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CORE MEDICAL TRAINING (CMT) RECRUITMENT APPLICANTS’ GUIDE – 2010 ROUND ONE
Contributors:
Dr Liz Berkin, Core Medical Training (CMT) Associate Medical Director, JRCPTB, RCP London
Ms Sarah Lazell, CMT Recruitment Project Manager, RCP London
Mrs Naomi Mallinson, Specialty Recruitment Development Manager, RCP London
Mr Tom Waterman, CMT Recruitment Communications Co-ordinator, RCP London
This document is a guide for applicants applying for Core Medical Training CT1 posts commencing in
August 2010 through the National Recruitment System (Konetic) in December 2009 / January 2010.
Please forward any comments, suggested amendments or queries relating to this guidance to:
cmtrecruitment@rcplondon.ac.uk.
Disclaimer:
Please be aware that the information provided here is guidance from the CMT recruitment team.
Ultimately it is the responsibility of the deaneries / Units of Application (UoAs) to which you apply to
judge your eligibility and suitability for an offer, based on information you supply during the recruitment
process.
TABLE OF CONTENTS:
1 Introduction .......................................................................................................................................... 6
1.1 Timeline................................................................................................................................... 6
2.3.3 Original current GMC certificate OR original current letter from the GMC............. 13
2.4 Decide which Deanery Units of Application (UoAs) to apply for ......................................... 14
4.4 Which parts of my application form can the recruiters see? ............................................... 23
6 Finally ................................................................................................................................................. 31
Appendix 11 Glossary..................................................................................................................... 56
1 Introduction
This guide is for applicants applying for CMT CT1 posts commencing in August 2010 in the
Round 1 applications window. All applications will be received and managed via our online
application system, which can be accessed via a link on our website
(www.CMTrecruitment.org.uk) from Friday 4th December 2009 onwards. We hope that this
guide, along with all the other information available on our website, will address most of your
questions.
The guide aims to provide specific guidance on how to complete the application form and
some pointers as to what the assessment panels will be looking for. For additional advice
from the MMC team, please visit the MMC website at
http://www.mmc.nhs.uk/default.aspx?page=518.
Please be aware that if you have downloaded this document, a more up-to-date version
may have been published on the CMT website since then; please check the website for the
latest edition. The website’s Frequently Asked Questions (FAQs) are also regularly
updated.
Please note that Appendix 10 of this guide contains a glossary of terms used.
1.1 Timeline
The table below summarises the timeline of key events in the first round of recruitment to
CMT posts in 2010.
Date: Activity
The applications portal will not open until 4th December 2009, but you can take steps to
prepare in advance.
2.1 Consider the entry criteria
The entry criteria are listed in the National Person Specification for CMT (CT1). The Person
Specification for CMT CT1 can be found at the following link:
http://www.mmc.nhs.uk/pdf/PS%202010%20CT1%20CMT.pdf
The full entry criteria are shown in Appendix 1. However, the criteria that have caused the
most confusion previously are:
Evidence of achievement of Foundation competence by time of appointment in line
with GMC standards/ Good Medical Practice
Ability to provide a complete employment history
18 months’ or less experience at ST / SHO level in this specialty (not including
Foundation modules) by August 2010
Application Completion: ALL sections of application form completed FULLY
according to written guidelines
Eligibility to work in the UK
2.1.1 Evidence of achievement of Foundation Competence (FC) by August
2010
Foundation Competence (FC) categories that meet the entry criteria are summarised in the
table below. Further details about each category and the evidence you would need to
provide can be found in the following paragraphs.
If you are currently undertaking a stand-alone or headroom FY2 programme that is part of
one of the schools listed in Appendix 2, and expect to gain FACD 5.2 certification before
August 2010, you have met the entry requirement and do not need to provide further
evidence at the application stage.
Applicants who are not currently undertaking a UK or affiliated foundation programme, and
are not undertaking a stand-alone one-year FY2 programme leading to the award of a
FACD 5.2 by August 2010, are required to provide alternative evidence of their
competencies before the closing date for applications.
FC Category 2: Applicants with an FACD 5.2
Applicants within Category 2 will have already completed a UK or affiliated foundation
programme. If this applies to you, when you apply, you will be asked to confirm that you
have been awarded an FACD 5.2. The completion of the Foundation programme must be
from 31st July 2007, or later. This is in order to meet the requirement that candidates are
only eligible to begin Specialty Training (ST1) within three years of achieving Foundation
competency.
Applicants are required to submit a scanned copy of their FACD 5.2 by the closing date for
applications: 12:00 midday on Friday 18th December 2009, by emailing it to the deanery to
which they have applied or uploading it into their application before submission.
Acceptance of late submissions of evidence will be up to deanery discretion.
Applicants will be expected to present the original certificate when attending assessment
centre.
FC Categories 3a & 3b Alternative Certificates
If none of the above applies, or you are unable to provide the evidence required for any of
the above, you will be able to submit alternative evidence by asking someone who has
supervised you for at least three months (whole time equivalent) since 1st August 2007 to
attest to your achievement of foundation competency. Foundation competency is required
to be within 3 years of starting specialty training at ST1 level, i.e. the certificates must relate
to posts completed after 31st July 2007.
There are two ‘Alternative Certificates’ available for download; one for specialties with acute
medical responsibilities, and one for specialties without acute medical responsibilities. A list
of specialties with acute medical responsibilities is available in Appendix 3.
Certificate A (Appendix 4) should be used for specialties with acute medical responsibilities
and Certificate B (Appendix 5) should be used for specialties without acute medical
responsibilities.
If you are planning to submit an alternative certificate, you are required to email a scanned
copy to the deanery to which you are applying, or upload it into your application form no
later than the closing date for applications: 12:00 midday on Friday 18th December 2009.
The deanery will check your certificate as follows, so please ensure that it is complete
before sending it in:
If Certificate A, they will check that the post is one with acute medical
responsibilities
For both Certificate A and B, they will check that the certificate has been
completed IN FULL as ‘Able to Demonstrate’ for ALL competencies, signed by
a Consultant supervisor and stamped by the hospital
If you are unable to obtain one certificate that has been signed off as ‘Able to Demonstrate’
for ALL competencies from one Consultant supervisor, but have demonstrated these
competencies in a number of posts, please submit as many certificates as you need, signed
off by different Consultant supervisors you have worked with, to cover all of the
competencies required, within the required time-frame.
FC Category R Refugee doctors
If you are a refugee doctor, you may have less access to standardised documentation and
in some cases may not be able to obtain an ‘Alternative Certificate’. If you are unable to
provide any of the above because of your Refugee status, you should contact your local
Postgraduate Deanery for advice (see Appendix 6 for contact details) before submitting
your application. Refugee doctors should provide an Alternative Certificate wherever
possible.
Deaneries should be able to provide help for bona fide Refugee doctors to help them to
obtain an Alternative Certificate.
This does not apply in most cases to asylum seekers, as asylum seekers are not eligible to
apply. The majority of asylum seekers do not have the right to work whilst they are seeking
asylum.
IMPORTANT – The following applies to all FC categories where evidence is required
Applicants are required to submit their evidence by the closing date for applications –
12:00 midday on Friday 18th December 2009 - by emailing a copy to the deanery or by
uploading the documents into the application form before submission.
If you have emailed your evidence before 18th December 2009, you will have met the entry
requirement for the FC criteria.
If you have NOT emailed your evidence by 18th December 2009, and have not been in
contact with the deanery about this, you will have failed the entry requirement for this criteria
and your application will be rejected.
Where the evidence received is incorrect (wrong documentation, wrong date, no signature
etc.), or you have provided an acceptable reason for the delay (and the deanery considers
your circumstances are unlikely to exclude you), you will be given the opportunity to provide
documentation when available. At the very latest this evidence should be brought to the
assessment centre.
2.1.2 Employment history
Please take care when completing the experience section of the application form. All dates
must be consecutive from the date at which you obtained your primary medical qualification
to the date you make your application.
Please make sure the dates do not overlap and that there are no unexplained gaps. If there
are gaps of 29 days or more, you will be prompted to explain the reasons.
You MUST enter your FULL employment history, even if you undertook non-medical posts
or voluntary work.
Any career gaps must be adequately explained.
Failure to provide this information may prevent you submitting your application, or lead to
your application being rejected on the grounds that you did not meet the entry criteria.
2.1.3 18 months or less CMT experience
To be eligible you must have 18 months or less experience at ST / SHO level in this
specialty (not including Foundation modules) by August 2010.
'Experience in this specialty' means experience at CMT level, anywhere in the world, in any
medical specialty post; regardless of the post(s) being formally designated as ‘training’ or
In this guide an 'original' document means ‘not a copy’. It does not necessarily mean the first document
you were given. In each case you need to bring your current or most recent document.
Please prepare as early as possible by collating the original documents in a folder, with your
full name, GMC number and Applicant ID number clearly marked on the front. Please also
place TWO photocopies of each document in the folder.
Should you be invited to assessment centre, the deanery carrying out your assessment will
contact you to describe how they wish you to provide this evidence. It is important that you
follow those instructions carefully, so that you can correctly support the information you
have provided on your application form.
Evidence of current immigration status is required for ALL applicants, including British citizens.
UK/EEA applicants must provide their passport and any naturalisation papers, plus
photocopies for the Deanery to retain.
*For further information on immigration, please refer to the Right to work checks document
of the NHS Employment Check Standards (http://www.nhsemployers.org/primary/primary-
3524.cfm).
2.3.3 Original current GMC certificate OR original current letter from the
GMC
You need to provide evidence that you are currently registered with the GMC, or confirm
that you are eligible for GMC registration, without restrictions.
From 16th November 2009, the GMC will introduce the licence to practise. To practise
medicine in the UK from this point on, by law all doctors will need to be both registered and
hold a licence to practise. You will need to provide evidence both of your registration with,
and licensing by the GMC before you can formally take up a CMT post. Information on
licensing can be found on the GMC website http://www.gmc-uk.org/doctors/licensing.asp.
Please visit the Postgraduate Deanery websites (Appendix 8) if you wish to find out about
the areas and specialties within the UoA.
The application form will include a text box next to your UoA selections, which can be used
to express preference of sectors within a UoA, and also to make notes with regard to linking
applications.
2.5 Consider the desirable criteria
Please look carefully at the CMT CT1 person specification, published at the following
website address: http://www.mmc.nhs.uk/default.aspx?page=525
In a highly competitive system, your application should also aim to document as many of
the desirable criteria as possible. During the initial stages of application to CMT, the
application form is your sole means of demonstrating your suitability for appointment and
will be the sole source of information by which you will be ranked prior to assessment
centre.
You will be able to request a password reminder if you forget it by clicking on the link on the
login page. The password reminder will be sent to the email address that you have
registered on the system.
Password Security Warning
Your password is not accessible to anyone but you. Passwords are held encrypted in the
portal database. Please ensure that you keep your login details securely and that you do
not write them down or store them on your computer in a way that might be accessed by
others. The recruiters cannot access your password. As such, if another individual
accesses your application form and makes changes, it is almost certain that they have
obtained the password from you (albeit without your knowledge). If this occurs there is
nothing the SRO can do to address it once your application has been submitted. So please
ensure that you take great care with your login and password details.
3.4 Linked applications
Unfortunately, there is no facility to formally link applications with that of a spouse or partner.
Applicants should ensure that both partners indicate the same four UoA preferences in the
same order, or specify only one (the same) UoA. Also, the application form includes a text
box in the section for specifying UoA preferences where candidates can specify preferences
of particular regions within UoAs; this could also be used to express a desire to link your
application with that of another person.
3.5 Online application only
We can only accept applications submitted via the online application system. You may wish
to copy/paste personal information from your own records into the text boxes. This is
recommended so you can spell-check your text before pasting into the web-based form,
and keep a copy of your application (e.g. using MS Word) for future reference, and for
inclusion in your Evidence Folder
3.6 Help with your application
Completion of the form is your own responsibility and the content must be your own. You
can discuss various aspects with your supervisor or Programme Director, but you must not
copy any material for inclusion in your form.
There are websites and training courses that offer to help you with your application. In
general, those who have used these facilities regret spending the money on the facility.
Applicants using these facilities also tend to use many of the same stock phrases, and this
can be picked up by plagiarism software.
Official guidance and help is provided in this guide.
The SRO is unable to make individual recommendations about the information to enter on the application
form. The SRO is also unable to change any of your details before or after you have submitted your form.
Regrettably it is not always possible to be absolutely certain whether you have met the entry requirements
at Stage 1. There is a possibility that you might be permitted to progress if it is not possible to determine
your eligibility at that time.
If it is subsequently established that you do not meet the entry criteria at any stage in the recruitment
process it is normal practice that your application will be rejected at that time. This still applies even if you
have been interviewed and / or have received an offer.
If you know or become aware that you are not eligible, but have not disclosed relevant information, it is
much better to let the Deanery know this at the earliest opportunity to save both you and the recruiters the
time and resources needed to progress your application.
Please ensure you consider service & rota issues wherever possible when booking your
place at assessment centre. If you have any issues regarding the assessment, please
contact the UoA.
If you have any difficulties booking online, please try using an alternative web browser (such
as MS Internet Explorer) or contact the UoA in question.
The dates of assessment centres in each UoA will be posted on
www.CMTrecruitment.org.uk beforehand to allow you to anticipate when you may require
leave.
3.11 STAGE 2: Assessment Centre
From Monday 25th January 2010 onwards
CMT CT1 assessments will be held during this period.
Individual UoA dates and venues will appear on www.CMTrecruitment.org.uk.
The CMT CT1 assessment centres features an initial document checking session to check
your eligibility. The interview consists of three stations, giving you a number of opportunities
to demonstrate the competencies outlined in the Essential and Desirable sections of the
National Person Specification. One station will be assessing your application, supporting
evidence and your suitability for CMT. Other stations will include clinical scenarios,
communication assessment, professionalism and knowledge of governance.
3.12 STAGE 3: Offers process
From Monday 15th February 2010 depending on when the UoA is assessing
The UoA at which your assessment was held will notify you by email of your assessment
result. Either you will be offered a post, or you will be advised of your appointability status.
If you are appointable, but there are not enough posts to make you an offer initially, it is
possible you will receive an offer of a post later on, as some applicants will reject their offers.
This will happen, as some applicants receiving offers will have already accepted posts with
other specialties recruiting at the same time (e.g. General Practice Specialty Training).
If you are considered not appointable, you will be advised of this by the UoA.
Feedback will be available after the recruitment round has been completed.
If you are offered a post you MUST respond within 48 hours (excluding weekends and bank
holidays), otherwise it will be assumed you have withdrawn from the recruitment round and
the offered post and your application will be withdrawn from CMT. Responding to offers
should be done via your portal; if you are having difficulties accepting / declining a post,
contact the UoA directly.
If you accept another specialty offer, please inform the UoA at which you were assessed
that you wish to withdraw your CMT application. This then allows an offer to go to the next
person on the list (who may be your colleague).
During this time period, the CMT Programme Directors will be allocating specific
programmes within the UoA. You will be notified about the allocation result by the UoA
responsible.
Clearing will not take place on a national scale in the first round of recruitment. Any posts
remaining at the end of the Round 1 recruitment window will be made available again in the
second round of CMT recruitment, which will take place in the summer. If you have not
been made an offer by this time, it is recommended that you apply again in Round 2.
3.15 Pre-employment checks
April 2010 onwards
Prospective employers will run criminal records and other checks and may require that you
attend an interview or verify answers from your application form before issuing your
contract.
Your referees will be approached for references.
3.16 Contract of Employment
July 2010 onwards
Employers will issue contracts of employment to appointed candidates. Employers will also
confirm salary details, pay banding, rota, induction arrangements, and so on.
preference for any particular areas or rotations within a deanery for which they would like to
be considered if successful; however this could also/instead be used to specify a desire to
link your application with that of another person.
4.6 Application section – Personal Information
You will need to enter the usual contact details.
You will need to state whether you have a disability that will require special arrangements to
be made for interview, whether you qualify for the Guaranteed Interview Scheme (see
section 1.3), and whether you wish to work part-time.
There is also a question about deferred start dates, but please note this is only allowed in
exceptional circumstances for CMT training. If you are planning to work abroad and start
CMT in August 2011, please apply to next year’s recruitment process.
4.7 Application section – Foundation Competence
Please see section 2.1.1 of this guide for full details of how to evidence your Foundation
competence.
4.8 Application section – Medico-legal details
This section will ask you for details of your right to work in the UK, dates of any permits and
details of your English Language skills. You will also need your National Insurance number,
or an explanation of why you do not have one.
4.8.1 Fitness to practise, criminal convictions, driving offences
The application forms states that you do NOT need to tell us about parking offences. No
other exclusions are mentioned, so please include everything else. You must provide
details of all criminal convictions including road traffic offences. For example, if you were
convicted for the offence of driving with excess speed you must declare this.
You should provide details of any offence for which you may go to court or are awaiting a
hearing in court. This includes if you were arrested for an offence and are waiting to hear if
you will be charged. If you are living in Scotland, all civil penalties must be declared.
The post you are applying for is exempt from the ‘Rehabilitation of Offenders Act’ and
therefore any cautions or convictions you may have received cannot be considered ‘spent’
and must always be declared.
You must adhere to Good Medical Practice which requires that you do your best to make
sure that any documents you write or sign are not false or misleading. As such, if you are in
any doubt, please declare it.
Should you receive an offer of employment, your employer is obliged to carry out a CRB
(Criminal Records Bureau) check at enhanced level. If you do not declare something that
subsequently comes to light, this will be taken very seriously and you may find yourself
dismissed from work and reported to the GMC.
Please be reassured that the information on the ‘Fitness to Practise’ page of your
application is strictly confidential to the members of human resources / administrative staff
registered with the RCP to process your application, and the Dean / delegated officer(s)
responsible for considering whether your declaration is, or is not, material to your
application. The Dean / delegated officer(s) from your first-choice and / or assessment UoA
may wish to contact you about any declarations you make, to give you the opportunity to
provide further information. In the event that you are offered a post, this information will be
passed on, in confidence, to your new employer’s Human Resources department.
Where material exceptions do arise, it does not necessarily mean that you will be rejected.
An applicant may be accepted in cases where a material incident occurred several years
ago and there is no evidence of any recurrence, and the applicant continues to be
registered with the GMC.
4.9 Application section – Qualifications
This section asks you for your medical degree, with dates. Your qualifying medical degree
is not scored, but additional qualifications may receive a score.
You should enter any other relevant undergraduate or postgraduate degree. Each space
for this has a ‘drop-down’ menu that allows you to select the most appropriate description.
You must then complete the text box (word limit = 30) to give further information (e.g. title of
course / degree, dates, etc.). If you have further qualifications to add, press ‘add
qualification’. If you want to change it, press ‘delete qualification’ and re-enter, as
appropriate.
Each qualification you add is considered for a mark, so please ensure you add all relevant
qualifications. If it is not deemed relevant it will not attract a mark, but it may still be
information that you wish the recruitment team to see. These are the sentences that you
can select:
Additional Undergraduate Degrees and Qualifications. Maximum points = 10
Degree obtained during medical course e.g. intercalation, BSc BA etc.1st class honours
Undergraduate degree prior to starting medicine 1st class
Degree obtained during medical course e.g. intercalation, BSc BA etc.2.1
Degree obtained during medical course e.g. intercalation, BSc BA etc.2.2
Degree obtained during medical course e.g. intercalation, BSc BA etc. other
Undergraduate degree prior to starting medicine 2.1 or less
Other: please specify
Please note that it is important to select the correct sentence, taking particular care with the
intercalated degree question. Some applicants using certain web browsers may find they
are unable to view the full sentence on the web-based form – please refer to the sentences
above, which are identical and in the same order, to select your choice. You will be
required to bring the evidence to any assessment centre to which you are invited.
The following is a list of the options you can select for Postgraduate Degrees and
Qualifications. Please note the difference between a dissertation MD (e.g. some MDs done
as part of the medical qualification in the Indian subcontinent) and a research-based MD.
Also please note that, although you can document that you have passed MRCP Part 1, it
does not attract a specific score at the scoring stage of the recruitment process. As with
other sections, please document all that apply, using the ‘add new qualification’ option.
Remember to add all the relevant details in the associated text box (word-limit = 30), and
bring the evidence with you if you are invited to a CMT assessment centre.
Postgraduate Degrees and Qualifications. Maximum points = 10
PhD or DPhil Doctor of Philosophy
MD Doctor of Medicine - 2 year original research-based
MPhil Master of Philosophy
MD Doctor of Medicine - dissertation
MSc
Other postgraduate diploma or certificate
MRCP Part 1
Other - please specify
This section also has space for other relevant achievements, such as honours degrees,
merits, distinctions & prizes. Add each achievement in a separate box, and remember to
add the qualifying information in the text box (word limit = 30 for each achievement).
Because medical schools use different terminology, you will have to judge which category to
select. Be prepared to bring the evidence with you to any CMT assessment centre. Some
applicants using certain web browsers may find they are unable to view the full sentence on
the web-based form – please refer to the sentences below, which are identical to the
choices in the web-based form, in order to select your choice.
Additional achievements. Maximum points = 10
National prize related to medicine
Award for primary medical qualification (e.g. honours or distinction typically given to the top 10%)
More than one prize or distinction or merit related to parts of the medical course
One prize or distinction or merit related to parts of the medical course
Scholarship or bursary or equivalent awarded during medical course
Other - please specify
It does not matter in what order you list all your undergraduate, postgraduate, and other
achievements. Not all will attract a mark, but it may be information you wish recruiters to
have.
Please also note that if you do not have any of these additional achievements, but you are
otherwise eligible, your application will still be considered. You may be able to pick up
marks in other sections of the application.
The last part of this section asks you to include all training courses relevant to the specialty.
You can enter as many as you wish, but do please ensure that you can justify their
relevance to CMT. You do not need to list any mandatory training days you undertook
during a Foundation Programme. Please note that training courses do not gain a mark, but
the information is available to clinical recruiters, and may help demonstrate some of the
skills relevant to CMT.
4.10 Application section – supporting information
This section has a number of important domains which are marked, and it is a key section
for you to spend some time on. Please do your best to enter something relevant in each
text box. Completion of the text boxes is not mandatory if you have no evidence for the
section. You must justify any sentences selected which claim achievements. Future
achievements – i.e. those to be ‘achieved’ after Friday 18th December 2009 – should not be
recorded.
4.10.1 Achievements outside Medicine (65 words) – Maximum score = 6
This is a free text box. If you give one or more examples of an achievement, ensure that
you include details of your role, the effort required, and the relevance of the achievement in
relation to CMT. For example, just stating that you were head boy / girl will not attract as
many marks as a statement that includes the relevance of this to your application and future
training.
You will be asked to complete a text box (maximum 100 words) to explain your choice of
sentence and expand further. You will be required to bring any supporting evidence with
you to assessment centre.
4.10.3 Publications – Maximum points = 8
In this section please provide details of your most relevant publications. Please give full
citation details (as in Pubmed, but excluding your own name) of any published work, specify
any abstracts and then give a statement about your personal contribution to the work.
Please select the sentence highest on the list that applies to you. You can select only one
statement. Some of the statements carry equivalent weight.
Peer-reviewed journals include the BMJ, Lancet, New England Journal of Medicine and
most specialty journals. If you are unsure, visit the journal’s website to determine whether
submissions are peer-reviewed. You must justify your choice of sentence in the text box
(150 words) and cite the publication. You will be required to bring any supporting evidence
to assessment centre.
Publications. Maximum score = 8
I am first author in more than one peer reviewed publication
I am first author in one peer reviewed publication
I am co-author in more than one peer reviewed publication
I am co-author in one peer reviewed publication
I have published one or more abstracts or articles
I have no publications or abstracts
N.B. Some applicants may find they are unable to view the full sentence on the web-based
form – please refer to the sentences below, which are identical and in the same order, to
select your choice.
most recent first. Press ‘Delete post’ if you have made an error, and then re-enter correctly.
Please note that this section is not marked.
The form will ask you if you have any gaps in your career history; please be aware that if
you select ‘No’, if there are any significant time gaps between the posts you have entered,
the system will not allow you to submit the form unless you have provided adequate
explanation.
Also – please note that you cannot submit the form without at least one post entered in this
section. Obviously, if you do not have any career experience whatsoever then you will not
be eligible for CMT.
Lastly – as you will have a certain amount of training still to undergo between completing
your application and the start date for most posts of August 2010 – there is also a section to
complete on any future posts you will be taking up. This section is completed in the same
manner as that relating to previous posts, described above.
4.12 Application section – equal opportunities
This section includes the equal opportunities monitoring information required by the National
Health Service to monitor their recruitment practices. This section asks you to provide your
age, gender, ethnic origin, religious beliefs, and whether you have a disability. In order to
comply with the obligations placed on them under equalities legislation, employers are
obliged by law to collect and analyse this information.
Deanery-designated Human Resources / recruitment administrators are the only individuals
with the right to access this information. They will liaise with your employing organisation to
help them ensure they are adhering to equality and diversity guidelines. The recruitment
panels do not have permission to access this information at any time during the scoring
process.
4.13 Application – references
This section asks you to list three referees. One must, if possible, be your current, or most
recent supervisor, familiar with your clinical development. The other two referees should
relate to your most recent previous posts. If you feel unable to use a current or most recent
supervisor, and instead use a referee from some time ago, it could be difficult to judge your
current suitability, so use the most recent one possible. For all three you will need address,
email, contact number and dates you worked with the referee.
Please remember to check with your referees that they are able to provide you with a
reference. They will have to agree to complete a standard reference for you. It is usually
helpful for a referee to have your latest CV, or at least talk to you about your application.
They will then have enough information to provide you with a fully-informed reference. The
reference is sent to the UoA that has invited you for assessment centre.
References are not used in the scoring process, but are required by your prospective
employer prior to issue of a contract. Please note that clinical recruitment staff are NOT
permitted to review the references until a late stage in the recruitment process, so that a
‘good’ reference from a well-known or influential person will not influence your application.
However, the absence of a reference from a recent referee might raise some questions. A
recent referee may be unavailable for very good reasons (e.g. retirement, ill-health etc), in
which case you should approach your next most recent supervisor.
Even if your application is successful, you cannot start your job until your references are
received and deemed satisfactory. Keep in mind that it is your responsibility to ensure your
references are submitted.
IMPORTANT: Once your application has been submitted, it cannot be changed, except for personal details
and Clinical Referees’ details. Make sure you double check everything and ensure it is saved correctly
before you submit.
5 Contacting you
Remember to check your email regularly throughout the process. We will use your email
address to send you updates and personal messages about your application throughout the
entire recruitment period. There is no facility for texting or routine reminder emails, so
please do check your emails regularly and respond promptly.
6 Finally
Since designing and implementing the coordinated CMT recruitment process, we have
endeavoured to make the process as fair and as streamlined as possible for trainees. We
have consulted widely with trainees groups, Consultants, the Department of Health and
Postgraduate Deaneries, as well as within the Royal College of Physicians. We will be
seeking feedback from all stakeholders about the process, and will use this to improve the
recruitment experience year-on-year. We would therefore be very grateful if you could
complete any feedback surveys that you are sent. Of course, if you have a particularly
serious issue you wish to draw to our attention, please contact us separately.
This handbook will be updated regularly so please check www.CMTrecruitment.org.uk for
updates.
Eligibility • Eligible for full registration with the GMC at time of appointment and hold a Application form
2
current licence to practice.
• Evidence of achievement of Foundation competences between 31st July Application form
2007 and 4th August 2010 from a UKFPO affiliated Foundation Programme or
Interview / Selection
equivalent by time of appointment in line with GMC standards/ Good Medical 3
centre
Practice including:
Language Skills All applicants to have demonstrable skills in written and spoken English adequate Application form
to enable effective communication about medical topics with patients and Interview / Selection
colleagues demonstrated by one of the following: centre
o that applicants have undertaken undergraduate medical training in English; or
o have achieved the following scores in the academic lnternational English Language
Testing System (IELTS) in a single sitting within 24 months at time of application –
Overall 7, Speaking 7, Listening 7, Reading 7, Writing 7.
If applicants believe they have adequate communication skills but do not fit into
one of these examples they must provide supporting evidence
Health Meets professional health requirements (in line with GMC standards/Good Application form
Medical Practice). Pre-employment health
screening
Application • ALL sections of application form completed FULLY according to written Application form
guidelines
Completion
1
‘when evaluated’ is indicative, but may be carried out at any time throughout the selection process
2
The GMC will introduce a licence to practice in the autumn of 2009. Any doctor wishing to practice in the UK after this date must
be both registered and hold a licence to practice.
3
A selection centre is a process not a place. It involves a number of selection activities that may be delivered within the Unit of
Application.
4
All experience in posts at ST level count irrespective of the country the experience is gained in
5
Any time periods specified in this person specification refer to full time equivalent
Selection Criteria
Essential Desirable When Evaluated
Clinical Skills Clinical Knowledge & Expertise: Application form
• Appropriate knowledge base and Interview / Selection centre
ability to apply sound clinical References
judgement to problems
More information on the UK Foundation Programme can be found at the following link:
http://www.foundationprogramme.nhs.uk/pages/home
List 1: List 2:
Accident & Emergency Medicine 9 Any other specialty not listed opposite 2
Acute Medicine 9 Allergy 2
Anaesthetics 9 Audiological Medicine 2
Cardiology 9 Cardiothoracic Surgery 2
Care of the Elderly 9 Child & Adolescent Psychiatry 2
Clinical Oncology 9 Clinical Genetics 2
Critical Care 9 Clinical Neurophysiology 2
Emergency Medicine 9 Clinical Pharmacology & Therapeutics 2
Endocrinology & Diabetes Mellitus 9 Community Paediatrics 2
Gastroenterology 9 Dermatology 2
General (Internal) Medicine 9 Forensic Psychiatry 2
General Practice 9 General Psychiatry 2
General Surgery 9 Genitourinary Medicine 2
Geriatric Medicine 9 Haematology 2
Infectious Diseases 9 Histopathology 2
Medical Oncology 9 Homeopathy 2
Medicine 9 Immunology 2
Medicine for the Elderly 9 Learning Disability 2
Metabolic Medicine 9 Neurosurgery 2
Neurology 9 Nuclear Medicine 2
Medical Paediatrics 9 Occupational Medicine 2
Obstetrics and/or Gynaecology 9 Old Age Psychiatry 2
Orthopaedics 9 Ophthalmology 2
Paediatrics (with acute responsibility) 9 Otolaryngology (ENT) 2
Paediatric Cardiology 9 Paediatrics (without acute responsibility) 2
Paediatric Surgery 9 Plastic Surgery 2
Palliative Medicine 9 Psychotherapy 2
Rehabilitation Medicine 9 Sports & Exercise Medicine 2
Renal Medicine (Nephrology) 9
Respiratory Medicine 9
Rheumatology 9
Trauma & Orthopaedic Surgery 9
Urology 9
Vascular Surgery 9
Page 35 of 56
Appendix 4 Certificate A
Instructions to applicants:
Please note:
1. This certificate can only be signed by a consultant
2. You must be rated “able to demonstrate” for each and every competence listed on this certificate. If
the certifying consultant feels that you have not demonstrated each and every competence, or they are
unable to comment on any competence, your certificate will be rejected.
3. You can ONLY use this certificate if you worked for the consultant in a post WITH acute medical
responsibility as listed in Appendix 1. If you have worked with them in a post without acute medical
responsibility as listed in Appendix 1 – use certificate B.
4. Consultants are only eligible to sign these certificates if you have worked with them for a minimum of
three months whole-time equivalent since 1st August 2007
5. The certificate MUST be complete in every detail, including details about the person completing it for
you.
6. Failure of the person certifying your competency to correctly complete the section about themselves
in every particular will render you, the applicant, ineligible to be considered further for specialty
training in this recruitment round. It is recommended that you check the form after they have
completed it using the attached checklist.
Once they have completed it, please complete and sign the declaration below, and submit the certificate according
to the instructions in the applicants guide for your Specialty or Deanery
Applicant declaration:
I confirm that I have worked for at least 24 months in educationally approved posts since qualification and I have
worked for the consultant who has completed this certificate for a minimum of three months since 1st August
2007 in a post with acute medical responsibilities as defined in Appendix 1.
Speciality this certificate
Applicant Name
relates to
Speciality you are applying
Applicant GMC No
to
Signature Application No.
Countersignature confirming final decision agreed by all panel members (please √ as appropriate and
Associate Director to sign & print name)
OR
Insufficient evidence has been submitted for continued progression in the current
recruitment round (give details)
AD Signature …………………………………………………………………………
Page 36 of 56
Instructions to those completing the certificate:
The person who has asked you to fill in this form has applied for Speciality Training in the United Kingdom. In order
to process their application, we need to know that they have achieved the competences listed in this certificate to
the standard expected of UK foundation year 2 doctors. Before filling in this certificate please view the standards
expected of foundation programme doctors by following the links:
Please note that in order to progress, candidates need to have demonstrated ALL the listed competences.
Please also note that this document has to be correctly completed in every particular, including the
section about you, and failure to complete it fully will render the applicant ineligible to be considered
further for ST training in this recruitment round.
Email address:
Your UK GMC Number:
If not registered with the UK GMC:
Name of your registering body:
Your Registration Number:
If not registered with the UK GMC please attach
photocopy evidence of your professional status to this
certificate.
About how you know the applicant and their work: Please give details of the post this applicant held
at the time when you observed their work
Hospital
Country
Page 37 of 56
About the applicant’s competencies:
Able to Unable to Unable to
F2 Competence Demonstrate Demonstrate Comment
√ √ √
1. Good Clinical Care:
1.1 Demonstrates the knowledge, attitudes, behaviours, skills and competences to be able to take a history and examine patients,
prescribe safely and keep an accurate and relevant medical record
(i) History taking
(ii) Examination
(iii) Diagnosis and clinical decision making
(iv)Safe prescribing
(v) Medical record-keeping, letters, etc
1.2 Demonstrates appropriate time management and organisational decision
making
1.3 Understands and applies the basis of maintaining good quality care and ensuring and promoting patient safety
(i) Always maintains the patient as the focus of care
(ii)Makes patient safety a priority in own clinical practice
(iii)Understands the importance of good team working for patient safety
(iv)Understands the principles of quality and safety improvement
(v)Understands the needs of patients who have been subject to medical harm or
errors and their families
1.4 Demonstrates the knowledge, skills, attitudes and behaviours to reduce
the risk of cross infection.
1.5 Understand the principles of clinical governance – i.e. the processes that
safeguard high standards of care and facilitates the development of
improved clinical services
1.6 not assessed by this certificate
1.7 Demonstrates the knowledge, skills, attitudes and behaviours to be able
to educate patients effectively
1.8 Demonstrates the knowledge and skills to cope with ethical and legal issues which occur during the management of patients
with general medical problems.
(i) Understands the principles of medical ethics
(ii)Demonstrates understanding of, and practises appropriate procedures for valid
consent
(iii) Understands the legal framework for medical practice
2. Maintaining Good Medical Practice:
(i) Demonstrates the knowledge, attitudes, behaviours, skills and competences
needed to start self-directed life-long learning
(ii) Demonstrates the knowledge, skills, attitudes and behaviours to use
evidence and guidelines that will benefit patient care.
(iii) Demonstrates the knowledge, skills, attitudes and behaviours to use audit to
improve patient care
3. Teaching and Training:
(i) Demonstrates the knowledge, skills, attitudes and behaviours to undertake a
teaching role during a presentation to peers or the team
4. Relationships with Patients and Communication: Demonstrates the knowledge, skills, attitudes and behaviours to be able to
communicate effectively with patients, relatives and colleagues in the circumstances outlined below.
(i) Within a consultation
(ii) Breaking bad news
(iii) Complaints
5. Working with Colleagues: Demonstrates effective teamwork skills within the clinical team and in the large medical context.
(i) Communication with colleagues and teamwork
(ii) Interface with different specialties and with other professionals
Page 38 of 56
Able to Unable to Unable to
F2 Competence Demonstrate Demonstrate Comment
√ √ √
6. Professional Behaviour and Probity: Develops the knowledge, skills, attitudes and behaviours to always act in a professional
manner
(i) Doctor-patient relationships
(ii) Health and handling personal stress
7. Acute Care
7.1 Core Skills in relation to acute illness
(i) Promptly assesses the acutely ill or collapsed patient
(ii) not assessed by this certificate
(iii) not assessed by this certificate
(iv) Reassesses ill patients appropriate after starting treatment
(v) Requests senior or more experienced help when appropriate
(vi) not assessed by this certificate
(vii) not assessed by this certificate
(viii) Manages patients with impaired consciousness, including convulsions
(ix) not assessed by this certificate
(x) Understands and applies the principles of managing a patient following self-harm
(xi) Understands and applies the principles of management of a patient with an acute
confusional state or psychosis
(xii) Ensures safe continuing care of patients on handover between shifts
(xiii) Considers appropriateness of interventions according to patients’ wishes, severity of
illness and chronic or co-morbid diseases
7.2 Demonstrates the knowledge, competencies and skills to be able to recognise
critically ill patients
7.3 Demonstrates the knowledge, competences and skills to be able to function
safely in an emergency on call.
7.4 Demonstrates the knowledge and skills to be able to plan discharge for
patients, starting from the point of admission and taking into account the effects
of any chronic disease.
8. Procedures
Venepuncture and IV cannulation
Local Anaesthetics
Arterial puncture in an adult
Blood cultures from peripheral and central sites
Subcutaneous, intradermal, intramuscular and intravenous injections
IV medications
Intravenous infusions, including the prescription of fluids, blood and blood products
ECG
Spirometry and peak flow
Urethral catheterisation
Airway care, including simple adjuncts
Nasogastric tube insertion
Page 39 of 56
Declaration:
APPLICANTS FULL NAME:
B) I confirm that the doctor named above has worked for me for a minimum of three months
since 1st August 2007 in a post with acute medical responsibilities.
C) I can confirm that I have observed the doctor named above demonstrate all of the above
competences - or where I have not personally observed them, I have received alternative evidence that I
know to be reliable.
NB This form is invalid unless all three boxes above are checked.
SIGNATURE of person
completing certificate
PRINT NAME
DATE
HOSPITAL STAMP
Page 40 of 56
CHECKLIST FOR CANDIDATES SUBMITTING CERTIFICATE A
Page 1 – This page is specific to the specialty you have applied for.
1. Have you put your name, application number, GMC number and specialty of the post the
certificate relates to in the relevant boxes of the Applicant Declaration section?
2. Have you put the specialty you are applying to and your application number in the relevant
boxes of the Applicant Declaration section?
3. Have you signed the Applicant Declaration?
Page 2 – This and subsequent pages are generic and applicable to all specialties
1. Has the consultant you have asked to sign the certificate filled in their details correctly:
a) Name
b) Professional status
c) Current post
d) Address for correspondence
e) Email address
f) GMC number OR if NOT registered with the UK GMC, the name of the registering body
and their registration number
2. Have they told us how they know you?
a) Specialty and level of the post this certificate relates to
b) The hospital
c) Country
Pages 3 & 4
1. Has the consultant signing this certificate rated you as “able to demonstrate” for every
competence?
Page 5
1. Have they put your name in the box at the top?
2. Have they ticked boxes A B and C?
3. Have they signed the declaration and printed their name and the date?
4. Is there a hospital stamp?
If the answers to any of the above questions are NO, then your certificate will be rejected and
you will be deemed not to have demonstrated that you have achieved foundation competence.
Page 41 of 56
Appendix 5 Certificate B
Instructions to applicants:
Please note:
1. This certificate can only be signed by a consultant
2. You must be rated “able to demonstrate” for each and every competence listed on this certificate. If
the certifying consultant feels that you have not demonstrated each and every competence, or they are
unable to comment on any competence, your certificate will be rejected.
3. You should use this certificate if you worked for the consultant in a post WITHOUT acute medical
responsibility as listed in Appendix 1.
4. Consultants are only eligible to sign these certificates if you have worked with them for a minimum of
three months whole-time equivalent since 1st August 2007
5. The certificate MUST be complete in every detail, including details about the person completing it for
you.
6. Failure of the person certifying your competency to correctly complete the section about themselves
in every particular will render you, the applicant, ineligible to be considered further for specialty
training in this recruitment round. It is recommended that you check the form after they have
completed it using the attached checklist.
Once they have completed it, please complete and sign the declaration below, and submit the certificate according
to the instructions in the applicants guide for your specialty or Deanery
Applicant declaration:
I confirm that I have worked for at least 24 months in educationally approved posts since qualification and I have
worked for the consultant who has completed this certificate for a minimum of three months since 1st August
2007 in a post WITHOUT acute medical responsibilities as defined in Appendix 1.
Speciality this certificate
Applicant Name
relates to
Speciality you are applying
Applicant GMC No
to
Signature Application No.
Countersignature confirming final decision agreed by all panel members (please √ as appropriate and
Associate Director to sign & print name)
OR
Insufficient evidence has been submitted for continued progression in the current
recruitment round (give details)
AD Signature …………………………………………………………………………
Page 42 of 56
Instructions to those completing the certificate:
The person who has asked you to fill in this form has applied for Speciality Training in the United Kingdom. In order
to process their application, we need to know that they have achieved the competences listed in this certificate to
the standard expected of UK foundation year 2 doctors. Before filling in this certificate please view the standards
expected of foundation programme doctors by following the links:
Please note that in order to progress, candidates need to have demonstrated ALL the listed competences.
From what the applicant has declared to us, your speciality appears to have a limited range of
opportunities to display all the competencies required because of the limited range of patients or types of
condition normally encountered within your speciality. We therefore require further clarification with
regard to this and require that you specify how the candidate has demonstrated acute care competencies.
Please also note that this document has to be correctly completed in every particular, including the
section about you, and failure to complete it fully will render the applicant ineligible to be considered
further for ST training in this recruitment round.
Email address:
Your UK GMC Number:
If not registered with the UK GMC:
Name of your registering body:
Your Registration Number:
If not registered with the UK GMC please attach photocopy evidence
of your professional status to this certificate.
About how you know the applicant and their work: Please give details of the post this applicant held at
the time when you observed their work
Hospital
Country
Page 43 of 56
About the applicant’s competencies:
Able to Unable to Unable to
F2 Competence Demonstrate Demonstrate Comment
√ √ √
1. Good Clinical Care:
1.1 Demonstrates the knowledge, attitudes, behaviours, skills and competences to be able to take a history and examine patients,
prescribe safely and keep an accurate and relevant medical record
(i) History taking
(ii) Examination
(iii) Diagnosis and clinical decision making
(iv)Safe prescribing
(v) Medical record-keeping, letters, etc
1.2 Demonstrates appropriate time management and decision making
1.3 Understands and applies the basis of maintaining good quality care and ensuring and promoting patient safety
(i) Always maintains the patient as the focus of care
(ii)Makes patient safety a priority in own clinical practice
(iii)Understands the importance of good team working for patient safety
(iv)Understands the principles of quality and safety improvement
(v)Understands the needs of patients who have been subject to medical harm or
errors and their families
1.4 Demonstrates the knowledge, skills attitudes and behaviours to reduce
the risk of cross-infection.
1.5 Understands the principles of clinical governance – i.e. the processes
that safeguard high standards of care and facilitates the development of
improved clinical services and facilitates the development of improved
clinical services
1.6 not assessed by this certificate
1.7 Demonstrate the knowledge, skills, attitudes and behaviours to be able to
education patients effectively
1.8 Demonstrates the knowledge and skills to cope with ethical and legal issues which occur during the management of patients
with general medical problems.
(i) Understands the principles of medical ethics
(ii)Demonstrates understanding of, and practises appropriate procedures for valid
consent
(iii) Understands the legal framework for medical practice
2. Maintaining Good Medical Practice:
(i) Demonstrates the knowledge, attitudes, behaviours, skills and competences
needed to start self-directed life-long learning
(ii) Demonstrates the knowledge, skills, attitudes and behaviours to use
evidence and guidelines that will benefit patient care.
(iii) Demonstrates the knowledge, skills, attitudes and behaviours to use audit to
improve patient care
3. Teaching and Training:
(i) Demonstrates the knowledge, skills, attitudes and behaviours to undertake a
teaching role during a presentation to peers or them team.
4. Relationships with Patients and Communication: Demonstrates the knowledge, skills, attitudes and behaviours to be able to
communicate effectively with patients, relatives and colleagues in the circumstances outlined below.
(i) Within a consultation
(ii) Breaking bad news
(iii) Complaints
5. Working with Colleagues: Demonstrates effective teamwork skills within the clinical team and in the large medical context.
(i) Communication with colleagues and teamwork
(ii) Interface with different specialties and with other professionals
Page 44 of 56
Able to Unable to Unable to
F2 Competence Demonstrate Demonstrate Comment
√ √ √
6. Professional Behaviour and Probity: Develops the knowledge, skills, attitudes and behaviours to always act in a professional
manner
(i) Doctor-patient relationships
(ii) Health and handling personal stress
7. Acute Care
7.1 Core Skills in relation to acute illness
(i) Promptly assesses the acutely ill or collapsed patient
(ii) not assessed by this certificate
(iii) not assessed by this certificate
(iv) Reassesses ill patients appropriate after starting treatment
(v) Requests senior or more experienced help when appropriate
(vi) not assessed by this certificate
(vii) not assessed by this certificate
(viii) Manages patients with impaired consciousness, including convulsions
(ix) not assessed by this certificate
(x) Understands and applies principles of managing a patient following self-harm
(xi) Understands and applies the principles of management of a patient with an acute
confusional state or psychosis
(xii) Ensures safe continuing care of patients on handover between shifts.
(xiii) Considers appropriateness of interventions according to patients’ wishes, severity of
illness and chronic or co-morbid diseases
7.2 Demonstrates the knowledge, competencies and skills to be able to recognise
critically ill patients
7.3 Demonstrates the knowledge, competences and skills to be able to function
safely in an emergency on call
7.4 Demonstrates the knowledge and skills to be able to plan discharge for
patients, starting from the point of admission and taking into account the effects
of any chronic disease.
7. Acute Care - Description
From what the applicant has told us, your specialty does not normally deal with patients with acute medical needs. Please therefore describe an occasion upon
which you base your assessment of their acute care competences. It should be one when you have observed (or a reliable witness has reported to you) the
applicant using those skills with a patient whose clinical problem is normally seen within a specialty with acute medical responsibility. Please describe the case
and the actions taken by the applicant, not just the setting.
8. Procedures
Venepuncture and IV cannulation
Local Anaesthetics
Arterial puncture in an adult
Blood cultures from peripheral and central sites
Subcutaneous, intradermal, intramuscular and intravenous injections
IV medications
Intravenous infusions, including the prescription of fluids, blood and blood products
ECG
Spirometry and peak flow
Urethral catheterisation
Airway care, including simple adjuncts
Nasogastric tube insertion
Page 45 of 56
Declaration:
APPLICANTS FULL NAME:
B) I confirm that the doctor named above has worked for me for a minimum of three months
since 1st August 2007 in a post without acute medical responsibilities.
C) I can confirm that I have observed the doctor named above demonstrate all of the above
competences - or where I have not personally observed them, I have received alternative evidence that
I know to be reliable and give that person’s details below:
If you have not personally observed a situation described in this certificate, please give the witness
name, qualification and grade:
NB This form is invalid unless all three boxes above are checked and the evidence section for
competency 7 is appropriately completed.
SIGNATURE of person
completing certificate
PRINT NAME
DATE
HOSPITAL STAMP
Page 46 of 56
CHECKLIST FOR CANDIDATES SUBMITTING CERTIFICATE B
Page 1 – This page is specific to the specialty you are applying for
4. Have you put your name, application number, GMC number and specialty of the post the
certificate relates to in the relevant boxes of the Applicant Declaration section?
5. Have you put the specialty you are applying to and your application number in the relevant
boxes of the Applicant Declaration section?
6. Have you signed the Applicant Declaration?
Page 2 – This and subsequent pages are generic and applicable to all specialties
3. Has the consultant you have asked to sign the certificate filled in their details correctly:
a) Name
b) Professional status
c) Current post
d) Address for correspondence
e) Email address
f) GMC number OR if NOT registered with the UK GMC, the name of the registering body
and their registration number
Pages 3 & 4
2. Has the consultant signing this certificate rated you as “able to demonstrate” for every
competence?
3. As the speciality appears to be one where acute medical conditions do not normally occur, have
they adequately described, where asked, a situation in which they have seen you demonstrate
those competencies with a patient whose clinical problem is normally seen within a specialty
with acute medical responsibilities?
Page 5
5. Have they put your name in the box at the top?
6. Have they ticked boxes A B and C?
7. Have they signed the declaration and printed their name and the date?
8. Is there a hospital stamp?
If the answers to any of the above questions are NO, then your certificate will be rejected and
you will be deemed not to have demonstrated that you have achieved foundation competence.
Page 47 of 56
Appendix 6 Deanery contact details for CMT (CT1) England
London recruitmentenquiries@londondeanery.ac.uk
Mersey 2010recruitmentenquiries@merseydeanery.nhs.uk
Northern cdda-tr.coremedical@nhs.net
Oxford pgmde.recruitment@oxford-pgmde.co.uk
Severn severn.stsupport@southwest.nhs.uk
Wales specialtytraining@cf.ac.uk
Wessex wessex.recruitment@nesc.nhs.uk
Page 48 of 56
Appendix 7 JRCPTB Medical Specialties
The following is a list of medical specialties, as defined by the Joint Royal College of Physicians Training
Board. The DH Medical Programme Board has confirmed that undertaking any of these posts will
contribute to the knowledge and skills required for Core Medical Training.
Experience gained during employment in any of these specialties (excepting experience gained during
Foundation modules) anywhere in the world will therefore contribute to the overall ‘experience in the
specialty’ allowance (18 months or less) prior to commencing a CMT CT1 post:
Page 49 of 56
Appendix 8 Deanery / UoA websites
PLEASE NOTE THAT THE INFORMATION IN THIS APPENDIX IS SUBJECT TO CHANGE.
If you are successful in gaining a post, most UoAs will seek your preferences (in terms of sector & specialties)
at selection centre / interview and then allocate based on your overall assessment ranking.
Below is a summary of the allocation method for each UoA where known, but please visit the Postgraduate
Deanery websites for further information.
East of England:
http://www.eoedeanery.nhs.uk/medical/page.php?page_id=631
The majority of East of England CMT posts are held in the same trust for the whole of the programme’s two
years (the EoE Deanery contains 20 trusts). During the programme, is it usual for junior doctors to gain
experience in Cardiology, Care of the Elderly, Endocrinology & Diabetes, Gastroenterology, and Respiratory
Medicine. In addition, a number of EoE trusts offer rotations in Renal Medicine, Stroke Medicine, Oncology,
Rheumatology, and Haematology.
Candidates attending for interview will be asked to list their preferences for the CMT rotations within the
region. Allocations will be made by matching these preferences with the applicant’s interview score. This is a
large region, and consideration will be given to those who prefer a particular geographical area for social or
family reasons. Please see the EoE Deanery website for details of our rotations.
KSS:
http://www.kssdeanery.org/prospectus/opportunities/core-medical
The 2008 PMETB survey rated the KSS School of Medicine as excellent, and ranked it second-best in
England.
KSS CMT programmes are based in regional acute trusts, and include large, city-based hospitals and smaller,
more rural placements. Trainees are based in one trust for two years, and undertake six four-month rotations.
All CMT trainees have a dedicated Educational Supervisor who delivers individually-tailored local weekly
teaching sessions, and is adept in clinical teaching and appraisal. All trainees provide weekly teaching
sessions for medical students, and are exposed to acute medical takes to ensure complete coverage of the
CMT curriculum.
Page 50 of 56
London:
http://www.londondeanery.ac.uk/specialty-schools/medicine-and-medical-specialties
Applicants to London will choose from all available rotations as listed on the London Deanery web site, and
submit a preference sheet at interview listing all rotations they are willing to take up. Allocation will be based
on the score achieved during the application process.
Rotations vary with either four- or six-month attachments to a wide variety of specialties. In addition to clinical
training, we encourage trainees to develop skills in research, teaching or management.
Mersey:
http://www.merseydeanery.nhs.uk/medicine/specialties/core/
Mersey Deanery is one UOA which includes posts in all the general and specialist hospitals in Cheshire,
Merseyside and the Isle of Man. All the CMT rotations offer the necessary training and experience required.
When candidates attend interview, they will complete a choices sheet indicating their preference for trust and
specialties in year 1. The CMT CT1 rotations will be allocated to the successful applicants in recruitment
ranking order. Year 2 allocations are made during CT1 using a similar process.
Posts in all of the major medical specialties are available in the scheme, and each placement usually lasts for
four months. We group the teaching hospitals according to their geographical position; as the CMT
Programme lasts two years, we ensure that one year of training is within a central hospital, the other within a
peripheral hospital. In each year, one or more placements may be in an adjacent specialist trust.
North Western:
http://www.nwpgmd.nhs.uk/specialties/?q=node/559
Details of all the 2-year CMT tracks are available on the NW Deanery website. At interview, applicants will be
asked to complete a preference sheet ranking all tracks, and allocation will be on the basis of assessment
score and expressed preference.
Each of the six four-month placements will involve at least one year in the main medical sub-specialties (Care
of Elderly, Chest Medicine, Endocrinology & Diabetes, Gastroenterology, and Cardiology). Each path will
provide 16-20 months of acute medical experience, with at least eight months of unselected acute medical
‘take’. The majority of trainees will be based in one site for each year of the programme.
Northern:
http://mypimd.ncl.ac.uk/PIMDDev/pimd-home/specialty-training-1/entering-specialty-training-in-the-northern-
deanery/entering-specialty-training-in-the-northern-deanery
The Northern Deanery is a large UoA, covering Northumberland, North Cumbria, Tyne & Wear and N & S
Tees. All the CMT rotations include posts in the general and specialist areas required to provide the
necessary training and experience for CMT. The rotations will be posted on the Northern Deanery website
prior to interview. Applicants, when they attend for interview, will complete a choices sheet indicating their
preference. Allocation will reflect recruitment ranking order.
Oxford:
http://www.nesc.nhs.uk/primary_areas/oxford_deanery.aspx
Applicants to Oxford will apply to the CMT training scheme in general, then around the time of interview, be
asked to list all rotations they are willing to take up, in order of preference. Allocation will be based on their
score achieved during the application process.
All rotations offered within the deanery provide a broad experience on which to base your future specialist
career. Some rotations are only within ORH (Oxford Radcliffe Hospitals), some only within a district general
hospital, and some rotating between the two. Typically, at the time of appointment, the trainee will know the
exact rotation they are committing to.
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Severn:
http://www.severndeanery.nhs.uk/recruit_menu.shtml
Candidates invited to interview will be asked to rank their choice of trusts by submitting a preference form to
the deanery, via the deanery website, in advance of their attendance at interview. All the rotations and the
trusts involved are detailed on the Severn School of Medicine website at http://medicine.severndeanery.org.
Successful candidates at interview will be allocated specific rotations by the College Tutors in the trusts as per
preference expressed by the trainees according to interview ranking.
The majority of core training rotations are offered on a split NHS Trust basis, with a number of posts offering a
single trust rotation. All our rotations have been designed to provide a similar broad high-quality experience of
the postgraduate CMT curriculum, whether in our district general or tertiary referral hospitals.
The posts in all rotations are appropriate to training in acute and general medicine, together with some
opportunities to gain experience in some of the specialties. Most involve a total of 6 x 4-month attachments,
but a few include some 6-month blocks (e.g. critical care medicine).
Wales:
http://www.cardiff.ac.uk/pgmde/careersandrecruitment/index.html
In 2010, there will be three UoAs within Wales to which you can apply: Southeast Wales (assessment centre
based in Cardiff); Mid & Southwest Wales (Swansea); and North Wales (Wrexham).
Please note that these three UoAs will be regarded independently during the recruitment process – candidates
cannot select ‘Wales’ as one of their four UoA preferences and then another three UoAs.
For allocation of rotations – each candidate will be given a preference sheet and will be asked to fill in ranked
preferences of rotations as 1st, 2nd, 3rd, etc. When we have established a ranking order of candidates following
completion of interviews, rotations will then be allocated on that basis – with the highest-ranking candidate
having his / her preferences considered first, then the second-highest, and so on. Each candidate will be
given their highest-preference rotation of those left available.
We hope to publish these preference sheets in mid-November at www.mmcwales.org. When candidates are
invited to interview, we will email them requesting that they bring a copy of the preference form with them.
Wessex:
http://www.nesc.nhs.uk/primary_areas/wessex_deanery.aspx
Applicants to Wessex will apply to the CMT training scheme in general, then at the time of interview applicants
will be asked to list all rotations they are willing to take up, in order of preference. Allocation will be based on
their score achieved during the interview process.
The majority of the posts rotate through six four-month posts, but some are through four six-month posts; or
one year in four-month posts, and the other in six-month posts. All will provide experience and training in at
least three of the ‘big six’ (Cardiology, Respiratory Medicine, Gastroenterology, Diabetes & Endocrinology,
Elderly Care Medicine, and Acute Medicine) to give adequate training in the acute medicine aspects of CMT.
CT1 and CT2 rotations are not necessarily linked in each trust, so there are opportunities to move between
rotations in each year, and sometimes between trusts.
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West Midlands:
http://www.westmidlandsdeanery.nhs.uk/SpecialtySchools/Medicine.aspx
CMT within the West Midlands Workforce Deanery is delivered in 5 zones; Birmingham, Black Country, Keele
(Staffordshire & Shropshire), Coventry & Warwickshire and Hereford & Worcestershire. Placement in a zone
is based on trainee preference and interviewing ranking. CT2 rotation details are decided at a later stage,
subject to consultation with the RCP Tutors.
In addition there will be more specific information on the deanery website with regards to rotations and
preferences.
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Appendix 9 Immigration Status and the Resident Labour Market
For certain professions in the UK, employers are legally required to ensure that residents in the labour market are
recruited before non-residents. Employers are only permitted to recruit non-residents once the resident labour market has
been exhausted. This is known as the Resident Labour Market Test (RLMT). Please note that the RLMT will not be
deemed to have been met in Round 1 of CMT CT1 recruitment – thus it will not be possible to make any offer of a post to
a non-resident in Round 1 of CMT CT1 recruitment. Applications from non-residents are welcome in Round 2 of CMT
CT1 recruitment but offers of posts cannot be made until the conditions of the RLMT are met. Please visit the UK Borders
Agency website for further information:
http://www.ukba.homeoffice.gov.uk/employers/points/sponsoringmigrants/employingmigrants/residentlabourmarkettest/.
The following table sets out the main categories of limited leave to remain and eligibility to take up specialty training
programmes. Please note that where status is “can take up a training programme”, this only applies where applicants are
otherwise eligible – it may still be necessary to satisfy the RLMT.
Category Status
Refugee status awarded by UK, and partner/civil partner or spouse Can take up a training programme
Partner/civil partner or spouse of a UK citizen on a probationary period Can take up a training programme
HSMP or partner/civil partner or spouse of HSMP (no restriction placed on you to prevent you
Can take up a training programme
working as a ‘doctor in training’).*
Postgraduate Doctor or Dentist or partner/civil partner or spouse Can take up a training programme
Science and Engineering Graduates Scheme or partner/civil partner or spouse Can take up a training programme
Can take up a training programme, provided you
Medical Graduates of Scottish medical schools on a ‘Fresh Talent: Working in Scotland’ visa are currently on the Foundation Programme or in
Specialty Training
Tier 1 clearance or partner/civil partner or spouse of Tier 1 (no restrictions placed on you to
Can take up a training programme
prevent you working as a ‘doctor in training’).
UK Ancestry or partner/civil partner or spouse Can take up a training programme
Partner/civil partner or spouse of work permit holders Can take up a training programme
Partner/civil partner or spouse of students with initial grant of more than 12 months Can take up a training programme
Citizens of other EEA country Can take up a training programme
Residents of other EEA countries (with only indefinite leave to remain in other EEA country) Cannot take up a training programme
Cannot normally take up a training programme
Non EEA partners of EEA nationals unless have been granted leave to enter the UK
as the partner of an EEA national
HSMP or partner/civil partner or spouse (restriction placed on you to prevent you taking specialty
Cannot take up a training programme
training posts – your endorsement will read “no employment as a doctor in training).*
Tier 1 clearance (restriction placed on you to prevent you taking specialty training posts – your
Cannot take up a training programme
endorsement will read “no employment as a doctor in training”). See above
Clinical attachment visa Cannot take up a training programme
Partner/civil partner or spouse of students with initial grants of less than 12 months Cannot take up a training programme
* The immigration rules were changed on 29 February 2008. From that date, some doctors with leave under the HSMP
(and their partners) will not be able to take employment as ‘doctors in training’.
** The immigration rules were changed on 27 November 2008. From that date, new applicants for Tier 2 or Tier 5
sponsorship (and their partners) will not be able to take employment as ‘doctors in training’.
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Appendix 10 Evidence Summary Form
First name: Last name:
You are required to bring any evidence you have quoted on the application form to your interview.
The evidence is in two sections. Firstly you are required to show proof of your eligibility (e.g. proof of name,
address, medical qualification, etc.) Please follow the deanery instructions regarding the evidence (and
number of copies) you are required to bring to interview.
This checklist concerns the second part of the application form, i.e. the ‘achievements’ section, where you list
any achievements you wish to be taken into account. The interviewers will wish to see the evidence you have
quoted on your application form.
In order to make the evidence easier to find, and to be fair to all applicants we are asking you NOT to bring
your personal training portfolio. Instead, we would like you to bring to the interview an ‘Evidence Folder’ which
shows all the evidence you have quoted on your application form, in the order in which it is quoted. Full
portfolios which do not follow the structure as defined below may not be looked at.
It is strongly suggested that you use this check list as the first page in your evidence folder, so the interviewers
can see, at a glance, what you have brought and find it easily. You may wish to use dividers, or other
markers, to identify the relevant sections.
You may wish to show other evidence of satisfactory training and assessments
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Appendix 11 Glossary
Unit of Application
UoA Some Deaneries are split into separate UoAs, such as Wales or the East
Midlands. The term UoA will be used in relation to Deanery Units of
Applications throughout this guidance document
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