CESR Application Guidance: Trauma & Orthopaedic Surgery

If you fail to include any of the following you will be unlikely to make a successful CESR application in Trauma & Orthopaedic Surgery.

When applying please also see the SSG, JCST ‘guidance for applicants’ and the Trauma & Orthopaedic Surgery curriculum.


  • The intercollegiate FRCS[1].

Skills and experience

  • A minimum of three operating lists per week and two out-patient clinics per week
  • Logbook and consolidation sheets set out in the e-logbook format (including a consolidation report filtered to show the number of indicative procedures performed in the last six years)
  • A minimum of 1,800 cases in logbooks over six years, averaging 300 cases per year
  • Fulfil numbers for indicative procedures
  • Completion of all the primary PBAs to level 4. It is very important that your PBAs are as meaningful as possible and therefore they should show evidence of feedback and guidance. They should include comments from your assessors and, where appropriate, demonstrate reflection by you. Block entries of ‘satisfactory’ are not acceptable
  • Completion of CBDs for all the critical conditions

Papers and Presentations

  • EITHER author of two peer-reviewed publications from research in print or accepted for publication OR evidence of the screening/recruitment of five patients to an REC-approved study
  • Completion of a Good Clinical Practice course in research governance
  • Evidence of critical analysis of publications
  • Author of two presentations at national meetings from research


  • Leadership/Management in the NHS
  • Training the Trainers
  • Up-to-date ATLS


  • Regular audits, with a minimum of one per year. Two of the audits must have progressed through the full audit cycle

Structured references

  • A minimum of six references, one of which is from your current clinical director

Guidance links

[1] As this is the equivalence route then it is possible that you can demonstrate this in other ways. The specialty specific guidance on the GMC’s and the JCST’s website give details. It is however, highly unlikely, that any combination of evidence other than the intercollegiate examination will show exact equivalence.