30 June 2026
For many rheumatology trainees, sitting the Specialty Certificate Examination (SCE) can feel like one of the biggest milestones in training. It represents months of revision, balancing clinical commitments with study, and consolidating knowledge across a broad and complex specialty. Once it’s over, it’s natural for the focus to shift to one important question: what comes next?
At the British Society for Rheumatology (BSR), we know the SCE is more than just an exam. It’s a marker of progression - a transition point where the focus moves from passing assessments to shaping the future of your career in rheumatology.
For those at this stage, there are a number of ways to build on that momentum.
Reflecting on career direction
After the SCE, it’s a good opportunity to think about what areas of rheumatology have most captured your interest during training. Whether it’s inflammatory arthritis, connective tissue disease, osteoporosis, adolescent rheumatology or vasculitis, this is often the point where trainees begin to develop more focused interests.
Our careers hub offers a starting point for exploring the different pathways available within rheumatology and understanding how careers can evolve after training. For some, that might mean developing a subspecialty interest; for others, it may mean broadening their portfolio through education, research or leadership.
Building your portfolio beyond clinical work
Passing the SCE confirms your specialist knowledge, but the next stage of your career often involves much more than clinical expertise alone. Consultant roles increasingly require evidence of leadership, teaching, quality improvement and service development.
This can be the ideal time to strengthen your wider professional portfolio. Many trainees begin by getting involved in local audits, service improvement projects or collaborative research. These opportunities not only support professional development but can also help shape future career opportunities.
Presenting work at our conferences remains one of the best ways to share learning, gain feedback and connect with colleagues across the specialty. Submit a case report to our Case-based Conference by 10 July.
Developing leadership skills
As careers progress, leadership becomes increasingly important. The skills required to lead teams, influence service design and advocate for patients are often just as valuable as clinical expertise.
Mentorship can also play an important role at this stage. Connecting with experienced colleagues can provide practical guidance on everything from fellowships and consultant applications to balancing clinical and non-clinical interests. Applications for our Peer Review Mentoring Scheme open in September. Register your interest.
Continuing professional development
The end of the SCE doesn’t mean the end of learning. In many ways, it allows learning to become more purposeful. Trainees can begin focusing on the skills and expertise most relevant to their future goals. We offer on-demand learning for courses specific to your needs that can be accessed via our e-learning platform.
We also have a wide range of specialist courses, including ultrasound, advanced clinical skills and focused disease-area training - we aim to support that continued development and help trainees build expertise that aligns with their interests and future roles. Check out our upcoming courses here.
Looking ahead
There is no single route after the SCE, and that’s one of the strengths of rheumatology. For some, the path ahead is clear: complete training and move into a consultant post. For others, it may include fellowships, research, medical education or portfolio careers.
At BSR, we’re committed to supporting rheumatology professionals at every stage of that journey. Whether you’re looking for career advice, training opportunities, mentorship or leadership development, we’re here to help you take the next step with confidence.
The SCE may feel like a momentous milestone, but in reality, it’s the beginning of the next chapter.