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
Explain drs need SR to work as substantive consultant in non-FT NHS hospitals and GPR to work as GPs in any capacity (can’t otherwise work)
CCT – approx. 6.5k per annum (5% time)
CESR/GP – 90% time – 80% of these applicants non-UK PMQ 2

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 3

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
Note that get small number of applications in non-CCT specialties – the eligibility criteria & standard of assessment differ 6

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. 7

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*
*Fees due to change April 2019 – check website for details 8

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
Explain that diagram represents overall process once application submitted online. Takes around 6months based on time periods – can be longer if applicant doesn’t have evidence prepared, or shorter if they do. That’s why its really important to prepare before submitting. Will discuss each stage of the process in more details throughout presentation.

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 pages
No need to duplicate evidence
Make sure your evidence is relevant
Documentary evidence based on GMC’s Good Medical Practice
D1: Knowledge, skills & performance
D2: Safety & quality
D3: Communication, partnership & teamwork
D4: Maintaining trust

12. How do I have my evidence verified?
Verifier
Identify a verifier from each institution
Proforma
Complete the proforma
Review
Verifier to check evidence
Submit
Submit proformas with application evidence
PSV
Primary Source Verification
Who is an appropriate verifier
What goes on the proforma
Primary source verification process
Some evidence doesn’t need verifying – only types on pro-forma
Some evidence needs authentication

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
Advisers will take delegates through full userguide today

14. Online application section

15. Stage 1 – Initial assessment
Eligibility check
Structured reports
Contact verifiers
Hard copy evidence within 14 days
Once submitted online, assigned to an adviser immediately throughout working hours, or first thing the next working day.
The adviser will do an initial eligibility check (explain) based on the information given in the application
We’ll request the structured reports for the nominated referees
We’ll contact verifiers
We will expect to receive any hard copy evidence within 14 days – if confirmed submitting hard copy evidence, we won’t start assessing electronic evidence until the hard copy evidence received

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 16

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
The adviser will work through the hard copy and electronic evidence, which will contain about 1000 pages of documentary evidence:
Check proformas provided where required for all evidence
Create a checklist which will help identify any gaps in the evidence, anonymisation issues
The checklist is sent to the applicant who then has a maximum of 60 days to gather any further evidence.
We’ll then verify a proportion of your evidence directly with your verifiers – we need to be satisfied its an accurate reflection of your practice

18. Stage 2 – GMC evidence review
The adviser will work through the bundle, which will contain about 1000 pages of documentary evidence:
Check proformas provided where required for all evidence – we’ll then contact all verifiers to confirm they completed the proforma
Create a checklist which will help identify any gaps in the evidence, anonymisation issues
The checklist is sent to the applicant who then has a maximum of 60 days to gather any further evidence.
We’ll then verify a proportion of your evidence directly with your verifiers – we need to be satisfied its an accurate reflection of your practice

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
Once PSV sample verified successfully, the application is deemed closed and will be sent to the Royal College/Faculty for evaluation - they have expertise and are able to assess whether the evidence meets the required standards
At this point we are subject to a 3 month legal deadline to issue a decision
The RC will source two independent evaluators and have 7 weeks to return a completed evaluation
In-house QA of the evaluation. We check that the it has been assessed against the correct standards, check that all evidence has been considered. We will revert back to RCF with any queries.
GMC issues the decision based on RCF recommendation - appeal is against the GMC

20. Success rates Success depends on: Your past experience and training
The evidence you provide
Your willingness to engage
Your referees’ comments 20

21. Success rates – common specialties
Note this includes reviews as well. 21

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 22

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 23

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 24

25. Review application – Success Rates25

26. Future of CESR
By 2020 all GMC curricula will be updated to become outcomes based
Incorporate Generic Professional Capabilities
Updates staggered over the next 2 years
If an app is in progress you’ll get an advising the curriculum is due to be updated
Online applications tailored to new curricula
We’ve got more info & FAQs on our website

27. ü * ( For more help from the Specialist Applications team Website *
Phone
 6602 ( 27