Specialty specific guidance for Nuclear Medicine

The new Nuclear Medicine curriculum was published in July 2021. 

The deadline for CESR applications to apply against the previous version of the curriculum ended 30 June 2023. Any CESR applications submitted after this date will be assessed against the new curriculum.

Specialty specific guidance

The Joint Royal Colleges of Physicians Training Board and GMC have produced guidance for the evidence expected for your application:

Nuclear Medicine 2021

Previous editions:

Nuclear Medicine 2014

How to apply

 You can apply through your GMC Online account.

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 Nuclear Medicine curriculum is made up six Generic CiPs which are common to all physicianly specialties and five Specialty CiPs unique to Nuclear Medicine.

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

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.