If you’re unsure about taking on a service role in the first instance then you might want to read up on our guide to NHS Service Posts vs NHS Training Posts.

As we’ve discovered, in order to apply for Specialty/GP training, doctors must demonstrate they've achieved Foundation competencies. For UK trainees, the possession of an FPCC (Foundation Program Completion Certificate) serves as evidence of this. However, for IMGs or others that want to enter specialty training without an FPCC, CREST might be more appropriate. Here's a detailed breakdown of the different scenarios and the pathways available:

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Embarking on speciality training in the UK requires meticulous planning, especially when it comes to having your CREST form signed. Here are some pivotal strategies:

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Option B: Apply for a non-training F2 position (typically termed a LAS post) and fill out the CREST paperwork. Unlike the third scenario, you won't need a Dean's letter. Ensure all paperwork is appropriately completed by a qualified doctor, as specified on the CREST website.

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The person endorsing your CREST form should be registered with a recognized medical regulatory board. If they're not associated with the GMC, they must provide evidence of their current affiliation. This endorsement should be from a consultant you've worked with continuously for at least three months in the past 3.5 years, and they must be on a specialist register. If you've been in the UK for three months or longer then a UK-based consultant will need to complete your form.

Once you’ve decided on the best route for you, it’s time to think about your job options by reading our IMG Guide to Securing an NHS Job

Option B: Opt for a non-training post (often referred to as an F2 LAS post). You'll need to complete the CREST paperwork. Additionally, obtain a letter from the Dean in the region where you initially began your Foundation training. If you were a trainee in Scotland, adhere to the specific Scottish process.

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Apply to the UK Foundation Programme and start at F1. If you've been inactive for over two years, follow the eligibility route.

Signatories must provide a workplace email address, not a personal one, and their stamp should include comprehensive hospital details.

Situation: You're a UK medical graduate, haven't started a UK Foundation Programme, and hold a provisional GMC registration.

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The CREST form contains various competencies which need ticking off. It’s quite straight forward to complete however you need to demonstrate or assure the signing consultant of your proficiency in the areas of required competency. Ensure all elements on this checklist are met before submitting the form with your training application.

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The CREST form essentially allows IMG doctors (or those that haven’t completed a full FY training programme in the UK for whatever reason) to still have access to apply for CT1 or ST1 level training programmes without having to go back over the foundation years.

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Option A: Apply for a standalone F2 post within the UK Foundation Programme. Successfully completing this post will grant you an FPCC.

The primary way to achieve Foundation competencies is to apply to a UK Foundation Programme and commence at the F1 level. If you've graduated from a UK Medical School within two years of the Foundation Programme's start, your university should nominate you.

Option A: Apply for a standalone F2 post within the UK Foundation Programme, which lasts a year. Successfully completing this role will earn you an FPCC.

The term "foundation competencies" refers to the curriculum for foundation doctors in the UK. These are the competencies that doctors are expected to acquire by the end of their foundation training. But if you haven’t gone through an official UK foundation training programme, that's where the CREST form comes in.

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