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This page provides answers to frequently asked questions about the CESR.

Is a CESR equivalent to a CCT?

The CESR is equivalent to the CCT and certifies that the recipient is eligible to apply for Consultant posts in the UK. Applicants for a CESR are assessed against the standards required for the award of the CCT in O&G.

How do I apply?

Please see the main CESR page for details of how to apply.

What’s the most frequently omitted piece of evidence?

The five most common reasons for applicant failure are as follows:

  • Lack of evidence for skills/experience in gynaecology (acute gynaecological emergencies such as ruptured ectopic pregnancy, twisted ovarian cysts, pelvic abscess, acute abdomen; gynaecological procedures such as hysterectomies (abdominal and vaginal), vaginal repairs, diagnostic and operative laparoscopies and hysteroscopies)
  • Lack of evidence of an understanding in an area covered by a compulsory course (rape/forensic gynaecology)
  • Lack of evidence of an understanding of equality and diversity issues (course certificate required)
  • Lack of evidence of an understanding in areas covered by compulsory courses (The problems of puberty and Paediatric gynaecological problems)
  • Lack of completion of one or two Advanced Training Skills Modules (ATSMs) or equivalent

Who should I ask to be my referees?

You need to provide the details of six people who have agreed to act as your referees, who can attest that you possess the full range, depth and breadth of competencies in the curriculum document. One of your referees must be your current Clinical or Medical Director.

For further information, please see the GMC’s guidance on selecting referees.

Who will assess my application?

You will need to submit your application to the GMC. The RCOG’s Equivalence of Training Committee assesses applications on behalf of the GMC. Members of the Group are trained Fellows and Members of the RCOG who will determine whether your training, qualifications and experience are equivalent to the requirements of a CCT. If they are found to be equivalent, you will be recommended for entry on to the Specialist register.

The GMC has the final say on who enters the Specialist register and may overturn the RCOG’s decision, but this is rare.

May I approach members of the Equivalence of Training Committee about my application?

Canvassing on behalf of applicants through any source is not permitted. It is therefore inappropriate to approach members of the Group about your application. If a Group member has a personal or professional relationship with you, they will be excluded from assessing your application.

How long does the process take once I have submitted my application?

The GMC first needs to ensure all application documentation has been received, including structured reports from referees, before sending the completed application to the RCOG. This part of the process can be lengthy, as the GMC may need to ask you for further information.

To help the process advance as quickly as possible, please read all the guidance carefully before submitting your application to ensure you provide all the documentation required, and respond promptly to requests for further information from the GMC.

Once the GMC is satisfied with the evidence obtained and has sent the application to the RCOG, it will take approximately two to three months before and you are informed of the outcome of the assessment.

How can I get an update on the progress of my application?

Only the GMC can update you on the progress of your application. Please contact the GMC Certification Officer with whom you have been corresponding for further information.

If my application is unsuccessful, what are my options?

You would be able to submit a review application within twelve months of receiving the decision letter regarding the outcome of your application. This would involve submitting the evidence that you did not submit in the first application. Alternatively, under specific circumstances, you would be able to appeal against the decision.

For more information about reviews and appeals, please visit the GMC website.

Can I apply for a CESR in a non-CCT specialty?

If you wish to apply for a CESR in a non-CCT specialty (e.g. gynaecological oncology, maternal and fetal medicine, reproductive medicine, sexual and reproductive health care or urogynaecology), please contact the GMC directly.

I don’t have full GMC registration. Can I apply for specialist registration?

Yes, you would be able to apply for the CESR and have your application assessed, but you would not be awarded the CESR until you had obtained full GMC registration.

Is my CESR transferrable to other EU states?

No. Unlike the CCT, other EU states are not obliged to recognise the CESR.

Find out more

If this page doesn’t answer your question, or you need more information, please email the Policy Coordinator (Equivalence and Curriculum) or call +44 20 7772 6451.

Elsewhere on the site

The full specialty training curriculum in O&G: core curriculum, ultrasound, ATSMs, subspecialty, academic
Specialty training programme
An overview of the specialty training programme in obstetrics and gynaecology