Policy for application to subspecialty endorsements in General Adult and Old Age Psychiatry training

The GMC approves CCT endorsements associated with General Psychiatry training in the following areas:

  • Liaison Psychiatry
  • Rehabilitation Psychiatry
  • Substance Misuse

Trainees in Old Age Psychiatry are also eligible for an endorsement in Liaison Psychiatry. 

Endorsements are usually awarded following an approved 12 month whole time equivalent post in the relevant sub-specialty. The most suitable time is generally at ST5, assuming that the core year is completed at ST4.  This allows for a period Out of Programme ‘acting up’ as a consultant at ST6 level.

A year spent in a different sub-specialty such as Eating Disorders or Neuropsychiatry may be equally valuable in gaining specific competencies, but does not attract a specific endorsement.

Where trainees have, after discussion with the Training Programme Director  requested sub specialty endorsement post, in general this will be possible & will be done as part of the standard allocation process.

Limited posts are available in some subspecialties attracting an endorsement.  In the case of over-subscription, posts will be allocated according the following process:

  • Trainees will be asked to prepare a document of 500 words based on their portfolio.  This document should outline their career interests, clinical experience, research, teaching and management experience. They will be expected to demonstrate how their training experience has led to interest in the subspecialty.
  • These statements will be ranked by a panel, comprising (as a minimum) the Training Programme Director, a trainer from the subspecialty / another Training Programme Director,  and the Head of School or a nominated deputy.  Posts will be allocated to the highest ranked candidates according to their preferences.
  • Trainees unsuccessful in securing a subspecialty post will be considered for other posts in the scheme alongside other trainees. 

Please note that allocation to endorsement placements is not solely based on seniority.  Commitment to the subspecialty, previous training and current training needs will be considered, through the application process.