Specialty specific guidance for CESR in Rehabilitation Medicine

The new Rehabilitation Medicine curriculum was published in April 2021. 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 30 April 2023.

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 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 physicianly 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 physician (Capabilities in Practice – CiPs).

The Rehabilitation Medicine curriculum is made up six Generic CiPs which are common to all physicianly specialties and eight Specialty CiPs unique to Rehabilitation Medicine. In Rehabilitation 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

The Rehabilitation Medicine capabilities in practice (CiPs) describe the professional tasks or work within the scope of the specialty.

  • CiP 1 - Able to formulate a full rehabilitation analysis of any clinical problem presented, to include both disease-related and disability-related factors
  • CiP 2 - Able to set out a rehabilitation plan for any new patient seen with any disability, this plan extending beyond the consultant’s own specific service
  • CiP 3 - Able to work as a full and equal member of any multi-disciplinary rehabilitation team
  • CiP 4 - Able to identify and set priorities within a rehabilitation plan
  • CiP 5 - Able to diagnose and manage existing and new medical problems in a rehabilitation context
  • CiP 6 - Able to recognise need for and to deliver successfully specific medical rehabilitation treatments
  • CiP 7 - Able to work in any setting, across organisational boundaries and in close collaboration with other specialist teams
  • CiP 8 - Able to make and justify decisions in the face of the many clinical, socio-cultural, prognostic, ethical, and legal uncertainties and influences that arise in complex cases

Changes in knowledge and skills

Applicants with core training and the relevant examinations in paediatrics, surgery, anaesthetics, psychiatry, obstetrics and gynaecology, ophthalmology or general practice training are now eligible to apply for higher specialty training in Rehabilitation Medicine. The examinations that can be accepted in addition to MRCP(UK) are MRCPCH, MRCS, MRCGP, FRCA, MRCPsych, FRCOphth and MRCOG.

There is a new focus on core rehabilitation knowledge and skills and experience in a greater range of settings (such as community, nursing homes, day hospitals and acute hospitals).