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CESR - Specific guidance for Clinical Radiology

  • April 19, 2022

To be awarded a CESR, you must demonstrate that your specialist training, qualifications and experience are equivalent to a doctor who has successfully completed training according to the CCT curriculum for Clinical radiology. The curriculum is structured around 12 learning outcomes called “Capabilities in Practice” (CiPs).

How much evidence to submit

 As a general guide, most applications contain around 800-1000 pages of evidence. . This guidance on documents to supply is not exhaustive and you may have alternative evidence. You do not necessarily have to supply every type of evidence listed, but you must submit sufficient evidence to address each of the required learning outcomes and the associated descriptors. If you do not have all the evidence listed here, we recommend that you delay submitting an application until you are able to gather it.

Types of evidence

Evidence of training and qualifications:

  • Primary medical qualification (PMQ)
  • Specialist medical qualification(s) The FRCR is the required test of knowledge for the CCT; applicants who do not have the FRCR must demonstrate an equivalent test of knowledge and therefore should submit evidence relating to all specialist qualifications held.
  • Recent specialist training

Evidence of employment in posts and duties (including training posts):

  • CV
  • Employment letters
  • Job descriptions

Demonstrate the professional values and behaviours expected of all doctors as outlined in Good medical practice:

  • Multisource feedback*
  • Patient feedback*
  • Appraisal*
  • Complaints and significant incidents*
  • Courses and CPD activity relevant to this CiP
  • Multidisciplinary team (MDT) meeting activity
  • Participation in other meetings involving direct patient care (minutes etc.)
  • Participation in developing guidelines, standard operating procedures etc. (the guideline, SOP and pathway to its design or review)

Successfully function within the health service and healthcare systems in the UK:

  • Complaints and significant incidents*
  • Courses and CPD activity relevant to this CiP (such as equality and diversity training)*
  • Clinical governance activity*
  • Reflective activity*
  • Safety and quality activity*
  • Audit and quality improvement projects
  • Multisource Feedback
  • Appraisal
  • Management and leadership activity

Engage in reflection, clinical governance and quality improvement processes to ensure good practice:

  • Audit and quality improvement projects
  • Safety and quality activity
  • Complaints and significant incidents
  • Clinical governance activity
  • Reflective activity
  • Courses and CPD activity (such as what you submit in relation to other CiPs)

Engage in evidence-based practice and safeguard data, including imaging data:

  • Research activity
  • Reflective activity
  • Courses and CPD activity relevant to this CiP* (such as in safeguarding, relevant IT and data protection/information governance training, duty of candour)
  • Patient consent forms
  • Good Clinical Practice (GCP) certification and/or other research/ethics courses or qualifications
  • Notes from journal clubs
  • Relevant meeting participation (ethics meetings etc.)

Act as a clinical teacher and supervisor:

  • Teaching activity
  • Courses and CPD activity relevant to this CiP* (such as information governance/data protection, teaching or assessor courses or qualifications) • Evidence of assessments on others (WpBAs etc.)
  • Workplace-based Assessments (WpBAs) relevant to this CiP
  • Multisource Feedback
  • Appraisal

Work well within a variety of different teams, communicating effectively with colleagues and demonstrating the skills required to lead a team:

  • Multidisciplinary team (MDT) meeting activity
  • Management and leadership activity
  • Clinical correspondence
  • Multisource Feedback
  • Appraisal
  • Reflective activity
  • Courses and CPD activity relevant to this CiP (such as communication skills courses or management qualifications)
  • Evidence of assessments on others (WpBAs etc.)

Appropriately select and tailor imaging to patient context and the clinical questions(s):

  • Radiology reports
  • Clinical correspondence (including evidence of justification or protocolling imaging examinations)
  • Courses and CPD activity relevant to this CiP
  • Workload statistics
  • Multisource feedback
  • Patient feedback
  • Appraisal

Provide timely, accurate and clinically useful reports on imaging studies:

  • Radiology reports
  • Clinical correspondence
  • Reflective activity
  • Multisource feedback
  • Patient feedback
  • Appraisal

Appropriately manage imaging examination lists/procedures according to clinical need and professional expertise:

  • Radiology reports* including those relating to relevant procedures
  • Clinical correspondence
  • Patient consent forms
  • Courses and CPD activity relevant to this CiP* such as safetyrelated training known in the UK as mandatory training
  • Safety and quality activity
  • Multisource feedback
  • Patient feedback
  • Appraisal

Evaluate image quality and utilise the knowledge of imaging sciences to optimise image quality:

  • Radiology reports
  • Clinical correspondence* (including those relevant to technical recalls, improving image quality, incident reports etc.)
  • Reflective activity
  • Relevant meeting participation (clinical governance activity)
  • Courses and CPD activity relevant to this CiP (such as training in radiation protection, IRMER modules etc.)

Safely manage the imaging and image-guided intervention needed to support emergency care:

  • Radiology reports* in the emergency/on-call setting and review of emergency reports
  • Clinical correspondence relevant to this CiP* (for example, arranging an interventional radiology procedure in practice, communicating critical or emergent findings)
  • On-call rotas/weekly activity rotas* • Courses and CPD activity relevant to this CiP
  • Workplace based Assessments (WpBAs)
  • Participation in morbidity and mortality meetings

Effectively contribute a clinical/imaging opinion to a multidisciplinary (MDT) meeting:

  • Multidisciplinary team meeting (MDT) activity
  • Radiology reports
  • Clinical correspondence
  • Multisource feedback
  • Workplace based assessments and/or trainer's reports describing clinical capabilities in multidisciplinary cases

Submitting your evidence

It is important that you anonymise your evidence before you submit it to us. You must remove:

• All patient identifying details

• Details of patients’ relatives

• Details of colleagues that you have assessed, written a reference for, or who have been involved in a complaint you have submitted.

This includes:

• Names (first and last)

• Addresses

• Contact details such as phone numbers or email addresses

• NHS numbers

• Other individual patient numbers

• GMC numbers

The following details don’t need to be anonymised:

• Gender

• Date of birth It is your responsibility to make sure that your evidence has been anonymised. Evidence which has not been anonymised will be returned to you. More information can be found on their website.

- Testimonials and letters from colleagues

- Thank you letters, cards from colleagues and patients

-Complaints and responses to complaints

Our top tips for a smooth CESR application process

  1. Understand the time and effort that is required to make a successful application. You are asked to provide evidence that you have fulfilled all the learning outcomes defined in the curriculum. Doctors who have gone through the formal training programme will normally have taken around eight years to gain these outcomes, so it is not something you can gather overnight.
  2. Recognise that you will need others to support you in the application process. Think about who can help, explain to them what help you need and ask if they can support you
  3. CESR places most emphasis on evidence gathered in the last five years. If you are providing evidence from before this time, think about what you can do now to show that you still have these capabilities. For example, if you still have contacts in that unit you could ask if they would be prepared for you to go back and have some workplace-based assessments in that area. The Trust would probably want you to have an honorary contract for this.
  4. Choose the referees for your structured reports carefully. The GMC provides guidance on who should give structured reports, but you should also think about who values you enough to put in the time and effort to ensure that their report provides the information you need.
  5. Make sure you understand which evidence needs to be verified and that you follow the correct verification procedure, to ensure that all your evidence is accepted and does not need to be resubmitted. If in doubt, the GMC can advise on what needs to be verified and what types of verification can be accepted
  6. Take care to arrange your evidence following the order it is set out in this guidance, so it is easier for assessors to find the evidence they need for each of the sections.
  7. Finally: keep going and don’t lose heart! There will probably be a point in the middle where the task feels huge. When this happens, allow yourself a couple of weeks off CESR then look at it afresh.

How we can help

Many of the positions we have in Radiology subspecialities are able to support you with your CESR application. If you would like to speak to our team about these opportunities do send your CV to [email protected].

Are you a member of our Facebook group? When you join IMG Advisor, you join a community of doctors all looking to relocate to the UK and join the NHS. We post a series of blogs and vlogs to the group each day. We will also be on hand to answer all of your relocation queries.

Subscribe to our YouTube channel! We have over 60 videos covering everything you need to know about relocating to the UK and joining the NHS.

Listen to BDI Resourcing on the go with IMG Advisor the Podcast! You can listen to us on Apple Podcasts, Spotify, Stitcher and Buzzsprout. We have a number of episodes with tips and advice on relocating to the UK and the routes you can take to achieve this.

Finally, we also have Instagram, so if you are a member, feel free to follow us to view our posts and IGTV: @bdiresourcing


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