The documents listed on this page may be used to demonstrate competency if you have not followed a UK training programme.

All CT1/ST1 specialties

Certificate of Readiness to Enter Specialty Training (CREST)

This certificate can be used to demonstrate competence for the following specialties:

  • ACCS Emergency Medicine ST1
  • ACCS Internal Medicine CT1
  • Anaesthetics and ACCS Anaesthetics CT1
  • Cardiothoracic Surgery ST1
  • Child and Adolescent Psychiatry ST1
  • Clinical Radiology ST1
  • Community and Sexual Reproductive Health ST1
  • Core Psychiatry Training CT1
  • Core Surgical Training CT1
  • General Practice ST1
  • Histopathology ST1
  • Internal Medicine Training CT1
  • Neurosurgery ST1
  • Obstetrics and Gynaecology ST1
  • Ophthalmology ST1
  • Oral and Maxillofacial Surgery ST1
  • Paediatrics ST1
  • Psychiatry of Learning Disability ST1
  • Public Health ST1
  • Public Health and General Practice Dual Programme ST1
Anaesthetics ST4

Confirmation of Stage 1 Equivalence Certificate

This certificate can be used to demonstrate competence for Anaesthetics ST4.

It can also be used to demonstrate competence for the Anaesthetics entry route for the following specialties:

  • Aviation and Space Medicine ST3
  • Chemical Pathology ST3
  • Clinical Genetics ST3
  • Intensive Care Medicine ST3
  • Rehabilitation Medicine ST3
Clinical Radiology ST3

Alternative Certificate to Enter Clinical Radiology Specialty Training

This certificate can be used to demonstrate competence for Clinical Radiology ST3.

Emergency Medicine ST3 and Defined Route of Entry - Emergency Medicine (DRE-EM)

Alternative certificate to Enter ST3 DRE-EM Specialist Training

This certificate can be used to demonstrate competence for Defined Route of Entry - Emergency Medicine.

It can also be used to demonstrate competence for the Emergency Medicine entry route for Intensive Care Medicine ST3.

Emergency Medicine ST4

Alternative Certificate to Enter Higher Emergency Medicine Specialist Training

This certificate can be used to demonstrate competence for Emergency Medicine ST4.

It can also be used to demonstrate competence for the Emergency Medicine entry route for Sport and Exercise Medicine ST3.

Neurosurgery ST2

Neurosurgery ST2 Alternative Certificate of ST1 Competence

This certificate can be used to demonstrate competence for Neurosurgery ST2.

Obstetrics and Gynaecology ST3

Alternative Certificate of ST1 and ST2 Obstetrics & Gynaecology competences

This certificate can be used to demonstrate competence for Obstetrics and Gynaecology ST3.

It can also be used to demonstrate competence for the Obstetrics and Gynaecology entry route for Rehabilitation Medicine ST3.

Occupational Medicine ST3

Certificate of Completion of Common Professional Capabilities

This certificate can be used to demonstrate competence for Occupational Medicine ST3.

Ophthalmology ST3

Alternative Certificate to Demonstrate Equivalent Competences to enter specialties requiring competence to the level of someone completing ST2 in ophthalmology

This certificate can be used to demonstrate competence for the Ophthalmology entry route for the following specialties:

  • Clinical Genetics ST3
  • Medical Ophthalmology ST3
  • Rehabilitation Medicine ST3
Paediatrics ST3

Certificate of Completion of Core Paediatric Capabilities

This certificate can be used to demonstrate competence for Paediatrics ST3.

It can also be used to demonstrate competence for the Paediatrics entry route for the following specialties:

  • Allergy ST3
  • Audiovestibular Medicine ST3
  • Chemical Pathology ST3
  • Clinical Genetics ST3
  • Clinical Neurophysiology ST3
  • Dermatology ST3
  • Haematology ST3
  • Immunology ST3
  • Nuclear Medicine ST3
  • Paediatric Cardiology ST4
  • Rehabilitation Medicine ST3
Pathology ST3

Certification of readiness to enter ST3 Diagnostic Neuropathology or Paediatric & Perinatal Pathology Training

This certificate can be used to demonstrate competence for the following specialties:

  • Diagnostic Neuropathology ST3
  • Paediatric and Perinatal Pathology ST3
Physician Group 1 Specialties

Alternative Certificate to Enter Group 1 Higher Physician Specialty Training

This certificate can be used to demonstrate competence for the following specialties:

  • Acute Internal Medicine ST4
  • Cardiology ST4
  • Clinical Pharmacology & Therapeutics ST4
  • Combined Infection Training ST4
  • Endocrinology & Diabetes Mellitus ST4
  • Gastroenterology ST4
  • Genitourinary Medicine ST4
  • General Internal Medicine ST4
  • Geriatric Medicine ST4
  • Neurology ST4
  • Palliative Medicine ST4
  • Renal Medicine ST4
  • Respiratory Medicine ST4
  • Rheumatology ST4
  • Stroke Medicine and General Internal Medicine ST4

It can also be used to demonstrate competence for the Physician entry route for the following specialties:

  • Chemical Pathology ST3
  • Intensive Care Medicine ST3
Physician Group 2 Specialties

Alternative Certificate to Enter Group 2 Higher Physician Specialty Training

This certificate can be used to demonstrate competence for the following specialties:

  • Allergy ST3
  • Audiovestibular Medicine ST3
  • Aviation & Space Medicine ST3
  • Clinical Genetics ST3
  • Clinical Neurophysiology ST3
  • Clinical Oncology ST3
  • Combined Infection Training ST3
  • Dermatology ST3
  • Haematology ST3
  • Immunology ST3
  •  
  • Internal Medicine Training CT3
  • Medical Oncology ST3
  • Medical Ophthalmology ST3
  • Nuclear Medicine ST3
  • Paediatric Cardiology ST4
  • Pharmaceutical Medicine ST3
  • Rehabilitation Medicine ST3
  • Sport and Exercise Medicine ST3

It can also be used to demonstrate competence for the Physician entry route for the following specialties:

  • Chemical Pathology ST3
  • Intensive Care Medicine ST3
Psychiatry ST4

Alternative Certificate of Eligibility to Enter Higher Psychiatry Training

This certificate can be used to demonstrate competence for the following specialties:

  • General Psychiatry ST4
  • Old Age Psychiatry ST4
  • Forensic Psychiatry ST4
  • Child and Adolescent Psychiatry ST4
  • Psychiatry of Learning Disability ST4
  • Medical Psychotherapy ST4

It can also be used to demonstrate competence for the Psychiatry entry route for the following specialties:

  • Clinical Genetics ST3
  • Rehabilitation Medicine ST3
Surgery ST3

Alternative Certificate of Eligibility to Enter Higher Surgical Training

This certificate can be used to demonstrate competence for the following specialties:

  • General Surgery ST3
  • Otolaryngology ST3
  • Paediatric Surgery ST3
  • Plastic Surgery ST3
  • Trauma and Orthopaedic Surgery ST3
  • Urology ST3
  • Vascular Surgery ST3

It can also be used to demonstrate competence for the Surgical entry route for the following specialties:

  • Audiovestibular Medicine ST3
  • Clinical Genetics ST3
  • Clinical Neurophysiology ST3
  • Defined Route of Entry - Emergency Medicine
  • Dermatology ST3
  • Nuclear Medicine ST3

Page last reviewed: 8 August 2025
Next review due: 8 August 2026