An electronic submission of the evidence to demonstrate competence for the role. All forms are available to view below.

The senior clinical supervisor needs to be a senior medical colleague i.e., a medical consultant in a relevant field such as Sport and Exercise Medicine, Orthopaedics, Pain medicine or Rheumatology who has prior experience of supervising trainees. They need to have had regular direct clinical contact with the candidate including clinical input and knowledge of your clinical caseload and scope of practice.

Evidence is submitted to FSEM’s accreditation team (accreditation@fsem.ac.uk) via WeTransfer.  Instructions will be sent to you following completion of the Pre Application check form. The assessors will then review the evidence and provide feedback to the candidate.

The GPwER curriculum for MSK Medicine is structured into 2 separate high-level learning outcomes, known as Capabilities in Practice (CiPs), namely, working effectively as part of a multi-disciplinary team and the ability to deliver comprehensive, community-based management of musculoskeletal problems. More detail on what is included in these is found here.

Built on the foundation of the generic competencies introduced by the GMC in 2017, clinicians working in extended roles are expected to demonstrate that they are currently practising at the level of ‘entrusted to act independently’ in all specialty CiPs.

This has been developed during a significant period of change for musculoskeletal services within the NHS including the development of a new breed clinicians working within and across the traditional boundaries of primary and secondary care. This framework has been designed to support and entrench the important addition that a GP with an extended role makes as a core member of a multidisciplinary team in a community musculoskeletal setting.

There has been little support traditionally for GPs to develop these roles with wide variety of experience and clinical expertise around the country. This accreditation will provide the standard for those GPs to evidence they meet the requirements to work in extended roles in MSK settings providing support for clinicians and employers, promoting excellence in musculoskeletal care, and improving outcomes for patients.

Yes! To define the curriculum for a practitioner in an extended role in MSK Medicine a committee was convened with members from the Primary Care Rheumatology and Musculoskeletal Medicine Society (PCRMM) and the Faculty of Sport and Exercise Medicine UK to create a syllabus (found here) that covers the most common and important musculoskeletal health issues in primary care.

This syllabus forms the basis of the multi-professional applied knowledge test in the form of the FSEM MSK Diploma exam which sets a benchmark of the entry-level knowledge required to work in an advanced role in community MSK and primary care settings.

Form 1 Portfolio of Evidence

Form 2 Injection logbook

Form 3 DOPS

Form 4 Learning diary

Form 5a Feedback & analysis

Form 5b Patient feedback form

Form 6 – MSF

Form 7 Audit guidance and template

Form 8 Senior Clinical SSR V3 (exc rheum)

GPwER MSK Framework 2025

Appendix 1 Syllabus DipMSK Jan 2024

Appendix 2 Presentations & Conditions GPwER rheumatology CiPs

Appendix 3 Capabilities in Practice-GPWER

Appendix 4 – Portfolio submission documents

Appendix 5 – Musculoskeletal Medicine Educational Resources

Applicant Information

GPwER Regulations