certificate of Eligibility for General Practice Registration (CEGPR) • Verifications and duplicates of certificates for GMC and previous bodies responsible for Specialist training / registration • Coordinate GMC’s response to appeals against SR / GPR • Applications for Out of Programme (OOP) approval

3. What’s a CESR? • Entry onto the Specialist Register with a Certificate of Eligibility for Specialist Registration (CESR) • Application route for doctors who have not followed a full UK training programme (CCT) • Assessed against the standards of the UK CCT curriculum • Evidence based application process Not: • Assessment of competency in current role • Based solely on recommendations from colleagues

4. Numbers of CESR / CEGPR applications received

5. Applications by specialties

6. Eligibility in a CCT specialty • To be eligible to apply you must have completed: • Six months continuous training in the speciality in which you are applying Or • A Specialist Medical Qualification in the speciality in which you are applying

7. Eligibility in a non-CCT specialty • To be eligible to apply for a CESR in a non-CCT specialty you must have: • Six months continuous training in any non-CCT specialty, undertaken outside the UK OR • A Specialist Medical Qualification in any non-CCT specialty, obtained outside the UK.

8. How to apply and cost • All applications can be made via GMC Online. • Once you have started your application you will need to submit it to us within 12 months. • If we haven’t received it within 12 months we will contact you. • Application fee: £1,600*

9. Legislation governing the Specialist and GP Registers • Our main legal powers for maintaining the specialist register and the general practitioner register are contained in the Medical Act. • In addition, there is a suite of subordinate legislation which describes how these powers are to be carried out. • The Postgraduate Medical Education and Training Order 2010 • The Applications for General Practice and Specialist Registration Regulations 2010. • The Marking of the General Practitioner Register Regulations 2010. • The Award of Certificates Rules 2010. • .

10. The CESR application process

11. Before you apply • Read the Specialty Specific Guidance (SSG) and curriculum • If you don’t have the evidence, wait until you can get it • Bundles are typically 800-1200 pages • No need to duplicate evidence • Make sure your evidence is relevant • Documentary evidence based on GMC’s Good Medical Practice

12. How do I have my evidence verified?

13. Submitting evidence electronically • Electronic evidence can be uploaded in the application • Faster and cheaper than submitting evidence in hard copy • Portfolio style online application – open for 12 months • Advice on your application in GMC online

14. Online application section

15. Stage 1 – Initial assessment • Eligibility check • Structured reports • Contact verifiers • Hard copy evidence within 14 days

16. Structured reports • We’ll ask you to nominate a minimum of four referees • The royal college/faculty uses them to triangulate your primary evidence • Choose people who can comment on your recent competence and breadth of your practice • Two who work in your specialty • Details on your personal attributes, skills and competencies • First referee must be your current medical / clinical director

17. Stage 2 – GMC evidence review • Applications adviser reviews evidence: • Check proformas match evidence • Creates a checklist for you • 60 days to gather additional evidence • The verify portion of evidence once all additional evidence received

18. Stage 2 – GMC evidence review

19. Stage 3 – Evaluation of your evidence • Royal college/faculty specialist assessment - 2 independent evaluators • GMC QA of the evaluation • GMC issues the decision based on RCF recommendation

20. Success rates

21. Success rates – common specialties

22. Why are applications unsuccessful? • Haven’t demonstrated how well you have performed (WPBAs) • Haven’t passed the standard test of knowledge within the curriculum or demonstrated equivalent • Insufficient evidence of audits that have been undertaken, particularly on closing the audit loop • Lack of evidence of research • Specialising on one area • Lack of management / leadership experience

23. Getting your decision If you’re successful: • Specialist registration is granted • A copy of the evaluation is sent to you If you’re unsuccessful: • A letter confirming you have not been successful, which outlines your options – Review or appeal • A copy of the evaluation • Recommendations which will help you in future applications

24. Review application You may choose to apply for a review of our decision if: • You have additional relevant documentary evidence Or • You consider there has been a procedural error You must apply within one year of the date on your decision letter. Review application fee: £695

25. Review application – Success Rates

26. Future of CESR • By 2020 all GMC curricula will be updated to become outcomes based • Incorporate Generic Professional Capabilities

27. For more help from the Specialist Applications team ü Website www.gmc-uk.org/SpecApps Email equivalence@gmc-uk.org * Phone 0161 923 6602 (