
Portfolio Pathway (formerly CESR) Acute Internal Medicine
The Portfolio Pathway (previously known as CESR - Certificate of Eligibility for Specialist Registration) provides an alternative route for doctors aiming to achieve specialist registration in Acute Internal Medicine (AIM) without following the traditional UK training route. For international medical graduates and those who have trained outside the UK system, the Portfolio Pathway offers a structured, achievable method to have their experience and competencies formally recognised.
At CESR Portfolio, we are the leading experts in guiding candidates through every step of the Portfolio Pathway journey.
What is the Portfolio Pathway?
The Portfolio Pathway is a process that allows doctors who have not completed a UK GMC-approved training programme to demonstrate that their knowledge, skills, and experience are equivalent to those of a CCT (Certificate of Completion of Training) holder. In Acute Internal Medicine, it is essential to show a comprehensive scope of practice, including acute care skills, leadership, and service development.
Key Features:
Feature |
Details |
Eligibility |
Doctors who have not completed UK-approved training programmes. |
Outcome |
Specialist registration with the GMC in Acute Internal Medicine. |
Evidence Required |
Portfolio demonstrating competencies matching the Acute Internal Medicine curriculum. |
Duration |
Highly variable; depends on the individual’s experience and how quickly evidence is gathered. |
The Acute Internal Medicine Curriculum
Your portfolio must demonstrate equivalence to the Acute Internal Medicine 2022 Curriculum. The GMC expects that applicants show evidence across all curriculum domains, including:
Curriculum Area |
Requirements |
Clinical Skills |
Acute care, differential diagnosis, treatment plans. |
Procedures |
Core AIM procedures like central line insertion, non-invasive ventilation management, and chest drains. |
Leadership & Management |
Evidence of service development, audits, and leadership roles. |
Teaching & Training |
Formal teaching sessions delivered, involvement in supervision. |
Research & Scholarship |
Participation in audits, quality improvement projects, publications (if available). |
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benefits of obtaining the Portfolio Pathway
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Building Your Portfolio: Step-by-Step Guidance
Preparing for the Portfolio Pathway is intensive. It requires careful planning, evidence collection, and organisation.
1. Curriculum Mapping
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Map your existing skills and experiences against the Acute Internal Medicine curriculum.
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Identify gaps and plan ways to fill them (courses, placements, additional roles).
2. Evidence Collection
Gather evidence across all aspects:
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Clinical logbooks
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Workplace-based assessments (CBDs, mini-CEX, DOPS)
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Supervisor reports
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Audit and quality improvement project reports
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Certificates of courses (e.g., ALS, leadership courses)
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Reflective pieces
Evidence Type |
Example |
Clinical |
Case logs, clinical letters, procedure logs. |
Assessments |
Supervised Learning Events (SLEs) from current consultants. |
Management |
Reports of service improvements, business cases. |
Teaching |
Feedback from teaching sessions, teaching timetables. |
3. Structuring Your Portfolio
Use the GMC’s guidance:
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Organise evidence clearly.
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Label each document.
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Ensure every piece of evidence is directly mapped to a curriculum competency.
4. Submission
Applications are submitted online via the GMC portal. The process includes:
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Submitting a detailed application form.
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Uploading your evidence.
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Fees payment.
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Awaiting assessment by the GMC and specialty advisory committees.
Common Challenges — And How We Help
Challenge |
Our Solution |
Curriculum Mapping Confusion |
Personalised mapping sessions with our experts. |
Insufficient Evidence |
Guidance on targeted evidence collection. |
Portfolio Organisation |
Professional portfolio structuring service. |
Time Management |
Tailored timelines and milestone tracking. |
Navigating the Portfolio Pathway can be overwhelming — but you are not alone.
At CESR Portfolio, we specialise in supporting doctors to succeed. Our team includes experts with in-depth knowledge of the Acute Internal Medicine requirements, offering one-to-one coaching, document review, and strategic advice.
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Why Choose CESR Portfolio for Your Acute Internal Medicine Portfolio Pathway?
✅ Expert Guidance: We have helped hundreds of doctors achieve GMC Specialist Registration.
✅ Tailored Plans: No two doctors are alike — we create customised support plans based on your background.
✅ End-to-End Support: From initial assessment to final submission and interview preparation, we are with you every step of the way.
✅ Proven Track Record: Our candidates boast a high success rate, thanks to our meticulous and strategic approach.
Final Tips for Success
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Start early and allow plenty of time to gather evidence.
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Be meticulous with organisation and curriculum mapping.
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Seek regular feedback from supervisors.
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Engage professional support early to avoid costly mistakes.
If you’re considering the Portfolio Pathway in Acute Internal Medicine, trust the experts to help you achieve your career goals.
Get in touch with CESR Portfolio today and take the first step towards Specialist Registration!
Disclaimer
This blog post provides general information about the CESR pathway for Acute Internal Medicine. It is not a substitute for the official GMC guidance. Always refer to the GMC website for the most up-to-date information and requirements.
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