Dr. Nikhil Nanjappa

Portfolio Pathway (CESR) UK support programme for Ophthalmology registration

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Tailored Support for Aspiring Consultants

Overview

The Portfolio Pathway (CESR) in Ophthalmology allows internationally trained ophthalmologists to obtain specialist registration in the UK by demonstrating equivalence to a UK-trained consultant ophthalmologist.

Who is eligible?

– Ophthalmologists with substantial postgraduate training and surgical experience

– Experience in cataract surgery and ophthalmic emergencies

– Independent outpatient and theatre decision-making

– Exposure to subspecialty ophthalmology practice

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

This was the best course I have ever attended for CESR. Mr. Nanjappa is a genius and a master of his craft. He explained everything in a clear and concise manner, and gave us invaluable tips and tricks. He also provided us with a lot of resources and support. I feel much more confident and motivated after attending his workshop. I highly recommend this course to anyone who is serious about CESR.

“Mr. Nanjappa is an amazing teacher and mentor. He has a wealth of knowledge and experience in CESR, and he shared it with us generously. He was very approachable and friendly, and answered all our questions patiently. He also gave us honest and constructive feedback on our portfolios and interviews. He made the whole process seem easy and fun. I learned a lot from him and I am very grateful for his guidance.”

“I attended Mr. Nanjappa’s workshop after struggling with my CESR application for months. I was feeling lost and frustrated, and I didn’t know where to start or what to do. But after attending his workshop, everything changed. He showed me the right way to approach CESR, and he gave me a clear plan and direction. He also inspired me with his success story and his passion for general surgery. He is a true role model and a leader in his field. I am so glad I joined his programme.”

Evidence Required

Clinical Practice:

– General ophthalmology clinics

– Acute eye emergency management

– Ward and perioperative ophthalmic care

– Documentation of independent clinical decisions

Procedural Skills

– Cataract surgery evidence

– YAG laser and intravitreal procedure exposure

– Oculoplastic and glaucoma procedural exposure

– Surgical outcome documentation and supervision progression

Additional Details

Common reasons applications fail

– Insufficient cataract surgery evidence

– Poorly documented complication management

– Lack of governance and audit participation

– Weak reflective and appraisal evidence

Additional Details

What makes CESR in ENT challenging?

– Requirement for detailed surgical evidence

– Need for comprehensive outcome documentation

– High expectations for clinic and procedural autonomy

– Extensive curriculum mapping requirements

Approach

How Dr Nikhil Nanjappa supports you

– Structured evidence planning aligned with the RCOphth curriculum

– Guidance on surgical logbooks and complication documentation

– Portfolio structuring for clinic, theatre, and emergency evidence

– Mentorship throughout CESR preparation and submission

Timeline

Timeline and strategy

– Initial assessment and evidence mapping

– Structured documentation building over 3–6 months

– Regular mentoring and evidence refinement

– Final submission preparation and consultant-level review

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