CESR Applications for Acute and Internal Medicine Doctors 

  • January 27, 2023
 

Here we will look closely at the application for CESR in acute and general medicine.

In particular, we will explore the specialty specific guidance on providing evidence for an application for entry onto the Specialist Register for Acute Internal Medicine or Acute Medicine with a Certificate of Eligibility for Specialist Registration or CESR.

What is CESR in Acute Internal Medicine in the NHS?

As an Acute Medicine specialist, attaining CESR will mean you are qualified to practice at consultant level in the NHS in Acute Medicine. Have a read through our CESR articles found in the IMG Resources library to understand a little more.

Do I need MRCP to attain CESR in Acute Medicine?

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 Acute Internal Medicine.

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 Acute Internal Medicine?

The indicative period of training for a CCT in Acute Internal Medicine is six years and it is highly unlikely that you would achieve the competencies required for a CCT in a shorter period of time.

This training consists of the following:

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

AND 

  • Four years training in Acute Internal Medicine

Therefore, CESR applicants must demonstrate that they have achieved the competencies in each of these areas. 

For a complete list of competencies refer to the Acute Internal Medicine Curriculum documentation.

Submitting Evidence

Do not submit original documents – this is very important.

All your copies, other than qualifications you’re getting authenticated 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 Acute Internal Medicine Curriculum.

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 overseas Acute Medicine doctors looking to work as NHS Consultants in Acute Medicine.


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Relevant Jobs

93,666 - 126,281

An excellent opportunity to join the dynamic team at an esteemed organization recognized for its excellence by the CQC. This is an opportune moment to become part of the Acute Medicine and Medicine Specialties Teams. With a strong history of achievements, they are committed to delivering exceptional patient-centered care. They seek a passionate and driven Acute and General Physicians to contribute to their mission of providing top-tier medical care across various clinical settings. This is a high performing and supportive department for overseas doctors new to the NHS, or UK-based doctors looking to further careers in the UK.

This is a great opportunity for overseas Consultants who want to establish themselves in the NHS, and grow their consultant career. The post is suitable for candidates holding specialisation in the EEA, or for experienced IMGs looking to complete CESR.

What is the NHS Foundation Trust like?

The NHS Foundation Trust stands as one of the nation\'s largest integrated healthcare organizations, delivering both hospital and community services to a populace exceeding 650,000 individuals. Renowned for their ambition and innovation, they boast a skilled workforce comprising over 7,000 dedicated colleagues. Operating across two acute sites for hospital services and encompassing centers and community hospitals in six towns for planned care, they extend their services even to patients\' residences.

Recognized as a high-performing entity with a history of accomplishments, the Trust has functioned as an integrated acute and community services provider since 2011 and achieved foundation trust status in 2007. Guided by their strategic framework \"Our Patients Matter,\" they articulate their short- and long-term objectives and delineate the path to their realization. This framework underscores their commitment to providing the safest, most compassionate, and seamlessly coordinated care to the communities they serve.

Within this NHS Foundation Trust, medical professionals are presented with a plethora of career prospects and exposure to diverse care settings rarely encountered elsewhere. Additionally, they have the opportunity to reside and practice in some of the most culturally rich and picturesque locations across the country!

What is the Department & Team like?

Within the Trust, there are 5 Care Groups: Urgent & Emergency Care, Integrated Medical Specialties, Surgery, Family Health, and Clinical Specialist Services. The Acute Care Team is housed under the Urgent & Emergency Care division. The Acute & General Medicine Department prides itself on delivering comprehensive and compassionate care to patients across a wide spectrum of medical conditions. Staffed by a dedicated team of consultants and junior doctors, the department ensures round-the-clock coverage to meet the needs of their patients. Their department handles a diverse range of cases, including but not limited to respiratory illnesses, cardiovascular conditions, gastrointestinal disorders, and infectious diseases. With access to state-of-the-art diagnostic and treatment facilities, including advanced imaging technologies and specialist clinics, they are equipped to provide timely and effective care to their patients.

The Acute & General Medicine Department boasts modern and well-equipped facilities, designed to optimize patient care and comfort. They have a 30-bedded Acute Medical Assessment Unit. On average, their department handles a significant number of acute and general medicine cases each year, reflecting the trust and confidence placed in their services by the community they serve. They prioritize patient safety, quality of care, and efficient service delivery, ensuring that each patient receives personalized attention and tailored treatment plans to facilitate their recovery and well-being.

The unit is adequately staffed and the working shifts are designed to ensure more doctors are present during the busy period of the day i.e. late evenings. They address the busy winter months by arranging extra locum cover during this busy period. In addition to the acute medicine registrar(s), there is a middle grade doctor, 1 IMT doctor and 4 FY1 doctors with staggered shifts throughout the day. In addition, there will be an on call registrar and 2 on call IMT doctors with staggered shifts. The night team comprises of one registrar, two FY2/IMT and one FY1 supported by an outreach nurse on most nights. 

What is life like in the area?

The North East of the UK offers a diverse mix of rural and urban settings, providing doctors with a range of living options. Residents can explore stunning coastal areas like Northumberland\'s beaches or venture inland to scenic national parks such as the North Pennines. The region is home to respected schools and universities, including Newcastle University. Transportation links are robust, with efficient road and rail networks connecting residents to major cities like Newcastle, Durham, and Sunderland, as well as international airports. Housing options range from quaint cottages in picturesque villages to modern apartments in vibrant city centers, catering to various lifestyles.

Career Development & Opportunities Available
 


ARE YOU ELIGIBLE FOR THIS ROLE?
EEA Candidates:

  • Experience of working in Acute & General Medicine

Non-EEA Candidates:

  • MRCP
  • Experience of working in Acute & General Medicine

UK based applicants

  • Experience of working in Acute & General Medicine
88,364 - 119,113

Are you a motivated and committed Consultant in Acute Medicine looking for NHS jobs and relocate in the UK? Then this opportunity is perfect for you!

Grab this chance and possibly start your career in the NHS! You will be joining a team that is always starting innovative ways of working to shape the future model of acute medicine. You will be able to take advantage of working within a multidisciplinary team that aims to deliver high quality care. The team is part of one of the largest NHS Trusts in the country, and not only that, it is rated \"good\" by the CQC! This is a great opportunity for overseas Consultants who want to establish themselves in the NHS, and grow their consultant career. The post is suitable for candidates holding specialisation in the EEA, or for experienced IMGs looking to complete CESR.

The department is a team of 7 enthusiastic and hardworking consultants that work within the Urgent Care CSU to drive forward their Acute Medicine and SDEC services. The department has two Acute Medical Units with a total of 57 beds and a co-located 4-bedded Enhanced Care Area, called HOBS (High Observation Area). They have a strong commitment to the delivery of same day emergency care which operates a 7-day services and sees approximately 400 patients per week, as well as delivering an excellent and established ambulatory VTE service. You will be given the opportunity to maintain and update your skills and knowledge through appropriate continuing professional development. 

The successful candidate will be expected to:

  • Work in all 3 areas of acute medicine (AMU, Enhanced Care and Same Day Emergency Care) and will contribute to the out of hours rota (currently 1 in 8).
  • Work with the Trust and its consultant staff to deliver service patterns and job plans that meet this objective.
  • Work in patterns that provide senior cover throughout 24 hours per day, seven days per week.


The department sits within one of the largest teaching hospital trusts in Europe, with access to leading clinical expertise and medical technology. They care for people from all over the country as well as the 780,000 residents of their surrounding area. The Trust has a budget of £1.4 billion, with 21,000 staff who ensures that every year they see and treat over 1,700,000 people in their 2,000 beds or out-patient settings, comprising 100,000 day cases, 125,000 in-patients, 260,000 A&E visits and 1,050,000 out-patient appointments.

You will be working in a bustling city that’s rich in culture and heritage. In addition, it is home to one of the largest train stations in the UK, which is conveniently located in the city centre. You will be living in one one of the best places to live in the UK, due to its affordable cost of living and friendly people!

Apply now and get the opportunity to work for an NHS Trust that always works to develop seamless, integrated care helps us to deliver high-quality local care for every patient every time!

ARE YOU ELIGIBLE FOR THIS ROLE?

EEA Candidates:

  • Experience of working in Acute Medicine
  • Board Certified Specialist in Acute Medicine

Non-EEA Candidates:

  • Experience of working in Acute Medicine
  • MRCP

UK based applicants

  • Experience of working in Acute Medicine
  • Within 6 - 12 months of completing CCT
51,000 - 80,000

Join an established Acute Medicine Department who is committed to providing top-notch care to a large volume of acute emergency medical cases, including critically ill patients. With 780 beds, including 388 for Acute Medical/Elderly care, their facilities include the Acute Medical Unit, 8 Acute Wards, a newly established 10-bed Coronary Care Unit, and a closed ICU/High Dependency Ward. They also have specialized units, such as a Stroke Unit, Elderly Rehabilitation facilities, and Continuing Care beds.

The department is part of an NHS Trust, known for its commitment to delivering high-quality care and services. They received a \'Good\' rating from the CQC in 2019, with some areas recognized for outstanding practice. In 2021, they won gold in the Efficiency Savings of the Year award and were highly commended in the Health Tech Team of the Year award. The NHS Foundation Trust employs over 5,000 dedicated professionals. They are considered one of the region\'s top providers of healthcare services, serving a population of approximately 310,000.

You will have an opportunity for clinical research and have a strong research governance structure in place. The are committed to providing the right development opportunities to enhance your skills and deliver exceptional patient care. This NHS Foundation Trust is within a thriving industrial town with a forward-thinking vibe. Its vibrant city center offers a diverse range of cultural activities. The overall living environment and the surrounding countryside is delightful, with excellent residential areas offering various housing styles at competitive prices. The area boasts top-notch shopping, social, and educational facilities, including both comprehensive and independent primary and secondary schools.

ARE YOU ELIGIBLE FOR THIS ROLE?

EEA Candidates:

  • Experience of working in Acute Medicine
  • Board Certified Specialist in Acute Medicine

Non-EEA Candidates:

  • MRCP UK 
  • Experience of working in Acute Medicine

UK based applicants

  • Experience of working in Acute Medicine 
This is a great opportunity for any experienced physicians interested in Acute Medicine working CESR or specialist registration in the UK. 
£45,193 - 84,272

Discover an exciting opportunity as a Specialty Doctor in Acute & General Internal Medicine, you\'ll be a driving force in reshaping the future of acute care in the captivating region in Scotland! Embrace the chance to join a dynamic, forward-thinking team dedicated to revolutionizing medical care. The hospital you will be assigned to proudly serves its community, offering essential emergency, acute, and elective services. Be a part of a team that champions local care, ensuring patients receive support within their familiar surroundings.

Delve into the Medicine Department\'s transformation and collaborate closely with the Emergency Department, backed by adept hospital management. Experience unwavering support within a contemporary, well-equipped environment. The department sits within a health board that stands as a pillar of healthcare excellence in Scotland, collaborating with national bodies to deliver quality care. With around 14,000 staff, it oversees clinical governance and provides specialized hospital services. It serves as a tertiary and teaching center, delivering specialized care to the North of Scotland.

It is located in a place that captivates with its landscapes. From coastal tranquility to fertile expanses, this region offers a soothing commute amid picturesque beauty. Navigate well-maintained roads with a tranquil pace, enjoying a connection with nature as you journey.

The opportunity extends to education, with advanced facilities and affiliations with institutions like the University of the Highlands and Islands. For IMGs seeking CESR, this is your pathway to growth.

Seize the chance for leadership, teaching, research, and continued professional development. Whether a new consultant or an experienced practitioner, you\'ll thrive within a supportive network of high-caliber professionals.

In summary, embark on a journey that combines medical excellence, natural allure, and career growth. The post is suitable for candidates holding specialisation in the EEA, or for experienced IMGs looking to complete CESR.

ARE YOU ELIGIBLE FOR THIS ROLE?

EEA Candidates:

  • Experience of working in Acute & General internal Medicine
  • Board Certified Specialist in Acute & General internal Medicine

Non-EEA Candidates:

  • MRCP UK
  • Experience of working in Acute & General internal Medicine

UK based applicants

  • Experience of working in Acute & General internal Medicine
  • Within 6 - 12 months of completing CCT
88,364 - 119,133

Institution: Betsi Cadwaladr University Health Board
Hospital: Wrexham Maelor Hospital

Location: Wrexham
Specialty: Respiratory Medicine
Grade: Consultant


An excellent opportunity for an experienced Consultant in Respiratory Medicine to join a Health Board in North Wales that promotes equality and diversity. If you love a challenge, have a passion to help others or simple fancy a fresh start, then this Health Board has all the ingredients. This is the the perfect to time to join as the department is reconfiguring and strengthening their existing services on the wards and in outpatients. The post if suitable for overseas consultants, including candidates who are pursuing CESR. Specialists in Respiratory Medicine holding a specialist certification would be suitable for this post, based on experience entering at either Specialty Doctor or Consultant grade. 

Overseas applications from experienced Specialty Doctors and Consultants are welcomed. 

WHAT IS HEALTH BOARD LIKE? 

The Health Board is largest health organisation in Wales, that are developing an integrated health service which provides excellent care delivered in partnership with the public and other statutory and third sector organisations. They provide a full range of primary, community, mental health and acute hospital services across 3 district hospitals, 22 community hospitals and a network of over 90 health centres, clinics, community health team bases and mental health units.

The Health Board has a budget of  £1.3 billion and a workforce of over 17,000 staff, providing services for the population of around 700,000 across of North Wales. They continuously develop their workforce so that it has the right skills and operates in a research-rich learning culture. They also coordinate the work of 113 GP practices and the NHS services provided by dentists, opticians and pharmacists across the region.

Besides their three main hospital sites, they are also responsible for community hospitals, health centres, clinics, mental health units, community teams, GP practices and other NHS services. They plan to improve the health of the population, with particular focus upon the most vulnerable in our society.

WHAT IS THE DEPARTMENT & TEAM LIKE? 

The respiratory team is based on two wards. The first ward is a 28 bedded respiratory ward, while the other is a 15 bedded respiratory high care unit. Three out of five respiratory consultants have inpatient responsibilities. Currently, three consultants work as one team, and the other two work as another, each consultant rotating on and off the wards every 2 months. Two other consultants have inpatient responsibilities as acute physicians on the acute medical team. Some of the chest physicians are may take up sessions with the acute team.

The Respiratory Medicine Department outpatient services include Asthma, ILD, Lung Function, Outreach Clinics, Outpatient IV Antibiotic Service & Pulmonary Rehabilitation. The department has also has sleep service, supported by a new 15 bedded respiratory high care and NIV unit which opened a year ago. This unit is situated adjacent to the intensive care department and provides care for patients needing acute NIV, acute CPAP, domiciliary NIV, and high flow oxygen.

The post holder is expected to deliver a consultant-led respiratory service at Wrexham Maelor Hospital for the diagnosis and management of both outpatients and inpatients. The post holder is expected to work within a multidisciplinary team of healthcare professionals and managers to further develop local respiratory services, with focus on thoracic oncology and interventional pulmonology, or domiciliary NIV and sleep medicine. 

WHAT IS LIFE LIKE IN THE AREA?

North Wales has a vast national park, purpose built mountain biking trails, a breath taking coastal path, soaring zip wire, food festivals and world class sport and adventure around every corner. The North Wales is equipped with sport and leisure centres that provide opportunities for a wide variety of sporting, fitness and recreational activities. Not only does it have lots of activities for you, it also has a wide selection of private housing is available, both traditional and modern in towns, villages and rural settings.

For doctors with family, the educational standards are consistently high in both the primary and secondary sectors. There are several well established independent schools within North Wales and the surrounding area that cater for both day pupils and boarders. The regional University with its excellent scholastic reputation has a thriving student community.

You can say goodbye to heavy inner city commuter traffic, and enjoy a breath-taking commute across North Wales.

WHAT OPPORTUNITIES ARE AVAILABLE TO YOU AT BCUHB?
With an extremely active education/teaching programme supported by the consultant team, there is opportunity to work towards and complete CESR, exams, get involved in active research and many aspects of CPD. 

Participation in research and educational activities will be encouraged.

ARE YOU ELIGIBLE FOR THIS ROLE?
EEA Candidates:

  • Experience of working in Respiratory Medicine
  • Board Certified Specialist in Respiratory Medicine

Non-EEA Candidates:

  • Experience of working in Respiratory Medicine

UK based applicants

  • Experience of working in Respiratory Medicine
  • Within 6 - 12 months of completing CCT

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