Specialty-by-specialty guides for senior doctors working through the GMC's Portfolio Pathway, formerly CESR. Overview articles, evidence checklists, template sheets, and what assessors are actually looking for. Free to read.
The Portfolio Pathway in Respiratory Medicine: a complete overview.
Eligibility, the four GMC domains, the JRCPTB curriculum mapping, realistic timelines, and the costs. Everything you need to decide whether the Portfolio Pathway is right for you, and where to start.
22 min read Updated April 2026
RES.04Evidence
Audit for Respiratory PP: what the JRCPTB assessors actually weight.
Closed-loop audit, BTS guideline compliance, and how to write a reflective summary that survives panel review.
The Portfolio Pathway exists for senior doctors whose route to Consultant doesn't run through a UK approved training programme. Most readers fall into one of these three groups.
Profile 01
The senior SAS doctor
You've been a Specialty Doctor or Associate Specialist in the NHS for years. Your job plan looks Consultant-shaped on paper and the appraisals back it up. You need the evidence packaged the way Royal College assessors expect to see it.
UK-basedSAS contract5+ years senior
Profile 02
The international Consultant
You're already a Consultant abroad, looking to bring your career to the UK. The clinical work is there. The pathway is about translating your overseas evidence, audit and CPD into something the GMC and Royal College recognise as equivalent.
OverseasConsultant abroadGMC route
Profile 03
The locally employed senior
You're a Locally Employed Doctor or trust grade at registrar-plus level. You've been doing Consultant work in everything but title. The Portfolio Pathway is about making that real, with the right structure and the right Trust behind you.
UK-basedTrust grade / LEDPre-Consultant
What's on the blog
Four kinds of practical material.
Everything is free to read. Bookmark what you need, work through it at your own pace, and come back when the rules or your situation change.
Specialty overview guides
Plain-English explainers of the Portfolio Pathway, written separately for each of the 17 specialisms. The route, who it's for, and a realistic timeline.
Evidence checklists
What to gather, in what order, mapped to the GMC's four domains. Tagged required, recommended and optional for your specialty.
Template sheets
Reflective practice, audit write-ups, MSF planning, leadership logs, teaching evidence. The scaffolding done once so you can focus on the thinking.
What assessors look for
How Royal College assessors weight evidence in practice, the common reasons applications get sent back, and what genuinely moves an application forward.
Specialisms
Seventeen specialisms. One indexed library.
Every track gets the same treatment. Royal College curriculum mapping, evidence checklists, template sheets, and articles by specialism. Click through to start with yours.
The Portfolio Pathway is hard to complete without supportive seniors, the right job-plan flexibility, and a department that does the procedures and case mix you need to evidence. Plenty of doctors stall not because they aren't ready, but because their current Trust isn't set up for the route.
If that's the situation, a move can be more practical than another year of trying. We've placed hundreds of senior doctors over the past decade into Trusts that genuinely back Portfolio Pathway development.
A named educational supervisor and a supportive senior team
Job-plan flexibility for audit, teaching, leadership and CPD
Right case mix and procedures for your specialty curriculum
A department that's signed off Portfolio Pathway candidates before
Trusts that back Portfolio Pathway
Filtered for Respiratory Medicine
All regionsNorthSouth
University Hospitals of Leicester
East MidlandsSAS leadTertiary
12 placed
Manchester University NHS FT
North WestPP championResearch
9 placed
Newcastle Hospitals NHS FT
North EastMentorship
Signs off
University Hospitals Bristol
South WestSAS leadTeaching
7 placed
Sandwell & West Birmingham
West MidlandsJob-plan flex
Signs off
100+ NHS Trusts in our network across the UKShowing 5 of 23
About BDI Consultants
Building the Consultant workforce of the future.
BDI Resourcing is a UK medical recruitment business. The Consultants division places senior doctors into NHS Trusts across the country. Hundreds of placements over the past decade into more than 100 Trusts. Specific, tailored job searches by recruiters who specialise in your specialism.
This blog is something we wanted to exist. The doctors who'd make exceptional UK Consultants were spending years navigating the Portfolio Pathway in the dark. So we wrote what we wished was already out there. The blog is free, the recruitment side is how we earn.
100+
NHS Trusts in our network
10+
Years placing senior doctors
17
Specialisms with dedicated tracks
£0
Cost to clinicians
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Frequently asked
Questions, answered.
Is everything on the blog really free?
Yes. Every article, checklist and template is free to read. We're a recruitment business, so we earn when an NHS Trust hires through us. The blog exists because we wanted these resources to be out there. You can use everything and never speak to a recruiter, and that's fine by us.
What's the difference between CESR and the Portfolio Pathway?
The same route, renamed. The GMC moved CESR (Certificate of Eligibility for Specialist Registration) onto a single, clearer framework called the Portfolio Pathway in late 2023. The eligibility criteria, evidence requirements and Royal College assessment process are substantively the same. If you're working from older guidance that says CESR, it almost certainly still applies.
How is the blog different from the GMC and Royal College websites?
The GMC and Royal Colleges publish what's required. We publish what works in practice. Plain English, real examples, and the bit you don't get from official guidance. Things like how assessors weight evidence when applications are borderline, what reflective writing actually looks like in a successful portfolio, and where the common stalling points are.
Which specialisms are covered?
Seventeen at launch: Acute Medicine, Elderly Care, General Internal Medicine, Respiratory, Stroke, Gastroenterology, Dermatology, Rheumatology, Neurology, Oncology, Histopathology, Haematology, Microbiology, Anaesthetics, Intensive Care Medicine, Radiology and Interventional Radiology. If yours isn't on that list, sign up anyway. We'll let you know when it's added and the cross-specialty articles will still be useful in the meantime.
Do I have to use BDI for recruitment?
No. The blog is yours to use either way. If and when you're ready to look at Consultant roles, talking to us is one option among several. We tend to know which Trusts genuinely back Portfolio Pathway doctors, so the conversation is usually worth having, but the choice is entirely yours.
Who writes the articles?
BDI's Consultants editorial team, with input from Consultants we've worked with over the past decade. Every article is reviewed against current GMC and Royal College guidance before publishing, and updated when the rules change. There's a visible date stamp on every piece.
What happens to my details when I sign up?
They sit in our system so we can send you the articles and, only if you've opted in, share relevant Consultant opportunities. We never sell, share or pass your details to third parties. One-click unsubscribe in every email. Full delete on request.
The pathway is hard. It doesn't have to be lonely.
Specialty-by-specialty guides, written for senior doctors working through the Portfolio Pathway. Free to read. Always.