DC13821 - Specialty specific guidance for CESR in Nuclear Medicine

The new Nuclear medicine curriculum was published in July 2021. Due to its you can make your CESR application in either the new curriculum or the previous version of the curriculum.  This option of dual running of curricula is available until 30 June 2023 to reflect the transition period applied to CCT trainees.

Specialty specific guidance

We’ve produced guidance documents for each version of the curriculum with the Joint Royal Colleges of Physicians Training Board.

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

Our new standards for postgraduate medical curricula Excellence by Design and its framework for Generic Professional Capabilities help postgraduate medical training programmes re-focus trainee assessment away from an exhaustive list of individual competencies, towards fewer broad capabilities needed to practise safely from your first day as a 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 Nuclear Medicine curriculum is made up six Generic CiPs which are common to all physicianly specialties and five Specialty CiPs unique to Nuclear Medicine. The curriculum includes three years of Clinical Radiology training and there are six Clinical Radiology Specialty learning outcomes.

In Nuclear Medicine, 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 (including MRCP).

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 five CiPs for Nuclear Medicine elements of the curriculum are:

  • CiP 1 - Advising and authorising appropriate Nuclear Medicine diagnostic and therapeutic interventions for individual patients
  • CiP 2 - Ability to direct optimisation of imaging and non-imaging diagnostic Nuclear Medicine investigations in terms of patient preparation, data and image acquisition, post processing and display
  • CiP 3 - Providing timely, accurate and clinically pertinent reports on all Nuclear Medicine diagnostic studies
  • CiP 4 - Providing a safe and comprehensive radionuclide therapy service
  • CiP 5 - Leading all the clinical aspects of the Nuclear Medicine department in terms of compliance with regulations

The six CiPs for the Clinical Radiology elements of the curriculum are:

·         CiP 1 - Appropriately select and tailor imaging to patient context and the clinical question(s)

·         CiP 2 - Provide timely, accurate and clinically useful reports on imaging studies

·         CiP 3 - Appropriately manage imaging examination lists/procedures according to clinical need and professional expertise

·         CiP 4 - Evaluate image quality and utilise the knowledge of imaging sciences to optimise image quality

·         CiP 5 - Safely manage the imaging and image-guided intervention needed to support emergency care

·         CiP 6 - Effectively contribute a clinical/imaging opinion to a multidisciplinary team (MDT) meeting

Changes in assessment tools

No changes to assessment tools.

Changes in knowledge and skills

Core training in surgery and Paediatrics with MRCS or MRCPCH will be accepted as alternatives to Internal Medicine with MRCP. Applicants will be able to apply for entry onto the specialist register in demonstrating equivalency in Nuclear Medicine.