CESR Article 14 Does it apply to me

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CESR (Article 14)Does it apply to me?
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CESR- What is Article 14?

• This route is available for those doctors who
  have not followed a UK specialist training
  programme leading to a Certificate of Completion
  of Training (CCT) but who may have gained the
  same level of skills and knowledge to a CCT in
  their specialty.
• Doctors will be assessed for equivalence under
  this route and if successful be awarded a CESR.

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CESR Who can apply?

• There are two main groups involved
• Doctors whose training and/or qualifications and
  experience wherever obtained, considered
  together, meet the requirements of a CCT
  programme in one of the standard CCT specialties.
  
• Doctors whose specialist training or
  qualifications were obtained outside the UK and
  which are not in one of the standard CCT
  specialties.

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CESR- The standards for Article 14

• If you apply under Article 14(4), your training,
  qualifications and experience will be assessed
  against the standard for the award of a CCT in
  your specialty.
• A list of the 58 recognised medical specialities
  that are eligible for the award of a CCT are
  available from the PMETB website.
• CCT sub-specialties are not included in this
  list.

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CESR- The standards for Article 14

• If you apply under Article 14(5)(a), you need to
  satisfy PMETB that your overseas specialist
  training and/or specialist qualifications in a
  non-CCT specialty, considered together with your
  specialist experience or knowledge (wherever
  obtained) give you a level of knowledge and
  skill consistent with practice as a consultant in
  the National Health Service.

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CESR- The standards for Article 14

• Doctors must first meet the minimum requirements
  in order to be assessed under Article 14.
• For Article 14(4) applicants
• A doctor must have either a specialist
  qualification and or specialist training in the
  CCT specialty, in which they apply.
• Specialist training must be a continuous period
  of at least six months in the applicants CCT
  specialty.

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CESR- The standards for Article 14

• For Article 14(5) applicants
• A doctor must have either a specialist medical
  qualification or a continuous period of at least
  six months specialist training obtained outside
  the UK, in a medical specialty not listed as one
  in which the UK awards a CCT.
• Overseas specialist training must be a continuous
  period of at least six months in the applicants
  non CCT specialty.

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CESR- The standards for Article 14

• For both 14 (4) and 14(5)
• a specialist qualification shall be a diploma,
  certificate, accreditation, or other written
  evidence of success in a programme or programmes
  of specialist postgraduate education or training
  in any medical specialty, which may or may not be
  listed in Schedule 3 of the 2003 Order. This
  shall have been awarded by an approved
  University, College, training body or institute
  as a result of success in an examination or
  formal assessment against defined standards and

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CESR- The standards for Article 14

• specialist training must be comprised of
  theoretical and practical instruction in a post
  specifically designated as a training post in a
  university centre teaching hospital or other
  health establishment. It must be supervised by an
  appropriate authority or body and involve the
  personal participation of the person training to
  be a specialist in the activity and in the
  responsibilities of the establishment concerned

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How to prepare your CESR application
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CESR What Information do I need?

• Article 14 Guidance and help sheet
• We have put together comprehensive, step-by-step
  guidance to help you fill in your application
  form and you should read this carefully before -
  and whilst - you are filling in your form.
• Specialty Specific Guidance (SSG)
• Colleges and Faculties have developed specialty
  specific guidance which suggests the documentary
  evidence to submit in support of your
  application.

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CESR What Information do I need?

• The types of documentary evidence suggested in
  the SSG for your specialty is the evidence used
  to measure your expertise against the CCT
  curriculum programme for your specialty.
• For non standard UK CCT specialties there is
  generic guidance for Article 14(5)(a) applicants.
  This covers each of the six headings of the GMCs
  Good Medical Practice and are called Criteria
  for Entry to the Specialist Register.

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CESR - What Information do I need?

• All this information is available on PMETBs
  website www.pmetb.org.uk.
• It is your responsibility to check regularly on
  PMETBs website and that of the College, Faculty
  or Joint Committee for your specialty to make
  sure that you have seen the most recent
  information and guidance

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CESR PREPARING YOUR EVIDENCE

• The Article 14 guidance gives details of what is
  required and details the kinds of evidence which
  may be submitted and how to present these in your
  application.
• Any evidence not submitted as requested by PMETB
  will be referred back to you for amendment or
  clarification.
• All documentary evidence submitted in support of
  your training and experience must be validated.
• Authentication of overseas registration and
  qualification documentation must be done by a
  solicitor or the awarding body.

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CESR PREPARING YOUR EVIDENCE

• you will be required to give details of six
  referees from whom PMETB will obtain structured
  reports. One of these must be your current
  Medical or Clinical Director or superintendent if
  overseas. PMETB will require responses from at
  least 5 of these to proceed.
• strongly advise you seek their consent prior to
  nominating them in your application form.

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THE CESR APPLICATION PROCESS
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CESR Application Process

• Four stages
• 1 submission of application
• 2 evaluation by College/Faculty
• 3 decision by PMETB
• 4 - review / appeals

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CESR Stage 1
The applicant is sent an Incomplete status
reminder letter requesting further amendments
and or additional evidence. Has this evidence
been returned Within the allocated time period?
The applicant is sent an Incomplete status letter
and checklist requesting amendments and
additional evidence. Has the checklist and
evidence been returned?
The Certification Officer Processes the
application and completes the Article 14
checklist. Is the application complete at the
first stage?
NO
NO
NO
YES
YES
If the checklist is complete the Application and
evidence is sent off for the first stage scan.
The referee structured reports are then sent out
to the applicants six referees. Have all the
structured reports been returned?
YES
The referees are sent two reminders letters to
complete the referee structured reports. Have
all outstanding reports been returned?
The applicant is notified of any outstanding
referee reports on the second final
reminder letter. Have all outstanding structured
reports been returned?
NO
NO
YES
All structured reports that have been submitted
within the allocated time period are sent off
for the second stage scan
NO
YES
YES
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CESR Stage 1 continued
The applicant maybe contacted to clarify any
problems before their application is sent for
its final check. Is the application ready for
Its final check?
Article 14 application is complete
The Certification Officer edits the first stage
and second stage scan together. Is the
application ready for its final check?
NO
YES
YES
The application is checked by the Certification
Officers Team Leader or Heads of Certification.
Is the application now complete?
YES
The applicant is sent a letter advising them
their application is now complete.
The application is sent to the College and the
three month in which to issue a decision starts
now.
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How your application will be considered

• Each application is considered on its own
  individual merit
• PMETB will consider the totality of a doctors
  career if, for example, they can demonstrate
  breadth and depth of knowledge and skills and we
  are satisfied that your skills and knowledge
  remain up to date.
• Your documentary evidence will be assessed
  against the standards of the CCT in your
  specialty. Please refer to the SSG and curriculum
  for this information.

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Common problems

• Applicants not reading the guidance, help sheet
  and available information on our website
  www.pmetb.org.uk
• -Submitting evidence that is not appropriately
  validated.
• - Including patient details in documentation
  (not anonymised.)
• - Not responding or ignoring the advice given by
  our Certification Officers.

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CESR Application stage 2

• Evaluating the application
• Application is forwarded to the relevant Royal
  College or Faculty for an assessment
• Documentary evidence in application assessed
  against standards of the relevant CCT curriculum
  or a new consultant in NHS for 14(5)
• Submit a recommendation to PMETB

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CESR Application stage 3

• PMETB decision
• PMETBs panel considers the totality of the
  application including the applicants
  documentation, the structured reports from their
  referees the recommendation from the relevant
  Royal College/ Faculty before issuing the final
  decision.
• If necessary, PMETB will take further advice
  from its own nominated specialists.

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CESR Application stage 3

• If your application is successful, PMETB will
  send you a certificate of certificate of
  eligibility for specialist registration (CESR)
  and a letter about entering your name on the GMC
  Specialist Register.

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CESR - Application - stage 3

• If PMETB decides that the evidence you provide
  does not support approval of your application for
  specialist registration, it may require you to
  undertake further training or assessment to meet
  the required standards. Full details about what
  is required is included in the decision letter.
• Although PMETB has to state what additional
  training or assessment you may require to be
  eligible for specialist registration, PMETB is
  not responsible for organising, managing or
  financing that training or assessment.

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CESR Application stage 4

• Should you disagree with the decision of PMETB,
  you may request a review within 3months of
  receiving your decision letter. Details will be
  provided in the letter turning down your
  application.
• You also have a statutory right of appeal
  against decisions of the PMETB, including the
  decision resulting from a request to review your
  application. Such applications must be made
  within 3 months of the date of the decision
  letter or the outcome on the review application.

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Comments and questions?