Portfolio Pathway (CESR) UK support programme for Obstetrics and Gynaecology registration
Tailored Support for Aspiring Consultants
Overview
The Portfolio Pathway (CESR) in Obstetrics & Gynaecology allows specialists trained outside the UK to achieve GMC specialist registration by demonstrating equivalence to a UK CCT holder. This is a dual-domain specialty requiring evidence across obstetrics, gynaecology, emergency care, and surgical competence.
Who is eligible?
– Specialists with 5–10+ years of OBGYN training or experience
– Independent practice in obstetrics and gynaecology
– Experience in labour ward, emergency care, and surgery
– Involvement in teaching, audit, and governance
This model is built for every doctor who wants a structured, achievable route to UK Specialist Registration.
What are the testimonials from previous participants?
Success Stories
Evidence Required
Obstetrics:
– Labour ward experience
– Normal and assisted deliveries
– Caesarean sections (elective and emergency)
– Management of obstetric complications
Gynaecology:
– Outpatient clinics
– Benign and emergency gynaecology
– Surgical procedures (open and laparoscopic)
Emergency Care:
– Obstetric emergencies (e.g. PPH, eclampsia)
– Acute gynaecological conditions
– Decision-making and escalation
Procedural Skills:
– Operative logbook
– Evidence of progression to independent operating
Evidence Required
Multidisciplinary Team (MDT):
– Collaboration with anaesthesia, neonatology, and other specialties
– Documentation of clinical decision-making
Teaching & Training:
– Teaching junior doctors and trainees
– Structured sessions with feedback
Audit & Quality Improvement:
– Completed audit cycles
– Clinical governance and service improvement
Additional Details
What makes CESR in OBGYN challenging?
– Requirement to demonstrate competence across two domains
– Emergency exposure and documentation
– Surgical and clinical balance
– High expectations for labour ward evidence
Common reasons applications fail
– Inadequate labour ward documentation
– Missing emergency case evidence
– Poorly structured surgical logbooks
– Lack of competency mapping
Approach
How Dr Nikhil Nanjappa supports you
– Structured portfolio planning
– Gap analysis aligned with RCOG and GMC expectations
– Guidance on documenting obstetric and surgical experience
– One-to-one mentorship throughout CESR preparation
Timeline
Timeline and strategy
– Initial eligibility assessment
– 3–6 months of structured evidence building
– Final review and submission preparation
Most candidates complete preparation within 6–12 months.
Introducing Your Doctor
About Dr. Nikhil Nanjappa
- Consultant GI & Colorectal Surgeon
- UK-trained; among the youngest to complete FRCS & CESR
- Lead, Department of Gastroenterology & Colorectal Surgery – Avant BKG Hospitals, Mysore
- Founder of the international Portfolio Pathway Support Programme
- Has mentored nearly 100 doctors worldwide
- Deep expertise in curriculum mapping, portfolio structuring & GMC evidence standards
- Known for delivering honest, practical, highly personalised mentorship
Get in Touch
Contact Dr. Nikhil Nanjappa
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Frequently Asked Question's
CESR is a pathway to UK specialist registration for doctors who have not completed UK training but can demonstrate equivalent skills and experience.
Yes, but your documentation must reflect UK standards.
There is no fixed number, but you must demonstrate competence and progression to independent practice.
Yes, evidence of managing obstetric and gynaecological emergencies is essential.
Yes, audit and quality improvement are key components.
Yes, many applicants prepare their CESR portfolio outside the UK.