NHS CESR Applications for Emergency Medicine or ED Consultants

  • November 05, 2021

In this article we provide guidance on evidence to be supplied for an application onto the Specialist Register for Emergency Medicine, with a Certificate of Eligibility for Specialist Registration or CESR.

What is CESR in Emergency Medicine in the NHS?

As a Emergency Medicine doctor, attaining CESR will mean you are qualified to practice independently as a Emergency Medicine or ED consultant in the NHS. Have a read through our CESR articles found in the IMG Library to understand a little more.

Do I need MRCEM to attain a CESR in Emergency Medicine?

Yes, Emergency Medicine is one of the few specialism where there are no recognised equivalents to MRCEM. Any doctor wishing to attain Specialist Registration via the CCT route will attain FRCEM in addition. 

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

The indicative period of training for a CCT in Emergency Medicine is six years and it is very unlikely that an applicant would achieve the competencies required for a CCT in a shorter period of time. 

The evidence you collect for your CESR application should reflect this period of training, which consists of:

  • Two years in the Acute Care Common Stem (covering areas of Emergency Medicine, Anaesthetics, Intensive Care Medicine and Acute Medicine)
  • Four years of training in Emergency Medicine (covering areas of Paediatric EM, EM and EM ultrasound)

CESR applicants will need to demonstrate they have achieved the competences in each of these areas. 

The EM ultrasound competences (EMUS) can be shown by completing the triggered assessments outlined in the EM curriculum (level 1 or equivalent).

The assessments forms for Core Ultrasound can be found in the RCEM EMUS booklet (Appendix 2). 

The first three years of training make up Core Specialty Training, the final years of training are known as Higher Specialty Training. 

For complete details please refer to the Emergency 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 Emergency 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 Emergency Medicine doctors looking to work as NHS Consultants in Emergency Medicine.

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