Portfolio Pathway (formerly CESR) Clinical Genetics
If you are a Clinical Geneticist trained outside the UK or have taken an alternative route to specialist training, the Portfolio Pathway (formerly known as CESR – Certificate of Eligibility for Specialist Registration) is your route to becoming a recognised consultant in the UK. This blog outlines the process, key requirements, and how CESR Portfolio can guide and support you every step of the way.
What is the Portfolio Pathway (CESR)?
The Portfolio Pathway enables doctors who have not followed a GMC-approved training programme to demonstrate equivalence to the UK Certificate of Completion of Training (CCT). Once approved, it allows entry onto the GMC Specialist Register—a requirement for working as a substantive consultant in the NHS.
Previously called CESR, the GMC has now streamlined the terminology and refers to it as the Portfolio Pathway.
Who Should Apply?
You should consider this pathway if:
-
You have completed specialist training in Clinical Genetics outside the UK.
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You are working as a senior clinical geneticist in the UK without CCT.
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You have substantial experience and can evidence competency equivalent to the UK curriculum.
Clinical Genetics Portfolio Pathway Requirements
To succeed, applicants must collect and submit evidence proving their knowledge, skills, and experience align with the Specialty Specific Guidance (SSG) for Clinical Genetics, as outlined by the Joint Royal Colleges of Physicians Training Board (JRCPTB).
Core Areas of Evidence:
|
Domain |
Details |
|
Clinical Expertise |
Case histories, clinic letters, genetic counselling, MDT involvement |
|
Teaching and Training |
Evidence of delivering training, feedback, educational supervision |
|
Clinical Governance |
Participation in audits, quality improvement, incident reviews |
|
Research and Publications |
Published papers, conference presentations, critical appraisal skills |
|
Leadership and Management |
Committee involvement, departmental roles, project leadership |
|
Continuing Professional Development |
Appraisals, CPD certificates, reflective practice |
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How to Start the Application
The process involves:
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Self-Assessment Against the SSG: Review your experience and identify gaps.
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Collecting Evidence: Organise documentation chronologically and thematically.
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Application via GMC Online: Submit a detailed portfolio including references.
Common Challenges in the Clinical Genetics Portfolio Pathway
|
Challenge |
Solution |
|
Understanding the UK Curriculum |
Consult SSG and seek expert interpretation |
|
Organising Evidence Effectively |
Follow a clear format and label documents precisely |
|
Gaps in Teaching or Governance |
Take proactive roles and document involvement |
|
Limited UK Experience |
Engage in local clinical practice, attend MDTs, and request feedback |
Expert Guidance to Navigate the Path
The process can feel overwhelming—but you don’t have to do it alone.
At CESR Portfolio, we offer:
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Personalised Portfolio Reviews
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Gap Analysis Based on Clinical Genetics SSG
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Document Preparation Support
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Mock Interview Preparation (if needed)
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Ongoing Mentorship Throughout the Application Process
Our team consists of GMC-registered specialists and consultants who have either gone through the CESR process themselves or supported successful applicants in Clinical Genetics and other specialties.
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Tips for a Strong Clinical Genetics CESR Portfolio pathway UK
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Map Evidence Clearly
Use a spreadsheet or mapping table to link each document to curriculum domains. -
Prioritise Quality Over Quantity
10 high-quality case studies are better than 50 weak ones. -
Include Reflective Practice
Reflect on learning outcomes and professional growth. -
Stay Organised
Create folders by domain and keep document naming consistent. -
Seek Feedback
Supervisors, mentors, and our expert team can provide insights to strengthen your submission.
Sample Timeline for Portfolio Completion
|
Timeline |
Milestone |
|
Month 1 |
Self-assessment, identify gaps |
|
Months 2–6 |
Collect and organise evidence, address missing areas |
|
Month 7 |
Submit portfolio draft for expert review |
|
Month 8 |
Finalise documents and references |
|
Month 9 |
Submit to GMC via online portal |
|
Months 10–12 |
Await review, provide clarifications if requested |
Final Thoughts
Pursuing the Portfolio Pathway (formerly CESR) in Clinical Genetics is a rewarding, albeit demanding, process that opens doors to senior consultant roles in the NHS. By aligning your experience with the UK curriculum and presenting a structured, evidence-rich application, you position yourself for success.
At CESR Portfolio, we are proud to be the leading experts in Portfolio Pathway applications, offering a comprehensive suite of services to support Clinical Geneticists just like you.
Disclaimer
This blog post provides general information about the CESR pathway . 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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