Specialty specific guidance for CESR and CEGPR

We require evidence from you when you apply for registration as a specialist or GP via a Certificate of Completion of Training (CCT). Our Specialty specific guidance (SSG) documents explain what we expect you to submit for your application.

If there’s no CCT specialty that closely matches yours, please use the generic guidance. Please read the relevant guidance and gather your evidence before submitting your application.

Recency of evidence

You need to submit recent evidence to support your application in line with our Currency of evidence for CESR and CEGPR applications policy . We generally consider evidence up to five years old to be sufficiently recent. Older evidence is unlikely to hold weight in your application when reviewed by the royal college or faculty evaluators, unless accompanied by current evidence which demonstrates maintenance of competency. The specific time period over which evidence is considered current for each speciality is discussed in the SSGs below.

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

  • Small amounts 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. 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 so 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
  • Evidence from over eight years prior to your application (other than qualifications, evidence of career history) will be discounted so you should not submit this.

Curriculum changes

Some specialties have made significant changes to the curriculum. Once a curriculum gets approved and published, you may make your CESR/CEGPR application in either the new curriculum or the previous version. We call this "dual running", and it ensures fairness between the CCT and CESR/CEGPR route. "Dual run" curricula will likely be available until implementation of CCT training for the relevant specialty.

Your SSG will tell you whether the curriculum for your specialty will be dual run.

Our position statement on "Transition of learners to a new curriculum" contains further information. 

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

Evidence List

View your specialty specific guidance

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

Generic Guidance

Generic Guidance