CESR Applications for Emergency Medicine Doctors

  • 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 an Emergency Medicine doctor, attaining CESR will mean you are qualified to practice independently as an Emergency Medicine 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 specialisms where there are no GMC-accepted 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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Don’t hesitate to get in touch using the buttons above (and below) to discuss emergency medicine doctor job options in the NHS, including discussions regarding, CESR, a typical doctor salary in the UK and the most suitable NHS job & hospital locations for you.

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Relevant Jobs

52,530 - 82,400

An excellent opportunity has arisen for Specialty Doctors in Emergency Medicine to join an NHS Foundation Trust that is dynamic and dedicated to providing great service to their patients. The site that is ideally located near stunning blue flag beaches. The Emergency Medicine team boasts extensive experience and expertise in supporting doctors through the CESR programme. The current CESR programme includes a customized professional development plan tailored to meet the individual needs of each doctor, with available placements in Critical Care, Anaesthetics, Acute Medicine, and Paediatrics. 

This is a unique opportunity for Specialty Doctors seeking to advance their careers within the NHS in the UK. Successful candidates will have the option to participate in this CESR support programme, further enhancing their professional growth. Don\'t miss this chance to explore NHS jobs that offer both career progression and an excellent quality of life. Overseas applications from experienced Specialty Doctors and Consultants are welcomed. 

What is the NHS Foundation Trust like?

The NHS Foundation Trust is a district general hospital trust managing three hospitals. The Trust serves the different towns, delivering a broad range of medical services. They are performing at a good level across their services and continuously provides huge opportunities and benefits to the way they deliver patient care. The Trust focuses on delivering excellent general hospital services, serving a population of approximately 750,000 with the help of more than 9,000 staff members. The hospitals have around 1,100 beds in total, offering services including General Medicine, General Surgery, Neurology, Rheumatology, Gastroenterology, Dermatology, Gynaecology, and Paediatrics.

The Trust achieved foundation status in 2005 and, in October 2020, merged two of its hospitals to create a new organization, establishing one of their hospitals as the emergency care site and another as the planned care site. The Trust remains dedicated to continuous improvement, striving to provide high-quality, patient-centered care across all its facilities.

What is the department & team like?

The Emergency Medicine Department is a highly advanced and well-equipped unit, dedicated to providing emergency care. The department is staffed with a robust team of consultants and junior doctors, ensuring round-the-clock expertise and comprehensive patient care. The team is proficient in managing a diverse range of emergency cases, including trauma, cardiac emergencies, respiratory issues, and other urgent medical conditions. With access to advanced diagnostic tools and treatment facilities, they provide immediate and effective care for all patients.

The facilities within the department include modern resuscitation bays, dedicated observation units, and specialized treatment areas for both adults and children. These state-of-the-art resources enable them to handle high patient volumes efficiently and effectively. On average, the Emergency Medicine Department manages a significant number of emergency cases each year, reflecting its critical role in the region\'s healthcare system. Their commitment to delivering high-quality, patient-centered care is unwavering, supported by their experienced team and cutting-edge facilities.

Career Development & Opportunities Available

With an extremely active education/teaching programme supported by the consultant team, there is opportunity to work towards and complete CESR, get involved in active research and many aspects of CPD. Participation in research and educational activities will be encouraged.

  • Attractive salary and relocation package
  • Training and development opportunities
  • CESR support for those eligible
  • Tier 2 Health and Care Visa (sponsorship for the whole family)
  • Guidance regarding the CV and full interview preparation
  • Assistance regarding the GMC registration, visa, accommodation and transportation by an experienced onboarding specialist
  • Complete IMG Relocation service from start to finish of process
Life in the area

Nestled along England\'s picturesque south coast, the area offers a unique blend of urban amenities and coastal charm. Doctors enjoy proximity to both bustling city life and tranquil seaside retreats. Residents indulge in sailing adventures around harbour or stroll along its sandy beaches. The area boasts reputable schools and universities, nurturing young minds for future success. Transportation links are robust, with easy access to neighboring cities like Bournemouth and Southampton, as well as major airports. Housing options range from waterfront apartments to quaint cottages, catering to varied tastes and lifestyles. Poole epitomizes the quintessential coastal living experience.

Am I eligible for this role?

UK based candidates:

  • Experience in Emergency Medicine
EEA candidates: 
  • Experience in Emergency Medicine
  • MRCP
Non-EEA candidates:
  • MRCP
  • Experience in Emergency Medicine
88,364 - 119,133

An outstanding opportunity for experienced Consultant in Emergency Medicine to join an NHS Trust that is committed to providing the best quality care to the people of East Sussex by attracting and recruiting passionate people who share this commitment. This Trust is one of the largest employers in the region and their members and staff are dedicated professionals whose work is varied, challenging and makes a real difference to people’s health and well-being.

The post is suitable for candidates holding specialisation in the EEA, or for experienced IMGs looking to complete CESR.


The Trust is one of the largest organisations in the country and they employ over 6,000 dedicated staff with an annual turnover of £380 million who provides service to 525,000 people that live within the area. Their services are mainly provided from two district general hospitals, both have Emergency Departments and provide care 24 hours a day. They offer a comprehensive range of surgical, medical and maternity services supported by a full range of diagnostic and therapy services.

The role of the NHS Trust is to provide the best possible healthcare service to patients, who come first in everything the organisation does. Safe patient care is the Trust's highest priority. They will provide high quality clinical services that achieve and demonstrate optimum clinical outcomes and provide an excellent care experience for patients. The employees will be valued and respected. They will be involved in decisions about the services they provide and offered the training and development that they need to fulfill their roles.

They will operate efficiently and effectively, diagnosing and treating patients in timely fashion and expediting their return to health. They will use their resources efficiently and effectively for the benefit of their patients and their care to ensure our services are clinically, operationally, and financially sustainable.


The Emergency Department is a team of consultant that focuses on being on top of taking care of their patients. The department is open for hours a day, seven days a week for those seeking treatment for an urgent problem that may be caused by an accident or an illness. In the last year, there were 130,000 visits in their department. 

Urgent Treatment Centres are being in developed nationally with the aim to provide same day ‘urgent treatment’ operating in a fully integrated way with the local community. The department has a vision is to provide an urgent care stream from the front door of the Emergency Department and develop innovative interoperable ways to ensure that the patients receive the right care at the right time and in the right place. 


The region has a natural beauty. Sussex has some fantastic natural features such as the Seven Sisters National Park, and many areas of outstanding natural beauty that include the medieval heathland and forests of the High Weald. It also has beaches and harbours where people can go to during their dayoffs.

Besides its natural beauty, there's a rich array of accommodation options, ranging from the five star Grand Hotel on Eastbourne seafront to quaint B&Bs set amid beautiful Sussex countryside. East Sussex offers a rich array of culture, with art galleries such as the Jerwood Gallery in Hastings and the Towner Gallery in Eastbourne and an array of theatre and entertainment venues such as the De La Warr Pavillion in Bexhill, Congress and Deveonshire Park Theatres in Eastbourne and the White Rock Theatre in Hastings.


The combination of clinical practice and first-class academic connections means that medical professionals have a wide range of opportunities to develop their careers and achieve their aspirations. You will have access to leadership, teaching, educational and research opportunities for Continued Professional Develop (CPD).

If you are a new consultant you will receive mentoring and support from medical leads as well as access to a large peer group of enthusiastic and high-caliber Consultants.


EEA Candidates:

  • Experience of working in Emergency Medicine
  • European Specialist Qualification in Emergency Medicine

Non-EEA Candidates:

  • Experience of working in Emergency Medicine

UK based applicants

  • Experience of working in Emergency Medicine
  • Within 6 - 12 months of completing CCT
88,364 - 119,133

An excellent opportunity for a consultant in emergency medicine to join a large integrated care provider in North East England. The trust is high performing with a strong track record of supporting new appointees with career development. 

Applications are welcomed from international candidates.

Trust overview:
The Trust is based on two acute sites with most acute medical services and specialties duplicated on each site. 

The new appointee could be based at either site, preferences will be accommodated. 

Service overview: 
The Urgent and Emergency Care team encompasses five Urgent Treatment Centres, two Acute Medical Units including Same Day Emergency Care services and two Emergency Departments (ED). 

With over 129000 ED attendances every year, the Trust is one of the largest services in the North East. 

Local area:
You can be in the countryside in less than ten minutes from all major towns and cities in the area, with some of the most stunning scenery and outdoor space in the country.

There is a strong sporting and cultural heritage in the north east, so no matter what your interests are, there is something here for you to explore. For families, you will have access to fantastic school and academic institutions as well as very affordable properties.

The region is also known to be friendly, relaxed and welcoming. 

Requirements for the post: 
UK based applicants: 

  • Hold CCT, or within 6 months of completing CESR 
EEA applicants: 
  • Specialist diploma 
  • Experience in Emergency Medicine
Non-EEA applicants: 
  • Consultant experience in emergency medicine 
88,364 - 119,133

A fantastic opportunity for specialist in geriatric or elderly care medicine to settle into their first consultant post and work towards their CESR application, if that is the intention.

The hospital will consider senior consultants with no UK experience who are not on the UK specialist register for geriatric medicine.

The Geriatrics department is a small and manageable size with a 28 bedded inpatient ward and various other outlier beds.

Currently no formal geriatric outpatient services are offered with the exception of a Parkinson's / Movement clinic. The department will be looking to develop these in conjunction with skill set of a successful applicant.

The Geriatrics department comprises 3 consultants in elderly care medicine supported by 15 specialty registrars, 9 core medical trainees and FY2's and 9 FY1's working full shifts for GIM on call.

Each consultant will be offered a budget and 30 days of study and professional leave over each 3  year period to pursue their career development activities. Furthermore there is an active Postgraduate Medical Centre which acts as a focus for contract between doctors at all levels an in all disciplines.

Consultants will be encouraged to actively participate in teaching and training of juniors throughout their tenure.

Requirements of this position are:

  • MRCP 
  • IELTS or OET
  • Experience working at consultant grade in elderly care

Senior geriatric medicine specialists looking to work towards their CESR application or secure their first consultant role in the NHS are encouraged to apply

50,373 - 78,759

Overseas doctors with aspirations to work as NHS Consultants in Emergency Medicine (A&E) - doctors aspiring via the CESR route and particularly urged to apply. Doctors keen to enter Specialty Training at ST4 grade or those wishing to make direct CESR applications are welcome. 

Total salaries offered a much higher than other hospitals based in the UK due to a total of 13 sessions available in ED.

These are flexible Specialty Doctor & Senior Clinical Fellow posts  within in a busy and supportive Emergency Department in one of the more beautiful parts of the UK, but located within 30 minutes to the second largest city in Wales, Swansea.

The hospital is a District General Hospital with roughly 350 inpatient beds with a full set of ED equipment and facilities. 

The hospitals facilities and equipment in the ED consist of resuscitation bays, X-ray, plaster rooms and treatment rooms giving immediate access to primary medical and surgical assessment treatment and care.

The Health Board serves a population of 389,000 and is leading the way for established CESR support and training for international doctors.

An established and successful CESR programme offered for MRCEM qualified doctors in Emergency Medicine.

Contrary to some popular myths - understanding of the Welsh language is not required to work in Wales and everyone speaks English as a first language!

Requirements to join are:

  • MRCEM 
  • IELTS or OET (exemptions can be given)
  • At least four years experience in Emergency Medicine

The Health Board offers support for both Tier 2 visa and is particularly welcoming of international candidates.

If you ar looking to start your career in the NHS and attain Specialist Registration and a Substantive Emergency Medicine Consultant positions - these really are fantastic opportunities.

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