Regulating doctors, ensuring good medical practice

Reapplication guidance

When making a re-application, you need to show that you have addressed the college’s recommendations and also maintained your knowledge, skills and experience since your original application.

Changes to the curriculum

You also need to show that your knowledge, skills and experience reflect the curriculum in place at the time of making their re-application. The curriculum may have been updated since the time of your original application and it is important to be aware of any changes. You should address these throughout the application process by submitting primary and secondary evidence.

Read the current approved curriculum for your specialty.

Maintenance of skills

As your regulator, we must be satisfied that your skills are up to date at the point of awarding specialist or GP registration. As you have up to 3 years to make a re-application we need to make sure that you have maintained your knowledge, skills and experience.

The amount of you evidence you need to provide depends on how much time has passed since the original application. For example, you will need to provide less evidence if you reapply after three months than you would if you reapplied after two years.

Your evidence

In addition to the evidence specifically requested in the college recommendations, and evidence showing you are up to date with any changes to the curriculum, you need to provide:

  • a current and up to date CV. See guidance on what to include in your CV.
  • evidence to demonstrate continuous employment in the specialty area since the time of the original application, or details of any gaps in your employment (for example, maternity/paternity leave, sick leave, sabbaticals or unemployment)
  • recent appraisals or assessments, conducted in the last 6 – 12 months
  • two structured reports, one from your current Medical Director, or equivalent. Both referees must be able to attest to your continuous clinical practice and performance since the time of their original application
  • renewal of any mandatory qualifications/training that have expired since the date of the original application (for example, ATLS)
  • an up to date probity declaration (this is part of the re-application form)

To show you have maintained your knowledge, skills and experience it is suggested that you should also provide up to date, robust evidence of:

  • any recent activity within the specialty field such as audit, clinical governance work, teaching and training, academic or clinical research or peer reviewed publications
  • maintenance of your CPD/CME record
  • logbook evidence. You should use this to show you have continued to see a variety of patients and have carried out a range of clinical procedures to the required standard of the relevant CCT curriculum
  • structured reports and letters of support from patients, clerical staff, medical colleagues and other allied healthcare professionals.

These requirements are not definitive, and the evidence you need to submit will depend on your specialty area, the time since your original application and the strength of your previous application. Please feel free to approach us – and the Royal Colleges – for advice specific to your case.

It is your responsibility to submit a robust portfolio of evidence to demonstrate that all recommendations – and any changes to the curriculum – have been addressed and that you have maintained a continuous level of clinical practice across the breadth of the curriculum.

Additionally, your evidence must be validated or authenticated and anonymised of any confidential colleague or patient data, as directed in the speciality specific guidance.