1. Achieving Specialty Status by Article 14 Prospectively
Prof Peter Stonier
Director of Education & Training
FPM

2. ‘Article 14’ now referred to as CESR: Certificate of Eligibility for Specialist Registration (non-CCT routes to GMC’s Specialist Register)
CESR:
for those not eligible for CCT
Non-EEA doctors
For those who elect to do CESR
Two routes:
Retrospective CESR (see Paul Robinson presentation)
Prospective CESR (follows rules of ‘accelerated’ CESR, now called ‘combined’ CESR*)
* Combined CESR is open to doctors who have completed appropriate training, but not in PMETB-approved programmes. They must be eligible for and hold an NTN (NTN-E), and complete at least 2 ARCPs, including the final ARCP.

3. There are currently 9 Prospective CESRs amongst 209 HMT/PMST Trainees
Non-EEA doctor, not eligible for a CCT-UK programme:
Namely doctor who qualified non-EEA
And, undertook clinical training non-EEA
n.b. non-EEA graduate from recognised university who undertakes clinical training in UK is eligible for CCT route
Enters PMST programme with an NTN-E
Completes PMST similarly to CCT trainee:
4-Year programme
Diploma in Pharmaceutical Medicine
Practical & generic modules of curriculum
Assessments, appraisals, evidence portfolio, ARCPs
Applies for CESR rather than CCT from PMETB (at same cost £780)
CESR permits eligibility to apply for Specialist Register in UK (it is not an EU mutually recognised certificate, unlike CCT)
In Practice 2009:
There are currently 9 Prospective CESRs amongst 209 HMT/PMST Trainees