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The Royal College of Psychiatrists Improving the lives of people with mental illness

Routes to Specialist Register

Doctors wishing to practise as honorary, fixed term or substantive consultants in the NHS must be on the UK Specialist Register at the General Medical Council (GMC).


The award of a Certificate of Completion of Training is given to doctors who complete an approved programme of core and advanced psychiatry and pass all sections of the MRCPsych Examinations.

Specialist Registrars

Appointed up to 31/12/2006

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Specialist Trainees

Appointed since 31/07/2007

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The award of a Certificate of Eligibility for Specialist Registration through the combined programme is given to a doctor who has not completed a training programme the whole of which has not been prospecively approved or has spent time in non-training posts. Passes at all sections of the MRCPSych is a requirement.

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The Certificate of Eligibility for Specialist Registration provides a route for doctors who do not hold a Certificate of Completion of Training (CCT) to obtain specialist registration. They must satisfy the GMC that their specialist training or specialist qualifications, when considered together, are equivalent to a CCT in the specialty in question. Doctors who have undertaken a minimum of 6 months training or obtained a specialist qualification and acquired specialist medical experience or knowledge as a psychiatrist within a non-training post, and are currently practising, may apply to the GMC for assessment of their competencies.

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