CESR Applications for Geriatricians
- November 05, 2021
As an IMG, what documents should you submit for your CESR application in Geriatric Medicine?
In this article we look at the specialty specific guidance on documents to be supplied in evidence for an application for entry onto the Specialist Register for Geriatrics or Elderly Care Medicine with a Certificate of Eligibility for Specialist Registration or CESR.
What is CESR in Geriatric Medicine in the NHS?
As a Geriatrician, attaining CESR will mean you are qualified to practice independently as a Geriatrics consultant in the NHS. Have a read through our CESR articles found in the IMG Library to understand a little more.
Do I need MRCP to attain a CESR in Geriatric Medicine?
No, but whilst it is always a benefit to attain MRCP you do not require it to attain CESR in Geriatric Medicine, though you may have already attained this depending on which route you have taken for GMC registration.
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 Geriatrics?
The indicative period of training for a CCT in Geriatric Medicine is seven 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
- Five years training in Geriatrics
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 Geriatric 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 Geriatric 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 Geriatricians looking to work as NHS Consultants in Geriatrics.
Getting started
Many geriatric medicine IMGs likely haven’t completed a UK-approved training programme, but you could be eligible for Specialist Registration with the GMC via the CESR route.
If you have any further questions about Specialist Registration, your route to the UK, or would like guidance in finding NHS posts which offer CESR support, please get in touch with us here.
Follow us on social media through the links below for regular news and updates on the Royal Colleges, relocating to the UK and working in the NHS:
Sources
https://www.jrcptb.org.uk/certificate-eligibility-specialist-registration
Relevant Jobs
An NHS general hospital in Wales is seeking a Locum Consultant in Geriatric Medicine with a special interest in Orthogeriatrics. The department includes a team of 9 consultants and is supported by a large middle grade doctor team. This Geriatric Medicine role welcomes both UK-based and international applicants, especially those holding MRCP(UK) or equivalent qualifications.
Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case by case basis.
JOB REQUIREMENTS AND DETAILS
Applicants should hold full GMC registration and MRCP, with solid experience in general and geriatric medicine. Subspecialty interest in Geriatric Medicine is desirable
CORE DUTIES OF THIS ROLE
- Oversee inpatient care for 15–20 patients alongside a multidisciplinary team
- Supervise and collaborate with junior medical staff and allied professionals.
- Provide one outpatient clinic per week in geriatric medicine or a relevant subspecialty.
- Take part in education, audits, and continuous service improvement projects.
LIFE IN WALES
This role is based in a picturesque Welsh town offering both urban convenience and rural tranquility, with popular residential areas including charming market towns and countryside villages.
The region provides great schooling options, strong transport connections, and plenty of family-friendly leisure activities.
Historically rich, the area features medieval architecture and has played a significant role in Welsh and British history.
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
A leading hospital in the Midlands is looking for a Consultant Physician in Elderly Care with an interest in frailty services. The Geriatric Medicine department consists of a team of experienced consultants and is supported by a multidisciplinary team of middle-grade doctors. This role is open to both UK-based and international applicants, though those with MRCP (UK) or equivalent qualifications are most encouraged to apply.
JOB REQUIREMENTS AND DETAILS
Full GMC Registration with a Licence to Practise and clinical training and experience enabling autonomous decision making in geriatric medicine is required for this role. Anyone with an interest in frailty services should apply. The salary will be upwards of £105k per annum as this is a consultant post, and further increase is dependent on experience or grade.
CORE DUTIES OF THIS ROLE
- Provide inpatient care for elderly patients in both acute and community settings.
- Work within a team delivering frailty and geriatrics services, including Orthogeriatrics and Front Door Frailty.
- Contribute to teaching and training of junior doctors and participate in quality improvement initiatives.
- Engage with community care teams to support integrated patient care across primary and secondary services.
The Midlands offers a fantastic blend of city and countryside living. Major urban centres provide all the amenities of a vibrant city, while surrounding rural areas offer tranquil country living. The region has outstanding transport links, including rail connections to London and Manchester, excellent schools, and a range of leisure activities from cultural attractions to outdoor pursuits.
Historically, the Midlands has played a significant role in British industry and innovation, and it remains an important hub for medical, educational, and cultural advancements.
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 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 fantastic NHS job opportunity has arisen for an experienced Consultant in COTE Acute Frailty to join a well-established Elderly Care team. This role provides a great chance to further your medical career in the United Kingdom. The job offers CESR Portfolio Pathway support, and international applications from IMGs are welcome.
What is the NHS Trust like?
This NHS Trust is respected and provides a wide range of services, including acute and community healthcare. The Trust operates hospitals that deliver high-quality care to patients in various specialisms, including Elderly Care. With a reputation for excellence in patient care, the Trust has a strong focus on medical education and research, offering a collaborative environment for doctors at all levels of their career. The Trust takes pride in its multidisciplinary approach to healthcare, ensuring patients receive integrated, holistic care. This NHS job is perfect for doctors seeking to join a supportive, innovative team that encourages professional growth and development.
What is the department & team like?
The Elderly Care department at this NHS Trust is renowned for its specialized services in Acute Frailty. The team consists of skilled healthcare professionals, including consultants, nurses, therapists, and social care workers, all working together to provide outstanding care to older patients. This NHS job will involve working within a well-established Acute Frailty Service, focusing on delivering early interventions for frail older adults, ensuring timely treatment, and effective discharge planning. Joining this department means being part of a forward-thinking team dedicated to optimizing elderly patient care in a dynamic hospital setting.
Continued Professional Development
This NHS job offers further training & accreditation within Elderly Care, including CESR Portfolio Pathway Support, access to specialty training, and the opportunity to develop a sub-specialist interest. The department encourages ongoing professional development through a variety of training programs and educational opportunities, including conferences, workshops, and mentoring roles. Doctors are supported in their career progression, making this an ideal opportunity for those looking to advance their expertise in Elderly Care in the UK.
What is the location like?
Located in the United Kingdom, this area is an attractive option for international doctors and their families. With affordable living costs, excellent schools, and a strong sense of community, the region offers a high quality of life. There are plenty of things to do, from exploring beautiful parks and natural landscapes to enjoying cultural events and festivals. The area is well-connected to major cities, with easy access to London and international airports, ensuring convenience for both work and travel. The region’s blend of natural beauty, cultural diversity, and family-friendly amenities make it a great place to live and work in the UK.
ARE YOU ELIGIBLE FOR THIS ROLE?
EEA Candidates:
- Experience of working in Geriatric Medicine
- Board Certified Specialist in Geriatric Medicine
Non-EEA Candidates:
- MRCP
- Experience of working in Geriatric Medicine
UK based applicants
- Experience of working in Geriatric Medicine
- Within 6 - 12 months of completing CCT
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
An excellent opportunity for passionate and skilled Geriatric Medicine Consultants to join a leading service that provides a unique chance to contribute to the advancement of geriatric medicine in a collaborative environment that fosters professional growth and development. The trust has achieved an \"Outstanding\" rating from the CQC and offers support for CESR and Specialist Registration, making it an ideal choice for overseas Consultants seeking career development in a beautiful part of South West London.
The NHS Foundation Trust serves a population of approximately 320,000 individuals in South West London. It has a strong commitment to its values and encourages staff to live those values in delivering exceptional patient experiences. The trust prioritizes staff development and training, with an onsite Education Centre and a dedicated Learning and Development Team. Joining the Geriatric Medicine Department presents an exciting opportunity to contribute to the expansion of services for elderly patients, including the establishment of a dedicated Frailty Unit. The department values staff satisfaction and offers various educational opportunities and involvement in training and development activities for junior doctors.
Located in an attractive \"green\" area of outer London, the borough offers a picturesque setting with abundant green spaces, a river, and three Royal Parks. It is conveniently situated with good road and rail connections to Central London and is known for its affluence, although pockets of deprivation exist within the borough. The borough is renowned for being one of the largest regional shopping centers in the Southeast, and the Royal Borough provides a wealth of leisure facilities. The area boasts excellent schools and a further education college, as well as strong links with an outstanding university.
ARE YOU ELIGIBLE FOR THIS ROLE?
EEA Candidates:
- Experience of working in Geriatric Medicine
- Board Certified Specialist in Geriatric Medicine
Non-EEA Candidates:
- Experience of working in Geriatric Medicine
- MRCP UK
UK based applicants
- Experience of working in Geriatric Medicine
- Within 6 - 12 months of completing CCT