FAQs for CEGPR applications

These FAQs are primarily for standard CEGPR applicants. If you require the Specialty Specific Guidance (SSG) for any of the streamlined processes, please contact the GMC Specialist Applications Team on:

Tel.: 0161 923 6602
Tel: +44 161 923 6602 from outside the UK
Email: equivalence@gmc-uk.org

Application process

1) What is the RCGP's role in my CEGPR application?

A CEGPR application is made to the GMC online. The GMC checks and prepares your evidence before passing it to the RCGP for evaluation. The RCGP has a panel of experienced clinicians who will evaluate your evidence. The panel makes a recommendation on whether an application should be approved or declined. As the regulator, the GMC makes the final decision on the application.

2) How long does it take to gather the evidence needed for a CEGPR application?

This depends on the type of CEGPR application you are making. It can take up to six months to gather the evidence needed for a standard CEGPR application. If you are making an application via the streamlined process your evidence will be significantly reduced.

3) Can you provide an initial assessment of the evidence I have gathered and give an indication of whether I would be successful in a CEGPR application?

Your evidence will be considered by a panel. We are therefore unable to provide an assessment or indication of whether the evidence you intend to submit will be sufficient for a successful application. Furthermore, the GMC, as the regulator, makes the final decision on your application.

We are happy to answer questions and advise on any aspect of the evidence suggested in the Specialty Specific Guidance. You may have alternative evidence which you would like to discuss with an Adviser. Our email is gpsa@rcgp.org.uk.

4) What happens if I am successful?

If the GMC approves your application for a CEGPR, your name will be entered onto the GP Register. Apart from being on the GP Register, you need to be on the Performers List to practise independently in the NHS. To be included on the Performers List you must join and complete the Induction and Refresher Scheme.

Please contact the GP National Recruitment Office for more information on the scheme. Once you have completed the scheme, you will be approved for full inclusion on to the Performers List and entry to general practice as an independent practitioner.

5) What happens if I am unsuccessful?

You could consider making a review application based on the recommendations provided. You will also have the right to appeal the GMC's decision. Please refer to the GMC website for more advice.

My training and qualifications

6) I achieved my general practice or family medicine qualification more than ten years ago. How does this affect my CEGPR application?

We consider evidence from the last five years to be more relevant than older experience and therefore this is given greater weighting when we evaluate your application. Where possible, you should still provide details of your training. This could be a copy of the curriculum and the required assessments, including the content of examinations, current at the time of your training.

If you are unable to provide details of your training, we suggest you provide a letter from your training provider describing the programme's content and structure.
See also Q15) and Q16).

7) I have passed the MRCGP[INT] examination. Will this be helpful to my CEGPR application?

As the MRCGP[INT] accredited qualifications are in general practice, you will be eligible to apply for a CEGPR. However, we strongly suggest that you read the GP curriculum and Specialty Specific Guidance (SSG) carefully. The curriculum on which an MRCGP[INT] accredited qualification is based is unique to the country it was developed for, and is therefore different from the MRCGP curriculum in the UK. You will still need to demonstrate that you have achieved the UK curriculum standard and the 13 capabilities outlined in it.

8) I was a trainee in the CCT training programme. I was released from the programme as I failed some of the assessments. Can I apply for a CEGPR?

The CEGPR route is not designed for doctors who have not been successful in the CCT programme.

The CEGPR route is designed primarily for doctors who have trained and worked as a general practitioner outside the UK who can show that their training, qualifications and experience in general practice (including examinations and assessments they have passed) are equivalent to the standard of the CCT. If your evidence does not include a pass in a formal examination or qualification taken at the end of a general practice training programme, it is very unlikely that your application for a CEGPR will be approved. To date, there have been no successful applicants for a CEGPR who did not achieve a pass in their final assessments in the CCT programme.


9) What is my application assessed against

A CEGPR application is assessed against the current GP curriculum. You will need to present evidence of competence across all 13 specific capabilities for general practice.

10) Do I have to submit 800 pages of evidence?

We usually expect to see around 500 to 800 pages of good quality evidence. This is just a guide. We advise against providing a large bundle (>800 pages) as it may distract the evaluators from important details you want to highlight. If you are applying via one of the streamlined processes, your evidence is likely to be reduced. You should think about how the evidence you want to include in your application helps to demonstrate the required capabilities.

11) Do I have to provide all the evidence listed in the Specialty Specific Guidance (SSG)?

We do not expect applicants to provide all the evidence listed in the SSG. We advise you to read the SSG and GP curriculum carefully and try to provide a variety of evidence for each capability. The evidence suggested in the SSG is not exhaustive. You may have alternative evidence and we are happy to help if you are unsure about any part of your evidence or what to include. Where possible, you should present evidence of your personal participation in an activity and your personal reflection on it.

12) How do I verify my evidence for a CEGPR application?

Guidance on how you should verify the evidence for your CEGPR application can be found on the GMC website.

Any questions you may have regarding this should be directed to the GMC. Please call 0161 923 6602 or email equivalence@gmc-uk.org.

13) I have not been in clinical practice in the last five years. What evidence should I present?

If you have not been in clinical practice for the years immediately preceding your CEGPR application, you may find it difficult to provide evidence to demonstrate the required currency of capabilities across the curriculum areas. The evaluators expect to see evidence that your knowledge, skills and capabilities are being maintained.

You might want to consider going back into clinical general practice for a period of time to gather enough evidence for your CEGPR application.

14) I have been working as a doctor but not as a general practitioner or family physician in the years preceding my CEGPR application. How will this affect my application?

We expect to see evidence of your work as a general practitioner. As evidence from the last five years is given more weighting and it is important that you demonstrate current competence, you should consider carefully if the evidence you are providing meets the UK CCT standard. If you have been on maternity leave or sick leave, you should also provide evidence that you have kept up to date with general practice. Alternatively, you could return to your previous practice for a period of time to gather enough evidence for a CEGPR application.

Note: If you are already in the UK, you will not be able to work as a GP in the NHS without a CCT or a CEGPR.

15) I have been working as a GP for many years. I completed my GP training more than five years ago. What kind of evidence should I provide?

We usually consider evidence from the five years preceding your application to be more relevant than older experience. However, even if you completed your training many years ago, we advise you to submit a copy of the curriculum and a letter from your training provider to explain the assessments within your training programme, including the format and content of any examinations. If a formal curriculum is not available, you should obtain a letter from the awarding body outlining the content of the training programme or examination. You should also provide evidence of formal periodic assessment during your training.

If you are applying for a CEGPR via one of the streamlined processes, you will not have to provide evidence of your curriculum or details of your assessments in training.

16) I completed my GP training more than five years ago and I do not have evidence of the assessments I completed during my training. How will this affect my application?

If you don't have evidence of formal periodic assessment, you should provide a letter from the training provider confirming the requirements of your training, how you were assessed, and details of the training provided.

17) Can I rely mainly on testimonials from colleagues as evidence that I have met the required standard?

No, you will not be able to rely on testimonials from colleagues; primary evidence which shows your personal participation in an activity and where you have included your personal reflection on it will carry most weight. Testimonials from colleagues can be used to support and corroborate your direct participation in an activity. The SSG provides details of the evidence which we consider helpful.

18) My training did not include assessments or examinations comparable to the current MRCGP examination. Will this matter?

The evaluators must decide whether your training, qualifications and experience are equivalent to the standard of the CCT. We do not expect the training programme or assessments you have undertaken to be identical to the ones in the UK. However, we do expect applicants to demonstrate an equivalent body of knowledge and skills to the Workplace Based Assessment (WPBA), Applied Knowledge Test (AKT) and Clinical Skills Assessment (CSA)

19) I am unable to provide any appraisal records as this is not a requirement in my current country of practice. What can I do?

We are aware that annual appraisals may not be a requirement in some countries. However, it is possible to provide elements of an appraisal even in the absence of a formal appraisal process.

The GMC website describes the various components which make up an appraisal portfolio in the UK. These include:

  • Continuing professional development
  • Quality improvement activity
  • Significant event analyses
  • Patient feedback
  • Colleague feedback
  • Compliments and complaints

The submission of these will provide strong evidence that you are likely to engage well with appraisal and performance review in the UK.

20) I am not currently in the UK. How can I demonstrate my understanding of NHS general practice?

There are numerous e-learning courses and reading material available online. For example, e-Lfh, BMJ Learning, and RCGP Learning. Some applicants choose to take the RCGP's GP Self-test. The GMC has a self-assessment tool. You may want to look at NICE guidelines and discuss some of the differences between your current practice and what is expected in the UK. This could also be helpful when you reflect on your case studies. You should include reflections on your learning. Many successful applicants have researched the context of NHS general practice, considered the differences and similarities with their own healthcare setting, and tailored their learning to preparing for work as a GP in the UK. Online courses and reading could help you identify gaps in your knowledge and present an opportunity to do more learning or could form part of your learning goals in your Personal Development Plan (PDP).

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