GPwER (formerly GPwSI) is the pathway for GPs who want specialist depth alongside generalist breadth. You maintain your identity as a GP while developing recognised expertise in a specific clinical area.
Common GPwER Areas
Dermatology (most popular — high demand, clear training pathway). MSK/sports medicine. Mental health. Women's health. Cardiology. ENT. Minor surgery. Emergency medicine. Palliative care. Paediatrics.
Training Pathways
Postgraduate diplomas: DipDerm (dermatology), DipMSK (musculoskeletal), DFSRH (sexual and reproductive health), DRCOG (obstetrics and gynaecology), DipIMC (immediate medical care). These provide formal qualifications recognised by employers and commissioners.
RCGP certificates: Evolving credentialing frameworks for specific GPwER areas.
Supervised clinical sessions: Working alongside a specialist consultant to build practical skills.
Conferences and courses: CPD events specific to your chosen area.
Starting During Training
Request GP placements in relevant specialist areas. Attend specialist clinics as an observer. Start a diploma (iatroX offers specialist diploma Q-banks for DRCOG, DFSRH, DGM, DipIMC, FFICM, DTM&H — rare market coverage). Build portfolio evidence of specialist interest.
Starting After CCT
Identify local demand — discuss with your PCN clinical director. Apply for specialist sessions (often commissioned at PCN or ICB level). Complete required training. The financial model: GPwER sessions are typically paid at a higher rate than standard GP sessions.
Where iatroX Fits
iatroX is the only platform offering specialist diploma Q-banks (DRCOG 600+, DFSRH 850+, DGM 484+, DipIMC 601+, FFICM 727+, DTM&H 700+) alongside core MRCGP content — directly supporting GPwER development pathways. Available at iatrox.com/boards.