{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T01:03:25Z","timestamp":1790039005869,"version":"4.0.1"},"reference-count":19,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T00:00:00Z","timestamp":1789862400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T00:00:00Z","timestamp":1789862400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["asmepublications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Clinical Teacher"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Postgraduate qualifications for clinical educators have proliferated internationally, raising questions about whether this reflects professionalisation or a credentialist response to competitive specialty selection. Postgraduate Certificates in Medical Education (PGCMEs) are established in the United Kingdom (UK), yet no published data describe enrolment over time. This research determined PGCME enrolment trends in the UK universities from 2010 to 2024 and interpreted them against this framing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Freedom of Information requests were sent to all the UK public universities offering PGCMEs (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200940), requesting annual enrolment figures. We obtained contextual data on the National Health Service (NHS) workforce size, specialty training competition ratios and application scoring from the NHS England and archived recruitment websites.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>A total of 36 universities (90%) responded. Courses more than doubled (13 in 2010\u20132011 to 29 in 2024\u20132025); student numbers rose 41% (1180\u20131667). Enrolments were stable through the 2010s, jumped in 2020\u20132021 (1082\u20131894), then settled at 1600\u20131700. Against the NHS England workforce, the proportion of doctors enrolled held at about 1%. Training competition rose: general practice ratios from 1.70 to 3.67 and internal medicine training (IMT) from 2.55 to 3.69. The PGCME's IMT scoring weight doubled from 4.7% to 10%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>PGCME provision has grown, but enrolment has not outpaced the expanding medical workforce. The 2020 spike likely reflects pandemic\u2010era online access and scoring reforms. Aggregate data cannot tell us whether holders teach afterwards or move straight into specialty training, how they funded their studies, whether they completed or what proportion are doctors.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/tct.70527","type":"journal-article","created":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T01:56:19Z","timestamp":1789955779000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Professionalisation or Credentialism? Fifteen\u2010Year Enrolment Trends in the UK Postgraduate Certificates in Medical Education"],"prefix":"10.1111","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4277-0700","authenticated-orcid":false,"given":"Matthew","family":"Bowker","sequence":"first","affiliation":[{"name":"School of Medicine University of Sunderland  Sunderland UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-0692-6755","authenticated-orcid":false,"given":"Leah","family":"Williams","sequence":"additional","affiliation":[{"name":"School of Medicine University of Sunderland  Sunderland UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0009-9234","authenticated-orcid":false,"given":"Michael","family":"Atkinson","sequence":"additional","affiliation":[{"name":"School of Medicine University of Sunderland  Sunderland UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris","family":"Tiplady","sequence":"additional","affiliation":[{"name":"School of Medicine University of Sunderland  Sunderland UK"},{"name":"Northumbria Healthcare NHS Foundation Trust  Northumberland UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,20]]},"reference":[{"key":"e_1_2_12_2_1","volume-title":"Promoting Excellence: Standards for Medical Education and Training","author":"General Medical Council","year":"2015"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/0142159X.2022.2158069"},{"key":"e_1_2_12_4_1","unstructured":"The Academy of Medical Educators \u201cProfessional Standards [Internet] \u201d [cited 2026 Jan 2] https:\/\/medicaleducators.org\/Professional\u2010Standards."},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10459\u2010018\u20109814\u20105"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/01421590050110812"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12909\u2010017\u20100894\u20103"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12909\u2010019\u20101686\u20108"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fhj.2025.100487"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/postmj\/qgae166"},{"key":"e_1_2_12_11_1","unstructured":"J.Lewis \u201cEligibility for Home Fee Status and Student Support in England [Internet] \u201d [cited 2025 Dec 18] (April 16 2025) https:\/\/commonslibrary.parliament.uk\/eligibility\u2010for\u2010home\u2010fee\u2010status\u2010and\u2010student\u2010support\u2010in\u2010england\/."},{"key":"e_1_2_12_12_1","unstructured":"\u201cNHS England| Workforce Training and Education |Medical Hub [Internet] \u201d [Cited 2026 Jan 8]. 2025 Competition Ratios |Workforce Training and Education |NHS England https:\/\/medical.hee.nhs.uk\/medical\u2010training\u2010recruitment\/medical\u2010specialty\u2010training\/competition\u2010ratios\/2025\u2010competition\u2010ratios."},{"key":"e_1_2_12_13_1","unstructured":"\u201cNHS England Digital [Internet] \u201d [Cited 2026 Jan 19] NHS Workforce Statistics https:\/\/digital.nhs.uk\/data\u2010and\u2010information\/publications\/statistical\/nhs\u2010workforce\u2010statistics."},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10734\u2010020\u201000561\u2010y"},{"key":"e_1_2_12_15_1","doi-asserted-by":"crossref","unstructured":"NHS England \u201cNHS Long Term Workforce Plan [Internet] \u201d NHS England (June 2023) https:\/\/www.england.nhs.uk\/wp\u2010content\/uploads\/2023\/06\/nhs\u2010long\u2010term\u2010workforce\u2010plan\u2010v1.21.pdf.","DOI":"10.12968\/gasn.2023.21.7.39"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/tct.13487"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12909\u2010024\u201005207\u20106"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12909\u2010023\u201004219\u2010y"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.4300\/JGME\u2010D\u201018\u201000082.1"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12909\u2010017\u20101115\u20109"}],"container-title":["The Clinical 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