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Applying for a CESR or CEGPR Specialist Applications Team Scotland 4 – 5 September 2014

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Page 1: Applying for a CESR or CEGPR - NHS Education for Scotland · Applying for a CESR or CEGPR . ... guidance on what to include in your curriculum vitae ... if the specialty is one in

Applying for a CESR or CEGPR Specialist Applications Team Scotland 4 – 5 September 2014

Page 2: Applying for a CESR or CEGPR - NHS Education for Scotland · Applying for a CESR or CEGPR . ... guidance on what to include in your curriculum vitae ... if the specialty is one in

Gui

danc

e on

you

r cu

rric

ulum

vita

e fo

r ap

plic

ants

for

entr

y on

to t

he S

peci

alis

t Re

gist

er o

r G

P Re

gist

er

This

sec

tion

giv

es g

uid

ance

on

wh

at t

o in

clu

de

in y

our

curr

icu

lum

vit

ae (

CV

)

Wha

t to

incl

ude

As

part

of

your

app

licat

ion,

you

mus

t in

clud

e a

CV t

hat

is le

ss t

han

thre

e m

onth

s ol

d. W

e st

rong

ly r

ecom

men

d th

at y

ou w

rite

you

r CV s

peci

fical

ly f

or t

his

appl

icat

ion.

The

info

rmat

ion

in y

our

CV m

ust

mat

ch t

he in

form

atio

n in

you

r ap

plic

atio

n.

The

tabl

e be

low

sho

ws

wha

t yo

u sh

ould

incl

ude

in y

our

CV a

nd t

he o

rder

the

sec

tions

sho

uld

be in

.

Sec

tion

D

etai

l

Pers

onal

det

ails

and

co

ntac

t in

form

atio

n

Your

nam

e on

you

r CV m

ust

mat

ch y

our

nam

e on

you

r pr

oof

of

iden

tity.

You

r co

ntac

t in

form

atio

n sh

ould

mat

ch t

he d

etai

ls w

e ho

ld w

hich

can

be

upda

ted

usin

g G

MC O

nlin

e.

Reg

istr

atio

ns

Giv

e yo

ur G

MC r

efer

ence

num

ber

and

deta

ils o

f an

y ot

her

med

ical

reg

ulat

ors

you

are

regi

ster

ed w

ith.

Mem

bers

hips

Li

st y

our

mem

bers

hips

of

prof

essi

onal

bod

ies.

Qua

lific

atio

ns

List

you

r qu

alifi

catio

ns.

Empl

oym

ent

hist

ory

1 -

pos

ts h

eld

Sta

rt w

ith t

he m

ost

rece

nt a

nd w

ork

back

war

ds.

Plea

se s

how

:

• po

st t

itle

(ple

ase

give

the

titl

e yo

u w

ere

empl

oyed

unde

r)

• da

tes

post

hel

d

• If

the

pos

t is

par

t tim

e, w

hat

perc

enta

ge o

f w

hole

tim

e

equi

vale

nt

• in

stitu

tion

nam

e an

d lo

catio

n

• th

e na

me

of y

our

supe

rvis

or (

espe

cial

ly r

equi

red

for

trai

ning

pos

ts)

Als

o gi

ve a

brief

job

des

crip

tion

that

cov

ers

the

dutie

s re

quired

fo

r th

at p

ost

and

indi

cate

the

leve

l of

supe

rvis

ion.

Empl

oym

ent

hist

ory

2 Sta

rt w

ith t

he m

ost

rece

nt a

nd w

ork

back

war

ds.

2

Page 3: Applying for a CESR or CEGPR - NHS Education for Scotland · Applying for a CESR or CEGPR . ... guidance on what to include in your curriculum vitae ... if the specialty is one in

Sec

tion

D

etai

l

- ga

ps in

em

ploy

men

t Any

gap

s th

at s

pan

over

28

days

sho

uld

be a

ccou

nted

for

with

a

brie

f ex

plan

atio

n.

Aw

ards

Li

st a

ny a

war

ds y

ou h

ave

rece

ived

.

Res

earc

h ex

perien

ce

Giv

e a

brie

f ex

plan

atio

n of

any

res

earc

h yo

u ha

ve u

nder

take

n,

or h

ave

part

icip

ated

in.

Publ

icat

ions

Li

st y

our

publ

icat

ions

.

Pres

enta

tions

G

ive

deta

ils o

f an

y pr

esen

tatio

ns y

ou h

ave

give

n. Y

ou m

ay f

ind

it he

lpfu

l to

divi

de t

hem

up

into

inte

rnat

iona

l, na

tiona

l, re

gion

al

and

depa

rtm

enta

l to

show

the

ir im

port

ance

.

Con

tinui

ng

Prof

essi

onal

D

evel

opm

ent

(CPD

) Li

st y

our

CPD

act

ivity

in t

he la

st f

ive

year

s.

Con

fere

nces

att

ende

d G

ive

deta

ils o

f an

y co

nfer

ence

s yo

u ha

ve a

tten

ded.

You

may

fin

d it

help

ful t

o di

vide

the

m u

p in

to in

tern

atio

nal,

natio

nal,

regi

onal

an

d de

part

men

tal t

o sh

ow t

heir im

port

ance

.

Cou

rses

att

ende

d G

ive

deta

ils o

f an

y co

urse

s yo

u ha

ve a

tten

ded.

You

may

fin

d it

help

ful t

o di

vide

the

m u

p in

to in

tern

atio

nal,

natio

nal,

regi

onal

an

d de

part

men

tal t

o sh

ow t

heir im

port

ance

.

Aud

it Li

st a

nd g

ive

a br

ief

desc

ript

ion

of y

our

audi

t ac

tiviti

es.

Teac

hing

and

tra

inin

g ex

perien

ce

List

and

giv

e a

brie

f de

script

ion

of y

our

teac

hing

and

tra

inin

g ac

tiviti

es.

Man

agem

ent

expe

rien

ce

List

and

giv

e a

brie

f de

script

ion

of y

our

man

agem

ent

activ

ities

.

Proc

edur

es

List

the

pro

cedu

res

you

have

per

form

ed

Any

ext

ra a

ctiv

ities

If

the

re is

any

thin

g el

se r

elev

ant

to t

his

appl

icat

ion

you

can

list

it he

re.

Form

attin

g yo

ur C

V

• N

umbe

r ea

ch p

age

• Sho

w y

our

surn

ame

and

initi

als

at t

he t

op o

f ea

ch p

age

• U

se b

ulle

t po

ints

• In

clud

e a

shor

t de

scri

ptio

n fo

r ea

ch it

em.

3

Page 4: Applying for a CESR or CEGPR - NHS Education for Scotland · Applying for a CESR or CEGPR . ... guidance on what to include in your curriculum vitae ... if the specialty is one in

Com

mon

mis

take

s Yo

ur C

V w

ill b

e re

turn

ed t

o yo

u if

it do

es n

ot m

eet

the

abov

e st

anda

rds.

The

mos

t co

mm

on

erro

rs a

re t

hat

the

CV:

• is

out

of

date

• w

as w

ritt

en t

o ap

ply

for

a jo

b an

d is

wor

ded

inap

prop

riat

ely

• do

es n

ot p

rovi

de s

uffic

ient

info

rmat

ion

• is

not

in a

sui

tabl

e st

ruct

ure

• ha

s in

form

atio

n th

at d

oes

not

mat

ch t

he e

mpl

oym

ent

lett

ers

that

you

sub

mit

(for

exa

mpl

e, p

ost

date

s, job

titl

es,

hosp

ital

nam

es,

or s

uper

visi

ng c

onsu

ltant

s do

not

mat

ch)

• do

es n

ot in

clud

e a

brie

f jo

b de

scri

ptio

n un

der

each

pos

t he

ld

• ha

s in

form

atio

n th

at d

oes

not

mat

ch t

he a

pplic

atio

n fo

rm.

4

Page 5: Applying for a CESR or CEGPR - NHS Education for Scotland · Applying for a CESR or CEGPR . ... guidance on what to include in your curriculum vitae ... if the specialty is one in

Gui

danc

e on

sel

ectin

g re

fere

es

This

pag

e h

elp

s ap

plic

ants

to

cho

ose

refe

rees

wh

o w

ill g

ive

stru

ctu

red

rep

orts

in

su

pp

ort

of

thei

r ap

pli

cati

on f

or e

ntr

y o

nto

th

e S

pec

ialis

t or

GP

Reg

iste

r w

ith

a C

ES

R

or C

EGP

R.

You

mus

t gi

ve t

he n

ames

and

det

ails

of

six

refe

rees

who

we

can

cont

act

to a

sk f

or

stru

ctur

ed r

epor

ts.

App

licat

ions

whe

re w

e do

not

rec

eive

at

leas

t fiv

e st

ruct

ured

rep

orts

tha

t m

eet

the

requ

irem

ents

bel

ow a

re n

ot li

kely

to

be s

ucce

ssfu

l.

Plea

se m

ake

sure

whe

n no

min

atin

g yo

ur r

efer

ees

that

:

• yo

u ha

ve t

heir a

ppro

val b

efor

e su

bmitt

ing

your

app

licat

ion

• th

ey a

re w

illin

g to

com

plet

e a

stru

ctur

ed r

epor

t fo

r yo

u

• yo

u ha

ve m

ade

them

aw

are

of t

he in

form

atio

n th

ey w

ill b

e as

ked

for

• yo

u gi

ve t

hem

a c

opy

of y

our

CV

We

will

nee

d re

port

s fr

om a

t le

ast

five

of y

our

refe

rees

, on

e of

wh

om m

ust

be

you

r fi

rst

refe

ree

(see

'Wh

o to

ch

oose

' bel

ow

).

Bef

ore

you

choo

se y

our

refe

rees

, yo

u sh

ould

rea

d ou

r gu

idan

ce t

o re

fere

es t

o se

e w

hat

we

ask

them

to

do.

Who

to

choo

se

Your

fir

st r

efer

ee s

houl

d be

you

r cu

rren

t m

edic

al d

irec

tor,

div

isio

nal d

irec

tor/

clin

ical

di

rect

or,

or s

omeo

ne o

f eq

uiva

lent

sen

iori

ty –

for

exa

mpl

e, a

sup

erin

tend

ent

if yo

u ar

e ov

erse

as.

Your

oth

er r

efer

ees

• A

t le

ast

two

of y

our

refe

rees

sho

uld

be d

octo

rs in

the

spe

cial

ty y

ou a

re a

pply

ing

for,

or

a c

lose

ly-r

elat

ed s

peci

alty

.

• If

you

hav

e un

dert

aken

Sp

ecia

lty

or G

P t

rain

ing

, on

e of

the

str

uctu

red

repo

rts

shou

ld b

e fr

om y

our

mos

t re

cent

pro

gram

me

dire

ctor

, re

gion

al s

peci

alty

adv

iser

or

educ

atio

nal s

uper

viso

r.

All

of y

our

refe

rees

sho

uld

eith

er b

e on

the

Spe

cial

ist

or G

P Reg

iste

r or

be

of

equi

vale

nt s

tand

ing

• And

the

y sh

ould

be

able

to

com

men

t fr

om t

heir o

wn

dire

ct o

bser

vatio

ns o

n yo

ur

curr

ent

leve

l of

expe

rtis

e.

5

Page 6: Applying for a CESR or CEGPR - NHS Education for Scotland · Applying for a CESR or CEGPR . ... guidance on what to include in your curriculum vitae ... if the specialty is one in

Plea

se b

ear

in m

ind

– re

fere

es w

ho h

ave

retir

ed f

rom

pra

ctic

e m

ore

than

thr

ee y

ears

ago

m

ay n

ot b

e ab

le t

o co

mm

ent

on y

our

curr

ent

skill

s.

If y

ou a

re u

nabl

e to

arr

ange

for

the

nec

essa

ry r

efer

ees,

you

are

str

ongl

y re

com

men

ded

to

dela

y yo

ur a

pplic

atio

n un

til y

ou a

re a

ble

to d

o so

.

Perio

d of

ref

eren

ce

Whe

re p

ossi

ble,

you

sho

uld

nom

inat

e re

fere

es w

ho c

an c

omm

ent

auth

orita

tivel

y fr

om t

heir

own

dire

ct o

bser

vatio

n on

the

last

fiv

e ye

ars

of y

our

prac

tice.

How

ever

, w

e ac

cept

tha

t th

ere

may

be

reas

ons

(suc

h as

a c

aree

r br

eak)

for

you

to

nam

e so

me

refe

rees

fro

m a

n ea

rlie

r pe

riod

.

How

we

will

con

tact

you

r re

fere

es

GM

C r

egis

tere

d r

efer

ees

You

shou

ld g

ive

us t

he G

MC n

umbe

r of

eac

h re

fere

e w

ho is

reg

iste

red

with

the

GM

C.

We

will

on

ly c

onta

ct t

hem

usi

ng t

he c

onta

ct d

etai

ls w

e ha

ve o

n re

cord

for

the

m.

Bef

ore

you

subm

it yo

ur a

pplic

atio

n, y

ou s

houl

d as

k yo

ur r

efer

ee t

o m

ake

sure

the

ir c

onta

ct

deta

ils a

re u

p to

dat

e. T

hey

can

chan

ge t

heir d

etai

ls t

hrou

gh t

heir G

MC O

nlin

e ac

coun

t, o

r by

ph

onin

g us

.

We

will

usu

ally

con

tact

ref

eree

s by

em

ail.

If y

our

refe

ree

does

not

hav

e an

em

ail a

ddre

ss

regi

ster

ed w

ith u

s, w

e w

ill c

onta

ct t

hem

by

post

inst

ead.

Non

-GM

C r

egis

tere

d r

efer

ees

If y

our

refe

ree

has

neve

r be

en r

egis

tere

d w

ith u

s, p

leas

e gi

ve t

heir e

mai

l add

ress

. W

hen

we

rece

ive

thei

r re

port

we

will

car

ry o

ut c

heck

s to

ver

ify it

.

6

Page 7: Applying for a CESR or CEGPR - NHS Education for Scotland · Applying for a CESR or CEGPR . ... guidance on what to include in your curriculum vitae ... if the specialty is one in

Stru

ctur

ed R

epor

t For

m

A

pplic

atio

n fo

r ent

ry o

nto

the

Spec

ialis

t Reg

iste

r thr

ough

spe

cial

ty e

quiv

alen

ce

Why

you

hav

e be

en s

ent t

his

form

Yo

ur n

ame

and

cont

act d

etai

ls h

ave

been

giv

en b

y th

e do

ctor

nam

ed o

n pa

ge tw

o of

this

form

, to

act a

s a

refe

ree

to p

rovi

de a

stru

ctur

ed re

port

as p

art o

f the

ir ap

plic

atio

n to

the

GM

C fo

r ent

ry o

nto

the

Spec

ialis

t Reg

iste

r thr

ough

spe

cial

ty e

quiv

alen

ce.

The

appl

ican

t has

app

lied

in th

e sp

ecia

lty s

how

n on

the

form

. Thi

s ap

plic

atio

n ro

ute

requ

ires

appl

ican

ts to

dem

onst

rate

to u

s th

roug

h th

e do

cum

enta

ry e

vide

nce

that

they

pro

vide

, tha

t the

ir tra

inin

g, q

ualif

icat

ions

and

exp

erie

nce,

whe

reve

r obt

aine

d, a

re e

quiv

alen

t to

the

curri

culu

m

requ

irem

ents

for t

he a

war

d of

a C

ertif

icat

e of

Com

plet

ion

of T

rain

ing

(CC

T) in

the

spec

ialty

in

whi

ch th

ey a

re a

pply

ing.

If th

e ap

plic

ant i

s ap

plyi

ng in

a s

peci

alty

whi

ch is

not

app

rove

d fo

r the

aw

ard

of a

CC

T th

ey w

ill ne

ed to

dem

onst

rate

that

thei

r tra

inin

g or

qua

lific

atio

ns fr

om o

utsi

de th

e U

K to

geth

er w

ith th

eir e

xper

ienc

e w

here

ver o

btai

ned

in a

non

-CC

T sp

ecia

lty a

re e

quiv

alen

t to

the

know

ledg

e an

d sk

ill co

nsis

tent

with

pra

ctic

e as

a c

onsu

ltant

in a

ny o

f the

UK

heal

th s

ervi

ces.

If

you

are

not s

ure

if th

e sp

ecia

lty is

one

in w

hich

the

GM

C is

sue

a C

CT,

then

ple

ase

refe

r to

the

web

lin

k to

the

appr

oved

cur

ricul

a.

Ple

ase

com

plet

e al

l sec

tions

of t

he re

port

form

. If,

und

er a

ny o

f the

hea

ding

s, y

ou d

o no

t hav

e di

rect

kno

wle

dge

of th

e ap

plic

ant p

leas

e en

ter ‘

No

dire

ct k

now

ledg

e’ in

that

sec

tion,

unl

ess

you

are

a m

edic

al d

irect

or w

hen

you

wou

ld n

eed

to

cons

ult w

ith y

our c

olle

ague

s be

fore

com

plet

ing

the

form

and

use

the

know

ledg

e yo

u ha

ve o

f the

ap

plic

ant’s

invo

lvem

ent i

n de

partm

enta

l act

ivity

. Oth

er re

fere

es m

ay b

e ab

le to

com

men

t on

thes

e as

pect

s.

To a

ssis

t you

in c

ompl

etin

g th

is s

truct

ured

repo

rt yo

u sh

ould

refe

r to

the

follo

win

g:

1.

Th

e cu

rrent

nea

rest

CC

T cu

rricu

lum

to th

e sp

ecia

lty th

e ap

plic

ant i

s ap

plyi

ng in

. w

ww

.gm

c-uk

.org

/edu

catio

n/po

stgr

adua

te/a

ppro

ved_

curri

cula

_sys

tem

s.as

p

2.

The

spec

ialty

spe

cific

gui

danc

e on

evi

denc

e to

be

supp

lied

for t

he n

eare

st s

peci

alty

to th

e on

e th

e ap

plic

ant i

s ap

plyi

ng in

. w

ww

.gm

c-uk

.org

/doc

tors

/regi

stra

tion_

appl

icat

ions

/ssg

.asp

3.

G

uida

nce

for r

efer

ees

ww

w.g

mc-

uk.o

rg/d

octo

rs/re

gist

ratio

n_ap

plic

atio

ns/re

fere

e_gu

idan

ce.a

sp

Th

ank

you

for y

our c

oope

ratio

n.

7

Page 8: Applying for a CESR or CEGPR - NHS Education for Scotland · Applying for a CESR or CEGPR . ... guidance on what to include in your curriculum vitae ... if the specialty is one in

Stru

ctur

ed R

epor

t for

spe

cial

ty e

quiv

alen

ce

1. T

he a

pplic

ant

Nam

e of

app

lican

t

Dr X

YZ

GM

C re

fere

nce

num

ber

1234

567

Spec

ialty

of a

pplic

ant

Gen

eral

psy

chia

try

Ref

eree

det

ails

D

r AB

C

8

Page 9: Applying for a CESR or CEGPR - NHS Education for Scotland · Applying for a CESR or CEGPR . ... guidance on what to include in your curriculum vitae ... if the specialty is one in

2. Y

our c

rede

ntia

ls

If yo

u ar

e re

turn

ing

this

form

by

post

, the

offi

cial

hos

pita

l/uni

vers

ity/in

stitu

te s

tam

p m

ust b

e st

ampe

d ov

er th

is s

ectio

n an

d ev

ery

page

of t

his

repo

rt.

If yo

u do

not

hav

e an

offi

cial

sta

mp

plea

se s

ubm

it th

is re

port

unde

r cov

er o

f a le

tter

on h

eade

d pa

per f

rom

you

r hos

pita

l/uni

vers

ity/in

stitu

te.

You

do n

ot n

eed

to s

tam

p th

is fo

rm if

it is

bei

ng re

turn

ed b

y em

ail

Stam

p

Plea

se s

tate

Your

spe

cial

ty, q

ualif

icat

ions

, cur

rent

pos

ition

and

pla

ce o

f wor

k;

• Yo

ur p

ositi

on a

nd p

lace

of w

ork

whe

n th

e ap

plic

ant w

as w

orki

ng w

ith y

ou;

Your

rela

tions

hip

to th

e ap

plic

ant f

or e

xam

ple

supe

rvis

or to

trai

nee,

col

leag

ue to

col

leag

ue, M

edic

al

Dire

ctor

to s

peci

alis

t.

3. K

now

ledg

e, s

kills

and

per

form

ance

(Dom

ain

1)

3a) L

evel

and

mai

nten

ance

of p

rofe

ssio

nal p

erfo

rman

ce. P

leas

e lis

t bel

ow th

e ap

plic

ant’s

pos

t(s) t

o w

hich

this

re

port

appl

ies

givi

ng fo

r eac

h po

st li

sted

:

• Th

e tit

le o

f eac

h po

st

• N

ame

of th

e ho

spita

l/ins

titut

e

• St

art a

nd e

nd d

ates

A de

scrip

tion

of th

e ap

plic

ant’s

role

and

leve

l of r

espo

nsib

ility

(bot

h cl

inic

al a

nd m

anag

eria

l if a

pplic

able

).

3b

) If y

ou th

ink

the

appl

ican

t has

the

full

rang

e, d

epth

, bre

adth

of e

xper

ienc

e an

d sk

ills to

thos

e re

quire

d by

the

CC

T cu

rric

ulum

(if a

pply

ing

in a

CC

T sp

ecia

lty) o

r a s

ubst

antiv

e co

nsul

tant

in a

ny o

f the

UK

Hea

lth S

ervi

ces

(if

appl

ying

in a

non

CC

T sp

ecia

lty),

plea

se li

st fr

om y

our d

irect

obs

erva

tion

how

the

appl

ican

t dem

onst

rate

d th

ese

and

wha

t evi

denc

e w

as a

vaila

ble.

If

you

do n

ot th

ink

the

appl

ican

t has

the

full

rang

e, d

epth

, bre

adth

of e

xper

ienc

e an

d sk

ills re

quire

d, p

leas

e lis

t:

• Th

e sk

ills a

nd c

ompe

tenc

ies

not c

over

ed in

the

abov

e po

sts

• Th

e sp

ecia

lty a

reas

whe

re y

ou h

ave

not o

bser

ved

or h

ave

no d

irect

kno

wle

dge

of th

e ap

plic

ant;

or

• W

here

the

appl

ican

t did

not

dem

onst

rate

the

appr

opria

te d

epth

and

bre

adth

of s

kills

and

com

pete

ncie

s.

9

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3c) P

leas

e ex

plai

n w

heth

er th

e ap

plic

ant h

as d

emon

stra

ted

appl

icat

ion

of k

now

ledg

e an

d ex

perie

nce

to p

ract

ise

(for e

xam

ple

reco

gnis

ing

and

wor

king

with

in th

e lim

its o

f the

ir co

mpe

tenc

e). I

n pa

rticu

lar,

how

they

:

• Ke

ep u

p to

dat

e w

ith C

ontin

uous

Pro

fess

iona

l Dev

elop

men

t (C

PD)

• Ap

ply

the

skills

and

atti

tude

s of

a c

ompe

tent

teac

her/t

rain

er

• M

ake

appr

opria

te re

ferr

als

to c

olle

ague

s an

d ke

ep c

lear

and

legi

ble

reco

rds?

If so

giv

e ex

ampl

es fr

om y

our d

irect

obs

erva

tion

of w

orki

ng w

ith th

e ap

plic

ant.

4.

Saf

ety

and

qual

ity (D

omai

n 2)

4a) H

as th

e ap

plic

ant p

ut in

to e

ffect

sys

tem

s to

pro

tect

pat

ient

s an

d im

prov

e ca

re (f

or e

xam

ple

by ta

king

par

t and

re

spon

ding

to th

e ou

tcom

e of

aud

it, a

ppra

isal

s, p

erfo

rman

ce re

view

s, ri

sk m

anag

emen

t and

clin

ical

gov

erna

nce

proc

edur

es, a

nd re

porti

ng a

dver

se d

rug

reac

tions

or c

once

rns

abou

t ris

ks to

pat

ient

s)?

If

so, p

leas

e ex

plai

n ho

w th

e ap

plic

ant h

as d

emon

stra

ted

this

and

giv

e ex

ampl

es fr

om y

our d

irect

obs

erva

tion

of

wor

king

with

the

appl

ican

t.

4b

) Doe

s th

e ap

plic

ant m

onito

r and

resp

ond

to ri

sks

to s

afet

y an

d sa

fegu

ard

and

prot

ect t

he h

ealth

and

wel

lbei

ng

of v

ulne

rabl

e pe

ople

(for

exa

mpl

e re

spon

ding

to ri

sks

pose

d by

pat

ient

s an

d fo

llow

ing

infe

ctio

n co

ntro

l pr

oced

ures

)?

If so

giv

e ex

ampl

es fr

om y

our d

irect

obs

erva

tion

of w

orki

ng w

ith th

e ap

plic

ant.

10

Page 11: Applying for a CESR or CEGPR - NHS Education for Scotland · Applying for a CESR or CEGPR . ... guidance on what to include in your curriculum vitae ... if the specialty is one in

4c) H

as th

e ap

plic

ant p

rote

cted

pat

ient

s an

d co

lleag

ues

from

any

risk

pos

ed b

y th

eir h

ealth

?

If yo

u ar

e aw

are

of a

ny re

leva

nt c

ircum

stan

ces,

ple

ase

expl

ain

whe

ther

the

appl

ican

t has

dem

onst

rate

d th

is. I

f so

give

exa

mpl

es fr

om y

our d

irect

obs

erva

tion

of w

orki

ng w

ith th

e ap

plic

ant.

5.

Com

mun

icat

ions

, par

tner

ship

and

team

wor

king

(Dom

ain

3)

5a)

Doe

s th

e ap

plic

ant c

omm

unic

ate

effe

ctiv

ely

with

pat

ient

s (fo

r exa

mpl

e ke

epin

g th

em in

form

ed a

bout

pro

gres

s of

thei

r car

e) a

nd c

olle

ague

s in

clin

ical

and

man

agem

ent s

ituat

ions

with

in a

nd o

utsi

de th

e te

am (f

or e

xam

ple

pass

ing

on in

form

atio

n w

hen

patie

nts

trans

fer,

enco

urag

ing

colle

ague

s to

con

tribu

te to

dis

cuss

ions

)?

Pl

ease

exp

lain

whe

ther

the

appl

ican

t has

dem

onst

rate

d th

is. I

f so

give

exa

mpl

es fr

om y

our d

irect

obs

erva

tion

of

wor

king

with

the

appl

ican

t.

5b

) Doe

s th

e ap

plic

ant w

ork

cons

truct

ivel

y w

ith c

olle

ague

s by

sup

porti

ng th

em, d

eleg

atin

g ef

fect

ivel

y, a

ctin

g as

a

posi

tive

role

mod

el a

nd p

rovi

ding

effe

ctiv

e le

ader

ship

?

Plea

se e

xpla

in w

heth

er th

e ap

plic

ant h

as d

emon

stra

ted

this

. If s

o gi

ve e

xam

ples

from

you

r dire

ct o

bser

vatio

n of

w

orki

ng w

ith th

e ap

plic

ant.

11

Page 12: Applying for a CESR or CEGPR - NHS Education for Scotland · Applying for a CESR or CEGPR . ... guidance on what to include in your curriculum vitae ... if the specialty is one in

5c) D

oes

the

appl

ican

t est

ablis

h an

d m

aint

ain

partn

ersh

ips

with

pat

ient

s, e

ncou

rage

them

to ta

ke a

n in

tere

st in

th

eir h

ealth

and

obt

ain

appr

opria

te c

onse

nt fo

r tre

atm

ent?

Pl

ease

exp

lain

whe

ther

the

appl

ican

t has

dem

onst

rate

d th

is. I

f so

give

exa

mpl

es fr

om y

our d

irect

obs

erva

tion

of

wor

king

with

the

appl

ican

t.

6.

Mai

ntai

ning

trus

t (D

omai

n 4)

6a

) Doe

s th

e ap

plic

ant s

how

resp

ect f

or p

atie

nts

(for e

xam

ple

is p

olite

, con

side

rate

and

hon

est w

ith p

atie

nts

and

impl

emen

ts s

yste

ms

to p

rote

ct p

atie

nt c

onfid

entia

lity)

?

Plea

se e

xpla

in w

heth

er th

e ap

plic

ant h

as d

emon

stra

ted

this

. If s

o gi

ve e

xam

ples

from

you

r dire

ct o

bser

vatio

n of

w

orki

ng w

ith th

e ap

plic

ant.

6b

) H

as th

e ap

plic

ant t

reat

ed p

atie

nts

and

colle

ague

s fa

irly

and

with

out d

iscr

imin

atio

n (fo

r exa

mpl

e be

ing

hone

st

and

obje

ctiv

e w

hen

appr

aisi

ng o

r ass

essi

ng c

olle

ague

s, w

ritin

g re

fere

nces

, giv

ing

cons

truct

ive

feed

back

, rai

sing

is

sues

of c

olle

ague

s’ p

erfo

rman

ce a

nd re

spon

ding

pro

mpt

ly to

com

plai

nts)

?

Plea

se e

xpla

in w

heth

er th

e ap

plic

ant h

as d

emon

stra

ted

this

. If s

o gi

ve e

xam

ples

from

you

r dire

ct o

bser

vatio

n of

w

orki

ng w

ith th

e ap

plic

ant.

12

Page 13: Applying for a CESR or CEGPR - NHS Education for Scotland · Applying for a CESR or CEGPR . ... guidance on what to include in your curriculum vitae ... if the specialty is one in

6c) H

as th

e ap

plic

ant a

cted

with

hon

esty

and

inte

grity

(for

exa

mpl

e be

ing

hone

st a

nd a

ccur

ate

in a

ny fi

nanc

ial

deal

ings

, pra

ctic

e re

ports

, and

obt

aini

ng a

ppro

pria

te e

thic

al a

ppro

val f

or re

sear

ch p

roje

cts)

?

Plea

se e

xpla

in w

heth

er th

e ap

plic

ant h

as d

emon

stra

ted

this

. If s

o gi

ve e

xam

ples

from

you

r dire

ct o

bser

vatio

n of

w

orki

ng w

ith th

e ap

plic

ant.

7.

Any

furt

her c

omm

ents

7a)

If yo

u ar

e fa

milia

r with

the

UK

med

ical

regi

stra

tion

syst

em, w

ould

you

sup

port

this

app

lican

t for

app

rova

l for

en

try o

nto

the

Spe

cial

ist R

egis

ter?

If

you

wou

ld s

uppo

rt ap

prov

al fo

r ent

ry o

nto

the

Spe

cial

ist R

egis

ter,

wou

ld y

ou e

mpl

oy th

is d

octo

r as

a co

nsul

tant

in

any

of t

he U

K he

alth

ser

vice

s?

If yo

u w

ould

not

sup

port

this

app

lican

t for

app

rova

l of e

ntry

ont

o th

e S

peci

alis

t Reg

iste

r or w

ould

not

em

ploy

this

ap

plic

ant a

s a

cons

ulta

nt, p

leas

e st

ate

why

. If

you

are

awar

e of

any

dis

cipl

inar

y is

sues

ple

ase

give

det

ails

bel

ow.

Plea

se a

lso

add

any

furth

er c

omm

ents

you

wis

h to

mak

e ab

out t

his

indi

vidu

al’s

app

licat

ion

to th

e G

MC

.

13

Page 14: Applying for a CESR or CEGPR - NHS Education for Scotland · Applying for a CESR or CEGPR . ... guidance on what to include in your curriculum vitae ... if the specialty is one in

8. Y

our d

ecla

ratio

n

I dec

lare

that

the

info

rmat

ion

I hav

e gi

ven

on th

is s

truct

ured

repo

rt is

true

and

acc

urat

e to

the

best

of m

y kn

owle

dge.

I un

ders

tand

that

it w

ill be

use

d by

the

GM

C, a

nd a

ny re

leva

nt th

ird p

arty

the

GM

C in

volv

es in

an

eval

uatio

n of

this

doc

tor’s

app

licat

ion,

as

part

of th

e ev

iden

ce fo

r mak

ing

a de

cisi

on o

n w

heth

er th

e ap

plic

ant i

s el

igib

le fo

r ent

ry o

nto

the

GM

C’s

Spe

cial

ist R

egis

ter.

I und

erst

and

that

this

stru

ctur

ed re

port

may

be

rele

ased

to th

e ap

plic

ant i

f the

y re

ques

t a c

opy

or it

form

s pa

rt of

th

e do

cum

enta

ry e

vide

nce

in re

latio

n to

an

appe

al b

y th

e ap

plic

ant a

gain

st a

dec

isio

n of

the

GM

C.

Plea

se re

turn

the

form

to u

s as

soo

n as

pos

sibl

e, b

ut n

o la

ter t

han

21 d

ays

from

«G

MC

_DAT

E_X»

, to:

equi

vale

nce@

gmc-

uk.o

rg

If yo

u re

turn

the

form

from

an

emai

l add

ress

that

you

hav

e no

t reg

iste

red

with

the

GM

C w

e m

ay m

ake

enqu

iries

to

con

firm

the

repo

rt ha

s co

me

from

the

refe

ree.

Al

tern

ativ

ely,

if y

ou d

o no

t hav

e ac

cess

to e

mai

l ple

ase

sign

and

dat

e an

d co

mpl

ete

sect

ion

2 of

the

form

and

re

turn

it to

us

at:

Gen

eral

Med

ical

Cou

ncil

Spec

ialis

t App

licat

ions

Tea

m

3 H

ardm

an S

treet

, M

anch

este

r M

3 3A

W

Plea

se n

ote

if yo

u ar

e re

turn

ing

the

stru

ctur

ed re

port

by

post

ple

ase

sign

and

dat

e in

the

spac

e pr

ovid

ed. I

f you

are

retu

rnin

g th

e st

ruct

ured

repo

rt b

y em

ail t

hen

plea

se d

ate

and

eith

er in

sert

an

elec

tron

ic s

igna

ture

or s

impl

y ty

pe y

our n

ame

into

the

sign

atur

e fie

ld b

elow

.

Nam

e:

Sign

atur

e:

(onl

y if

send

ing

a pa

per c

opy)

Dat

e:

14

Page 15: Applying for a CESR or CEGPR - NHS Education for Scotland · Applying for a CESR or CEGPR . ... guidance on what to include in your curriculum vitae ... if the specialty is one in

Impo

rtan

t no

tice

abou

t ev

iden

ce in

sup

port

of

spec

ialty

equ

ival

ence

app

licat

ions

Your

app

licat

ion

will

be

supp

orte

d by

a la

rge

amou

nt o

f ev

iden

ce.

The

GM

C a

nd t

he R

oyal

Col

lege

or

Facu

lty m

ust

be c

erta

in t

hat

the

evid

ence

you

pro

vide

is a

tru

e an

d ac

cura

te

refle

ctio

n of

you

r tr

aini

ng a

nd e

xper

ienc

e.

We

do n

ot a

ccep

t or

igin

al d

ocum

ents

, on

ly c

opie

s. T

hrou

gh a

uthe

ntic

atio

n an

d va

lidat

ion

we

can

be s

atis

fied

that

the

se c

opie

s ar

e ge

nuin

e.

We

also

nee

d to

be

assu

red

of p

atie

nt c

onfid

entia

lity

and

ther

efor

e do

not

acc

ept

docu

men

ts

feat

urin

g de

tails

of

patie

nts

or c

olle

ague

s th

at h

ave

not

been

ano

nym

ised

.

Plea

se m

ake

sure

you

rea

d an

d co

mpl

y w

ith t

he g

uida

nce

belo

w w

hen

com

pilin

g yo

ur

evid

ence

.

Plea

se n

ote

that

all

evid

ence

sho

uld

be s

ubm

itted

sin

gle

side

d on

A4

pape

r. T

his

is s

o it

can

be s

cann

ed a

nd s

ent

elec

tron

ical

ly t

o th

e Roy

al C

olle

ge o

r Fa

culty

. Yo

ur a

pplic

atio

n m

ay b

e de

laye

d if

it is

not

on

A4

pape

r, o

r if

it is

dou

ble

side

d.

Auth

entic

atio

n

Evid

ence

of

regi

stra

tion

with

ano

ther

med

ical

reg

ulat

or o

r qu

alifi

catio

ns o

btai

ned

outs

ide

the

UK m

ust

be a

uthe

ntic

ated

by

the

awar

ding

bod

y, o

r by

a s

olic

itor.

This

mea

ns t

hat

the

awar

ding

bod

y, o

r so

licito

r, m

ust

stam

p, s

ign

and

date

a c

op

y of

the

qu

alifi

catio

n or

reg

istr

atio

n to

con

firm

tha

t it

is g

enui

ne,

whe

n th

ey v

iew

it a

long

side

the

or

igin

al.

Suc

h co

pies

are

som

etim

es k

now

n as

cer

tifie

d co

pies

.

We

will

not

sub

mit

evid

ence

to

the

Roy

al C

olle

ge f

or a

sses

smen

t un

less

it h

as b

een

corr

ectly

au

then

ticat

ed.

Any

evi

denc

e no

t co

rrec

tly a

uthe

ntic

ated

will

be

retu

rned

to

you.

Valid

atio

n

Each

pag

e of

eve

ry p

iece

of

evid

ence

tha

t sh

ows

your

tra

inin

g an

d ex

peri

ence

his

tory

mus

t be

val

idat

ed.

Plea

se e

nsur

e th

at a

ll do

cum

enta

ry e

vide

nce

you

subm

it is

spe

cific

to

you

and

cont

ains

you

r na

me.

Whe

re p

ossi

ble,

it s

houl

d co

ntai

n th

e na

me

of t

he h

ospi

tal i

t re

late

s to

an

d be

dat

ed t

o sa

y w

hen

the

trai

ning

/exp

erie

nce

took

pla

ce.

Who

can

val

idat

e ev

iden

ce fo

r you

?

15

Page 16: Applying for a CESR or CEGPR - NHS Education for Scotland · Applying for a CESR or CEGPR . ... guidance on what to include in your curriculum vitae ... if the specialty is one in

Trai

ning

and

exp

erie

nce

evid

ence

mus

t be

val

idat

ed b

y so

meo

ne in

a m

edic

al s

uper

viso

ry

posi

tion

at t

he h

ospi

tal w

here

the

tra

inin

g or

exp

erie

nce

took

pla

ce.

They

mus

t be

abl

e to

co

nfirm

tha

t it

is a

tru

e an

d ac

cura

te r

ecor

d.

Val

idat

ion

of t

rain

ing

and

expe

rien

ce e

vide

nce

can

not

be d

one

by a

sol

icito

r. T

his

is b

ecau

se

they

do

not

have

the

med

ical

exp

ertis

e to

ver

ify t

he in

form

atio

n is

a t

rue

and

accu

rate

rec

ord

of y

our

clin

ical

act

iviti

es.

Wha

t doe

s va

lidat

ion

mea

n?

Each

pag

e m

ust

show

:

• Th

e ho

spita

l sta

mp

whe

re t

he t

rain

ing

or e

xper

ienc

e to

ok p

lace

.

• Th

e na

me

of t

he p

erso

n si

gnin

g th

e do

cum

ent

– pr

inte

d an

d in

ful

l

• Th

e po

sitio

n of

the

per

son

sign

ing

the

docu

men

t –

prin

ted

and

in f

ull

• Th

e or

igin

al s

igna

ture

of

the

pers

on v

alid

atin

g th

e do

cum

ent.

It is

impo

rtan

t th

at t

he c

opy

of t

he e

vide

nce

mus

t co

ntai

n th

e o

rig

inal

sig

natu

re o

f th

e pe

rson

val

idat

ing

the

evid

ence

. Pl

ease

do

not

send

a p

hoto

copy

of

the

valid

ator

’s s

igna

ture

. W

e m

ay w

ant

to c

onta

ct t

his

pers

on,

so y

ou m

ust

ensu

re t

heir n

ame

and

posi

tion

is c

lear

. An

exam

ple

may

look

like

thi

s:

Whe

re a

doc

umen

t ha

s m

ultip

le p

ages

, th

e fir

st p

age

and

any

cons

olid

atio

n sh

eets

mus

t sh

ow

the

stam

p, s

igna

ture

, na

me

and

job

title

as

desc

ribe

d ab

ove.

The

y m

ust

also

sho

w t

he

num

ber

of p

ages

the

doc

umen

t co

ntai

ns.

Any

pag

es t

here

afte

r m

ay s

impl

y sh

ow t

he s

tam

p an

d si

gnat

ure.

So

as a

n ex

ampl

e, if

a lo

g bo

ok h

as 9

8 pa

ges,

the

per

son

valid

atin

g th

e lo

g bo

ok w

ould

sta

mp,

con

firm

the

ir n

ame

and

posi

tion,

and

sig

n th

e fr

ont

page

. Th

ey w

ould

als

o

16

Page 17: Applying for a CESR or CEGPR - NHS Education for Scotland · Applying for a CESR or CEGPR . ... guidance on what to include in your curriculum vitae ... if the specialty is one in

mak

e a

stat

emen

t su

ch a

s “I

con

firm

I h

ave

valid

ated

thi

s an

d th

e fo

llow

ing

97 p

ages

of

this

lo

g bo

ok”.

The

y sh

ould

the

n st

amp

and

sign

the

fol

low

ing

page

s. T

heir n

ame

and

posi

tion

wou

ld n

ot b

e ne

cess

ary.

Onl

ine

e-po

rtfo

lios

also

nee

d to

be

valid

ated

in li

ne w

ith t

his

guid

ance

.

Lette

rs

All

lett

ers

you

subm

it as

evi

denc

e m

ust

be p

rovi

ded

on le

tter

hea

ded

pape

r an

d be

sig

ned

by

the

send

er.

An

elec

tron

ic s

igna

ture

is n

ot a

ccep

tabl

e. A

n or

igin

al in

k si

gnat

ure

is r

equi

red.

If

you

send

the

ori

gina

l, it

does

not

hav

e to

be

valid

ated

. H

owev

er,

phot

ocop

ies

of o

rigi

nal

lett

ers

mus

t be

val

idat

ed in

line

with

the

gui

danc

e ab

ove.

We

will

not

acc

ept

pape

rwor

k th

at:

• is

not

val

idat

ed

• do

es n

ot m

ake

any

spec

ific

refe

renc

e to

you

.

We

will

not

sub

mit

evid

ence

to

the

Roy

al C

olle

ge f

or a

sses

smen

t un

less

it h

as b

een

corr

ectly

va

lidat

ed.

Any

evi

denc

e no

t co

rrec

tly v

alid

ated

will

be

retu

rned

to

you.

Patie

nt o

r col

leag

ue c

onfid

entia

lity

Whe

n su

bmitt

ing

your

evi

denc

e, y

ou s

houl

d al

so r

emem

ber

your

res

pons

ibili

ties

and

com

mitm

ents

und

er G

ood

med

ical

pra

ctic

e (G

MP)

. D

omai

n 4

of G

MP

and

your

CES

R

appl

icat

ion

is a

bout

mai

ntai

ning

tru

st.

With

reg

ards

to

com

mun

icat

ing

info

rmat

ion,

GM

P st

ates

:

“Whe

n co

mm

unic

atin

g pu

blic

ly,

incl

udin

g sp

eaki

ng t

o or

wri

ting

in t

he m

edia

, yo

u m

ust

mai

ntai

n pa

tient

con

fiden

tialit

y. Y

ou s

houl

d re

mem

ber

whe

n us

ing

soci

al m

edia

tha

t co

mm

unic

atio

ns in

tend

ed f

or f

rien

ds o

r fa

mily

may

bec

ome

mor

e w

idel

y av

aila

ble.

Wha

t th

is m

eans

for

you

r ap

plic

atio

n is

tha

t al

l ide

ntifi

able

pat

ient

info

rmat

ion

MU

ST

be

anon

ymis

ed b

efor

e yo

u se

nd it

to

us.

You

shou

ld a

lso

excl

ude

the

pers

onal

dat

a of

col

leag

ues

or t

rain

ees

whi

ch is

not

alrea

dy in

the

pub

lic d

omai

n, s

uch

as t

heir a

ppra

isal

s.

Iden

tifia

ble

pers

onal

dat

a m

akes

it p

ossi

ble

for

som

eone

to

iden

tify

the

subj

ect

of t

he

info

rmat

ion.

In

cert

ain

inst

ance

s, s

ome

info

rmat

ion

will

be

help

ful t

o th

e ev

alua

tors

. Fo

r ex

ampl

e th

e ge

nder

and

/or

year

and

mon

th s

omeo

ne w

as b

orn

may

hel

p id

entif

y th

at y

ou

have

und

erta

ken

a pr

oced

ure

on a

ran

ge o

f pe

ople

. Add

ress

es a

nd f

ull n

ames

sho

uld

alw

ays

be r

emov

ed.

Whe

n yo

u re

mov

e th

is d

ata

you

shou

ld b

e aw

are

that

cer

tain

ink

may

ble

ed t

hrou

gh a

m

arke

r pe

n w

hen

we

scan

you

r ev

iden

ce.

This

usu

ally

hap

pens

whe

n a

lase

r pr

inte

r ha

s be

en

used

. W

e w

ould

sug

gest

you

use

a c

rayo

n or

red

actio

n so

ftw

are

inst

ead

of a

mar

ker

pen

as

this

ens

ures

info

rmat

ion

rem

ains

ano

nym

ised

thr

ough

our

sca

n pr

oces

s.

17

Page 18: Applying for a CESR or CEGPR - NHS Education for Scotland · Applying for a CESR or CEGPR . ... guidance on what to include in your curriculum vitae ... if the specialty is one in

If w

e re

ceiv

e ev

iden

ce w

hich

has

iden

tifia

ble

pers

onal

info

rmat

ion,

we

will

ret

urn

it to

you

an

d re

ques

t th

at y

ou r

emov

e th

e da

ta.

The

rele

vant

Roy

al C

olle

ge o

r Fa

culty

will

be

mad

e aw

are

that

you

r or

igin

al e

vide

nce

incl

uded

som

e pe

rson

al d

ata.

If

you

subm

it fu

rthe

r ev

iden

ce w

hich

has

not

bee

n an

onym

ised

cor

rect

ly a

t th

e po

int

we

are

read

y to

sen

d yo

ur

appl

icat

ion

to t

he R

oyal

Col

lege

or

Facu

lty f

or e

valu

atio

n, w

e w

ill e

xclu

de t

hese

doc

umen

ts

and

retu

rn t

hem

to

you.

We

will

not

ano

nym

ise

any

data

on

your

beh

alf.

It

is y

our

resp

onsi

bilit

y to

ens

ure

you

are

wor

king

in li

ne w

ith t

he G

ood

med

ical

pra

ctic

e fr

amew

ork.

You

the

refo

re s

houl

d be

abl

e to

de

mon

stra

te y

our

com

mitm

ent

to im

plem

entin

g sy

stem

s to

pro

tect

pat

ient

con

fiden

tialit

y.

Failu

re t

o co

mpl

y w

ith t

hese

req

uire

men

ts m

ay c

onst

itute

a b

reac

h of

the

Dat

a Pr

otec

tion

Act

19

98 a

nd t

he p

atie

nt c

onfid

ential

ity s

tand

ards

in G

ood

med

ical

pra

ctic

e.

You

may

be

refe

rred

to

our

Fitn

ess

to P

ract

ise

Direc

tora

te.

A la

rge

perc

enta

ge o

f th

e ap

plic

atio

ns w

e re

ceiv

e fo

r th

e fir

st t

ime

are

not

righ

t an

d w

e ha

ve

to r

etur

n th

em t

o th

e ap

plic

ant.

The

mos

t co

mm

on p

robl

em w

ith t

he e

vide

nce

subm

itted

is

that

the

doc

umen

ts a

re n

ot a

uthe

ntic

ated

, no

t va

lidat

ed o

r no

t an

onym

ised

. By

follo

win

g th

e gu

idan

ce a

bove

, w

e w

ill b

e ab

le t

o pr

oces

s yo

ur a

pplic

atio

n m

uch

quic

ker.

18

Page 19: Applying for a CESR or CEGPR - NHS Education for Scotland · Applying for a CESR or CEGPR . ... guidance on what to include in your curriculum vitae ... if the specialty is one in

Example checklist

19

Page 20: Applying for a CESR or CEGPR - NHS Education for Scotland · Applying for a CESR or CEGPR . ... guidance on what to include in your curriculum vitae ... if the specialty is one in

Name GMC Number Application ID

Evidence Item Submitted Evidence Status Notes Re-submitted Evidence

All posts since PMQ are listed

Posts held match CV and employment letters

Application FormPending Further

InformationSome of the dates in your application form do not match your employment letters.

Posts held are in reverse chronological order starting with the most recent posts, matching application form and employment letters

CV meets guidance on website: Brief job description, supervisor names present, details of CPD/Presentations/Audit

CVPending Further

Information

CV not accepted. Please see GMC guidance on how to format your CV

Please ensure that for each post you include the dates, written in full, and a description of each role. Please ensure the dates in your CV exactly match those in your online application form and employment letters.

Curriculum version:

CESR (CCT specialty) - Applicant must have completed either a specialist postgraduate qualification or minimum of six months training in the CCT specialty they apply for. Training and/or qualifications can be from anywhere in the world

CESR (non-CCTspecialty) - Applicant must have completed either a specialist postgraduate qualification or minimum of six months specialist training in any non-CCT specialty. The training and/or qualification must be from outside the UK

CESR in CCT Specialty:

Check for minimum requirements:

Link to curriculum that application will be assessed against: Link to Specialty Specific Guidance:

State training post and/or qualification that fulfils minimum requirements or comment to applicant on what is needed to confirm eligibility:

Application Form

CV

20

Page 21: Applying for a CESR or CEGPR - NHS Education for Scotland · Applying for a CESR or CEGPR . ... guidance on what to include in your curriculum vitae ... if the specialty is one in

Evidence Item Submitted Evidence Status Notes Re-submitted Evidence

Primary medical qualification (PMQ)

Not Required

Specialist medical qualification(s)

1. Doctorate cerificatePending Further

Information

1. MD - not accepted as not authenticated. The authenticated copy should be signed, stamped and dated by either a solicitor/public notary or member of staff at the awarding body.

Curriculum or syllabus (if undertaken outside the UK)

1. Curriculum Accepted 1. Curriculum - accepted

Specialist registration outside the UK

1. Validated copy of my Specialist registration

Accepted 1. Specialist registration - accepted.

Honours and prizesPending Further

Information

Do you have any honours or prizes which you could submit in support of your application?

Other relevant qualifications and certificates

1. FRCS 2. Masters degree

Accepted1-2. Qualifications - accepted

Qualifications

Domain 1 - Knowledge, skills and performance

21

Page 22: Applying for a CESR or CEGPR - NHS Education for Scotland · Applying for a CESR or CEGPR . ... guidance on what to include in your curriculum vitae ... if the specialty is one in

Appraisals and assessments

1. Appraisals 2009 - 2013

2. Learning agreement

3. Work Based assessments (DOPS, DOPS,OSAT)

Pending Further Information

1. Appraisals - not accepted as not fully validated. We require the hospital stamp and full name, job title and signature of the medical supervisor validating the document on each page 2. Learning agreement - accepted3a. 20 x assessments - accepted. 3b. 10 x assessments - not accepted as not fully validated. Where documents are double sided each side must be validated.

Records of In Training Assessment (RITAs), Annual Review of Competency Progress (ARCPs) and other training assessments

Document supplied in appraisal and assessment section

AcceptedCross reference to comments/documents in Appraisals and assessments section.

360° and multi-source feedback

1. 360 degree colleague feedback

Accepted1. 360 feedback - accepted.

Awards and discretionary points letters

Pending Further Information

Do you have any awards and discretionary points letters which you are able to submit in support of your application?

Personal development plans (PDP)

Document supplied in appraisal and assessment section

AcceptedCross reference to evidence and comments in appraisal section.

Participation in assessment, appraisal and appointments process

1. Approved assessor 2. Reviewer for journal

Pending Further Information

1-2. Please can you confirm in which section this evidence has been submitted? Please see SSG for guidance on evidence that can be submitted in this section.

Assessments and Appraisals

22

Page 23: Applying for a CESR or CEGPR - NHS Education for Scotland · Applying for a CESR or CEGPR . ... guidance on what to include in your curriculum vitae ... if the specialty is one in

Logbooks 1. Logbooks x 3 Accepted 1. Logbooks - accepted

Consolidation, cumulative data sheets, summary lists and annual caseload statistics

1. Consolidation sheets x 3 Accepted 1. Consolidation sheets - accepted

Medical reports

1. Letters to GP discussing patient management 2. Case based discussions supplied in the appraisal and assessment section

Pending Further Information

Cross reference to referral letters.

Are you satisfied that you have provided a suitable range of evidence to demonstrate your experience across the breadth and depth of the curriculum?

Case histories

1. Validated clinic letters 2. Case based discussions supplied in appraisal and assessment form

Pending Further Information

Cross reference to referral letters. Cross reference to referral letters.

Are you satisfied that you have provided a suitable range of evidence to demonstrate your experience across the breadth and depth of the curriculum.

Referral letters discussing patient handling

1. Referral lettersPending Further

Information

Although some effort has been made to redact patient data on 3 letters patient names have not been redacted from the body of the text and on all letters patient names and addresses are still visible through he marker pen used. Please ensure all documents are anonymised for patient data.

Logbooks

23

Page 24: Applying for a CESR or CEGPR - NHS Education for Scotland · Applying for a CESR or CEGPR . ... guidance on what to include in your curriculum vitae ... if the specialty is one in

Patient lists1. Ultrasound list for patients 2. Cases seen

Pending Further Information

Cross reference to relevant sections.

Please see SSG for guidance on evidence that can be submitted in this section.

Departmental (or trust) workload and annual caseload statistics

Pending Further Information

Please see SSG for guidance on evidence that can be submitted in this section.

Rotas, timetables and job plans

1. Rotas and timetables2. List of clinical dates

Pending Further Information

1. Rotas and timetables - accepted2. List of clinic dates - not accepted as not validated and there is no reference you by name - please provide a validated copy which clearly states your involvement

Courses relevant to curriculum

1. Microsurgical skill course 2. VR in a day Macular course 3. International uveitis symposium 4. Ultrasound course OCT course

Accepted1. Microsurgical skill courses - accepted. 2-4. 3 x certificates - accepted.

Portfolios (electronic or revalidation)

1. Electronic portfolio on College website

Pending Further Information

Cross reference to relevant sections.

Please note that the evaluators will not have access to your online portfolio and will only be able to evaluate your evidence based on the hard copy evidence which is accepted by the GMC as part of your application.

24

Page 25: Applying for a CESR or CEGPR - NHS Education for Scotland · Applying for a CESR or CEGPR . ... guidance on what to include in your curriculum vitae ... if the specialty is one in

Generic guidance on documents to be supplied in evidence for an application for a Certificate of Eligibility for Specialist Registration (CESR) or a Certificate of Eligibility for GP Registration (CEGPR)

Generic - for applications in all specialties This guidance is to help doctors who are applying for a CESR or a CEGPR. You will also need to read:

the specialty specific guidance for your specialty (or the nearest specialty if you are not applying in a CCT specialty)

the CCT curriculum for your specialty (or the nearest specialty if you are not applying in a CCT specialty).

Please also make sure you have read our online guidance for making your application, including checking which application type you are eligible for in our Certification route finder.

Can I get advice before I submit my application?

You can contact us and ask to speak to the Certification team for advice before you apply. You are strongly advised to contact the Royal College or Faculty for guidance before you submit an application or a reapplication.

Submitting your evidence

Do not submit original documents.

All your copies must be authenticated or validated, and anonymised. You can read an explanation of this in our important notice about evidence.

You will also need to submit translations of any documents that are not in English. Please ensure the translations you submit meet our translation requirements.

How much evidence to submit

This guidance on documents to supply is not exhaustive and you may have alternative evidence. We recognise that you may not have all the evidence listed here and you may wish to delay submitting an application until you are able to gather it.

Your evidence must cover the knowledge, skills and qualifications to demonstrate the required competencies in all of the generic and specialty specific areas of the CCT curriculum for your specialty (or the nearest specialty if you are not applying in a CCT specialty). If evidence is missing from one area of the curriculum for example, then the application may fail.

Please refer to the specialty specific guidance for your specialty (or the nearest specialty if you are not applying in a CCT specialty), as some evidence suggested here may not be relevant to the specialty in which you are applying. The specialty specific guidance will cover evidence key to your specialty.

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will help us to deal with your application more quickly if you make sure that you send us only evidence that is directly relevant.

Our guidance on compiling your evidence will help you to decide what is relevant and what is not. We recommend that you read it carefully.

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, we would usually expect to see between 800 and 1000 pages of evidence.

Types of evidence are divided into four different domains. We recommend that you apportion the evidence you provide with your application as shown in the pie chart.

Domain 1: 75%

Domain 2: 20%

Domains 3 and 4: 5%

It is important to note that you will not be able to compensate for shortfalls in your evidence of training and experience in a particular area of the curriculum by providing extra evidence in other areas.

Unsuccessful applications or poor evidence

It is our experience that applications from doctors are often submitted with inadequate or poor evidence. We strongly recommend that you closely match your experiences against the current curriculum and provide evidence of equivalence across all areas. We also strongly recommended that all your referees should be fully conversant with the current curriculum and able to provide detailed support for your competence across all or most areas.

Evidence breakdown

75%

20% 5%

Domain 1Domain 2Domains 3 and 4

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Domain 1 - Knowledge, skills and performance

Qualifications Primary medical qualification (PMQ) If you hold full registration with us, you do not need to submit your PMQ as we saw it when we assessed your

application for registration.

If you do not hold registration, please provide an authenticated copy of your PMQ.

Specialist medical qualification(s) Please provide an authenticated copy of any specialist medical qualifications you hold.

For College examinations the College may confirm details of any examinations you have undertaken.

There are no qualifications from outside Europe that enable automatic entry to the Specialist Register in any specialty. An evaluation is made based on an applicants whole career and therefore two applicants with the same qualifications but different training and/or experience may not receive the same decision.

Please list unsuccessful attempts at examinations (where you have not subsequently been successful) in the application form.

Curriculum or syllabus (if undertaken outside the UK) Please provide a validated copy of your curriculum or syllabus.

This should include the requirements of the qualification and must relate to the specialty in which you are applying. The curriculum or syllabus (including assessment methods) must be the one that was in place when you undertook your training.

If a formal curriculum or syllabus (including assessment methods) is not available please provide a letter from the awarding body outlining the content of the training programme or examination.

For qualifications, we will look to evaluate:

where the curriculum covers areas of the CCT curriculum

the complexity of the work undertaken

how examinations are evaluated or quality assured (external assessment).

Specialist registration outside the UK Please provide a validated copy of details of the registration requirements of that authority.

This will demonstrate what is expected of a registrant by that authority and how your application for registration was evaluated.

27

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FRENCH REPUBLIC

STRASBOURG UNIVERSITY 1

UNIVERSITY DIPLOMA In view of the education code •

In view ofthe decision ofthe board of directors atthe University of Louis Pasteur on the Sth July 2003

In view ofthe supporting documents produced by Mr. SIVAKUMAR GOPALSWAMY, bom on the 1 lth April 1974 in

COIMBATORE (INDIA) for the registration of his university diploma in laparoscopic surgery.

In view of the jury's statement attesting that the interested party has fulfilled the knowledge and aptitude requirements as set

out in the regulations

the UNIVERSITY DIPLOMA IN LAPAROSCOPIC SURGERY

is awarded to M R . S I V A K U M A R G O P A L S W A M Y

as from the 23rd May 2008, to enjoy the rights and obligations attaching thereto

Adelphi Translations Ltd Full Service

Tranuatlon Agency

The holder

/0EEAO20070334

Certificate of Translation Adetphi Translations Date 2 ^ A P o u ? 3 ^ signed j ^ M

STRASBOURG, 23 May 2008

President

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Alain BERETZ

Stamp: LOUIS PASTEUR UNIVERSITY

University Department of MEDICAL SCIENCE

•STRASBOURG*

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Ad«lphi Translations Ltd

R E P U B L I Q U E F R A N C A I S E

UNIVERSITE STRASBOURG I

DIPLOME D'UNIVERSITE

Vu lc code de I'education

Vu la deliberation du conseil d'administration de PUniversite Louis Pasteur du 8 juillet 2003

Vu les pieces justificatives produites par M. SIVAKUMAR GOPALSWAMY, ne te 11 avril 1974 a COIMBATORE (IN'DH), en vue de son inscription an diplome d'univcrsitc de chirurgie laparoscopique

Vu les proces-verbaux du jury attestant que I'interesse a satisfait au controle des connaissances et des aptitudes prevu par les tcxlcs reglementaires

le DIPLOME D'UNIVERSITL UU CHIRURGIE LAP AROS COP IQUH

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a compter du 23 mai 2008, pour en jouir avec les droits et les devoirs qui y sont attaches.

Le titulaire

/0EKAO20070334

Certificate of Translation Adelphi Translations Date t v ^ / t f f c l L T O r t signed M ^

Fait a STRASBOURG, le 23 mai 2008

Lc Presi Jent

Alain BERETZ * . \

31

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R E P U B L I Q U E F R A N C A I S E

UNIVERSITE STRASBOURG 1

DIPLOME D'UNIVERSITE

CERTIFIED TRUE COPY PETER JAMES DEXTER

Notary Public 14 Rosewin Row Truro TR1 1HG

Cornwall UK Tel: 44 (0)1872 261614

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Vu les proces-verbaux du jury attestant que I'interesse a satisfait au controle des connaissances et des aptitudes prevu par les textes reglementaires

le DIPLOME D'UNIVERSITE DE CHIRURGIE LAPAROSCOPIQUE

est decerne a M . S I V A K U M A R G O P A L S W A M Y

a compter du 23 mai 2008, pour en jouir avec Ics droits et les devoirs qui y sont attaches.

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/0EEAO20070334

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Le President

Alain BERETZ

{-S ;tfc.ir-U;.:\.;ts,1 i £ ;

K ^ - g>y

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Honours and prizes Please provide copies of certificates or letters showing what the prize or honour was for, including the selection and eligibility criteria and pool of eligible individuals.

Where you have not provided evidence of success in an examination that is a requirement of the CCT curriculum, evidence in this area may contribute to your demonstration of equivalent knowledge.

Other relevant qualifications and certificates Please provide copies of certificates.

For example: degrees or diplomas in relevant areas such as management, business, IT, communication, education or law.

Assessments and appraisals Appraisals and assessments Please provide validated copies of the evidence required in this area.

For non training posts you should provide evidence of ongoing evaluation of your performance.

This may take the format of formal appraisals by the department head or line manager (clinical director, medical director, professor).

In the UK, a revalidation or appraisal portfolio would be appropriate (if it is completed retrospectively less weight will be given to the information provided).

Alternative evidence may include letters (written at the time) commenting on your performance. In addition where no formal appraisal or assessment forms are available you must provide validated information on the method of career review or progression There are many different forms of assessment which form part of the various CCT curricula. Many of these tools are available for those not in training to use.

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An

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RITAs, ARCPs and training assessments Formal records of assessment have been in place in the UK since 1996 (for posts of Registrar, Specialist Registrar, and Specialty Registrar). If you have undertaken training in the UK in these grades you should provide a validated copy of your formal records. In addition if you held any of these approved training posts (except locum posts), please provide evidence of your training number.

If you have undertaken training outside the UK you must provide evidence of formal periodic assessment during your training. This evidence must have been completed at the time the training was undertaken (if it is completed retrospectively less weight will be given to the information provided). If you do not supply formal assessment documents, you must provide the curriculum to demonstrate how you were assessed. A detailed letter of verification from an educational supervisor would satisfy this requirement.

If that training was recognised by relevant authorities outside the UK please provide evidence and recognition standards.

If areas for development were highlighted please provide evidence to demonstrate that you have subsequently addressed them There are many different forms of assessment which form part of the CCT curriculum. Many of these tools are available for those not in training to use.

360˚ and multi-source feedback You may wish to supply evidence of feedback from colleagues of all levels (peers, nursing, auxiliary staff, patients, management) completed at the time and may be in the format of letters, references for posts applied for etc.

Awards and discretionary points letters You must provide copies of certificates and letters.

Personal development plans (PDP) For details of what to include please see NHS clinical governance support information.

You must also provide evidence of review of your PDP at appraisal. PDPs normally form part of your annual appraisal system and you should submit them with appraisal documentation.

37

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Participation in assessment, appraisal and appointments process

You could demonstrate this in a number of ways including:

invitations to appraisals or assessments

minutes or other records of attendance.

These could provide evidence of:

attendance at appraisal or assessment courses

participation in Deanery ARCP and RITA processes

participation in the appointments process for medical colleagues

involvement in interview panels and interview appointment related courses

involvement in workplace based assessments (as assessor)

All of the above must be anonymised (with respect to individual appraisee information).

41

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Logbooks, records of daily clinical practice and portfolios The evidence you supply here must demonstrate that you have achieved all the requirements and competencies as set down in the CCT curriculum for your specialty.

Where you have, for a substantial period of time, worked in a specialised area, you should submit evidence that at one stage in your career you achieved the requirements and competencies of the curriculum for your specialty and that have maintained these skills. You will also need to provide evidence that your current specialised practice allows you to meet all of the requirements of Good Medical Practice.

Logbooks Photocopies of operating lists and theatre record books are not satisfactory evidence of procedures. If you did not complete a logbook at the time you undertook the procedures, you should create a logbook from the information you have and then have it validated. It should contain the following information:

only procedures that you were personally involved in

patient ID number but not the name

age and gender

date of the procedure

full name of the procedure

your role in the procedure (assisted, performed personally, performed under direct supervision of someone more senior, supervised a junior)

any critical incidents

name of the hospital or clinic where procedure was performed

outcomes data.

It is important that these cover the full range of the curriculum demonstrating the breadth and depth of the specialty. This may mean that you have to go back further than 5 years.

All evidence in this area must be validated and anonymised for individual patient data.

42

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Mr Sivakumar Gopalswamy. GMCNO-6104961

MBBS, MS, DNB, MRCS, DLS, FRCS (Gen Surg).

LOG BOOK CONSOLIDATION SHEET

From 01/08/2007 to 31/07/2008.

ROYAL CORNWALL HOSPITALS TRUS t ROYAL CORNWALL HOSPiTAL

TRELISKE TRURO TR1 3LJ

f-—,>- - >

NJdML^ Sheikh Ahmad

Consultant Oncoplastic Breast and General Surgoon 43

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A- Assisting, PTS- Performed Trainer Scrubbed, P- Performed Independently, T-

L-Laparoscopic, LA- Lap Assisted, LO- Lap converted to Open OPERATION

Appendicectomy Groin Hernia Repair

-Recurrent Umbilical/Paraumbilical hernia repair

Parastomal Hernia Repair Circumcision

Orchidopexy

Herniotomy Orchidectomy

ACE/PEG tube change Incisional Hernia Repair Small Bowel Resection and Anastamosis

Hemicolectomy-Right Hemicolectomy- Left

Transverse colectomv Subtotal Colectomy Total Colectomy with TME

Hartmann's Procedure

Reversal of Hartmanns Anterior Resection

APR Proctectomy 8J Pouch Formation

Abdominal Rectopexy

Delorme's Procedure

Colonoscopy &/ polypectomy Haemorroidectomy-open/stappled

HALO &/RAR

Perianal Fistula Repair Closure of Loop stoma

TOTAL 52

11

2 4

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17 4

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ROYAL CORNWALL HOSPITAL TRELISKE

TRURO TR1 3LJ

( -.^-

v Sheikh A h m a d S Gopalswamy

Consultant Oncoplastic Consolidation Aug 07 to July 08 Breast and General Surgeon 44

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Consolidation, cumulative data sheets, summary lists and annual caseload statistics

You should provide a summary of the total numbers for the various procedures listed in the logbook. This should be completed annually and include your role in the procedure.

It is important that the logbooks cover the full range of the curriculum demonstrating the breadth and depth of the specialty. This may mean that you have to go back further than five years.

All evidence in this area must be validated and anonymised for individual patient data.

Medical reports You should provide examples across the breadth of your practice following the Academy of Medical Royal Colleges and NHS agreed format:

A Clinician’s Guide to Record Standards - Part 1

A Clinician’s Guide to Record Standards - Part 2

You can use these to demonstrate:

your involvement or role in cases

the types and complexity of cases you are involved in

your handling of patient paperwork

your respect and protection of confidential information

triangulation with logbook information.

All evidence in this area must be validated and anonymised for individual patient data.

45

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Case histories Case histories that you provide should include:

patient ID number

dates

diagnosis

nature of your involvement in the management of the case

which curriculum competencies were involved.

You can use these to demonstrate:

your involvement or role in cases

the types and complexity of cases you are involved in

your handling of patient paperwork

your respect and protection of confidential information

triangulation with logbook information.

All evidence in this area must be validated and anonymised for individual patient data.

46

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Referral letters discussing patient handling Please provide a variety of copies of letters to cover all aspects of your work and to demonstrate the breadth of your practice. This may include examples of letters:

requesting a second opinion

advising clinical colleagues or answering particular questions regarding patient management

from clinical colleagues regarding applicants involvement in patient management.

You can use these to demonstrate:

your involvement or role in cases

the types and complexity of cases you are involved in

your relationship with your colleagues in other disciplines

your handling of patient paperwork

your recognition of the limits of your professional competence

your respect and protection of confidential information.

All evidence in this area must be validated and anonymised for individual patient data.

Patient lists You may wish to include copies of patient lists. You can use these to demonstrate:

your involvement or role in cases

the types and complexity of cases you are involved in

your participation in teaching and training (where you are supervising a junior colleague)

the volume of cases you undertake

triangulation with rota, timetable and job plan information

triangulation with logbook information.

All evidence in this area must be validated and anonymised for individual patient data.

47

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Department of Gastroenterology Surgery

Patient Letter

Royal C o r n w a l l Hospi ta ls I t f lS f c i NHSTrust

Truro, Cornwall TR1 SLJ

Consultant: Mr S Gopalswamy, Locum Consultant Surgeon

Secretary:

• T e l :

Ref: SG/AD/C445803

NHSNumber: C ^ A ^ 'SB Dateofbir th: DateTyped: 05.12.11

Dear Dr

Re:

Many thanks for seeing this gentleman who is 64 years old and he was diagnosed with a 17mm tubulovillous low grade adenoma in the rectum. It was completely excised. He gave us a very strong family history of bowel cancer. His mum and brother were diagnosed with bowel cancer and also his aunts and grandfather. If you could kindly assess whether he needs any further genetic tests. I am enclosing a copy of my clinic letter for your reference. If you have any concerns please do not hesitate to contact us.

Kind Regards

Yours sincerely

Sivakumar Gopalswamy Locum Consultant Surgeon to

Surgeon

Cc:

Qheikh Ahmad

Breast and General surg

48

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Departmental (or trust) workload statistics and annual caseload statistics

You can use these to demonstrate:

the size of the hospital in which you work

the volume of work undertaken within your trust and the percentage that you undertake

the range of work that you undertake and that is undertaken within your trust

triangulation with logbook information

All evidence in this area must be validated.

Rotas, timetables and job plans Where you have undertaken a number of roles provide details for each post or role. You can use these documents to demonstrate:

details of clinical and non-clinical duties you undertake

your on-call commitment

your participation in meetings and teaching

triangulation with logbook information.

All evidence in this area must be validated.

Courses relevant to curriculum

Portfolios (electronic or revalidation) Do not submit your whole portfolio. You need to separate the evidence in it and submit that under the correct headings as set out in this guidance.

49

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Details of posts and duties (including both training and experience posts)Employment letters and contracts of employment The information in these letters and contracts must match your CV. They will confirm the following:

dates you were in post

post title, grade, training

type of employment: permanent, fixed term, or part time (including percentage of whole time equivalent)

All evidence in this area must be validated.

Job descriptions These must match the information in your CV. They will confirm the following:

your position within the structure of your department

your post title

your clinical and non clinical commitment

your involvement in teaching or training.

All evidence in this area must be validated.

51

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Job plans Where you have undertaken a number of roles, provide details for each post or role. You can use these documents to demonstrate:

the main duties and responsibilities of the post

your out of hours responsibilities, including rota commitments

that you have covered for colleagues' periods of leave

any professional supervision and management of junior medical staff that you have undertaken

your responsibilities for carrying out teaching, examination and accreditation duties

your contribution to postgraduate and continuing medical education activity, locally and nationally

any responsibilities you had that relate to a special interest

requirements to participate in medical audit and in continuing medical education

your involvement in research

your managerial, including budgetary, responsibilities where appropriate

your participation in administration and management duties.

All evidence in this area must be validated.

52

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Research, publications and presentations Research papers, grants, patent designs Please include any research relevant to your current practice.

If the research is published - please submit the first page of the published paper.

If the research is not published - please provide a summary or abstract of the research.

Colleges may undertake web searches to check the information you provide.

You can use these documents to demonstrate:

the types and complexity of cases you are involved in

triangulation with logbook information

working with colleagues (where research is joint or multi disciplinary)

continuing professional development.

Where you have not provided evidence of success in an examination that is a requirement of the CCT curriculum, evidence in this area may contribute to your demonstration of equivalent knowledge.

All evidence in this area must be validated.

53

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Publications within specialty field Include a copy of the front page of each publication.

More weight is given where:

the applicant is first author

the publication has a high impact factor.

You must not change the listing of the authors (the order in which the authors are listed) in papers where there is more than one author.

Colleges may undertake web searches to check the information you provide.

You can use these documents to demonstrate:

the types and complexity of cases you are involved in

triangulation with logbook information

working with colleagues (where publications are joint or multi disciplinary)

continuing professional development.

Where you have not provided evidence of success in an examination that is a requirement of the CCT curriculum, evidence in this area may contribute to your demonstration of equivalent knowledge:

Presentations, poster presentations You may wish to supply invitations to present at national or international meetings to demonstrate your recognition within your specialty. You may also supply feedback from presentations or meeting agendas or programmes that show your participation.

You can use these documents to demonstrate:

the types and complexity of cases you are involved in

triangulation with logbook information

continuing professional development

teaching and training.

Where you have not provided evidence of success in an examination that is a requirement of the CCT curriculum, evidence in this area may contribute to your demonstration of equivalent knowledge.

All evidence in this area must be validated by the hospital or relevant body who can attest to the event.

54

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Ver

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CPD and CME CPD record certificates, certificates of attendance, workshops and at local, national and international meetings or conferences

You should provide a variety of these to cover all aspects of your work and to demonstrate the breadth of your practice. Where you have specialised the provision of CPD records covering the other aspects of the relevant curriculum is important to demonstrate the maintenance of your skills.

Please provide details of the events you have attended describing the content. Support this with documentary evidence of your attendance (CPD certificates etc).

CPD registration points from UK Medical Royal College (or equivalent body overseas)

Please provide evidence of registration within a formal system. Royal Colleges or Faculties may confirm attainment of their requirements.

Membership of professional bodies and organisations List the following for your current membership of professional bodies and organisations. Provide documentary evidence showing membership information:

organisation name

date of joining

status of membership (member, associate etc)

how membership is achieved (evaluation, examination, is membership restricted or open to all?)

Where membership has been attained through an evaluation or examination and you have not provided evidence of success in an examination that is a requirement of the CCT curriculum, evidence in this area may contribute to your demonstration of equivalent knowledge.

All evidence in this area must be validated.

56

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&

BAPRAS Brilish Association ol Plastic Roconstructive and Aesthetic Surgeons

University Hosp i t a l s l i l ZE^ Coventry and Warwickshire

NHS Trust

Certificate of Attendance

This is to certify that

Sivakumar Gopalswamy

attended the

Master Class on Breast Aesthetic and Reconstructive Surgery

on 8th July 2010

at the National Motorcycle Museum, Solihull, UK

5 CME credits accredited by BAPRAS

Organised by

Department of Plastic Surgery University Hospital

Coventry, UK

Mr On^f'Osmani Organiser

Mr Alan Park Chairman

57

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Teaching and trainingTeaching timetables Where you have undertaken a number of roles provide details for each post or role, indicate the level of the teaching.

Where teaching is not formal (timetabled) indicate how you participate in teaching.

Where you have not provided evidence of success in an examination that is a requirement of the CCT curriculum, evidence in this area may contribute to your demonstration of equivalent knowledge.

All evidence in this area must be validated.

Lectures Please include evidence showing the audience and topics covered, such as posters advertising event, educational timetable from trust education centre, letter from education centre indicating your involvement in specialty trainee formal education programme.

You can use these documents to demonstrate:

the types and complexity of cases you are involved in

triangulation with logbook information

continuing professional development

teaching and training

communication skills.

Where you have not provided evidence of success in an examination that is a requirement of the CCT curriculum, evidence in this area may contribute to your demonstration of equivalent knowledge.

All evidence in this area must be validated.

58

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Feedback or evaluation forms from those taught Please provide copies of feedback from teaching events you have participated in.

You can use these documents to demonstrate:

the types and complexity of cases you are involved in

triangulation with logbook information

continuing professional development

teaching and training

leadership

relationships with colleagues

communication skills.

All evidence in this area must be validated and anonymised for individual patient data.

Letters from colleagues You can use copies of letters from colleagues to demonstrate similar information to feedback forms (see above).

All evidence in this area must be validated and anonymised for individual patient data.

Attendance at teaching or appraisal courses Please provide documentary evidence that you attended the courses and information on the content of the course including whether they were generic or aimed at medical professionals.

59

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Participation in assessment or appraisal and appointments processes

You may provide the following types of evidence to support this area:

copies of invitations to appraisals or assessments including attendance at appraisal/assessment courses

evidence of participation in the Deanery ARCP or RITA processes

evidence of participation in appointments for trainees (including invitations to participate and interview panel information, including attendance at interview and appointment related courses).

You can use these documents to demonstrate:

contribution to postgraduate and continuing medical education activity, locally and nationally

any responsibilities which relate to a special interest

participation in administration, management duties

participation in teaching and training

communication, partnership and teamwork

relationships with colleagues (including giving feedback)

leadership.

All evidence in this area must be validated.

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Domain 2 – Safety and quality

Participation in audit, service improvementAudits undertaken by applicant You should provide evidence of the five stages of the audit process:

1. Definition of criteria and standards

2. Data collection

3. Assessment of performance against criteria and standards

4. Identification of changes (alterations to practice)

5. Re-evaluation

Evidence you could supply includes:

audit reports (collections of data alone are not considered as a full clinical audit)

publications

submissions to ethics committee (not satisfactory alone)

presentations of audit work (see above for details required for presentations)

letter from audit or clinical governance lead confirming participation in audit or governance activities

guidelines produced to reflect lessons learned within audit

notes from self-reflective diaries.

You can use these documents to demonstrate:

the types and complexity of cases you are involved in

triangulation with logbook information continuing professional development

communication, partnership and teamwork

relationships with colleagues, patients

leadership

62

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ISSN 2042 779 ClinicalAudits.com

Abstract

Aims - The purpose of this audit was to analyse current patterns of GP referrals for thyroid ultrasound in our institution and thus to determine whether these referrals conform to the recent recommendations published by the British Thyroid Association.

Methods - For this audit, data was collected retrospectively for all patients who undenvent thyroid ultrasound examination in our radiology department from November 2010 to November 2011 (12 months period). Spectrum of clinical indications used by GPs to initiate thyroid ultrasound was analysed, and the appropriateness of such referrals was measured against the set of recommendations adopted from the UK Thyroid Association consensus of opinion. 100% compliance was proposed as the target.

Results - Total of 499 patients who unden/vent thyroid ultrasound scan in the set time period were identified. 105 (21%) patients were referred by GPs. Of these, 102 (97.2%) of GP referrals were considered as reasonably acceptable, whereas compliance fell short of the target by 2.8% owing to 4 patients referred by their GP inappropriately.

Conclusions - Although the observed compliance rate with audit criteria was reasonably high at 97.2 %, the target of 100% was not achieved. Thus, this audit highlighted the potential need to improve the quality of GP referrals for thyroid US, A number of changes and a re­audit in 12 months time to evaluate their effect were proposed accordingly.

Introduction

Currentiy, iocal arrangements at our institution permit open access referrai for thyroid Ultrasound (US) from general practitioners (GP). While we recognise that the traditional referral pathways may still be of value, this practice finds increasingly limited support in the literature and current UK consensus of opinion1"4. Furthermore, there is a growing belief that initiation of thyroid US by GPs may cause a delay in the diagnosis of cancer when US is requested inappropriately.

Because primary care thyroid US requests comprise a significant proportion of the workload in our radiology department, we felt that there was a need to assess the trends and appropriateness of GP referrals for thyroid US in our institution, which was the focus of this audit.

Aims

This audit aims to analyse current patterns of GP referrals for Thyroid US in our institution, and thus to determine whether such referrals conform to the recommendations of the UK consensus of opinion published by the British Thyroid Association in 2007. RADIOLOGY DEPARTMENT

NEWHAM UNIVERSITY HOSPITAL NHSTRUST GLEN ROAD, PLAISTOW 'ONDON E13 8SL

I confirm this is true and accurate record 2 Dr MD, FRCR Consultant Radiologist Barts Health NHS Trust, Newham University Hospital Glen Road, Plaistow London E13 SSL

@bartshealth.nhs.uk 63

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ISSN 2042-4779 ClinicalAudits.com

Abst rac t J

Aims - To complete an audit cycle by re-audit of the diagnostic yield of locally performed ultrasound ( US ) guided thyroid fine-needle aspiration (FNA) one year after the initial audit, and thus to evaluate the trends since the first round, and ensure consistency ofthe procedure performance in our institution.

Methods - For this re-audit, we retrospectively analysed success rates of US-guided thyroid FNA biopsies performed in 146 patients in our department over 12-months period (November 2010 to November 2011). The findings were measured against standards based on the literature and results of the initial audit which had previously assessed institutional performance in 221 patients over 16-months period (September 2008 to January 2010).

Results - Total of 146 US guided FNA biopsies performed in the set time period were identified. FNA retrieved diagnostic material in 91.5% and 85.1% of solid and cystic thyroid nodules respectively, which is a reasonable level of performance when measured against predetermined targets (80% and 70% for solid and cystic thyroid nodules). In addition, improvement trends in the success rates were observed since the first round.

Conclusions - The re-audit demonstrated satisfactorily high tevel of performance well above predetermined targets. Although no changes need to be made based on the result of the audit, further audit is proposed to encourage the current trends.

Re-audit of Ultrasound guided Thyroid Fine Needle Aspiration success rates: maintaining trends.

Introduction

Ultrasound guided fine-needle aspiration (FNA) remains the mainstay in the initial workup of thyroid nodules and is routinely performed in our radiology department. Clearly, maintaining high success rate of thyroid FNA is important and will inspire confidence amongst both the referring clinicians and patients. By contrast, insufficient specimen is undesirable because it triggers a repeat FNA causing delay in the diagnosis and treatment in addition to amplified patient's anxiety and increased workload. Yet, adequate samples are not always attainable. It is widely acknowledged that FNA adequacy rates vary depending on several factors including the operator's skill, techniques used, and intrinsic nature of the thyroid nodule. Thus, we believe that al! efforts should be made to maintain and improve the success rates of thyroid FNA, which was the focus of this audit.

The initial audit analysed success rates of thyroid FNA performed in 221 patients over 16-months period (September 2008 to January 2010), revealing satisfactory levei of ^, performance, with an overall technical success rate of 83%, including 88% and 78 % J ^ diagnostic yield for solid and cystic nodules respectively. However, although the ^ o } standards were met, it was felt that there was a room for further improvement through J ^ * optimisation of techniques for sample retrieval combined with amplified collaborations >C J* with pathologists and clinical colleagues. ^ / ^ <£?

I confirm this is true and accurate record 2 /S o ^ $?$' Dr MD, FRCR Consultant Radiologist A K \hs tf^^S'S* Barts Health NHS Trust, Newham University Hospital y ^ ^ ^ ^ ^ Glen Road, Plaistow London E138SL W tFjf&^f

[email protected] - # Q / ^ 64

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multi disciplinary working.

All evidence in this area must be validated.

Reflective diaries For details of what to include please see NHS clinical governance support information.

You can use this document to demonstrate

triangulation with logbooks

relationships with colleagues

your recognition of the limits of your professional competence

handling of critical incidents or complaints

how you have changed your practice in the light of experiences (part of audit).

As this evidence is self produced for its content to be given weight it must be supported or triangulated by other evidence.

Service Improvement and clinical governance meetings This area could be demonstrated in a number of ways including:

invitations to attend meetings

minutes of meetings demonstrating your attendance and participation in the meeting.

You can use these documents to demonstrate:

communication, partnership and teamwork

relationships with colleagues

leadership

multi disciplinary working

participation in audit or clinical governance.

All evidence in this area must be validated and anonymised for individual patient data.

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Safety Health and safety Please provide evidence to support awareness and following Health and Safety requirements.

This can be demonstrated by:

declaration of health on your application form

attendance at appropriate course

involvement in infection control (membership of committees etc)

logbook information on infections

audit on infections and subsequent changes in activity.

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Domain 3 – Communication, partnership and teamwork

Communication Colleagues Please provide evidence to support your communication with colleagues, both within your immediate team and the

wider team (including non clinical).

This can be demonstrated by:

letters from colleagues (examples of shared cases or “To whom it may concern letters” or testimonials)

letters of correspondence between you and your colleagues, demonstrating collaboration over management of patient care across multidisciplinary teams

management – including organising staff rotas

presentations

copies of appraisals or references written for colleagues (these must be anonymised with relation to colleague data).

You can use these documents to demonstrate:

communication, partnership and teamwork

relationships with colleagues

leadership

multi disciplinary working

participation in directorate and management meetings

honesty and objectivity.

All evidence in this area must be validated.

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Patients This area could be demonstrated in a number of ways including:

thank you letters and cards from patients

letters from colleagues (examples of cases shared or “To whom it may concern letters” / testimonials)

complaints and responses to complaints.

This may include complaints received against your department or a colleague where you have been involved in the resolution. This is to demonstrate how you handle complaints. Having a complaint made against you will not adversely influence your application. You must anonymise colleague information from this evidence.

360° feedback.

You can use these documents to demonstrate:

communication

relationships with patients

honesty and integrity

protecting patient confidentiality.

All evidence in this area must be anonymised for individual patient data.

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Partnership and teamwork Working in multidisciplinary teams This area could be demonstrated in a number of ways including:

invitations to attend meetings

minutes of meetings demonstrating your attendance and participation in the meeting

job plans which indicate this as a duty

appraisals which include this information.

You can use these documents to demonstrate:

communication, partnership and teamwork

relationships with colleagues

leadership

multi disciplinary working.

All evidence in this area must be validated and anonymised for individual patient data.

Management and leadership experience This area could be demonstrated in a number of ways including:

invitations to attend meetings

minutes of meetings demonstrating your attendance and participation in the meeting

job plans which indicate this as a duty

appraisals which include this information.

You can use these documents to demonstrate:

communication, partnership and teamwork

relationships with colleagues

leadership

management skills.

All evidence in this area must be validated and anonymised for individual patient data.

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Chairing meetings and leading projects This area could be demonstrated in a number of ways including:

invitations to attend meetings

minutes of meetings demonstrating your attendance and participation in the meeting

job plans which indicate this as a duty

appraisals which include this information

project reports

letters from colleagues

publications or presentations.

You can use these documents to demonstrate:

communication, partnership and teamwork

relationships with colleagues

leadership

multi disciplinary working

participation in directorate and management meetings

continuing professional development.

Where you have not provided evidence of success in an examination that is a requirement of the CCT curriculum, evidence in this area may contribute to your demonstration of equivalent knowledge.

All evidence in this area must be validated and anonymised for individual patient data.

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Domain 4 – Maintaining trust

Acting with honesty and integrity Honesty and integrity You can demonstrate this with:

the declarations on your application form

statements from your referees

appraisal forms

having no restrictions on your registration (UK based doctors)

Certificate of Good Standing (overseas based doctors).

Equality and human rights (including disability, human rights, race, religion and ethnicity awareness and equal opportunities)

You can demonstrate this with:

evidence of attendance at relevant courses (please provide details of course content)

feedback from patients and colleagues

statements from your referees

testimonials.

Data protection You can demonstrate this with:

attendance at relevant courses (please provide details of course content)

feedback from patients and colleagues

your application and evidence being appropriately anonymised.

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Relationships with patients Testimonials and letters from colleagues You may include “To whom it may concern letters”.

All evidence in this area must be anonymised for individual patient data.

Thank you letters, cards from colleagues and patients Please ensure that these are anonymised (for individual patient data).

Complaints and responses to complaints This is to demonstrate how you handle complaints. Having a complaint made against you will not adversely influence your application.

You may include complaints received against the department within which you worked or one against a colleague where you have been involved in the resolution.

You may provide a reflective diary of how you would handle a hypothetical complaint.

All evidence in this area must be anonymised for individual patient data.

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