Award of the Certificate of Completion of Training (CCT)
This section is also applicable for the award of the Certificate of Eligibility for Specialist Registration (Combined Programme) or CESR (CP).
The College processes a significant number of CCT applications at any time. It is important that doctors in training provide information that conforms in full to the curriculum requirements and is readily accessible in order for applications to be progressed without delay. The following errors should be avoided:
- Insufficient number of supervisor reports
- Incomplete or “bunched” workplace-based assessments, with many occurring on the same date / just prior to an ARCP
- Incomplete cataract audit not conforming to the standard laid down in the curriculum
Training Committee meetings to approve CCT applications at set times of the year were discontinued in June 2013. All CCT applications are considered remotely as and when they are submitted. It is possible to submit applications as soon as the final Annual Review of Competence Progression (ARCP) with the award of an outcome 6 is issued.
Even if an ARCP Outcome 6 has been awarded, the College will not recommend for CCT if it finds that the e-Portfolio is incomplete or requests for information are not being addressed.
The College will endeavour to consider applications and issue a decision within four weeks; however, during busy periods it might not be possible to do this with every application.
How to apply for your CCT
Applicants must ensure that all items listed below are uploaded to the e-Portfolio’s Additional Evidence tab and clearly labelled.
- CCT / CESR (CP) application form (must be signed by the Postgraduate Dean)
- Cumulative Data Sheet (must be signed by the Training Programme Director)
- 50 consecutive case cataract audit² presented as an audit paper (with comparison to national standards) and supported by raw data – see guidance here and example model here
- Continuous cataract complications audit (as per learning outcome SS4)³ – see letter here and template here
- Report on Trainee Selected Component (TSC), if applicable
The Educational Supervisor Reports (ESRs) for the year leading up to the final ARCP, as well as the required number of Clinical Supervisor reports (minimum of 2 for each 6 months), must be presented in electronic format. ESRs and CSRs in the old Word format are no longer be accepted.
¹The logbook must be organised by special interest and contain the following headings: Patient Identifier, Hospital, Date, Surgery, and Supervision. Please DO NOT include patient names, initials or DOB. This breaches the Data Protection Act and is against Caldicott recommendations.
Use of the Eye Logbook is compulsory for all trainees as per letter from the Chair of the Training Committee (15 March 2012) . It is acceptable to present in Excel format all cumulative data for surgical experience undertaken prior to 6 August 2012. The Eye Logbook ‘Starting totals’ function enables users to set a starting point for each procedure / role combination without having to enter each one individually. Doctors in training must use the ‘All Entries (Suitable for CCT)’ function to generate their logbook in PDF format prior to CCT.
²The letter from the Chair of the Training Committee (11 May 2016) highlights important changes affecting cataract audit requirements and expected supervision of juniors.
³The continuous cataract complication must contain the number of cases of complications, the % capsule rupture rate per 6 months and the takeover rate. Downloading the Eye Logbook output with no details of outcomes will not suffice.
Method of submission
Please send an email to the Deputy Head of Education and Training, email@example.com once the e-Portfolio is ready for review, asking for your application to be considered. Receipt will be acknowledged within 5 working days.
As of August 2015, all CCT applications undergo an enhanced administrative check by the Education and Training Department staff, who will query missing information.
If the application fails this administrative check, it will be sent to a member of the Training Committee for evaluation. Applications showing an ARCP outcome 2 or 3 towards the end of training will also be assessed by a member of the Training Committee. The College reserves the right to send any application causing concern to the Quality of Assessment Sub-committee for further discussion at their quarterly meetings.
It is the responsibility of applicants to ensure that everything is in order before submission to the College. If the e-Portfolio is incomplete, forms are missing or the information is difficult to find, recommendations will be delayed.
Application to the GMC
Doctors in training nearing their CCT date will be contacted separately by the GMC with an invitation to apply for the CCT. This then sits with the GMC until they receive the College’s recommendation (see above), which triggers the issuing of the certificate. It is advisable to apply to the GMC (as well as the College) in advance of the CCT date so as to avoid delays. If an application is completed in advance of the CCT date, the certificate will be issued up to 5 days in advance of that date. If the application is completed after the CCT date, it will be issued within a few days. However, the date on the certificate will reflect the date of issue, not the date training was completed.
All applications for a CCT must be made to the GMC within 12 months of a doctor’s expected completion of training date. After 12 months from the expected completion of training date, doctors will have to apply for a Certificate of Eligibility for Specialist Registration (CESR) to get entry onto the Specialist Register.
As a doctor’s name must be on the Specialist Register before taking up a consultant post, it is of paramount importance that all paperwork is in order before submission to the College. Applicants must have passed the FRCOphth Part 2 examination and have been awarded an ARCP Outcome 6 in order to be considered for CCT recommendation.
As of January 2011, there is an administrative fee of £260+VAT to process CCT applications for all non-members.