Route to CESR - Emergency Medicine Jobs
- November 09, 2022
CESR acts as a route to applying for substantive (permanent) consultant jobs in Emergency Medicine for doctors who have not followed a specialty training programme in the United Kingdom.
In a nutshell it is the option available to emergency medicine doctors practicing as consultants, or at a senior level from overseas who wish to gain specialist registration in the UK. Some doctors choose to apply from overseas, others work with IMG Connect to secure a job in the NHS geared at helping them gain entry to the specialist register once in the UK.
If you are working as an Emergency Medicine consultant, or at a senior level in your home country and are eligible for specialist registration in the UK, then as an overseas doctor (IMG) you have a couple of options. Here we focus on applying for CESR from abroad as well as the alternative route, applying for a Specialty Doctor or Fixed Term Consultant job in the UK before applying for CESR with support of your NHS employer.
Both routes lead to gaining CESR and entry to the Specialist Register, meaning that you can work as a substantive consultant in the NHS. Both take hard work, preparation, evidence gathering, time and dedication. Both options have the same end goal, specialist registration.
It is important to say that no matter how you choose to apply, the CESR process involves submitting a large volume of evidence to demonstrate that you have the equivalent experience, skills and competencies as a doctor who has taken the specialty training route in the UK. Whether applying from overseas or not, some doctors are asked to complete additional experiences to meet this strict standard. Because of this, the process can be lengthy.
Applying for CESR from overseas
This is a great option for emergency medicine consultants who are not constrained by time and have an understanding department that will support the additional gathering of evidence.
The GMC reckons that it takes between 6 – 9 months between submitting your application and receiving a decision. At IMG Connect our experience tells us that is takes a similar amount of time to gather the evidence prior to submitting. In addition, you must have completed the evidence in the first place in real workplace and clinical scenarios. This can take twice as much time as preparing and submitting. Put simply, the process can be time consuming and laborious.
Add to this the issue of completing and gathering evidence against the CESR application from overseas. It can prove challenging to ensure that you have completed the full complement of competencies for CESR applications. This can result in the GMC asking for further evidence, adding more time to the process. You may have to identify gaps in your learning and then resolve them. It is not all bad though, this is good practice and will benefit you in the long run.
Applying for a specialty doctor job and/or fixed term consultant post before applying for CESR
For senior emergency medicine doctors who are keen to secure entry to the Specialist Register quickly, and work in the UK as soon as possible, then taking up a Specialty Doctor role with CESR programme, or a Fixed Term Consultant post with CESR programme/support is a good option.
Many NHS hospitals or trusts in the UK will offer access to support, clinical experience and study or preparation time for CESR. This is often built into the weekly job plan, but in some circumstances, this may be arranged informally. Either way, this is a good way for senior emergency medicine doctors to quickly gather the right evidence for their application with the support of their peers, senior colleagues and NHS employer. This can shorten the time spent on the application overall.
If this sounds like the best option for you, it is wise to start gathering and signing off evidence in your current consultant post. That way you will already have some or most of the required evidence for CESR in place, allowing you to quickly focus on any elements that are missing once in the UK and working in the NHS
Find an emergency medicine job in the NHS with CESR
Securing a job as a Specialty Doctor with CESR programme attached, or a job as a Fixed Term Consultant with CESR programme/support attached, gives you instant exposure to the UK system, NHS experience and a great start to your career in the NHS.
To discuss whether applying for CESR from overseas or securing a job as a Specialty Doctor or Fixed term consultant with CESR programme is the right route for you towards specialist registration, speak with an IMG Connect consultant, register or send your CV.
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Relevant Jobs
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
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.