Specialty specific guidance for CESR in Dermatology

The new Dermatology curriculum was published in July 2021. Due to the significant changes that are being made to the curriculum we will be offering applicants the opportunity to make your CESR application in either the new curriculum or the previous version of the curriculum.  This option of dual running of curricula will be available until 30 June 2023 to reflect the transition period applied to CCT trainees.

Specialty Specific Guidance

The Joint Royal Colleges of Physicians Training Board and GMC have produced guidance documents for each version of the curriculum.

How to apply

You can apply through your GMC online account. There is one application form which includes sections for both versions of the curricula. You should declare which curriculum version you wish to be assessed against in sequence one and only provide evidence in the sections of the application relevant to your curriculum.

2021 Curriculum

The GMC designed its new standards for postgraduate medical curricula Excellence by Design and its framework for Generic Professional Capabilities, published in May 2017, to help postgraduate medical training programmes re-focus trainee assessment away from an exhaustive list of individual competencies, towards fewer broad capabilities required to practice safely as a day-one consultant.

As a result, the 2021 physicianly curricula are outcomes-based, meaning that trainees will be assessed against the fundamental capabilities required of consultants in the working week. These include the general skills which all doctors need to have (the GMC’s Generic Professional Capabilities) as well as those needed to carry out all the specific day to day tasks undertaken by a consultant physician (Capabilities in Practice – CiPs).

The Dermatology curriculum is made up of 13 CiPs. Six Generic CiPs which are common to all physicianly specialties and seven Specialty CiPs unique to Dermatology.

In Dermatology two years Internal Medicine Training will replace Core Medical Training as the core training programme. Applicants will be required to demonstrate maintenance of relevant Internal Medicine Stage 1 capabilities.

Content shared between all physicianly specialties

There are six CiPs which are shared between all physicianly specialties:

  • CiP 1 - Able to function successfully within NHS organisational and management systems
  • CiP 2 - Able to deal with ethical and legal issues related to clinical practice
  • CiP 3 - Communicates effectively and is able to share decision making, while maintaining appropriate situational awareness, professional behaviour and professional judgement
  • CiP 4 - Is focused on patient safety and delivers effective quality improvement in patient care
  • CiP 5 - Carrying out research and managing data appropriately
  • CiP 6 - Acting as a clinical teacher and clinical supervisor

Specialty Specific Content

There are seven CiPs which are unique to Dermatology:

  • CiP 1 - Outpatient dermatology: managing dermatology patients in the outpatient setting
  • CiP 2 - Acute and emergency dermatology: managing dermatological emergencies in all environments and managing an acute dermatology service including on-call
  • CiP 3 - Liaison and community dermatology: working in partnership with primary care and promoting skin health
  • CiP 4 - Skin tumours and skin cancer: managing a comprehensive skin cancer and benign skin lesion service
  • CiP 5 - Procedural dermatology: performing skin surgery and other dermatological procedures
  • CiP 6 - Paediatric dermatology: managing paediatric dermatology patients in all settings
  • CiP 7 - Other specialist aspects of a comprehensive dermatological service including:
    • 7A) cutaneous allergy
    • 7B) photobiology and phototherapy
    • 7C) genital and mucosal disease
    • 7D) hair and nail disease

Changes in knowledge and skills

Teledermatology has now been included within the curriculum, as well as Dermoscopy.

The use of biologics in Dermatology has more emphasis in the curriculum.

More emphasis has been made on the ability to manage teams of nurses, GPs with an Extended Role and Physician's Associates to deliver a dermatology service in the community of hospital.

Mandatory surgical practical procedures have been altered slightly. It will become mandatory in the new curriculum for applicants to demonstrate they are able to perform small flaps to the level of satisfactory supervised practice to enhance their understanding of these procedures. Previously they just needed to know the indications for more advanced surgery such as flaps and grafts.

Core surgical training with 12 months Internal Medicine experience or equivalent to IMY3 has been added as an entry route.