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
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.
View your specialty specific guidance
Joint Committee on Surgical Training (JCST)
Joint Royal College of Physicians Training Board (JRCPTB)
Royal College of Anaesthetists
Royal College of Emergency Medicine
Royal College of General Practitioners
Royal College of Obstetricians and Gynaecologists
Royal College of Ophthalmologists