Clinical pharmacology & therapeutics (CPT) is an exciting and tremendously varied specialty; the core role of a clinical pharmacologist is to improve the care of patients through safe and effective use of medicines.

This wide remit combines clinical practice with development and implementation of new therapies, training and teaching of current and future prescribers, and promotion of evidence-based therapeutics through local and national policy.

In most centres, training in general internal medicine (GIM) will be offered alongside that in CPT, leading to a dual CCT in CPT & GIM. Combinations with other medical specialities are available in some centres.

Following training in the core CPT curriculum, trainees undertake training in one of four advanced specialist area modules: Hypertension; Clinical Toxicology; Clinical Trials; or Research.


CPT - trainee characteristics

CPT has a broad remit and so will appeal to trainees with a wide range of interests and skills. It will particularly suit trainees who are:

  • self-directed
  • innovative
  • seeking variety
  • keen to work with a measure of independence.

Plus, training in clinical pharmacology provides time for critical appraisal, analysis and academic development, which is not always available in other specialties.


Summary of the specialty

It is currently an excellent time to consider CPT as a career. Clinical pharmacologists make a vital contribution to the health of patients and the wealth of the NHS, providing unparalleled generalist and specialist expertise across the breadth of its services.

Significant progress has been made in improving the UK’s academic expertise in clinical pharmacology through the Medical Research Council’s and the Wellcome Trust’s initiatives, and in improving prescribing practice through the British Pharmacological Society’s collaborative project with MSC Assessment: the Prescribing Safety Assessment.

CPT is the only medical specialty focusing on the safe, effective, and economic use of medicines. It is a diverse and wide-ranging discipline that plays an essential role across multiple areas of the NHS, contributing to its organisational objectives and, most importantly, improving patient outcomes and experiences.

Clinical pharmacologists make a particularly valuable contribution to the NHS in areas including:

  • Providing specialist and generalist patient care in hospitals (including paediatrics) and other settings, using their expertise in the use of medicines to improve outcomes and prevent avoidable harm
  • Leading clinical toxicology services and the National Poisons Information Service
  • Advising on all aspects of medicines policy and management including regulation, health economic assessments, prescribing guidance, and formulary management in order to optimise the clinical and cost-effective use of medicines – for every £1 of investment, clinical pharmacology has delivered savings of £10 to the NHS
  • Providing education and training for undergraduates and postgraduates to ensure doctors have the appropriate skills to prescribe safely and effectively
  • Working with industry and supporting the UK’s life sciences sector to enhance the development of innovative new medicines and improve the use of current medicines
  • Bringing innovation to the NHS through experimental medicine by designing early phase clinical trials, establishing NHS clinical research facilities, and providing overarching clinical support

The work programme of a consultant in CPT varies greatly depending on the employer and the primary work setting.

Some brief information on these areas is given below (click on the relevant heading):

ueries regarding the progress of a submitted application should be directed to the lead recruiter for this specialty. The lead recruiter for clinical pharmacology and therapeutics in round 1 2017 is Health Education West Midlands.

Health Education West Midlands
Postal address Health Education West Midlands
1st Floor
St Chads Court
213 Hagley Road
Edgbaston
Birmingham
B16 9RG
email address specialtyrecruitment@wm.hee.nhs.uk
website www.westmidlandsdeanery.nhs.uk

General / application queries

For general queries relating to areas such as eligibility criteria, making an application or the Oriel system, please contact the Specialty Recruitment Office at the JRCPTB via email at st3recruitment@jrcptb.org.uk.

Eligibility

Please be aware that clinical pharamcology and therapeutics also accepts applicants from anaesthestics, emergency medicine, general practice and paediatric training routes, who may not have the MRCP(UK) examination nor all CMT competences.

Non-physician applicants must have obtained the basic specialty professional examination relevant to their training pathway prior to the start of ST3 training, in addition to specific clinical experience and competences. Therefore applicants must have one of the following:

  • Physician training (eg CMT) - MRCP(UK) Part 1 at time of application; full MRCP(UK) by required deadline
  • Paediatric training - full MRCPH diploma by required deadline
  • General practice - full MRCGP at time of application
  • Anaesthetics training - FRCA (Primary) at time of application; full FRCA by required deadline
  • Emergency medicine training - MCEM (Part A) at time of application; full MCEM by required deadline.

Please view the CPT person specification for information about the experience and competency required and the deadlines for when this must be achieved.

Medical trainees please view the standard eligibility criteria as detailed in the am I eligible? section.

Dual accreditation with general internal medicine

Although it is possible to apply for CPT from a non-medicine training pathway without core medicine competences, including the MRCP(UK), in most cases CPT programmes will be dual accredited with general internal medicine (GIM). GIM requires core medical competence and therefore non-medicine applicants will not be eligible.

Consequently, if you are interested in CPT training and do not meet the requirements for GIM, prior to applying you are advised to contact the training programme director at the region(s) in which you are considering working to find out if it will be possible for a single accredited CPT programme to be offered.

National single centre model

This specialty uses the single centre recruitment model.

You will not be required to give any preferences of particular regions when completing your application; you are applying purely for the specialty at that stage.

Later on, you will be required to give preferences of the available posts – at that point, you can opt to be considered for as many (or as few) post vacancies available nationally as you wish.

Lead region and single centre interviews

The specialty will nominate a particular region to act as lead for the round; this region is shown under the 'Who do I contact?' tab above. This lead region will review all applications, liaise with all candidates, host interviews, verify assessments, and make offers on behalf of all regions nationally.

Your application will be handled solely by the lead region throughout the entire round, up to the point where you receive and accept an offer; after which it will be transferred to the region where the post is based for pre-employment checks.

All interviews will be held at this lead region although the clinicians making up the interview panel will be drawn from a national background – ie not just from the host region.

It is possible that there could be changes between now and the interview period. Please bear this in mind when reviewing the information below, although in most cases it is not expected this will change, or any changes will be minimal.  You are advised to check back in closer to the time of interview. The date at the foot of this page shows when the page was last updated.

Interview content

You will spend approximately 15 minutes at each of the three interview stations, with three-to-five minutes' transfer time between each. Thus the overall time for the clinical pharmacology & therapeutics interview will be approximately 55-60 minutes.

For details of how scores are awarded at interview, and weighting that is applied subsequently, please see the scoring page of this website.

Click on the relevant stations below for more information on the content of the interview.

Please note that this is subject to change, and will be confirmed by the date of interview.


Interview scoring

Appointable - automatic

If you are awarded a score of  at least 3 / 5, for all marks  given to you at your interview, then you will automatically be classed as appointable .

Not appointable - automatic

If  any of the 12 scores awarded to you at interview are 1 / 5 , this will reflect poor performance and an area of major concern.

If  four or more of your 12 interview scores are of 2 / 5 , this will reflect several areas of concern across your whole interview.

Should your interview assessment falls under either category above, the level of concern over your potential progression to ST3 will see your application classed  automatically  as  not appointable  .

Appointability subject to panel decision

In the event that your 12 interview scores contain  one, two or three marks of 2/5  (and the rest 3/5 or above), your appointability status will be subject to discussion in the post-interview 'wash-up' meeting.

The clinicians who have interviewed you will discuss your general performance during the interview and any concerns or otherwise they have about your application as a whole.

Should they deem it appropriate, your application will be classed as appointable, and you can then be considered for post offers; whereas if they feel their concerns are too substantial for this outcome, they must class your application as not appointable, and it will progress no further in the current recruitment round.

Review vs automatic status

Please note there is no distinction made between candidates judged as appointable automatically, and those classed as appointable on review. Once deemed appointable it is only your overall score which will be used to determine ranking.


Establishing appointability

Appointable - automatic

If you are awarded a score of  at least 3/5, for all marks  given to you at your interview, then you will  automatically  be classed as  appointable .

Not appointable - automatic

If  any  o f the 12 scores awarded to you at interview are  1/5 , this will reflect poor performance and an area of major concern.

If  three or more  of your 12 interview scores are of  2/5 , this will reflect several areas of concern across your whole interview.

Should your interview assessment falls under either category above, the level of concern over your potential progression to ST3 will see your application classed  automatically  as  not appointable .

Appointability subject to panel decision

In the event that your 12 interview scores contain  one or two marks of 2/5  (and the rest 3/5 or above), your appointability status will be subject to discussion in the post-interview 'wash-up' meeting.

The clinicians who have interviewed you will discuss your general performance during the interview and any concerns or otherwise they have about your application as a whole.

Should they deem it appropriate, your application will be classed as appointable, and you can then be considered for post offers; whereas if they feel their concerns are too substantial for this outcome, they must class your application as not appointable, and it will progress no further in the current recruitment round.

Review vs automatic status

Please note there is no distinction made between candidates judged as appointable automatically, and those classed as appointable on review. Once deemed appointable it is only your overall score which will be used to determine ranking.

Total score weighting

After interview, a weighting is applied to the scores in each area, as well as the 'shortlist' score awarded to your application form.

These scores are then combined to give your total score which is determing your ranking which will in turn be used to inform how offers are made. The weighting of different sections, as well as the method by which your total score is established, can be seen by clicking on 'Total score calculation' below.

Please note that this is subject to change, and will be confirmed by the date of interview.

page updated 17 February 2017

As part of the process of applying to ST3, you may wish to gain an idea of how recruitment progressed in previous years for the various specialties participating in JRCPTB-coordinated recruitment.

To this end, we have published data dating back to 2013 (where this is available), based around four main areas:

  • Competition ratios - application numbers submitted to each specialty, along with the number of NTN and LAT posts available in each. It is worth noting that posts are subject to change throughout the round (increasing on average between 20-40%), and post numbers for this data are taken at the end of the round.

  • Shortlist scores - the scores awarded to all submitted applications, including average scores and distribution nationally.

  • Total scores - the total score awarded to all candidates who completed the full recruitment process for a specialty (application and interview), including some analysis of scores.

  • Post fill rates - the number of posts filled by region. 

We have published information for all specialties participating in our process that year; consequently not all specialties will have data in all cases.

Provisional post numbers

Specialty vacancy numbers are available in the table below, broken down by region and divided between substantive national training number (NTN) and locum appointment for training (LAT) posts.

It is the intention that initial post numbers for all regions will be published prior to the application opening date, although this cannot be guaranteed.  Numbers will be updated as and when notifications are received from each region and will be checked later in the round when programme preferences are open for selection.

Numbers subject to change

Please be aware that it is not uncommon for vacancy numbers to change throughout the round.

More commonly, post vacancy numbers can increase as the round goes on (and confirmation of posts becomes available); but it is also possible that numbers can reduce as well. On average post numbers rise between 20-40% from the start to the finish of the round but this can vary greatly for individual specialty/region combinations.

It is possible that regions which do not have a post at the start of the round may declare one after applications have closed. Whilst we try and minimise instances of this, it is not always possible to predict vacancies so even if there appears not to be a vacancy in your preferred specialty/region combination, you may wish to consider applying in case one becomes available during the round; you can check with the region concerned if you wish to check on the likelihood of a post arising.

Generally, once a region enter a post into a round they would always have at least one post available and would only withdraw it in exceptional circumstances.

Interview dates & post numbers

Region NTN posts LAT posts* Interview date(s)
HE East Midlands 2 n/a

West Midlands

Friday 7 April

HE East of England 1 n/a

London and South East

Kent, Surrey & Sussex

0

 n/a

 London

2

 n/a
HE North East 4 n/a
HE North West

Mersey

2

n/a

North Western

0

n/a
HE South West

Peninsula

0

n/a

Severn

0

n/a
HE Thames Valley 0 n/a
HE Wessex 0 n/a
HE West Midlands (lead) 1 n/a
HE Yorkshire & Humber 0 n/a
Scotland** 2 0
Wales 1 0

*English LATs

Please note, English regions do not recruit to LAT posts.

**Scotland post numbers

If you are interested in working in Scotland, a breakdown of post numbers by the four Scottish deaneries is available on the Scottish Medical Training website. This has details of all specialty training post numbers in Scotland, including specialties which are not part of the JRCPTB-coordinated process.

Please note that whilst we endeavour to keep the ST3 recruitment website up to date, the SMT website will always be the more accurate one where they differ.