JOINT COMMITTEE ON PATHOLOGY TRAINING (JCPT)

RECOGNITION OF OVERSEAS TRAINING APPLICATION FORM

Please complete in block capitals or typescript

This form is to be completed prior to a specialty registrar (StR) undertaking out of programme
overseas training during a specialty training programme in either chemical pathology (including
metabolic medicine), histopathology, medical microbiology or virology. Prospective approval must
also be sought from PMETB in order the training to count towards completion of training.

Last name: First name(s):

NTN: College reference number:

Specialty: Subspecialty (if relevant):

Title and grade of post to be undertaken: Specialty:

Name and contact details of overseas Educational Supervisor (with email address if possible):

Name of hospital:

Date of commencement of overseas training Date of completion of overseas training

(dd/mm/yy): (dd/mm/yy):

Length of credit requested towards CCT (maximum one year):

TES 030609 V7
Please submit the following:
• up-to-date curriculum vitae
• job description to cover the period of training abroad, including information about the overseas
programme and timetable.

I confirm that the information contained in this form is correct.

Signature of applicant:

Date:

This application must be supported by both the Educational Supervisor and Programme Director.

We support the request for ________ months (please enter number of months) of Dr
_______________’s (please enter name of doctor) out of programme overseas training to be taken
into account in the determination of his/her expected CCT date.

Signature of Educational Supervisor:

Name in full:

Date:

Signature of Programme Director:

Name in full:

Date:

Please note that in order for this period of training to be approved towards the CCT, it must be
prospectively approved by PMETB and the College must receive a report from the overseas
educational supervisor, stating that the overseas training was satisfactorily completed.

Please return the completed form and all relevant documentation to:
Mrs Jenny Maddocks
Training and Educational Standards Co-ordinator
The Royal College of Pathologists
2 Carlton House Terrace
London
SW1Y 5AF
Email: training@rcpath.org