Certificate of Eligibility for Specialist Registration (CESR)

The Certificate of Eligibility for Specialist Registration (CESR) is one of two routes available for those who wish to gain specialist registration in Community Sexual and Reproductive Healthcare (CSRH), the other being Specialty training. For more information on how to apply, please read the CESR Applicant Guide.

If you are a NEW CESR applicant

The GMC CESR guidance for applicants states that applications are assessed against the curriculum that is in place at the time they apply. Any new CESR application therefore must be in alignment with the 2021 CSRH curriculum and Specialty Specific Guidance (SSG) for Community Sexual and Reproductive Healthcare on the GMC website. The SSG provides a detailed overview of application requirements and evidence required for CESR applications.

If you already have an open CESR application with the GMC

Existing CESR applicants, that is those who have opened an application with the GMC, can choose to submit using the 2017 Curriculum or the new 2021 CSRH Curriculum. Existing applicants choosing to submit on the 2017 Curriculum must submit their final documentation by 31 March 2022.

If you are a CESR applicant using NES ePortfolio

Those CESR applicants using the NES ePortfolio who are hoping to submit to the requirements of the new CSRH curriculum as outlined in the new SSG should use the current workplace-based assessment and other forms on the ePortfolio. You will not be penalised for using the current assessments submitted against the new SSG. This is because:

  • the new workplace-based assessments and other forms are essentially updates of the current ones
  • the new forms will not be available for CSRH trainees until 1 August.


The Curriculum

For a brief introduction to the organising principles of the curriculum, as well as the Capabilities in Practice, terminology and useful links, you should access the documents below.

The Curriculum – an overview of the curriculum and its concepts and terminology with links to the CiP Guides

Definitive Document – the authoritative GMC approved full curriculum and assessment framework

CiP Guides – a guide to each of the Capabilities in Practice can be found in the section below

Knowledge Requirements – everything you need to know for the CSRH and MFSRH

Watch a video about the detail of the new Curriculum by Dr Catherine Schunmann

List of CSRH procedures

There are a number of procedural skills in which a trainee must become proficient to the level expected by the end of training. Trainees must be able to outline the indications for these procedures and recognise the importance of valid informed consent, and of requesting help when appropriate. For all practical procedures the trainee must be able to recognise complications and respond appropriately if they arise, including calling for help from colleagues in other specialties when necessary. Trainees will be able to record their procedures in the updated ePortfolio. Assessment of procedural skills will be made using the OSATS tool.

When a trainee has been signed off as being able to perform a procedure independently, they are not required to have any further assessment (OSATS) of that procedure, unless they or their Educational Supervisor think that this is required (in line with standard professional conduct).
CESR applicants should provide evidence that they can perform all these procedures independently in their GMC submission.

Download the List of CSRH Procedures


This page contains links to Word versions of various non-assessment forms for the benefit of CESR applicants who do not have access to the ePortfolio. Trainees will have automatic access through the ePortfolio. You should click on the link to download the form in Word.

Procedure log General log 

Meeting form Personal Development Plan (PDP)

Workplace-based assessments

Workplace-based assessments
There are a number of workplace-based assessment tools that should be used throughout training to evidence progress.

For a description of each type of assessment, you should see Workplace-based assessments.

To understand what you have to do in order to progress through training, you should see the Matrix of Progression.

To download a form in Word, just click on the relevant button


Summative OSATS Formative OSATS CbD form

Mini-CEX form TO1 form SO1 form 

Reflective Practice form Patient Satisfaction Questionnaire


Knowledge requirements and MFSRH Syllabus

The FSRH has put together a complete list of the knowledge that trainees will be expected to acquire over their training programme. The list is comprehensive, showing what topics will be needed for each Capability in Practice. The list also constitutes the syllabus for the MFSRH Examination. This document is expected to be used by both trainees and examination candidates.

Knowledge Requirements

How to apply

The FSRH has developed the CESR Applicant Guide on how you can apply for CESR. It explains the process and the likely timescales. It should be read in conjunction with the GMC’s information on the CESR application process and the Specialty Specific Guidance.


Specialty Specific Guidance (SSG)

The GMC and FSRH have developed comprehensive guidance for CESR applicants as to how to compile CESR submissions. If you require the SSG for the 2017 Curriculum, please contact the GMC. The SSG for the 2021 Curriculum is available on the GMC website.

CESR ePortfolio access

You can collate your evidence for CESR submission on the FSRH Training ePortfolio. However, please note that although it will help you organise your material, it will not count as your submission. You will still have to complete the full GMC submission process. The cost for the ePortfolio is £79 per year. If you wish to gain access and get more information, please email specialty@fsrh.org

Is there any funding available?

There is up to £5,000 funding per applicant


If you are applying for Equivalence (CESR), there is an opportunity to apply for a grant towards your application. Grants will be awarded up to £5,000 per successful applicant. 

CESR Top-Up-Fund Application and criteria
Please follow this link to apply for the CESR top-up fund or fill in the form below.