Applying for Specialist Registration through the CESR route
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Applying for Specialist Registration through the CESR route
What is a CESR/CEGPREntry onto the Specialist Register with a Certificate of Eligibility for Specialist Registration (CESR)
Entry onto the GP Register with a Certificate of Eligibility for GP Registration (CEGPR)
It is a route for doctors who have not followed a full UK training programme
If an applicant does not already hold full registration, they must apply for this at the same time
Eligibility in a CCT specialtyTo be eligible to apply for a CESR in a CCT you must have:
6 months continuous training in the speciality in which you are applying, undertaken anywhere in the world
A Specialist Medical Qualification in the speciality in which you are applying, obtained anywhere in the world.
Eligibility in a non-CCT specialtyTo be eligible to apply for a CESR in a non-CCT specialty you must have:
A Specialist Medical Qualification obtained from outside the UK in any non-CCT specialty
At least 6 months continuous specialty training undertaken outside the UK in any non-CCT specialty
How to apply and costAll applications can be made on line via GMC Online.
Inactive applications (6 months) will be withdrawn
A CESR application is 1,500
A CESR application with registration is 1,890
Preparing for submission
Get your evidence ready first
Validation and authentication are key
It can take 3-6 months to get your evidence ready
Your evidence should demonstrate your skills and knowledge are equivalent to the curriculum you are applying in
Preparing for submissionDocumentary evidence based on GMCs Good Medical Practice Guide:
Domain 1: Knowledge, skills and performance Domain 2: Safety and quality Domain 3: Communication, partnership and teamwork Domain 4: Maintaining trust
Suggested documentary evidence
Evidence of specialist qualifications or examinations passed
360 degree appraisals (where available)
Evidence of participation in teaching, lecturing and management
Evidence from specific cases, etc
Preparing for submissionRead the Specialty Specific Guidance SSGIf you dont have the evidence, wait until you can get itBundles are typically 800-1000 pages longNo need to duplicate evidenceMake sure your evidence is relevant
Evidence - AuthenticationRegistration or Qualifications obtained outside the UK
Authentication by a Solicitor or the Awarding Body
They stamp and sign a copy to certify they have seen the original
Also known as a Certified Copy
Evidence - ValidationEvery piece of evidence that relates to your training and experienceMedical Supervisors who can confirm it is a true and accurate recordHospital StampName of person validatingTheir job titleTheir SignatureIncorrectly validated or authenticated evidence will not be sent to the Royal College
Structured ReportsYou will be asked to provide 6 refereesLess than 5 is very unusualThe Royal College uses them to triangulate your primary evidenceVerify work, training and experienceDetails on your personal attributes, skills and competenciesFirst referee should be your current medical / clinical director
What happens once you have applied?You will be allocated a Specialist Applications Adviser who will contact youThey will undertake an initial assessment based on the information you have providedRequest your structured reports This will happen within 2 working days of us receiving your application
What happens next?We will expect to receive your evidence bundle within 14 days of receiving your application
We then have 30 days to provide you with a checklist
Checked against the SSG and Curriculum to identify gaps
You then have a further 60 days to submit any further evidence
What happens next?After 60 days your application is deemed closed
It is uploaded to the Royal College for evaluation
We have 3 months to issue a decision
Internal Quality Assurance process prior to decisions being issued
A decision is made - SuccessfulSpecialist Registration (and Full Registration) is automatically granted
A copy of the evaluation is sent to you
A decision is made - UnsuccessfulA letter confirming you have not been successful
A copy of the evaluation
Recommendations which will help in future applications
ReviewYou may wish to review our decision on an unsuccessful application if:
You have additional relevant documentary evidence
ORYou have completed the top-up training recommended
OR You consider there has been a procedural error
You must apply within 12 months of the date on your decision letter
Success RatesSuccess depends on:
Your past experience and trainingThe evidence you provideYour willingness to engageYour referees comments
The following statistics are not an indication of your likelihood of success
For more help from the teamWebsite www.gmc-uk.orgPhone0161 9236602
The CESR application process
So, what is a CESR/CEGPR?A CESR is a Certificate of Eligibility for Specialist Registration and its for any doctor who want to practice as a substantive, honorary or fixed term consultant in the UK health services and have not completed a GMC approved training programme.
Its important to say at this point that if an applicant does not already hold registration, then they will need to apply for a CESR with full registration. The full registration element will be processed alongside your CESR application and your Certification Adviser will advise you on that process.*The most important thing to do before you apply is to make sure you are eligible! Deciding whether your specialty is equivalent to a UK CCT specialty is important because it determines your application type and the minimum eligibility requirements that you must meet.To do this you will need to refer to the content or the requirements of the relevant curricula. It may be that your specialty has a slightly different name to those listed, but it is the content of the curricula, rather than the actual specialty name that is relevant when applying. If the curriculum requirements or content matches those of your specialty, then that will be the specialty to apply under. You can find a list of the 64 specialties we currently recognise on our website.If you are applying in a CCT specialty you must have:6 continuous months specialist training in that speciality Ora specialist qualification in that specialtyAnd you must demonstrate that this, together with your experience, is equivalent to the requirements for the award of a CCT in that specialty in the UK.
*To be eligible to apply for a CESR in a non-CCT specialty an applicant must have: A specialist medical qualification from outside the UKOrAt least 6 months continuous specialty training undertaken outside of the UK in any non-CCT specialty.You must demonstrate that this, together with your experience shows that you have the knowledge and skills consistent with practice of a consultant in the NHS.*All applications are made on line via your GMC Online account. If you dont already have a GMC Online account, it is very quick and easy to set up. (How?) website or contact centre.
Once you start your application, you will need to complete and submit it to us within 6 months. If you dont, then your application will be automatically withdrawn and you will need to start again. So applicants should read the guidance and make sure they are ready to apply before starting the application.
A CESR application currently costs 1,500 and a CESR with full registration is 1,890.*As I have just mentioned, the key to a CESR application is to be sure you are ready to apply, by obtaining as much of your evidence as you can before you start the application process.
Your evidence will need to be correctly validated and authenticated which I will explain in more detail shortly. If you do this before you submit it to us, you will save time and we will be able to process your application quicker. Evidence that isnt correctly validated or authenticated will NOT be considered when your application is evaluated.
The evidence requirements for this type of application are extensive and it is not unusual for an applicant to take between 3-6 months to prepare their evidence, before submitting an application to us.
A CESR application is an evidence based application, and as such must provide evidence which demonstrates that your knowledge and skills are equivalent to all of the competencies of the curriculum of the specialty in which you are applying. *Your documentary evidence will be based on the GMCs Good Medical Practice guide:
Domain 1 is Knowledge, skills and performance - typically around 75% of your evidence bundle
Domain 2 is Safety and quality - typically around 20% of your evidence bundle.
Domains 3 and 4 are Communication, partnership and teamwork AND Maintaining trust typically around5% combined*The types of evidence you could submit are:Evidence of specialist qualifications or examinations passedEmployment recordsAppraisal portfoliosWork-based assessments360 degree appraisals (where available)Evidence of participation in teaching, lecturing and management Evidence from specific cases, such as Log books, Case Based Discussions, Work Placed Based Assessments or ANYTHING that shows equivalence.
The most common problem with evidence is that it is not correc