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:
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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 Emergency Medicine doctors looking to work as NHS Consultants in Emergency Medicine.
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Relevant Jobs
An excellent health service is looking to appoint an Emergency Medicine Consultant. This is a great opportunity to further your medical career in the UK. This NHS job offers CESR Portfolio Pathway support, and international applications from IMGs are welcome.
The Emergency Department sees over 45,000 patients annually, with 25% of attendances being children. As a Trauma Unit and part of the Wessex Trauma Network, the department features a robust clinical governance process and an active audit program. This progressive department actively uses ultrasound in diagnostics and is developing a regional blocks program.
Health Service
Working for this health service is professionally rewarding, offering high-quality, patient-centered care. Their clinicians lead in developing and managing services, supported by strong links with UK specialists. With a generous study leave budget, doctors are encouraged to pursue further education. Exciting developments include a new general hospital and a new mental health inpatient unit. They foster strong relationships between mental health, primary, and secondary care, promoting joint learning and teaching in their modern education center.
The health service, separate from the NHS, is an integrated, taxation-funded system, free at the point of delivery, managed by the Health and Community Services Department. This is a unique opportunity to help shape an integrated care system with closer political engagement than in the UK.
Department & Team
The Emergency Department operates with dedicated consultant presence from 8 am to 10 pm Monday to Friday, and 10 am to 4 pm on weekends, supplemented by on-call service beyond these hours. A team of 24/7 middle-grade physicians supports the department, alongside a rotating roster of 15 junior doctors comprising F2s, GPVTS doctors, and Clinical Fellows.
Comprehensive specialty support is available on-site throughout the day and night, including medicine, anaesthetics, paediatrics, and obs & gynae, with senior orthopaedic and surgical specialists accessible both during regular hours and on-call. The department boasts continuous access to imaging services, including cross-sectional imaging, ensuring prompt diagnostics. Facilities include a 3-bedded resus area with a dedicated paediatric resuscitation cubicle, an 8-bedded Majors area with half of the beds in isolation, designated paediatric and minors examination rooms, and specialized facilities for eye examinations.
Continued Professional Development
The service job offers further training & accreditation within psychiatry, including CESR Portfolio Pathway Support, access to specialty training, and the opportunity to develop sub-specialist interest. The post holder will have ample opportunities to develop knowledge, skills, and experience through attendance at relevant courses, conferences, and locally organized CME events. Health & Community Services supports Continuing Medical Education with time and financial support, offering study leave of 30 days in 3 years, and an annual study leave allowance.
Life in the area
Living in the area presents significant financial benefits. The flat income tax rate is notably advantageous compared to the U.K., and they provide a generous public sector pension scheme that isn\'t constrained by U.K. lifetime or annual contribution limits. The Consultant Contract closely mirrors the U.K. model but offers higher incremental levels. Incremental progression is automatic from points 1 to 17 on the pay scale based on satisfactory performance, while formal applications are necessary for points 18 to 20.
Am I eligible for this role?
UK based candidates:
• Experience in Emergency Medicine
EEA candidates:
• Experience in Stroke Medicine
• European Specialist Qualification
Non-EEA candidates:
• MRCP UK
• Experience in Stroke Medicine
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
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
- Experience in Emergency Medicine
- MRCP
- MRCP
- Experience in Emergency Medicine
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.
WHAT IS THE NHS TRUST LIKE?
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.
WHAT IS THE DEPARTMENT & TEAM LIKE?
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.
WHAT IS LIFE LIKE IN THE REGION?
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.
WHAT OPPORTUNITIES ARE AVAILABLE TO YOU?
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.
ARE YOU ELIGIBLE FOR THIS ROLE?
EEA Candidates:
- Experience of working in Emergency Medicine
- European Specialist Qualification in Emergency Medicine
Non-EEA Candidates:
- FRCEM
- Experience of working in Emergency Medicine
UK based applicants
- Experience of working in Emergency Medicine
- Within 6 - 12 months of completing CCT
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
- Specialist diploma
- Experience in Emergency Medicine
- MRCEM
- Consultant experience in emergency medicine
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