 A Certificate of Completion of Training (CCT) or GPCCT (for GPs) is awarded to doctors who have successfully followed and completed a PMETB approved curriculum in a PMETB approved training programme.PMETB developed and introduced a system that assesses applications from doctors who have not followed a traditional training programme but who may have gained the same level of skills and knowledge as CCT holders.Prior to their establishment, there were only very limited ways for these doctors to join the specialist or GP registers, with consequent limitations to their career development.