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Certificate of Completion of Training (CCT)

Certificate of Completion of Training (CCT)

Application for CCT and entry onto the General Medical Council Specialist Register

Certificate of Completion of Training (CCT)

Covering CCT applications and date recalculation

+ CCT Applications

Certificate of Completion of Training (CCT)

Application for CCT and entry onto the General Medical Council (GMC) Specialist Register

Once you have been awarded your Annual Review of Competence Progression (ARCP) Outcome 6, you will need to complete an application form on ePortfolio 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 Certificate of Completion of Training (CCT) and entered onto the General Medical Council Specialist Register.

RCEM CCT Application

The RCEM CCT application form is available on ePortfolio. 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
  • Letter confirming successful completion of an Acting-up Consultant (AUC) post (if applicable).

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

The form will allow you to attach additional files. You will need to select ‘Attach Files’ at the end of the 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 complete the Post history and completion of competences spreadsheet appropriate for your original level of entry to the EM training programme 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 form on ePortfolio as soon as you have received your Outcome 6. Approval of your application can take up to six weeks.

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 10 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 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 (PEM) or Pre-Hospital Emergency Medicine (PHEM)

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

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 risr/advance 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 confirmation directly 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

+ CCT Date Calculation

CCT date calculation

RCEM’s CCT calculator spreadsheet is available below for use of  Training Programme Directors (TPDs) and trainees to calculate a prospective CCT date.

When using the CCT Calculator you will need to enter post dates and any other periods outside of training, for example:

  • Out of Programme (OOP) Leave
  • Maternity Leave
  • Sick Leave

Dates should not be overlapping and there should be no unaccounted gaps in training. Any changes to your sessional commitment will also need inputting into the calculator with the start and end date of said changes.

Emergency Medicine Training Calculator

The prospective completion date will automatically be calculated based on the date range and percentage of training you have input into the calculator.

Please note that the calculated CCT date, once confirmed by your Deanery, is provisional and subject to revision at ARCP. Please send a copy of your approved CCT date calculation to

Post dates should not overlap. For example: If you completed ST1 on 01 August 2022, you would begin ST2 on 02 August 2022.

Please see example below:

CCT Recalc Graphic 1

The above reflects a trainee on the core programme. Core trainees do not CCT however the calculator will give an expected date for the end of programme.

CCT Recalc Graphic 2

The above reflects a trainee on the Run-Through Programme. This trainee had changed their sessional commitment to 80% for a year during ST3 and returned to full time. The trainee has then returned to Less Than Full Time Training (LTFT) in Higher Specialist Training (HST) at 70% until CCT. This has extended their CCT date to 18 August 2027.
The trainee could have chosen to go LTFT for several reasons, the % of training has been approved by the Deanery.

CCT Recalc Graphic 3

The above shows a trainee on the Run-Through Programme, which should total to 72 months in training.
The trainee in the example has undertaken an OOPC which did not count to training, followed by an OOPT with 50% approved time in training in HST.

In a case that you have had time out of training; that will not be counted towards your CCT e.g., OOPC/Parental leave, you would be required to select ‘No’ in the ‘Approved training’ column.

You will need to manipulate the end date to ensure you are as close to 72 months as possible (difference shown in example below).

CCT Recalc Graphic 4

HST must total to 36 months in training. (The example above shows 5.98 WTE in OOPT and 30.08 in HST which totals to 36.06WTE – Keeping the WTE as close as possible to 36.00, we recommend no higher than 36.05.
For better accuracy, you can ‘select ‘YES’ in approved training, only for the specific periods you would like to calculate, see below.

CCT Recalc Graphic 5

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