CESR Applications for Acute and Internal Medicine Doctors
- April 10, 2020
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:
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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
An NHS hospital in Wales is looking for a Consultant in Acute General Medicine with an interest in Same Day Emergency Care. The Acute Medicine department comprises a team of consultants and is supported by a large team of middle grade doctors. This Acute Medicine job is open to both international applications and UK-based doctors, though those with European Specialist or MRCP (UK) qualifications are most encouraged to apply.
Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case by case basis.
JOB REQUIREMENTS AND DETAILS
Full GMC registration, MRCP (UK) or equivalent, and experience in acute/general medicine are required for this role, and anyone with an interest in Same Day Emergency Care should apply. The salary will be between £91,732 and £119,079 dependent on experience or grade.
CORE DUTIES OF THIS ROLE
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Deliver acute assessment and treatment to patients at the hospital\'s \"front door\" including the Emergency Department, Clinical Decision Unit, and Same Day Emergency Care.
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Develop and deliver a comprehensive 7-day acute medicine service.
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Provide “hot” clinics and take an active role in reducing hospital admissions.
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Offer effective leadership to multidisciplinary staff and support the development of teaching, training, and research.
LIFE IN WALES
This role is based in a scenic area of Wales, where candidates can enjoy both rural charm and easy access to urban amenities. While some prefer the peaceful villages in the countryside, others choose to live in nearby towns or cities for a livelier pace of life.
The region offers strong school options, convenient transport links across South Wales, and plenty of leisure activities such as hiking, sports, and visiting historic coastal areas—ideal for individuals and families alike.
Known for its rich cultural heritage, the area is steeped in Welsh history and folklore, with deep roots in medieval tradition and legend.
HOW WILL IMG CONNECT SUPPORT YOU?
When applying with IMG Connect you’ll have the full support of an expert recruitment team who will be your recruitment and relocation partners throughout the process. We\'ll support you with:
- CV Preparation with a bespoke session with one of our specialists
- Application support with expert knowledge of NHS specialisms & recruitment practice
- At least two video calling interview preparation sessions
- Contract and offer negotiations for salary, relocation packages, tenure and more
Once you have accepted your new role, you’ll then be supported and led throughout by one of our dedicated relocation executives who will guide you through all the way to starting to your new role including:
- Document gathering and checking COS and Visa Application support if applicable
- Support sourcing short- and long-term accommodation
- Travel Arrangements
- Family support for finding schools and any other aspects of pastoral care
An public hospital in the Channel Islands are looking for a Chief of Service for Secondary Care with an interest in medicine. The department comprises a team of senior clinical leaders and is supported by a large team of dedicated middle-grade doctors. This role is open to both international applications and UK-based doctors, though those with a relevant Specialist or GMC registration are most encouraged to apply.
Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.
JOB REQUIREMENTS AND DETAILS
Experience as a senior clinician and a medical leadership background with a proven record at building teams and leading strategic management are required for this role, and anyone with an interest in developing clinical services should apply. The salary will be between £114,667 to £206,059, dependent on experience and grade. Specialist registration in a medicine specialty as well as NHS experience at consultant level is essential.
CORE DUTIES OF THIS ROLE
- Supervise and lead medical staff, managing the day-to-day operations of the Care Group
- Ensure effective and efficient patient services that meet the highest quality standards
- Develop, lead, and manage a team of Clinical Leads for various services within secondary care
- Implement the Educational, Learning, and Research Strategy across secondary care.
LIFE IN THE REGION
This region offers a beautiful mix of both coastal and rural living. Popular towns include the regional capital and more rural areas. Whether you enjoy urban amenities or rural tranquility, this area offers options for all. The region offers excellent schools, easy access to transport links including ferry and flights to mainland UK, and a variety of leisure activities for both adults and families, from hiking in nature reserves to enjoying coastal leisure activities. The area has a rich history and is known for its strategic importance in British history, notably its role during World War II and as a financial hub in modern times.
HOW WILL IMG CONNECT SUPPORT YOU?
When applying with IMG Connect you’ll have the full support of an expert recruitment team who will be your recruitment and relocation partners throughout the process. We\'ll support you with:
- CV Preparation with a bespoke session with one of our specialists
- Application support with expert knowledge of NHS specialisms & recruitment practice
- At least two video calling interview preparation sessions
- Contract and offer negotiations for salary, relocation packages, tenure and more
Once you have accepted your new role, you’ll then be supported and led throughout by one of our dedicated relocation executives who will guide you through all the way to starting your new role including:
- Document gathering and checking COS and Visa Application support if applicable
- Support sourcing short- and long-term accommodation
- Travel Arrangements Family support for finding schools and any other aspects of pastoral care
A Scotland-based NHS trust is looking for a specialty doctors in general internal medicine to join their medical team at a district general hospital. The hospital offers comprehensive care, including general medicine, stroke, and acute medicine, with support from various specialties. This role is open to both international applications and UK-based doctors, though those with MRCP (UK) or equivalent qualifications are most encouraged to apply.
Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.
JOB REQUIREMENTS AND DETAILS
Candidates must have experience in general medicine, sub-specialty interests are welcome, and MRCP (UK) or equivalent qualifications are required. The salary will be competitive and dependent on experience or grade but with a range of £61,690 to £96,129 per annum for specialty doctors, and up to £107,154 as specialists.
CORE DUTIES OF THIS ROLE
- Lead and manage care for patients with acute medical conditions in a district general hospital setting.
- Participate in a 1:8 on-call rota and provide consultant support during on-call shifts.
- Manage inpatient care, conducting rounds and assessments for general medical patients.
- Supervise and teach junior staff and contribute to medical education programs.
- Engage in clinical research and audits to improve service delivery.
LIFE IN THE REGION
This region offers a balance of rural living and modern amenities, with excellent schools, reliable public transport, and a welcoming community. The area is known for its natural beauty, offering outdoor activities like hiking and fishing. It is a tranquil location that provides a high standard of living and a strong sense of community, making it an ideal place to live and work.
A UK-based NHS hospital is looking for a Specialty Doctor in Acute Medicine with an interest in general medicine. The department comprises a team of consultants and middle-grade doctors, all working together to provide high-quality care to patients. This Acute Medicine role is open to both international applications and UK-based doctors, though those with MRCP or equivalent qualifications and those within 6 months of CCT are most encouraged to apply.
Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.
JOB REQUIREMENTS AND DETAILS
Candidates must be fully registered with the GMC and possess MRCP or equivalent qualifications. Entry on the Specialist Register or within six months of CCT at the time of interview is essential. Expertise in a broad range of medical conditions and the ability to lead a multi-professional team is required. Sub-specialty interests will be supported. The salary will be competitive and dependent on experience or grade.
CORE DUTIES OF THIS ROLE
- Lead and manage patients in the Acute Medical Unit and related wards.
- Supervise and mentor junior medical staff.
- Provide consultant support as part of the general medicine on-call rota.
- Contribute to clinical governance, audit, and quality improvement initiatives.
LIFE IN THE REGION
This hospital is located in a well-connected town offering both city and rural living. With excellent schools, public transport options, and numerous leisure activities, it\'s ideal for both individuals and families. The area is known for its rich history and easy access to outdoor activities, making it a wonderful place to live and work.
A leading NHS Trust in the East Midlands is offering an exciting opportunity for a Consultant in Acute and General Internal Medicine. This role is ideal for doctors passionate about delivering high-quality care within a supportive and dynamic environment. The position is based at a CQC-rated \"Outstanding\" hospital, part of a trust recognized for its exceptional staff engagement and commitment to innovation. The role combines acute and sub-acute care responsibilities with opportunities to develop sub-specialist interests.
The Trust also provides CESR Portfolio Pathway support for international medical graduates (IMGs), facilitating the journey to consultant accreditation in the UK.
What is the NHS Trust like?
This NHS Trust serves a diverse population of over 500,000, providing acute and community care through a network of hospitals and clinics. Known for its collaborative approach, the Trust works closely with local health and social care providers to deliver integrated, patient-centered services.
The Trust is committed to fostering a culture of excellence, with a focus on diversity, inclusion, and staff wellbeing.
What is the department like?
The GIM department combines acute care expertise with specialty clinics, ensuring comprehensive and patient-focused services. Consultants lead a multidisciplinary team, supported by advanced diagnostic tools and robust training programs.
The team includes specialists in nephrology, geriatrics, and rheumatology, providing a collaborative environment where consultants can develop their expertise while delivering exceptional care. Supported by registrars, SHOs, and F1 doctors, consultants oversee a high volume of admissions—approximately 14,000 unselected medical emergencies annually—ensuring efficient and effective patient management.
Continued Professional Development
The role offers extensive CPD opportunities, including CESR support, specialty training, and leadership development programs. Consultants are encouraged to engage in research, audits, and teaching.
Location
Located in a vibrant region of the East Midlands, this area offers affordable living, excellent schools, and diverse cultural and recreational activities. With strong transport links, it is an ideal base for professionals and families.
Am I eligible for this role?
UK based candidates:
- Experience in Acute & General Internal Medicine
EEA candidates:
- Experience in Acute & General Internal Medicine
- European Specialist Qualification
Non-EEA candidates:
- MRCP
- Experience in Acute & General Internal Medicine