Specialty specific guidance for CESR in Neurosurgery

The Neurosurgery curriculum was published in 17 November 2020. For a transition period, you can make a CESR application against either the new curriculum or the previous version.

This option is available until the transition deadline of 31 July 2023.

Specialty specific guidance

We’ve produced guidance documents for each version of the curriculum with the Joint Committee on Surgical Training.

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 tell us 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 standards for postgraduate medical curricula are Excellence by design and the framework for Generic professional capabilities. These help postgraduate medical training programmes 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 surgical curricula are outcomes based. This means 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 as well as those needed to carry out all the specific day to day tasks undertaken by a consultant surgeon (Capabilities in Practice – CiPs).

The Neurosurgery curriculum is made up five Generic CiPs which are common to all surgical specialties.

Content shared between all surgical specialties

There are now generic requirements shared between surgical specialties in the following areas. 

  • Research
  • Quality Improvements
  • Medical Education and training
  • Management and leadership

You can find out more in section 5.4 Completion of training in your specialty

There are five CiPs which are shared between all surgical specialties:

  • CiP 1. Manages an out-patient clinic
  • CiP 2. Manages the unselected emergency take
  • CiP 3. Manages ward rounds and the on-going care of in-patients
  • CiP 4. Manages an operating list
  • CiP 5 Manages multi-disciplinary working 

Changes in assessment tools

A new assessment tool has been developed for outcomes based assessments. The Multiple Consultant Report (MCR) allows assessment of performance relative to the level required of a Day 1 consultant in each CiP and the GPCs.

The MCR is an assessment based in the workplace using observations gathered over an extended period of time. For trainees, this is the entire duration of a placement.

For CESR applicants we would expect observations to be over a similar time frame. The MCR for CESR should reflect the final MCR for a trainee and should be a summative assessment.

The MCR should cover a period of at least 6 months prior to making the CESR application. Applicants should bear this in mind when they first begin to gather their evidence for CESR.

The MCR and guidance for applicants and their supervisors can be found on the JCST website.