Frequently Asked Questions
Common questions about CESR portfolio preparation, the GMC Portfolio Pathway, and how MedNext CESR helps you organise your evidence.
About CESR and the Portfolio Pathway
What is CESR?
CESR stands for Certificate of Eligibility for Specialist Registration. It was the former name for the process by which doctors who have not completed a UK CCT can demonstrate equivalence and gain specialist registration with the GMC. The process is now officially called the Portfolio Pathway.
What is the Portfolio Pathway?
The Portfolio Pathway is the GMC's current route to specialist registration for doctors without a UK CCT. Applicants submit a portfolio of evidence against the Specialty Specific Guidance (SSG) for their chosen specialty.
What is Specialty Specific Guidance (SSG)?
SSG documents are published by the GMC for each specialty. They define the competency framework, evidence requirements, and standards that Portfolio Pathway applicants must meet.
How is CESR different from CCT?
CCT is awarded after completing an approved UK specialty training programme. The Portfolio Pathway (formerly CESR) allows doctors to demonstrate equivalent competence through a portfolio of evidence without completing the formal UK training programme.
How long does a CESR application take?
It varies significantly. Most applicants spend 6 to 18 months compiling their portfolio, though the evidence itself may span 5 to 10 years of clinical practice depending on the specialty's currency window.
Using MedNext CESR
What does MedNext CESR do?
MedNext CESR organises your CESR portfolio evidence against the GMC Specialty Specific Guidance for your specialty. It maps your uploads to framework units and evidence sections, tracks readiness, identifies gaps, and generates domain-ready submission PDFs.
How many specialties are supported?
67 specialties, covering surgical, medical, psychiatric, pathology, GP, emergency medicine, paediatrics, and other disciplines.
Can I use MedNext CESR for any specialty?
If the GMC publishes SSG for your specialty and it is in our 67-specialty dataset, yes. Browse the specialties page to check availability.
What file types can I upload?
PDFs, DOCX files, images (JPEG, PNG), and other common document formats.
How does evidence mapping work?
After uploading a document, you assign it to the relevant framework unit or evidence section. You can map a single piece of evidence to multiple sections if it demonstrates competence across areas.
Evidence and Requirements
What evidence do I need?
Each specialty's SSG defines specific evidence sections. Common categories include training records, workplace-based assessments, clinical governance, audit, research, teaching, and professional development.
What is the currency window?
The currency window defines how recent your evidence must be. It varies by specialty — typically 5 to 10 years of clinical practice.
How many pages is a typical CESR portfolio?
It depends on the specialty. Surgical specialties often require 800 to 1,000+ pages. Medical specialties may require fewer. The SSG for your specialty specifies the expected volume.
What are critical conditions?
Some specialties (particularly surgical) require evidence of managing specific critical conditions at a defined competence level. These are listed in the specialty's SSG.
What are index procedures?
Surgical specialties may require procedural-based assessments (PBAs) for specific index procedures, with minimum assessor and competence level requirements.
Pricing and Access
How much does MedNext CESR cost?
£50 per month. Specialty guides are free to browse. The workspace — evidence upload, readiness tracking, and PDF export — requires a subscription.
Can I cancel?
Yes, cancel anytime. Monthly billing, no lock-in.
What is included for free?
All 67 specialty pages with framework units, evidence sections, currency information, critical conditions, index procedures, and source document references.
Privacy and Security
Is my data secure?
Evidence is stored in private cloud storage with AES-256 encryption at rest, TLS 1.3 in transit, and authentication-gated access controls. Only you and authorised administrators can access your files.
Can I delete my data?
Yes, you can request deletion of your account and all associated evidence files at any time.
Still Have Questions?
Browse our specialty guides to see the framework and evidence requirements for your specialty.
