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Dual certificate of completion of training (dual CCTs)

Dual certificate of completion of training (CCT) pairings are programmes of training across two or more specific areas of medicine, which we approve.

Deaneries and local offices deliver these programmes according to the approved specialty curricula. The curricula state all the relevant competencies for that specialty to gain a CCT.

A CCT shows that a doctor has completed an approved specialist training programme and is eligible for entry onto the GP Register or the Specialist Register.

Some doctors complete their training in more than one specialty and gain a dual CCT. One of the requirements is that they cover all competencies in both specialties.

View all existing pairings for dual training, or email quality@gmc-uk.org for more information.

Quality management of dual CCT training

We believe that sharing examples of good practice is beneficial to the local quality management processes of dual CCT training.

The Annual Review of Competency Progression process for doctors in dual CCT training should be recorded for each specialty, as national consistency improves the overall quality assurance of programmes.

Read our position paper on Improving the National Consistency and Approval of Dual CCT Training Programmes.

Dual CCT training programme directors and educational supervisors

Trainers with additional educational roles, such as training programme directors and educational supervisors must:

  • be selected against a set of criteria
  • have specific training for their role
  • demonstrate ability as effective trainers and
  • be appraised against their educational activities.

Given the relatively small numbers of dual CCT doctors in training, these roles may be held jointly with that of a training programme director and educational supervisor for a main specialty. Appropriate arrangements must be made for doctors in training to escalate concerns. Appropriate time for the role must also be recognised in the job plan.

Applying for a new dual CCT pairing

Royal colleges and faculties are responsible for completing and submitting the application form with the necessary supporting documents.

Where the application is for two specialties from different colleges or faculties, a lead college or faculty must be identified. They will be responsible for submitting the application with support from the other college or faculty.

The college or faculty is responsible for mapping common competencies between the specialties. In doing so, it must identify the total training time for the dual pairing. We expect that dual training will normally reduce training time by a minimum of one year. All applications must be based on proven service need and common curricula outcomes.

Read our guidance on the application process.