Applying for a CESR

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Applying for a CESR

• Daniele Bryden
• Deputy DME, Sheffield Teaching Hospitals NHS Trust

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Statement of Interest

• Member of statutorily independent PMETB appeals
  tribunal panel

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CESR Application Process

• CESR process overview
• Building a portfolio- common pitfalls and reasons
  for failure
• Providing evidence for referees and the PMETB
• Applying for CESR (CP) is not (quite) the same

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Who should apply for a CESR

• Anyone who can demonstrate same levels of skill
  and knowledge as CCT holders.
• In effect
• training outside UK, not prospectively approved
  by PMETB
• some forms of movement between SAS and training
  post
• EU graduate/national turned down by GMC

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How to Apply

• Downloads form from PMETB website and reads full
  guidance
• on
• Form completion
• Specialist specific guidance
• Suggested documentary evidence

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What happens next

• PMETB checks application
• Requests structured reports
• Complete application goes to Royal College

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Where the decision is made

• Royal College evaluation submitted to PMETB
• PMETB makes decision
• Rejected applicants given reason(s), periods of
  additional training needed and area(s), test(s)
  of knowledge and competence required plus how to
  seek review or make an appeal to the independent
  panel (Article 14)
• 3 year time limit

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What the decision should include

• Distinguish between lack of documentary evidence
  (cant tell) or perceived gaps in training
• Clear indication of competencies to be assessed
• Details of top up training

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Whats in the small print

• Estimated to take 18 months to collate
  information
• PMETB will almost always request more
  information/clarification
• Clock starts only on letter of confirmation
• Shortage of Royal College Evaluators
• Send certified copies and translations of
  originals- everything kept 12mths, if you request
  return application ceases!

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CESR Applications
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Assessment Criteria

• Validated documentary evidence
• Breadth and depth of experience equivalent to CCT
  standards for the relevant specialty or for
  appointment as a consultant in the NHS

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(No Transcript)
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Types of Supporting Evidence

• Logbooks for training periods recent experience
  to show coverage of the UK syllabus, numbers,
  supervision etc.
• Special skills modules
• Appraisals clinical governance data
• Audit and teaching records

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Workplace Based Assessments

• Foundation assessment tools good start
• Joint clinics
• MDT meetings
• MSF
• Performance reviews
• Levels of competence

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Structured Reports

• Important ? timely
• 5 structured for fairer view, past 5 years
• Medical Director, 2 from relevant specialty
• Brief referees fully eg. significance of
  negatives
• Current and recent show what they are doing now

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Exams Knowledge Tests

• Applicants must provide evidence of up to date
  and clinically relevant factual knowledge. The
  evidence required will normally include
  successful completion of a test of knowledge
• FRCS is a source of dispute

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What Happens Next

• Seek review, submit more information- 3 month
  deadline
• or
• Resubmit application within 3 years
• Request an appeal through the Office of the
  Director of Appeals (3 month deadline)

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What Happens Next

• September 05- March 09
• 300/1641 reviews 18.3
• 36 Completed Appeals
• 9 no decision within 3 months
• 27 Article 14
• Further 16 ongoing

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The Bottom Line...

• CCT 805
• CESR 1905
• CESR (CP) 1,100 refund
• CESR review 645
• Written Appeal 1,500
• Oral Appeal 2, 250

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Oral Hearings

• Expensive, 2 days
• 4 members, 2 medical
• Informal
• Legal representation optional
• Written decision within 30 days

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Conclusion

• PMETB issues clear guidance
• Tutors can support CESR applicants in collation
  and presentation of information
• Tutors can advise others in the trust who are
  providing evidence
• Assist with collating further evidence or
  obtaining further training
• Local networks with experience of making
  applications

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Thanks to..

• Chris Lilley, PMETB Appeals Office
• Professor Dame Lesley Southgate