Portfolio Pathway (formerly CESR) Acute Internal Medicine

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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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

  • Map your existing skills and experiences against the Acute Internal Medicine curriculum.

  • Identify gaps and plan ways to fill them (courses, placements, additional roles).

2. Evidence Collection

Gather evidence across all aspects:

  • Clinical logbooks

  • Workplace-based assessments (CBDs, mini-CEX, DOPS)

  • Supervisor reports

  • Audit and quality improvement project reports

  • Certificates of courses (e.g., ALS, leadership courses)

  • 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:

  • Organise evidence clearly.

  • Label each document.

  • 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:

  • Submitting a detailed application form.

  • Uploading your evidence.

  • Fees payment.

  • 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

  • Start early and allow plenty of time to gather evidence.

  • Be meticulous with organisation and curriculum mapping.

  • Seek regular feedback from supervisors.

  • 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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