Many doctors gain access to the GP and specialist registers through completion of a GMC approved specialist or GP training programme. Doctors who have not done this training can apply to have their eligibility assessed through the 'equivalence' or CESR/CEGPR route to registration.
The current application process relies almost exclusively on documentary evidence. The 2010 Patel review noted concerns about the current process and the GMC's proposals have been developed in light of these concerns.
The new model for evaluating applications comprises four elements:
i. a period of acclimatisation to UK health services through recent UK medical practice (for doctors not already working in the UK)
ii. demonstration of specialist knowledge
iii. workplace evaluation of performance in practice in the UK
iv. documentary evidence of experience
NHS Employers has submitted a response to the consultation. We are supportive of improving the process for CESR to make it a truly equitable route to the registers, although we have concerns about the burden it will place on the service and should ensure that it does have real equivalence to the managed training programme route.
For full details of the review see the GMC website.