CESR
(prev called article 14)
It is a route for
Doctors who wish to join the Specialist Register, whose specialist training,
qualifications or experience (clinical and non-clinical) was partly or
completely acquired outside of an approved CCT programme in the UK. It is
equivalent to a CCT and certifies that the recipient has all the competences
defined in the CCT curriculum, and so is eligible for admission to the
Specialist Register.This can be obtained in CCT Speciality, Non CCT speciality
and Academic or Research Medicine. Most of the SAS doctors tend to apply for
CCT speciality.
Pre-requisite for CESR in CCT Speciality:
You must have either:
a specialist qualification in the specialty you are applying in OR at least six
months continuous specialist training in the specialty you are applying in
Pre-requisite for CESR in non-CCT Speciality:
You must have either a
specialist medical qualification from outside the UK in any non-CCT specialty
OR at least six months continuous specialist training outside the UK in any
non-CCT specialty.
Period: GMC normal assesses application and answer within 6 months of submission
but you need approximately 2 years of planning:
Important
Tips for Applicants:
1.
Look at Speciality Specific Guidance, if some of the evidence is not
available perhaps consider delaying the application.
2.
Look at Speciality Specific Checklist if available from respective Royal
Colleges
3.
Please check approved speciality and
subspecialist curriculum from Royal colleges, it keeps on changing e.g. The general surgery
curriculum was changed in 2013.
4.
Read guidance on GMC websites. GMC has recently changed the amount of
documentation one can submit for CESR. They expect specific documentation.
5.
Choose your references carefully they need to comment on your clinical
competences, at least six referees
(from the last 5 years) are required preferably to give eight to ten(from
earlier experience).
6.
Emails are good sources of information about yourself from colleagues and
could be used as an evidence.
7.
Don’t delete any emails which are work related. The positive comments on
it about work can be used as evidence.
8.
Discuss with the collegues in your speciality who had been successfully
granted CESR to get guidance for your application.
9.
Attend CESR seminar,
BMA organises this with help of GMC. It will give fair idea about the work you
need to do.
10.
Curriculum is a key.
Visit JCST website, look at what is requirement for your speciality (http://www.jcst.org/quality_assurance/cct_guidelines).
If you do not meet the criteria delay the application.
11.
Discuss with the trainee in your speciality about his ARCP
and requirements for successful completion of ARCP and CCT. You need to have
more evidence than a trainee to complete CESR.
12.
You will not be granted CESR if you have not completed
exit exam in your speciality. "The
successful completion of the Intercollegiate exam demonstrates your depth
and breadth of knowledge is equivalent to the standards required by the
CCT curriculum"
13.
Please re-write your CV from
scratch. The application form and CV must correspond, submitting a CV that does not contain the required information will delay
your application and also if you have not submitted all evidence as mentioned
on the CV will also delay your application.
14.
Please write page number of each of document when possible printed or
write it yourself it is very helpful.
15.
Use lot of polly pocket to store all the evidence.
Validating
the evidence.
Original documents
which are on headed paper with hospital stamp and original signature e.g.
letters do not need validation is submitting original. All photocopied evidence
should contain on every page of each document a hospital stamp, validators name
(printed and in full), validators job title (printed and in full) and
validators original signature.
If you submitting
evidence gathered from Princess of Wales – needs to be validated by somebody
from the same hospital.
If a document has
multiple pages (for example, a logbook or appraisal), the first page must show
the stamp, signature, name and job title as described above. The rest of the
document can simply show the stamp and signature. (In such case you case ask your validator to write that “He has
verified this page and another …. Pages of this logbook or appraisal document
of Mr/Dr XYZ) Make sure logbook or appraisal document has your name on it.
Authencating
your evidence
Evidence showing
registration with overseas medical regulators or qualifications gained outside
the UK have to be authenticated by a solicitor or from the overseas awarding
body. (You will still stamp, sign and date)
Confidentiality
Annonymise all
patients information, information of colleagues you have assessed or written a reference
for. No Name, addresses, NHS numbers, GMC numbers or email address. Gender and
Date of Birth is allowed.
Use white eraser ink
to anonymise all evidence. Marker pens are not best
GMC take patient and
colleague confidentiality very seriously. They can inform Royal College about
this and will also omit evidence that is not anonymised. PLEASE CAREFULLY CHECK
EVERYWORD OF DOCUMENT YOU HAVE PROVIDED.
EVIDENCE
(Suggestions)
Domain 1
Knowledge Skills and performance
1.
Primary medical qualification, any overseas qualification with overseas
syllabus validated by your overseas Head of department or Professor
2.
UK exams, exit exams
3.
Logbooks – surgical, Total consolidated experience, year wise experience
last 5 years also complete logbook of surgical training (please explain the
year of logbook as per CV and mention period and name on each page)
4.
DOPS and PBA to level 4 for speciality specific and general surgery
index procedures (at least 60), CBD and
observation of teaching.
5.
Courses - relevant courses in
your speciality
a.
Divided courses as clinical, teaching, managerial
6.
Conferences
7.
Research
a.
Thesis
b.
Original articles – mandatory to have original article published in your
speciality indexed journal
c.
Other publication like abstracted publications, Letter to editors,
technical tips, commentary,
d.
Presentations – International, National, regional and local
8.
Teaching, training, assessing and appraising
a.
Evidence of teaching courses attended
b.
Feedback – personal and team
c.
Lectures delivered in various teaching courses
d.
Organising teaching course
e.
Assessing juniors – CBD, CEX DOPS
f.
Appraising colleagues as an appraiser
Domain 2
Safety and Quality
1.
Audits
a.
Completed full cycle audit in last 5 years with other one phase audits
b.
Audit on service delivery, infection control, quality control audits –
very helpful
2.
Participating in various committees in the hospital e.g. MDT, research
risk review group or data quality with minutes of meetings.
3.
Training in infection control, radiation hazard etc
4.
Upto date personal immunisation
5.
Lot of evidence from Domain 1 will also be considered for this Domain 2
so please mention also in Domain 2
Domain 3
Communication Partnership and Teamwork
1.
Structures reports from prev exams
2.
Assessments used in prec Domains
3.
Testimonials or old references
4.
Cancer MDT letters
5.
Letter to GP, colleague and patients – anonymised
6.
Letter to you from GP’s, Colleagues and patients – anonymised
7.
360 degree feedback
8.
Management diplomas
Domain 4
– Maintaining Trust
1.
References
2.
Structured reports, testimonials and assessments
3.
Complaints
4.
Compliments – card letter from patients and colleagues
References are key
for a successful application
Lot of evidence can
be used in more than one Domain so please use it
Triangulate all
information properly
if you need more information please email me or send a message and will send or give specific info you need.
This information is based on the personal experience. I would strongly recommend to use GMC website for all information. please contact me if you need to discuss any thing. There are more practical information I cannot share on the blog.
This information is based on the personal experience. I would strongly recommend to use GMC website for all information. please contact me if you need to discuss any thing. There are more practical information I cannot share on the blog.
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