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Further to the Physician Specialty Recruitment Office's (PSRO) recent news item about the alternative certificate for entry into Group 1 higher medical specialties at ST4-level from 2022, they are pleased to confirm that the certificate has been agreed and is available to download from the PRSO Document Library .

The Group 2 specialty version of the alternative certificate has been agreed and published on the NHS ST3 Recruitment website.

We recognise that this is an extremely stressful time for trainees and understand the concerns that have been expressed by trainees about the alternative certificate published by the Physician Specialist Recruitment Office (PSRO).

The Physician Specialty Recruitment Office (PSRO) and the Joint Royal Colleges of Physician Training Board (JRCPTB) have reviewed the requirement for entry into training in the group 2 physician specialties.

As previously indicated in our 2 February update we are now in a position to announce that agreement with the HEE Physician Specialty Recruitment Office has been reached and the alternative certificate has been modified to record trainee progression on the acquisition of capabilities rather than an observation of time spent in any particular clinical area.