Completion of Training and CCT/CESR-CP Guidance

The Faculty monitors the progress of all trainees within the training programme. The purpose of doing this is to ensure that trainees receive a balanced programme and that on completion of the GMC approved programme, a recommendation for the award of a CCT or CESR-CP can be made to the GMC.

If you are eligible to apply for entry to the Specialist Register with a CCT or a CESR-CP, your respective Royal College (for Dual or Joint ICM trainees)/Faculty (for Single ICM Trainees) will notify the General Medical Council (GMC) of your completion of training date during your final year of training.

Please note that the award of a CCT and inclusion on the Specialist Register are NOT automatic procedures. You are required to apply for your CCT or CESR-CP certificate. 

It is a legal requirement for you to be on the Specialist Register before taking up a substantive or honorary NHS consultant post.

Steps to certification

For Single/Dual Trainees

Towards the end of the CCT/CESR-CP training programme, trainees will undergo a final summative assessment and, if successful, will be issued with an ICM ARCP Recommendation for Completion of Training (Outcome 6) by their assessment panel. The ARCP recommendation will be logged in the ICM e-portfolio by the assessment panel or deanery administrator.  Although there may be slight variations between regions, the assessment panel should be convened about three months before a trainee's provisional date for completion of training.

For Joint Trainees

Trainees will be given a paper copy of the ICM ARCP Outcome 6 Recommendation that you will need to send to the Faculty at: contact@ficm.ac.uk. Please then see Steps 4, 5 and 6.

For Single/Dual Trainees

Once trainees have achieved an Outcome 6 for their ICM ARCP Recommendation for Completion of Training, the trainee’s ICM Regional Advisor will complete the Stage 3 Certificate on their ICM e-portfolio.

For Single/Dual Trainees

Trainees who are within four months of their completion date should complete the FICM Notification of Completion of Training Form (available at the bottom of this page), obtain all the necessary signatures and then EMAIL the completed form to FICM at: contact@ficm.ac.uk. Paper forms will not be accepted. Please include your core training posts as this forms part of your Stage 1 training.

For Single Trainees

Once the Notification Form, Stage 3 Certificate and the ARCP Outcome 6 have been received, the Faculty will sign off the trainee’s ICM training and will formally make a recommendation to the GMC for the award of a CCT or CESR-CP. The trainee will also receive an e-mail  from the Faculty, advising them of the recommendation for the CCT/CESR-CP.

For Dual Trainees

Once the Notification Form, Stage 3 Certificate and the ARCP Outcome 6 have been received, the Faculty will sign off the trainee’s ICM training and inform the respective Royal College who will then formally make a recommendation to the GMC for the award of a CCT or CESR-CP. The trainee will also receive a letter from the respective Royal College’s Training Department, advising them of the recommendation for the CCT/CESR-CP.

For Joint Trainees

Once the ARCP Outcome 6 has been received, the Faculty will sign off the trainee’s ICM training and inform the respective Royal College who will then formally make a recommendation to the GMC for the award of a CCT or CESR-CP. The trainee will also receive a letter from the respective Royal College’s Training Department, advising them of the recommendation for the CCT/CESR-CP.

At this point, trainees will receive an email from the GMC inviting them to complete the GMC online application for certification. Certification applications are now completed on a secure web portal, GMC Online, which has made it easier to enter information and pay the relevant fees.

Once the Faculty/respective Royal College has made the recommendation to the GMC, there is no further involvement by the Faculty/respective Royal College in the process and it becomes a trainee/GMC relationship. The GMC add the trainee’s name onto the Specialist Register; the trainee must have indicated that they would like to go on the Specialist Register on their certification application. Failure to do this by the trainee will delay specialist registration and being able to take up a consultant post.

CESR-CP

The Certificate of Eligibility for Specialist Registration Combined Programmes (CESR-CP) is a simplified application process for doctors appointed to a training programme intended to lead to a CESR-CP for specialist registration. It is awarded by the GMC to those trainees who have not completed a GMC approved training programme in its entirety.

On 11 June 2021, the GMC published further guidance and announced that they are now able to issue a certificate of completion of training (CCT) to doctors on a CESR combined programme (CESR-CP) – this is effective from 1 January 2021. The requirement for doctors in training to meet the minimum training time in ICM has now been removed from legislation as a result of the UK’s exit from the European Union. Doctors entering or who have entered the ICM training programme on a combined programme taking into consideration prior unapproved training posts will now be eligible for a CCT. 

Retrospective granting of CCTs

  • Single ICM CCT doctors who were issued a CESR-CP where there was no minimum training requirement
  • Single ICM CCT doctors who were issued a CESR-CP since 1 January 2021
  • Dual doctors in training will need to check with your respective Royal College to see if you met the minimum training requirement for your partner specialty.

The GMC have said they will be contacting the doctors affected regarding this. 

If you believe you are eligible to be retrospectively awarded a CCT but do not hear from the GMC, please contact them directly. Please do not contact FICM with queries regarding this – the matter must be taken up with the GMC.

Please be advised that the GMC will not be able to grant all previous CESR-CP doctors with a CCT, as the granting of CCTs is subject to the legislation that was in place at the time the GMC awarded them entry onto the specialist register.

We felt the need to ask the GMC a few questions regarding the process, their answers are as follows:

Single ICM CCT programme

FICM Question: When we register a doctor as a Single ICM CCT Trainee and want to count their overseas/non-training posts, will they now be working towards a CCT rather than a CESR-CP?

GMC Answer: The Faculty will need to follow the process as per usual, i.e. register doctors bringing overseas/non-training posts onto the programme as a CESR-CP. When it comes to their final recommendation onto the Specialist Register, so long as the doctor receives an Outcome 6 in their final ICM ARCP, then the Faculty should recommend them for a CCT. 

Impact on dual CCT training programmes

FICM Question: How will this work for doctors on dual training programmes?

GMC Answer: Effective from 1 January 2021, if a doctor brings any overseas/non-training posts onto either specialty training programme, at the point of registration they will be working towards a CESR-CP but will be granted a CCT so long as they receive an Outcome 6 in their final ARCP for both specialties.

There are no changes to the main CESR (also known as ‘Equivalence’) route to specialist registration.

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