Specialty Specific Guidance

We’ve created guidance for each CCT specialty with the relevant royal college or faculty. This will tell you the evidence we expect you to submit for your application in the most closely related specialty.

If there’s no CCT specialty which closely matches yours, please use the one most closely related.

You shouldn’t submit your application until you’ve read this guidance and gathered your evidence.

It’s important you check our website regularly for updates to the SSG and curriculum.

You should use this alongside our Application and evidence guidance, which details how we expect you to name and group your evidence.

You shouldn’t submit your application until you’ve read the specialty specific guidance and gathered your evidence.

How to use your SSG

It important you read your SSG in full. There is lots of helpful information in the introductory parts of the document, which give an indication of any types of evidence relevant to different learning outcomes in the curriculum and how to cross reference these, how much evidence is enough to meet the learning outcomes, and how to organise your evidence so it’s clear.

Your SSG will also confirm the number of referees required for an application in your specialty, and who these individuals should be, plus how recent the evidence you submit needs to be.

You should always work from the SSG on our website, rather than download and save a copy, as the website version is the most up to date version.

Recency of evidence

You need to submit recent evidence to support your application in line with our the information set out in the SSG for the specialty most closely related to the one you’re applying in. Evidence falling outside of the time period set out is unlikely to hold weight in your application when reviewed by the evaluators, unless accompanied by current evidence which demonstrates maintenance of competency. The specific period over which evidence is considered current for each specialty is discussed in the SSGs linked below.

Applications are viewed holistically and assessed on their own merits, depending on what the overall body of evidence. The following approach is taken:

  • A small amount of older evidence may support your application if it’s highly relevant to your specialty. To be relevant it must also be primary evidence and within one or two years of the standard evidence timeframes for your specialty. Such evidence may only require secondary evidence to demonstrate maintenance of competence in that area of the curriculum, although this is dependent on the overall body of evidence you have provided including other recent and robust primary evidence.
  • Older secondary evidence will add very little to demonstrating competence: you should not submit this.
  • Where much of your primary evidence sits outside of the standard evidence timeframes, this will not demonstrate a robust application and will need to be supported by recent primary evidence.

Specialist specific guidance list

Royal College of Anaesthetists 


Intensive care medicine

Royal College of Emergency Medicine 

Emergency medicine

Royal College of General Practitioners

General practice

Royal College of Obstetricians and Gynaecologists

Obstetrics and gynaecology

Royal College of Ophthalmologists


Royal College of Paediatrics and Child Health


Royal College of Pathologists

Chemical pathology

Diagnostic neuropathology

Forensic histopathology


Paediatric and perinatal pathology

Medical microbiology

Medical virology

Royal College of Psychiatrists

Child and adolescent psychiatry

Forensic psychiatry

General psychiatry

Old age psychiatry

Psychiatry of learning disability

Medical psychotherapy

Royal College of Radiologists

Clinical oncology

Clinical radiology

Faculty of Occupational Medicine

Occupational medicine

Faculty of Public Health Medicine

Public health medicine

Faculty of Sexual and Reproductive Healthcare

Community sexual and reproductive health

Academic or research medicine

Academic or research medicine guidance