CESR Applications for NHS Dermatology Consultants 

  • May 02, 2022

In this article we look at the guidance on dermatology evidence required for CESR applications...

Much evidence must be submitted, and you will only get a full picture of what you specifically require once you've spoken with the GMC and Royal College of Phsyicians. However, here we broadly discuss the evidence required to submit a complete application for entry onto the specialist register with a certificate of eligibility for specialist registration in dermatology.

What is CESR in Dermatology in the NHS?

As a Dermatology specialist, attaining CESR will mean you are qualified to practice at consultant level in the NHS in Dermatology.

Have a read through our CESR articles found in the IMG Library to understand a little more.

Do I need MRCP to attain CESR in Dermatology?

No, whilst it is always a benefit to attain MRCP and you may have already attained MRCP as by ways of registering with the GMC, you do not require MRCP to attain CESR in Dermatology.

Any doctor wishing to attain Specialist Registration via the CCT route must attain MRCP (UK). 

What is the indicative period of training for a CCT in Dermatology?

The indicative period of training for CCT in Dermatology is four years full-time training and it is highly unlikely that a CESR applicant with limited experience, applying directly from outside the UK, could achieve these competencies in less time.

Experienced dermatologists who take a consutlant position in the NHS, with support of their department, can attain CESR in much less time with the right focus and clarity on what they need to sign off. 

What is the CCT training pathway?

The structure of the CCT training programme is:

  • 2 years in Core Medical Training OR 
  • Acute Care Common Stem (ACCS) OR

How does IMT fit into this? CMT no longer exists as of Aug 2019.

Followed by:

  • 4 years training in Dermatology

Therefore, CESR applicants need to demonstrate they have achieved the competencies in both of these areas.

Where experience has not provided adequate experience in the diagnosis and ongoing inpatient management of patients with a broad range of general medical problems, this will need to be completed to a level equivalent to the experience gained in Core Medical Training before the specialist curriculum may be followed. 

For complete details refer to the Dermatology Curriculum documentation.

Submitting Evidence

Do not submit original documents – this is very important.

All your copies, other than qualifications you’re getting aunthenticated must be accompanied by a proformas signed by the person who is attesting to the validity and accuracy of your evidence (your verifier).

It is very important that you read an explanation of how to do this in the GMC’s important notice about evidence.

How much evidence should you submit?

The GMC recognises that doctors will often not have all the evidence required for a complete CESR application, often many doctors will start their application and delay starting their application until they are able to gather all the evidence.

The evidence must cover the knowledge, skills and qualifications to demonstrate the required competencies in all areas of the Dermatology Curriculum documentation.

If evidence is missing from any one area of the curriculum, then the application will fail.

If you have a piece of evidence that is relevant to more than one domain, do not include multiple copies in your bundle. Instead include one copy and list it in your evidence list under each relevant area, stating that the document is located elsewhere. 

The GMC asks that only evidence that is strictly relevant is sent as it will help them to process the application quicker. The guidance on compiling your evidence will help you to decide what is relevant and what is not – make sure you are reading the latest version on the GMC website – here.

It is important to note that evidence that is more than five years old will be given less weight than more recent evidence, so you may not need to include it. 

As a general guide, an application for CESR could expect to see around 800-1000 pages of evidence. 

The types of evidence are divided into four different domains, the GMC recommends that you apportion the evidence provided as per the pie chart below:

Please note, you cannot compensate for evidence lacking in one area by providing more evidence in another area.

Make sure to anonymise your evidence:

It is very important to anonymise your evidence before submitting it to the GMC. 

You must remove the following:

  • All patient identifying details
  • Details of patients’ relatives
  • Details of colleagues that you have assessed, written a reference for, or who have been involved in a complaint you have submitted. This includes:
    • Names (first and last)
    • addresses 
    • contact details such as phone numbers or email addresses
    • NHS numbers & other individual patient numbers
    • GMC numbers

In Summary:

If you have any questions or uncertainties, please do not hesitate to get in touch with the IMG Connect team. However, your official point of reference for any queries should the GMC – they can answer and provide the most updated information on CESR applications for senior Dermatologists looking to work as NHS Consultants in Dermatology.


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