Forum Questions and Answers

Most colleges have a single recruitment round. IMT has two but both appear to be for August. I can't see anything on the website about any other start dates. It might be worth asking them:
The stats on exam passes are on the RCoA website. For opinion, you need to talk to someone in the specialty. Doing taster in anaesthetics will help decide if you like it and the final goal is worth the pain. A Windmills course can help you think about your work life balance. (see links in response to other questions).
The latest information can be found on: 'Shape of training' suggests that doctors in training should be using their skills in the generic context to support patient needs for longer so it is likely there will be some crossover but I suspect the nature of this would depend on the background from which you enter palliative care training. The JRCPTB have a contact page to ask more detailed questions:
you need to think about your work life balance see responses to previous questions about consultant working hours you should also undertake a Windmills course you probably also need to talk to a few GPs to ensure the life is as easy and highly paid as you believe and some consultants in your chosen speciality to see whether they feel the journey was worth it
If you are in Foundation programme you apply in November of F2 along with everyone else. If you are doing the F1 as a stand alone post you may be eligible for a CREST depending on your previous experience. Or you can apply for a stand alone F2 and then apply from there. Rules for IMGs can be found here:
I can't find anything to suggest an offer can be deferred. I suggest you email the helpdesk.
Taking a year out after F2 is commonplace and very unlikely to adversely affect your application. It might even boost it depending on what you do. (See the comments on 'F3 years' below). Most colleges have a limit on the number of exam attempts and a limit on training time (extended pro-rata if LTFT). If you use up all your exam attempts or cannot pass during training, you won't be able get a CCT (or GP equivalent). If that happens then you would most likely be able to find a role as a 'staff grade' equivalent. IF YOU FAIL AN EXAM (especially if you do it more than once), YOU MUST SEEK SUPPORT (from your supervisor and quite possibly from your local professional support and wellbeing unit). You may be approaching it wrongly, you may be doing it too soon, you may have a specific learning difficulty etc. You'll have to ask the college about the PhD. It's my understanding that most haematologists do.
Paediatric training can be intense - usually shift based and lasting 7 years or more, regular nights etc. but it can be rewarding. Training can be part time (although that might make it 14 years). However, once training is completed, many consultant posts are 10 PA and involve a night on call meaning you work about 3 days and one night a week plus the occasional weekend. Community paediatrics is often less intense although you do need to do basic training first. You need to compare this to 10 sessions a week as a GP with early starts and evening surgeries, home visits etc. (Although, of course, many GPs simply do sessional work as they choose). GPwER (previously GPwSI) are being developed but, apart from dermatology, there is no specific requirement. (see response to question below for links). As a GP with interest in paediatrics you might end up doing child surveillance but could perhaps do more. For this to work and to maintain your skills, you would probably need to do
Some FDs do PGCert/Masters in FP. Most teaching fellow jobs come after F2 and are stand alone posts for a year with some clinical component. Most of these posts pay for at least some of the modules of a Cert/Masters. (There is some info on finding these in response to previous questions). Occasionally regional or national 'HEE' fellowships advertised.
Queries can be sent to: You should book a few days as a taster in Public Health via your Education Centre. This should give you a point of contact. There are some public health projects for FDs about to be publicised across the West Midlands. Look out for these although this is for when you reach F2. There are also the West Midlands Public Health Community Fellowships which all FDs should hear about soon.
Specific courses should not be part of the selection process but they can be used as fulfilling parts of the person specification HEE midlands does run some courses but you should get most of this training via you core foundation teaching. There are some commercial courses. More details on IMT application are here: Further careers advice can be gained from your ES, PGCT, FTPD. There are some careers leads in the Foundation schools and your FTPD should be able to put you in contact if they cover your area. It might also be worth booking on a Windmills course: Some specialties run recruitment days and it is worth looking at the RCP website to see if any of these come up.
You'd need to ask a GP. (I'm a hospital doctor). Might be good to book a couple of taster days through your education centre or speak to a GP trainee in the mess. There is some info on the RCGP website.
See comments below about finding posts abroad. In terms of getting back into specialty training, you can apply from anywhere in the world (usually mid to late November) but do have to be in the country for interviews/selection panels (usually Jan/Feb). Some training programmes allow you to defer by a year but most don't. It is unlikely that you would be disadvantaged by taking a year out/working abroad and it may even improve your chances of selection for a variety of reasons (selection isn't only about clinical skills). In some specialties, if you work in that specialty for too long (for example you did it for 2 years overseas) you might not be able to apply for CT1/ST1 and therefore might be at a disadvantage in applying for a small number of ST2 or ST3 posts competing against those who have done UK training. If you were thinking about doing this, you would need to look at what was covered in the curriculum of the specialty you chose and ensure you covered the relevant areas.
You can and should do taster sessions - a couple of days in ED and go and talk to an ED consultant. As with all specialties, it is worth considering adapting your portfolio to support and application e.g. a QI project in EM or about acute admissions that come to your department via ED. Look out for training days regarding careers in EM. Getting involved in Sim teaching and major incident practices might help too.
There are diplomas/certificates you can do and it is probably worth looking at these to do alongside training. When in hospital you will have access to clinics etc to consolidate learning. Having extra skills will probably help with application for practice jobs later. On the other hand, you do need to make sure you pass you GP exams and complete training and you can develop special interest skills after you start practicing as a GP. The RCGP is developing information on GPwER as these are called now. Dermatology is the first to be complete as far as I am aware.
I'm not aware of any specific site though there are companies that will help you - usually for areas that struggle to recruit. Most FDs look at hospital websites in the countries where they want to work and apply directly. If you do work abroad make sure you check the GMC website for advice on licensing. There are some UK programmes that link to overseas placements within training but it is often done as OOPE (Out of Programme Experience) agreed while in the programme. Global health fellowships are available in GP training. In terms of specialising as a GP, most of these are roles that develop over time and don't have specific requirements other than demonstrating knowledge and skills. One way to do this is via diploma (e.g. in elderly care) which you can enrol in at any time and I'm aware of some FDs who do this on FY1/F2.
There is obviously UK focused but the training is highly applicable to other countries Our Public Health consultant tells me: The answer is yes, PH training does tie in with global health. Quote from FPH: 'The aim is to deliver competent and confident professionals able to work at consultant level in the wide range of public health leadership roles which are required both in the UK and globally'. I suggest you direct people to the online curriculum here and this is from p9: Global context Many of the public health challenges faced today are global health problems and require an understanding of the global dimensions of health and its influences. It is therefore acknowledged that in an increasingly interconnected and globalised world, public health professionals need to have an understanding of the global influences on health in order to be able to improve the health of the populati
My understanding is that it will be after 3 years of IMT before you can apply for palliative care. It sounds like you are doing all the correct things. The other aspect you should consider is making yourself competitive for IMT applications. As such you may want to consider MRCP part 1 etc. I would suggest you arrange to meet with the medical college tutor to discuss further. Some people enter palliative care with an anaesthetic or GP background.
There are two separate issues here: application to a specialty and application for LTFT. Try and keep these separate. You can apply for ACCS training for either the February or August intake as long as you are eligible. Being LTFT does not make any difference to your success rate at either sitting. If you are interested in LTFT training, you will need to get approval for this from the associate dean for LTFT working ( Dr Helen Goodyear) This is done on an individual basis. There is not an absolute number of LTFT trainees in each specialty / application window.
There may be opportunities within your trust to get involved in research at your stage of training. It is very much trying to find out what is currently happening locally. I would advise you contact your local FTPD who will be able to guide you in the right direction. Matthew Morgan based at University of Birmingham is the academic coordinator for the west midlands foundation school and it may be worth contacting him. His email address is:
The GP application is very much based on skills / knowledge gained during the foundation programme and in particular communication skills. It is written paper and communication scenario based recruitment. As such, my advice would be to get as much out of your current FY year as possible. There is no absolute requirement to do anything further.
The requirements for you to be eligible to apply for specialty training would be: 1) Full GMC licence 2) 12 months full GMC licence or equivalent Post licencing experience. ( I am not sure if you have this from previous experience?) 3) Certificate of readiness to enter specialty training - It may still be possible to get this after 10 months experience in the WAST scheme depending on your progress.
The first thing I would do is visit : Here you will find the personal specification for both specialties. The first thing you need to consider is how best to evidence these skills. The second thing is to visit the recruitment sites and review the application form. Here you will find details on the marking scheme. eg if they award points for certain courses, teaching programmes, presentations etc. The third thing to consider is how you can evidence career commitment. This may be attending career days at the colleges, completing audits / QIP related to the two specialties and keeping a log book of skills you use that are relevant to the specialty. Finally, go and speak with the relevant college tutors at your local trust and take along a copy of your CV. They will be able to guide you on the fine details. Good Luck!
I agree this is quite confusing. I am sure you have read the guidance at : Certainly the most straight forward way of achieving dual accreditation is to complete ACCS (EM). My understanding is that then have to apply for both ICM and EM at ST3 level and be successful at both interviews to gain entry onto the dual training programme. Unfortunately the application guidance is currently being updated so cannot confirm. If you need further information, I would speak with your local college tutor in ICM ( details available from your education centre) or email the FICM directly at:
Your Ranking is not based on your eportfolio, (although the portfolio is a good resource to keep evidence you may want to use at interview.) On your application form you will be asked details of courses / teaching / qualifications / presentations / publications etc which will be scored. These will be checked at a portfolio station at interview. You will also be scored on your performance at other interview stations. Your total score from all stations will then be calculated and you will be ranked accordingly.
It depends on what you mean by a 'fellowship'. There are generally two types - 1) When currently in a training programme and you need to do a 'fellowship' placement to gain particular experience generally towards the end of your training programme. 2) Trust advertising 'fellow posts' independently. These are generally Trust posts ( non training posts) for junior doctors to gain experience in a particular specialty. The time in these post is not recognised for training. I would advise you speak with your local FTPD to discuss further, or email the careers support at HEEWM to arrange a telephone call.
According to the GMC website, it is not possible to dual accredit in PH and GP ( The two options you have would be to complete the two training programmes separately. Alternatively in GP training, you can request ( subject to availability) to do one of your 6 month placements in PH. This will allow you to develop a specialist interest but not a formal accreditation in PH.
The MSRA will be held between 3rd and 11th January 2020. If you fail the MSRA you won't be eligible to apply again to resit until round 2. This will commence in July and mean you would start ( if successful in February 2021) You can apply for LTFT training at any point in your training. You can indicate that you want to start training as LTFT from the beginning. This will not have any impact on your success at recruitment. Any application for LTFT will need to be approved by the associate dean responsible for LTFT trainees. Competition ratios can be found at the website below but for the west midlands is approx. 1.3. Your allocation to placement within the region will be based on your application score. Further information about GP recruitment can be found at:
There are no absolute requirement for specific qualifications for areas of interest in GP. This is something you would discuss with your GP ES and decide how best to develop the skills / knowledge in your area of interest. It may be tailored placements during training, training courses, arranging additional days in that area, postgraduate qualifications such as PGCert etc or even taking time out of the training programme to explore and train in greater depth.
I would suggest you speak with your FTPD. Alternatively the GMC website explains the requirements in detail:
'F3' placements are not recognised as formal training and so there are no formal training placements. 'F3' placements are generally junior specialty doctor posts where a trust is appointing juniors to help support service ( although they may have some aspect of training. You would have to discuss LTFT options with the appointing Trust.
There is a specialty application guide available of the website: This is a great resource as also has details of personal specs, competition ratios etc. For radiology, you will need to complete an online application form. All other evidence eg CV's will be reviewed at the portfolio station at the interview.
There is a lot of information about Oriel and how to use it from the specialty training website One tip is Prior to logging in, you will also see a banner displaying your selected Staff Group, which can be changed by clicking the Change Your Selection button. This will return you to the Landing Page where you can select a different Staff Group. If the problem persists then once logged into Oriel there are FAQs and further guidance. Passwords expire every 365 days and need to be updated.
Yes you apply through Oriel. A helpful link is to follow You will need to sit the MRSA - multi specialty recruitment assessment. There is guidance in the website and you can choose when and where this is sat. This is the only written test and depending on your score you may gain a post straight away, be invited for interview or if score is too low you will need to reply in the next round. In GP training then the 2 exams are the AKT applied knowledge test which is usually done in ST2 and the CSA clinical skills assessment. There are further details about these on the RCGP website.
You are able to do IMT less than full time. If you are applying to enter specialty training but are unable to train full time, you may apply for less than full time training (LTFT), providing you can show that training on a full time basis would not be practical for you for well-founded reasons. Well-founded reasons may include, for example, disability, ill health, caring responsibilities, religious commitments and unique opportunities for personal or professional development. Less than full time training must meet the same requirements as full time training, except that there will be fewer hours of work per week. Please note that you will need to secure a full time post in open competition before you can make an application to work LTFT. You should apply for eligibility through your current HEE local office/Deanery ahead of this and indicate your desire to work less than full time on your application form.
All the information regarding application for a specialty can be found on the website Before applying for a particular specialty you need to make sure this is the right specialty for you - a useful resource for Foundation doctors is "Career Planning for Foundation Doctors" that can be found on e-LfH.
There is never a rush to get through training. Many trainees have benefitted greatly from an 'F3' year. It can provide great experience and a little 'breather' before going into specialty training. Always try and get something out of the year apart from locuming. Travel will provide some great experience, however you may also benefit from getting a post graduate certificate such as PGCert med education or a postgraduate exam such as MRCP part 1. Both these would give you additional marks in your portfolio station at interview. I would discuss the 'F3' year with trainees that have recently completed it to get their views. The last thing of note is regarding GMC revalidation. If you continue to practice during your 'F3' year, then you will need to maintain your GMC licence to practice and hence have a designated body / responsible officer and annual appraisal. You can find information about this process on the GMC website.
When looking to find out further information regarding applying for a specialty I would direct you to - you will be able to find the person specification for GP application. There is also information about the national competition ratios. I am not able to give the competition ratios for the West Midlands specifically. I'm not sure exactly which course you are referring to. Before applying to any specialty you need to ensure that you have fully explored your career options and the specialty you have chosen. There are many different ways you can do this and courses would be one. Other ways include the RCGP website, taster days during Foundation training etc, journals e.g. BMJ, attendance at careers fairs. Often the easiest way is to speak to current GPSTs. You will be able to find out all the information regarding training and exams on the RCGP website.
You will not be eligible for the August intake and currently deferral is not allowed for this reason. So you can either apply for the February intake or wait until the following august
For ACF the best people to contact are the Paediatric Academic regional advisors so either Professor Tim Barrett or Prof Andrew Peet - email or We also have a lead Paediatric academic trainee
You can put both applications in. Clinical teaching fellowships are advertised via NHS jobs and recruited locally, probably in March or later (but make some enquiries at your Trust/the one you might like to work in). Paediatrics, like all specialties, is recruited through the Oriel (National) system and recruited to in November with interviews in January. Details of applications are at and can be found on the RCPCH website too. (You prioritise 'deaneries' and, if longlisted, are interviewed at your top deanery. If appointed you then choose your rotation with priority based on your score). After applying to paeds you will probably still have time to apply for a teaching post (possibly while awaiting the outcome of your application but quite possibly after it).
This is a very good question, and one I do not know the answer too. Usually if you accept any post, then you are not considered for other posts ( unless upgrading.) However for ACF's I am not sure. I would advise you contact the recruiting team of the specialty you are applying to for clarification.
I would advise you try and arrange a career taster in ophthalmology. In addition I would arrange to meet with your local Ophthalmology college tutor and seek advice on how best to develop your CV.
If you are currently an FY1, then your two year placements are fixed. As such currently you will not be able to swap placements. The alternative would be to consider a career taster in cardiology. If still unsure you could consider an additional year as a JSD in cardiology before applying for specialty training.
The application window for all specialty training is in November. If you are currently an FY1, you will be eligible to apply in November 2020. To apply for either you will need to apply for the ACCS but state whether you are wanting ACCS EM or ACCS AM. You can apply for both and the decide when you have had all offers. You could always have a career in acute medicine by completing IMT and then applying for Acute medicine as an ST3 /4. I would discuss with your FTPD in the first instance and they can inform you who best to speak to at a local level.
There is never a rush to get through training. Many trainees have benefitted greatly from an 'F3' year. It can provide great experience and a little 'breather' before going into specialty training. Always try and get something out of the year apart from locuming. Travel will provide some great experience, however you may also benefit from getting a post graduate certificate such as PGCert med education or a postgraduate exam such as MRCP part 1. Both these would give you additional marks in your portfolio station at interview. I would discuss the 'F3' year with trainees that have recently completed it to get their views. The last thing of note is regarding GMC revalidation. If you continue to practice during your 'F3' year, then you will need to maintain your GMC licence to practice and hence have a designated body / responsible officer and annual appraisal. Your local FTPD will be able to provide more details.
It is about demonstrating your commitment to the specialty. It sounds like you are doing all the correct things: Audits in anaes, College career day etc. You may also like to consider a taster week in the specialty. These are also useful to get some application advice from relevant colleagues. In addition to this, keep a log book of any relevant procedures you may complete eg Arterial lines, central lines, airway management cases etc. For teaching, you will get further marks if you developed / delivered an education programme rather than just one session eg designed and coordinated the foundation teaching programme, or study day on analgesia for the multidisciplinary team. etc. The opportunity to present at a regional or national meeting is always difficult, however you may be able to submit a poster presentation. As long as you have evidence of acceptance ( eg email) before the event, then this would be sufficient evidence to score the points. Finally, I would meet with the anaest
There is really no such thing as an 'easy' specialty. All specialties have advantages and disadvantages with respect to quality of life. The key aspect is that you enjoy and are passionate about the specialty you work in. If this is the case, then you will be able to adapt to the work life balance. You can also consider other options such as working less than full time if work / life is important. The training for all specialties ( including GP) will involve doing on calls. In anaesthetics, you will not be placed on call until you are ready and competent to do so. The frequency of on calls varies from trust to trust but will always be compliant with the junior doctors contract. The first year of ACCS will always be EM and Acute medicine. After that you will commence anaesthetics and at least 4 month of ITU. As such the first year is very different from the rest, but no more challenging.
You may get additional marks for having the MRCS/P on the portfolio station at the interview, however this will only account for a few marks out of a significant number available during the interview. All applicants will be long listed to make sure eligible. The vast majority of FY doctors are. All eligible candidates will be invited to sit the SRA in January. Following this, depending on your score, you will then be invited for an interview.
As this is a relatively new scheme, I would advise that you speak with the college tutor in medicine at your trust. If you contact the education centre, they can inform you who this is. Alternatively Dr Phil Bright ( Head of School Medicine) will be able to inform you who would be best to speak with. ( Contact details on HEEWM website.)
The question topic is very generalised and would be difficult to answer here. There are numerous career pathways from research, hospitality, management, law etc. You have a first class degree and so would be very competitive which ever pathway you applied for. The first thing I would recommend is that you speak with your FTPD to discuss alternative pathways and why you are considering them. It is very important you have good advice before resigning from your training post. If you are a University of Birmingham graduate, then the careers department can also give you some advice.
If you know which Trust you want to be a clinical teaching fellow, then I would advise you contact the head of academy directly to express your interest and see when the position will be advertised. Some Trust recruit to these roles independently and so there is no particular application date.
A number of Trusts in the West Midlands have teaching fellows either assigned to student teaching or, often, simulation. Your education centre team is usually a good point of contact or the DME/PGCT. Your own FTPD should be able to give you contact details of those in other Trusts. In terms of preparation, learning about teaching/training/simulation is a good start. You might want to do a PGCertMedEd and consider turning it into a Masters in your teaching year.
It is important to talk to consultants and senior trainees in Paediatric Diabetes and Endocrinology. Each year the School of Paediatrics holds an evening for GRID applicants. If you contact the West Midlands training programme director for ST4-8 - then he will be able to discuss this with you and give you the details of whom to contact at Birmingham Children's hospital. The West Midlands trainees website has information which is helpful and gives you the name of lead trainees to contact
In an "F3" year you could get some of the desirable competencies in the ST1 person specification for public health. This includes achievements and extracurricular activities relevant to public health eg relevant experience in clinical/community settings., demonstration of commitment to public health principles in previous service work, course or training. I would discuss this further with your careers lead for public health in the East midlands who can be accessed via Sarah Bentley on
Combining GP and public health is something which a number of doctors have done. We are all different as individuals and it is important to think exactly what you would like out of a career. Please contact Sarah Bentley Sarah Bentley on for career contacts in the East Midlands in public health and GP
Firstly for a career in plastic surgery, you will need to do CT1 and 2 in surgery. In your "F3 year", you could take part A of the MRCS and look at some of the following: advanced Trauma Life Support (ATLS), Basic Surgical Skills and Care of the Critically Ill Surgical Patient (CCrISP) as these will also greatly enhance your application for ST3 training. For ST3 in plastic surgery, it is desirable to have 6 months experience of plastic surgery so you could try to get a Trust grade post in plastic surgery in the UK or if you are thinking of going abroad then one abroad. A surgical post of any nature would help you in your applications. Do have a look at the person specification for ST3 plastic surgery which is available at
Have you discussed your training needs with your current TPD? It would be difficult for me to advise myself. If you are unable to discuss this with your Training programme director, Dr Goodyear who is one of our career advisors is also head of school so could advise further. Her contact details are on the deanery website. Further to this posting Sonia, you really do need to discuss this matter with Dr Deshpande TPD and myself (Dr Goodyear). When you joined there were 10 empty posts to be filled and you were aware of what those posts were. All trainees in Paediatrics will be asked for their preferences for September 2019.
There are two postgraduate exams for anaesthetics. The primary exam needs to have been passed in order to get your CT2 ARCP signed off. It is possible to get a short extension to your programme if you have not done this by the end of your second year. The second exam: The Final FRCA needs to be completed by the end of ST4. You can have more than one attempt at the exam however there is a limit to the number of attempts. Details of this can be found on the RCOA website. As you will have more time to gain the core competences as a LTFT trainee, then you will also have additional time to gain the exams. There are many things you can do to prepare for the interview. I would arrange to meet with your local anaesthetic college tutor to discuss in more detail, however the key thing is evidencing skills applicable for a career in anaesthetics, career commitment and PRACTICE.
It would be good to try and get a taster in O+G. Look on the presentation (learn more) , RCOG website and Westmidlands Deanery website podcasts fro more information. Sarah Bentley is the careers manager and she has a list of contacts in East Midlands. It would be good to put you in contact with O+G consultants and trainees to learn more. Sarah’s email address is
The route to oncology is via CMT (now CT1-3) or ACCS if adult oncology or via Paediatrics if Paediatric oncology. You will need to get full MRCP or MRCPCH if working in Paediatrics. Assuming you are meaning medical oncology fro adults the details are all on the website and ca also be accessed via You will after going into medical oncology need to do the specialty certificate examination - details givenon the jrcptb website. If you would like to talk to a medical oncologist then please let me know (
It is possible to change in training using an inter Deanery transfer but there are set categories which are eligible. There must have been a change in circumstances since you took up the post. Go to and select national IDT to get more information. Sometimes trainees are approved for IDT but there are no posts in the Deanery they wish to transfer to. It is much safer to apply for the Deanery where your parents are if you know you wish to have children during your training
If you had accepted a training post number and agreed a start date by the time you commenced maternity leave, then you should be eligible for maternity leave when you commenced your GP training. To ensure this you may be better advised to apply for GP training this year and defer your start date by a year in order to take your 'F3' year. I am not sure what the situation would be if you were already on maternity leave when you applied for GP training. I would seek the advice of your local medical staffing team or contact the recruitment department for GP training. For maternity leave during your F3 year, it would depend on the contract you would have. If you were doing adhoc locums then it is most likely you would not be eligible..
This is a very difficult decision to make and you should discuss this in person with an appropriate person. You should discuss this initially with your nES or FTPD at your trust. If you are still unsure, your foundation programme director may be able to assist as well.
You need to review the personal specification of the posts carefully and try and provide evidence against as many of the desirable skills listed. In addition it would be recommended that you contact the college tutor for that specialty at your local trust to discuss further. There are also key contacts for career advice / application advice for each specialty listed on the website.
The application timeline is the same for all specialties ( apart from the academic pathway.) The dates have not been published yet but will be similar to last year ie open wed 7th Nov and close Thur 28th
All person specifications are on this site public health is here this gives some other information (England) the devolved administrations are slightly different e.g.
If you are interested in working in Australia then I suggest attending the BMJ Careers Fair which is held in the Business design centre, Islington in London on 19-20th October 2018. They have a lot of stands from abroad usually and you would get an idea of what is available in other countries.
It is important to have a taster week or sessions in anaesthetics to ensure you have good exposure to the specialty and are sure that this is what you want to do. To show commitment to specialty for anaesthetics then ensure you have appropriate life support courses, there are regional conferences which you can attend such as the midlands society of anaesthetists, the royal college of anaesthetists usually have a careers day each year; undertake an audit which is relevant eg post-operative patients on PCAs. Competition ratios are on the website and for 2017 are 2.16 ST1 anaesthetics, 5.26 ophthalmology and dermatology ST3 5.58. It is helpful to download the person specifications and try to get as many of the desirable competencies as possible, bearing in mind nobody has all of them!
There are many ways a trainee may want to spend an 'F3' year. You may want to increase your teaching experience by applying for a clinical teaching fellow post or sim fellow position. You may want to use the time to gain an additional qualification such as Postgraduate certificate in education or similar. Alternatively attempting your MRCP part 1 or 2 exams. For clinical experience there are often 'trust grade' positions where you can gain further experience in clinical medicine. Finally there is the opportunity to work abroad during your year. What ever you decide I would recommend you discuss with your nES or FTPD before making your final decision to consider aspects such as GMC licence to practice .
Academic clinical fellow posts are established to promote academic medicine and comprise 25% academic time. If you have started CMT you can apply for ACF - full information can be obtained from the NIHR website.
Ophthalmology is a highly competitive specialty, last year the competition ratio was 5.26 (number of applicants applying for each post). The person specification for all specialties can be found on the website. I would suggest reviewing your application against the person specification to see which areas you will need to concentrate on. To apply for any specialty training you will need to either be working in a UK Foundation programme or be able to show evidence of Foundation Competencies.
If you wish to have an "F3 year" and then apply for obstetrics and gynaecology then this is not frowned upon. Providing you do a medical post in that year you will bring skills to ST training that you otherwise would not have and the "F3" post chosen can help you fulfill some of the essential criteria in the person specification available from
Yes. Some remoter areas are using these both to attract trainees and newly qualified GPs. A recent survey among Foundation Doctors suggested they would be attracted to an unpopular area for a 40-50% extra salary. Last year successful schemes offered about £7000. However there are no current plans for initiating more more incentives How do we fight the commercialisation of GP? This is a PhD thesis in its own right. a short answer follows. Even within the climate towards commercialisation there is huge diversity in the way GP is practiced. This diversity means you will be sure to find a practice, and a way of working that suits you and the lifestyle you want to lead. You have choices and options, this is great. GP-at-scale and more corporate ways of delivering primary care still value that good general practice, at its core, is about meaningful interactions with patients, in a longitudinal way. It is these interactions, along with a supportive team, that probably gives GPs the most
The changes to CMT training starting in August 2019 will be reflected in the ACF pathway. The first two years of the ACF programme will be as current with two 4 months research placements.. The ST3 year will be equivalent to the IM3 year and there will be local arrangements for continuing research activities. Our academic lead informs me: 'There should not be any major change. ACFs will continue to have 25% of protected time for research and will have run through into their specialty of choice. There will be flexibility in the level of appointment as now.'
This used to be called GPwSI and is now GPwER The new 'credentialing' process the GMC is undertaking should help this to develop. RCGP are piloting one for dermatology but the plan is to develop this. There are a number of different pathways to develop skills and would probably be pre-GP training or post training though, I suppose, some training schemes may be flexible, particularly in the 'registrar' year.
All HEE regions have balanced programmes in anaesthetics. In the West Midlands there are 3 Schools of anaesthetics so commuting is in a fixed geographical area (details on west midlands deanery website) and therefore not onerous. The programmes in West Midlands evaluate highly but so do those of many regions. It is a case of thinking where you want to live putting all your unique personal circumstances into the equation. In terms of time out then OOPE (out of programme for experience) is a possibility in all training programmes for one year. An easy time to have time out is between Foundation training and specialty application but this has to be balanced with the fact that you would need to apply for a post for which you have the relevant experience and this would not include an anaesthetic one. There is no need to embellish your CV to be successful in anaesthetics if you fulfil the essential criteria (which will be the case if you have done F1 and F2) and meet as many of the desirab
I tis possible to go into Dermatology after ST3 in Paediatrics but as the current rules stand you must have done a year of adult medicine with exposure to acute emergencies after foundation training. Doctors have done this in different ways including doing up to ST3 in Paeds and then having a year out to do for eg 6 months of ED and 6 months of adult medicine. With Shape of Training on the horizon, set to come in 2021/2022 then having a year out of programme should be easier and it may be possible to have this as an OOPE at the end of ST3. Dermatology posts tend to be competitive and it is important to build up a body of evidence of dermatology experience. If you would like to talk further about this possibility then please email me on