Complete CESR / Portfolio Pathway Evidence Mapping & Audit Guide
Step-by-step checklist, Specialty Learning Outcomes (SLOs), logbook structuring, and clinical evidence compilation for RCEM Specialist Registration.
D
Dr. Jonathan Hayes, CESR Mentor
Emergency Medicine Contributor
• 2 min read
Navigating the Certificate of Eligibility for Specialist Registration (CESR) — now aligned with the GMC Portfolio Pathway — requires meticulous documentation, clinical governance proof, and evidence mapping across all RCEM Specialty Learning Outcomes (SLOs).
1. High-Level Evidence Summary Checklist
| Domain | Required Primary Evidence | Target Volume / Standard | Status |
|---|---|---|---|
| SLO 1: Resuscitation | Level 4 Sign-offs in Major Trauma, Cardiac Arrest, Pediatric Resus, RSI | 100+ Resuscitation Cases Logged | [IN PROGRESS] |
| SLO 2: Complex Adult EM | SLEs (CBD, Mini-CEX) covering major organ failure & toxicology | 50+ Structured SLE forms | [COMPLETE] |
| SLO 3: Pediatric EM | PEM WPBAs, APLS/EPLS valid certificates, Resus logs | 25% total caseload in PEM | [IN PROGRESS] |
| SLO 6: Governance & Audit | 2 Completed QIPs (Quality Improvement Projects) with re-audit loops | Full Closing the Loop Evidence | [COMPLETE] |
| SLO 8: Teaching & Leadership | Simulation facilitation, ALS instructor status, teaching feedback | Course feedback & reflections | [COMPLETE] |
2. Quality Improvement Project (QIP) Framework
For CESR approval, audits must demonstrate a complete Plan-Do-Study-Act (PDSA) cycle.
# Sample QIP Audit Project Structure (Obsidian Template)
- **Audit Title:** Improving Door-to-Needle Time for Fascia Iliaca Block in Femoral Fractures
- **Baseline Audit:** 50 consecutive NOF fracture patients (Baseline block rate: 34%)
- **Intervention:** Introduced ED bedside FIB nerve block trays + SIM training sessions
- **Re-Audit (Loop Closed):** 50 post-intervention patients (Block rate increased to 88%, mean time reduced by 42 mins)
- **GMC Portfolio Evidence:** Departmental presentation slides + Consultant Sign-off letter