Application Dividers for CESR/CEGPR Applications

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1 Application Dividers for CESR/CEGPR Applications Please use these application dividers to order your evidence in support of your CESR/CEGPR application. The application sections in this divider pack mirror the sections in the online application form and the specialty specific guidance (SSG). Please print this document and sort your evidence into the relevant sections. Please ensure you read the SSG for the specialty that you are applying in. Note: You are not necessarily expected to provide evidence under every section; the SSG will provide you with further information about the type of evidence to submit.

2 Curriculum Vitae

3 Registration Information

4 Primary medical qualification

5 Specialist medical qualification(s)

6 Curriculum or syllabus (if undertaken outside the UK)

7 Specialist registration outside the UK

8 Honours and prizes

9 Other relevant qualifications and certificates

10 Assessments and appraisals

11 RITAs, ARCPs and training assessments

12 360 and multi-source feedback

13 Awards and discretionary points letters

14 Personal development plans (PDP)

15 Participation in assessment, appraisal and appointment process

16 Logbooks

17 Consolidation, cumulative data sheets, summary lists and annual caseload statistics

18 Medical reports

19 Case histories

20 Referral letters discussing patient handling

21 Patient lists

22 Departmental (or trust) workload statistics and annual caseload statistics

23 Rotas, timetables and job plans

24 Courses relevant to the curriculum

25 Portfolio (electronic or revalidation)

26 Employment letters and contracts of employment

27 Job descriptions

28 Job plans

29 Research papers, grants, patent designs

30 Publications within specialty field

31 Presentations, poster presentations

32 CPD record certificates and certificates of attendance

33 CPD registration points from UK medical royal colleges (or equivalent body overseas)

34 Membership of professional bodies and organisations

35 Teaching timetables

36 Lectures

37 Feedback or evaluation forms from those taught

38 Letters from colleagues

39 Attendance at teaching or appraisal courses

40 Participation in assessment, appraisal and appointment process

41 Audits undertaken by applicant

42 Reflective diaries

43 Service improvement and clinical governance meetings

44 Health and safety

45 Communication with colleagues

46 Communication with patients

47 Working in multidisciplinary teams

48 Management and leadership experience

49 Chairing meetings and leading projects

50 Honesty and integrity

51 Equality and human rights

52 Data protection

53 Testimonials and letters from colleagues

54 Thank you letters, cards from colleagues and patients

55 Complaints and responses to complaints

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