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CESR ± (Article 14) Does it apply to me?

SAS Presentation CESR - RCPsych 26 Jan 07

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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 thisroute 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 14If 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 14If 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 ³a 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 yourCESR 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 youshould 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 GMC¶s ³Good Medical

Practice´ and are called ³Criteria for Entry to the

Specialist Register´.

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CESR - What Information do I need?

All this information is available on PMETB¶s website

www.pmetb.org.uk.

I t is your responsibility to check regularly on PMETB¶s

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 orsuperintendent if overseas. PMETB will require

responses from at least 5 of these to proceed.

strongly advise you seek their consent prior tonominating 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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The Certification Officer Processes the application

and completes theArticle 14 checklist.

Is the applicationcomplete at the first

stage?

The applicant is sent an Incompletestatus reminder letter requesting

further amendments and or additional evidence.

Has this evidence been returnedWithin the allocated time period?

The applicant is sentan Incomplete status

letter and checklistrequesting

amendments andadditional evidence.

Has the checklist andevidence been

returned?

If the checklist is complete theApplication and evidence is sent

off for the first stage scan. Thereferee structured reports are

then sent out to the applicantssix referees. Have all the

structured reports been

returned?

All structured reports that havebeen submitted within the

allocated time period are sentoff for the second stage scan

NO NO

 YES

 YES

 YES

NO YES

The referees are sent two

reminders letters tocomplete the refereestructured reports.

Have all outstanding

reports been returned?

The applicant is notified of any

outstanding referee reportson the second final reminder letter. Have all outstanding

structured reports beenreturned?

NO NO

 YES

NO YES

CESR ± Stage 1

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CESR ± Stage 1 continued

The Certification Officer edits the first stage and

second stage scantogether. Is the

application ready for itsfinal check?

The applicant maybe contactedto 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 application is checked bythe Certification Officer¶s Team

Leader or Heads of Certification.Is the application now

complete?

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 toissue a decision starts now.

 YES

 YES

 YES

NO

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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 3PMETB decision

PMETB¶s 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 ³certificate 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 providedoes not support approval of your application forspecialist registration, it may require you to

undertake further training or assessment to meetthe required standards. Full details about what isrequired is included in the decision letter.

Although PMETB has to state what additionaltraining or assessment you may require to beeligible for specialist registration, PMETB is notresponsible for organising, managing or financingthat training or assessment.

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CESR ± Application ± stage 4

Should you disagree with the decision of PMETB, youmay request a review within 3months of receiving your

decision letter. Details will be provided in the letterturning down your application.

You also have a statutory right of appeal againstdecisions of the PMETB, including the decision resulting

from a request to review your application. Suchapplications must be made within 3 months of the dateof the decision letter or the outcome on the reviewapplication.

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