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Certificate of Completion of Training (CCT)

Certificate of Completion of Training (CCT)

Application for CCT and entry onto the GMC Specialist Register

Certificate of Completion of Training (CCT)

Application for CCT and entry onto the GMC Specialist Register

Once you have been awarded your ARCP Outcome 6 you will need to complete an application form on Kaizen which will be reviewed by the College and the RCEM Training Standards Committee. Once approved, a recommendation will be submitted to the GMC that you should be awarded your CCT (Certificate of Completion of Training) and entered onto the Specialist Register.

RCEM CCT Application

The RCEM CCT application form is available on Kaizen. To complete the form, you will need the following information:

  • GMC number, National Training Number (NTN), and date of entry to the EM training programme
  • FRCEM completion date
  • Details of posts recognised towards Emergency Medicine Specialty Training, including dates, whole time equivalent (WTE) and specialty
  • Evidence of provider or instructor certificates for ALS, APLS [or EPALS] and ATLS [or ETC or EMST], valid on the date of completion of training. If advanced life support courses have lapsed due to Covid-19, the final Faculty Educational Governance Statement (FEGS) may be provided as compensatory evidence, providing the relevant sections have been completed which comment on competence in life support. The final FEGS must be completed within 3 months of the CCT date.
  • Letter confirming successful completion of an Acting-up Consultant (AUC) post (if applicable).

To complete the CCT application form, please log into your Kaizen account and select Create > Uncategorised > RCEM CCT Application.

If you have any problems completing this form, please email

As part of the application process, you will also be required to provide the dates of all posts that have been recognised towards your EM specialty training, and the posts in which each of the programme competences were achieved (including PEM and PHEM sub-specialty training). Please download and complete the Post history and completion of competences spreadsheet and upload it to the RCEM CCT application form where indicated. Please pay particular attention to the instructions within the spreadsheet regarding the posts that should be included.

You will need to submit your RCEM CCT application on Kaizen at least three weeks before you are due to start a substantive consultant post to allow sufficient time for both the College and GMC to process your application.

Please be aware that you will need to complete both the RCEM CCT application form and a direct application to the GMC. Prior to your expected CCT date the GMC will invite you to apply via GMC online – this will be sent to the email address you have registered with the GMC. If you have not received an invitation from the GMC by the time you receive your outcome 6, please contact

The earliest the GMC will grant your application is ten days before your CCT date. If they receive your application or recommendation after your CCT date, the date on your certificate will be the same date they process and grant your application. The GMC is not able to back-date your certificate date to your CCT date.

Please note that it is a legal requirement for your name to be on the GMC Specialist Register before you may take up a substantive consultant appointment. However, NHS England has agreed with health departments that trainees may be interviewed for consultant posts prior to entry onto the Specialist Register providing the date of the interview is within six months of the CCT date.

You should not give up your NTN until the College has confirmed that your CCT recommendation has been made to the GMC.

Emergency Medicine with sub-specialty accreditation in Paediatric Emergency Medicine or Pre-Hospital Emergency Medicine

Trainees applying for a CCT in Emergency Medicine with PEM or PHEM sub-specialty accreditation should complete the same RCEM CCT application form on Kaizen.

PEM and PHEM sub-specialty trainees should note that an outcome 6 is required for both Emergency Medicine and their sub-specialty. Separate ARCP outcome 6 forms may be provided for EM and PEM/PHEM, or a single ARCP outcome 6 form may be provided that specifically confirms that all competences have been achieved for both EM and the sub-specialty.

Dual accreditation with Intensive Care Medicine

The Royal College of Emergency Medicine is responsible for recommending to the GMC that dual trainees should be awarded CCTs in both Emergency Medicine and Intensive Care Medicine. Dual trainees should complete the same RCEM CCT application form on Kaizen as those trainees applying for a CCT in EM only.

As part of the CCT application process, RCEM requires confirmation that the trainee has successfully completed the ICM training programme. The RCEM Training Team will request this confirmation direct from the Faculty of Intensive Care Medicine (FICM). This does not need to be provided by the trainee.

Deadline for applications

Applications for entry onto the Specialist Register must be submitted to the GMC within 12 months of your CCT date. If you do not apply within this timeframe, you will not be eligible for a CCT and you will only be eligible to apply for specialist registration with a CESR through the GMC’s specialty equivalence application route.

For further information on the RCEM CCT application process, please email

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