Regulating doctors, ensuring good medical practice

Your activities for the last five years – page 5 of 9

When completing your application, you will be asked to provide details of all of your medical and non-medical experience or other activities for the last five years.

Examples of other activities are:

  • Clinical attachments
  • Unemployment
  • Maternity leave
  • Study leave
  • Vacation
  • Career break  

Documents you must submit: Employer references

If there are any periods during the last five years in which you have not been registered or licensed with a medical regulatory authority, but have been working in either a medical or non-medical capacity, you must provide a reference from each employer.

Each employer needs to complete an employer reference form (pdf). This should be completed by your line manager or a member of human resources.

Each form must confirm:

  • The dates of your employment
  • That they are not aware of any matters that call into question your good standing.

If you were working in a medical capacity, the form must also confirm that you are or were not required to hold registration or a licence with a medical regulatory authority to undertake the post.

Please note that reference forms are only valid for three months from the date they are signed.

We will ask you to send us these documents by post.

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