Portfolio Pathway (CESR) Support in Acute Internal Medicine

Tailored Support for Aspiring Consultants

Overview

The Portfolio Pathway (formerly CESR) is the GMC’s route to UK Specialist Registration in Acute Internal Medicine for doctors who have not completed a GMC-approved training programme, but who can demonstrate the Capabilities in Practice (CiPs) expected of a UK day-one consultant. Dr Nikhil Nanjappa’s Portfolio Pathway Support Programme provides bespoke, one-to-one mentorship for acute physicians managing undifferentiated adult emergency medical admissions, guiding you from an honest eligibility assessment through evidence mapping against the Joint Royal Colleges of Physicians Training Board (JRCPTB) / Society for Acute Medicine curriculum to a submission-ready application.

Who This Pathway Is For

Internationally trained acute internal medicine doctors seeking UK Specialist Registration outside a GMC-approved training programme
Doctors who have completed part of their training on an approved UK programme but need a Portfolio Pathway route to complete registration
Consultants and senior doctors already practising who need their existing experience formally mapped to GMC CiPs

This model is built for every doctor who wants a structured, achievable route to UK Specialist Registration.

What are the testimonials from previous participants?

Success Stories

This was the best course I have ever attended for CESR. Mr. Nanjappa is a genius and a master of his craft. He explained everything in a clear and concise manner, and gave us invaluable tips and tricks. He also provided us with a lot of resources and support. I feel much more confident and motivated after attending his workshop. I highly recommend this course to anyone who is serious about CESR.

“Mr. Nanjappa is an amazing teacher and mentor. He has a wealth of knowledge and experience in CESR, and he shared it with us generously. He was very approachable and friendly, and answered all our questions patiently. He also gave us honest and constructive feedback on our portfolios and interviews. He made the whole process seem easy and fun. I learned a lot from him and I am very grateful for his guidance.”

“I attended Mr. Nanjappa’s workshop after struggling with my CESR application for months. I was feeling lost and frustrated, and I didn’t know where to start or what to do. But after attending his workshop, everything changed. He showed me the right way to approach CESR, and he gave me a clear plan and direction. He also inspired me with his success story and his passion for general surgery. He is a true role model and a leader in his field. I am so glad I joined his programme.”

Additional Details

What the GMC Expects: Acute Internal Medicine Evidence

Evidence of independent management of undifferentiated acutely unwell patients
Ambulatory emergency care and same-day emergency care (SDEC) pathway involvement
Non-invasive ventilation, sepsis, and deteriorating-patient management competence

How Dr Nikhil's Programme Helps

Honest, structured eligibility and gap assessment against the current Joint Royal Colleges of Physicians Training Board (JRCPTB) / Society for Acute Medicine Specialty Specific Guidance (SSG)
One-to-one evidence mapping to every CiP in the Acute Internal Medicine curriculum
Portfolio structuring, reflective writing support, and referee-report guidance
Mentorship from a doctor who has been through the Portfolio Pathway process himself, and has mentored 100+ doctors to consultant status across specialties

Introducing Your Doctor

About Dr. Nikhil Nanjappa

Consultant GI & Colorectal Surgeon
UK-trained; among the youngest to complete FRCS & CESR
Lead, Department of Gastroenterology & Colorectal Surgery – Avant BKG Hospitals, Mysore
Founder of the international Portfolio Pathway Support Programme
Has mentored nearly 100 doctors worldwide
Deep expertise in curriculum mapping, portfolio structuring & GMC evidence standards
Known for delivering honest, practical, highly personalised mentorship

Get in Touch

Contact Dr. Nikhil Nanjappa

Gastro Gynae Clinic

Gokulam, Mysore

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Frequently Asked Question's

How long does a Acute Internal Medicine Portfolio Pathway application take?

Most applicants take 12–24 months to build a complete, well-mapped portfolio, depending on how much of your existing practice is already documented. The programme works with you to build a realistic evidence-collection timeline from your first eligibility review.

Do I need to be working in the UK to apply for Acute Internal Medicine Portfolio Pathway?

No. Portfolio Pathway applications in Acute Internal Medicine can be built and submitted from anywhere in the world, provided your evidence — case logs, referee reports, audits, and outcome data — is independently verifiable and recent (the GMC prioritises evidence from the past five years).

Does AIM require dual accreditation with General Internal Medicine in a Portfolio Pathway application?

Most UK AIM consultant posts are dual-accredited with GIM, so most successful Portfolio Pathway applicants build a single evidence set that satisfies both curricula together, rather than applying separately — this also strengthens employability once you’re on the Specialist Register.

Dr. Nikhil Nanjappa

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