The Certificate of Readiness to Enter Higher Training (CREH) is an important document used in the UK medical training system, specifically for specialty training applicants, including those applying for Core Training / ST3 posts. It serves as evidence that a doctor has met all the competencies required at the completion of Core Surgical Training (CST) or an equivalent program. This certification confirms that the applicant is fully prepared to progress to higher specialty training in a chosen field.

1. Purpose

   • To certify that a candidate has demonstrated the required clinical skills, professional behaviors, and knowledge expected at the end of Core Surgical Training.

   • Ensures that the applicant is suitable to progress into higher specialty training, such as ST3.

2. Who Needs It?

   • Non-UK Trainees: Doctors who have not completed an official UK Core Surgical Training program but are applying for higher specialty training in the UK (e.g., international medical graduates or those who have trained overseas).

   • Alternative Route Trainees: Doctors who have gained equivalent experience outside of a formal CST program.

3. Who Issues It?

   • The certificate is issued by a recognized body or authority, such as the candidate's deanery, educational supervisor, or training program director.

   • For overseas doctors, the certificate may be issued by the institution or supervising consultant overseeing their training if their competencies match the UK CST requirements.

4. When Is It Required?

   • The certificate is typically required during the ST3 application process and must be submitted before or at the time of the interview.

   • 2024:

   • https://medical.hee.nhs.uk/medical-training-recruitment/medical-specialty-training/foundation-competencies/certificate-of-readiness/crest