Each ST3 person specification states that to progress to an ST3 training post an applicant must have gained sufficient experience working in medical specialties, anywhere in the world, by the time of the ST3 post commencing from date for that round. This experience can be gained in one of the following two ways.

Completion of CMT, ACCS-AM or BBT

If you have completed training or will complete training by the post start date in either core medical training, ACCS (acute medicine) or broad based training with the further year in CT2 core medical training then you will meet the minimum experience requirement.

Experience gained outside of CMT, ACCS-AM or BBT

If you have not completed, or will not complete a CMT, ACCS-AM or BBT training programme by the post start date, you must have at least 24 months' experience in medical specialties (of at which at least 12 months must include the care of acute medical in-patients). This experience must be gained in one or more of the medical specialties as listed on the JRCPTB website.

Please use the guidance notes below regarding what experience can be counted.

Medical rotations in other specialty training programmes

As well as the listed specialties you can also count time spent in rotations of other specialties. So for example, if a trainee had gained six months' experience in hospital medicine but this was as part of a rotation in a general practice training programme, these six months could still be counted towards the 24 months requirement.

UK foundation training discounted

As noted within the ST3 person specifications, all experience in a foundation training programme or at foundation-level, cannot be counted towards the 24 months' experience requirement.

Full-time equivalent

All time periods referred to within the person specifications and this website are 'full-time equivalent'. So the time counted is the actual time spent working/training in medical posts, and not necessarily the time employed.

For example, were a trainee to be employed in a post for 10 months, but was working on a less-than-full-time basis of 0.6 (ie 60%), then only 60% of this time would count towards the experience figure. So in this example, this would equate to six months.

Limits on experience in ACCS based specialties

Time spent in certain specialties/programmes does not count fully towards the 24 months' experience requirement, as these often contain a mixture of medical and non-medical experience.

To aid candidates in estimating how much of their time these programmes should count towards their experience figure, we have produced the table below:

Specialty Maximum time that should be counted toward the experience requirement
acute medicine (including any done as part of ACCS) all
any other medical specialty listed on the JRCPTB website all
emergency medicine (including any done as part of ACCS) - also known as A&E 3 months
intensive treatment unit (ITU)/intensive care medicine (ICM) (including any done as part of ACCS) 3 months (unless a rotation on a CMT programme, in which case 100% of time)
anaesthetics (including any done as part of ACCS) none
Please note that certain specialties invite applications from candidates who have training backgrounds in programmes outside of standard physicianly training. Please see the relevant grey tab above for further information.

Candidates applying to ST3 from 'non-physicianly' training routes

There are a number of specialties participating in JRCPTB-coordinated ST3 recruitment which allow applications from trainees whose training to date may not have been wholly within 'physicianly' medicine,

These are audiovestibular medicine, clinical genetics, clinical neurophysiology, clinical pharmacology & therapeutics, dermatology, haematology, immunology, medical ophthalmology, palliative medicine, rehabilitation medicine and sport & exercise medicine.

Because of this allowance for alternative training backgrounds, the experience required of applicants to these specialties is slightly different to the main requirements described in this section of the website.

Please view the relevant ST3 person specification for information on the specific requirements.

Providing information of 'alternative' experience

The method by which information on your experience is provided when applying to any of these specialties is exactly the same as for any of the other specialties; namely:

On your application: complete the experience page in full, and declare that you meet the experience requirements for the specialty

At interview: no further action required

If it is necessary for your career history to be clarified, you may be contacted so as to be certain the experience requirement can be met.

Experience gained in medicine anywhere in the world is counted.

Equivalence of overseas training

Consideration of overseas training can be a little more complicated due to working out what is 'equivalent' to experience above foundation level.

Regions will assess the medical specialty experience of candidates by reviewing the experience section of their application form.

Candidates will be asked to indicate the UK equivalent level of each post held, bearing in mind factors such as length of time since qualification and the responsibilities of the post.

If it is uncertain whether or not you meet this requirement, you may be asked to supply additional information after submitting your application.

Foundation equivalence - single-year programmes

In some cases, candidates training overseas undertake a postgraduate pre-registration training programme similar to UK foundation training but which is only a one-year programme.

Where this is the case, recruiters will consider the pre-registration year as equivalent to the UK F1 year, and then the subsequent year of training/work undertaken by a candidate as equivalent to the UK F2 year; and thus exclude both years when considering the experience figure for a candidate.

You must not have previously relinquished, been released or removed from a specialty training programme in your intended specialty, except under exceptional circumstances.

Exceptional circumstances may be defined as a demonstrated change in circumstances which impact on your ability to train at the time, such as severe personal illness or family caring responsibilities, incompatible with continued training.


Should you be in this position, your application can only be considered if accompanied by a completed Support for Re-application to a Specialty Training Programme certificate - completed by the postgraduate dean, or designated deputy, of the region managing the training programme on which you were employed.

This can be accessed/downloaded from the document library.

Providing information

You can provide information within and alongside your application as below:

On your application: the first question on the application relates to this; upon answering 'yes', you will be advised to send the completed form to the region managing your application after submitting. You will need to email this prior to the closing date for applications.

At interview: Bring the original copy of your Support for Re-application to a Specialty Training Programme certificate to interview.

If I applied in a previous round, but withdrew my application / rejected a post offer, does that count as a previous departure?

No. You would only be considered to have departed a post if you had physically begun working in the post, before leaving it at a later stage.

If you applied to ST3 in a previous round and then withdrew your application for any reason, even after accepting a post (as long as your withdrawal came before you actually started working in the post), this would not be classed as relinquishing a post. 

I was given an ARCP outcome 4 for core training due to not completing the MRCP(UK)?

If you were released from your core training programme due to not completing the MRCP(UK), and this was the only reason you were released, you do not need to declare that you have been released from a training programme.

You will attach a copy of your ARCP outcome to your application in the competences section so recruiters can see that this was the case.

Trainees currently working in the specialty, who are applying to continue their training in another region, or a different area within their current region, without a break in service will be required to submit a Support for Reapplication of Specialty Training in a Different Region form; which can be downloaded from the document library.

This form must be submitted by all applicants currently holding a National Training Number (NTN) or Deanery Reference Number (DRN) in a specialty training programme to which they are re-applying in open competition with the intention of changing region or area within their current region; it does not include trainees currently undertaking a LAT programme in the specialty.

The form must be completed by a Head of School or Training Programme Director, with direct knowledge of your training from the region where you currently undertake training in this specialty. 

Please ensure you advise your current Training Programme Director as soon as possible and ideally before the application is submitted.  Submission and approval of post numbers for recruitment happens way in advance of training programmes being advertised.  Being aware of a potential vacancy could assist your Training Programme Director with the management of their training programme.  Early communication of intention to the Training Programme Director will not affect your application.

Providing information

You can provide information within and alongside your application as below:

On your application: You will need to email the Support for Reapplication of Specialty Training in a Different Region form to the region managing your application. You will need to email this prior to the closing date for applications.

At interview: Bring the original copy of your Support for Reapplication of Specialty Training in a Different Region form to interview.

All ST3 applicants must be able to meet the further requirements stated on the person specifications:

  • ability to provide a complete employment history - if it is not clear whether you have provided a full employment history, you may be contacted and asked to supply additional information

  • evidence that career progression is consistent with personal circumstances - this requirement, and the one below, will be reviewed at interview as part of the evidence and suitability station

  • evidence that present achievement and performance is commensurate with totality of period of training

  • not already hold, or be eligible to hold a CCT/CESR, and must not currently be eligible for the specialist register for the specialty to which they are applying.

In the event a candidate already holds a CCT in general internal medicine (GIM), they would still be eligible to apply for a specialty post which dual accredits in GIM. However, they would be expected to fulfil the GIM service requirements of any such post, as well as those of the 'parent' specialty; and the programme length cannot be reduced as a result.

Applying for LAT posts

Applicants wishing to be considered for Locum Appointment for Training posts (where available) must have no more than 24 months' experience in LAT posts by intended start date.

Only LAT experience within the specialty you are applying to will be counted here; any experience in other specialties' LATs is ignored.

A crucial point to consider here is that your level of experience is not considered at the point you apply, but at the point from which posts commence for the round.

Information on these can be provided as follows:

On your application: complete in full the employment section of the form.

At interview: your application and training to date will be discussed and reviewed as need be.