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Certificate of Eligibility for Specialist Registration through the Combined Programme – CESR(CP)

The CESR(CP) is the application route to specialist registration for doctors who were appointed to the specialty training programme above ST1, and will not meet the requirement of 4 years duration in GMC-approved training on completion.

Doctors on the CESR(CP) route count a combination of approved training and previous experience in non-approved posts towards their training time.


Who’s eligible to apply for a CESR(CP)?

Trainees who entered the specialty training programme above ST1 who, on completion of training, will not meet the requirement of four years in approved training, and will be counting unapproved posts towards their training time. 

The RCOG recommends that the highest grade of entry into the CESR (CP) route is ST5. This ensures that trainees following the CESR(CP) route will complete their training in a GMC-approved programme.

Please see the CESR(CP) FAQs page and registration form for ST3+ entry (Word document). The registration form should be completed following your first ARCP.


How do I apply for a CESR(CP)?

When you have completed your training and have been issued with an Outcome 6, please complete the CCT / CESR(CP) notification form (Word document) and email to with the following documents: 

  • Copies of any ARCPs that are not on your ePortfolio
  • ARCPS/evidence of successful progression for any LAT/FTTA/SHO posts counting towards your training 

You will also need to complete an online GMC form. The link to this form will be emailed to you by the GMC. If you have not received this please let us know.

We aim to make a recommendation within 10 days of receiving your documents.

The GMC has set a 12-month deadline for applying for your CCT/CP, and failure to do so may result in you having to apply for specialist registration via the CESR route. It is the responsibility of the applicant to ensure that the CCT/CP process is completed within the timeframe.

To ensure that we make the recommendation to the GMC on time, we would advise that you submit your paperwork to the College at least 4 weeks prior to the deadline to allow for the administration process.

GMC: Guide to a certificate of completion of training – When should I apply?


How should I manage trainees on the CESR(CP) route?

Please read the RCOG’s advice for Heads of Schools on how to manage trainees on the CESR(CP) route.


Find out more

CESR(CP): Advice for Heads of Schools

For additional information, please read the RCOG’s FAQs about the CESR(CP) or visit the GMC website.

If you have any queries, please email


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