Geriatric medicine (often referred to as 'care of the elderly') is the largest specialty in the UK in terms of consultant numbers.

With society's demographic change and more people living to an old age, the specialty continues to gain both importance and prominence.


Geriatric medicine - trainee characteristrics

It is important that any doctor considering geriatric medicine as a career should:

  • have an interest in and aptitude for dealing with older people

  • have a caring and empathic nature

  • enjoy working in multi-disciplinary teams

  • be able to communicate easily with colleagues, other health professionals, patients and carers

  • be enthusiastic and have leadership potential

  • enjoy complex decision-making and prioritising medical problems

  • have an interest in ethical issues.


Working/training in an ST3 geriatric medicine post

Geriatric medicine is an extremely enjoyable and challenging field to work in, no two days are the same!

It offers the individual an opportunity to specialise not only in the care of older people, but also to sub-specialise and develop an interest in related problems such as stroke, falls, dementia, continence, and movement disorders.

Doctors can work in different clinical settings including acute care, rehabilitation wards and the community.

Dual training

The vast majority of training programmes in geriatric medicine will be 'dual accredited with general (internal) medicine (GIM), which takes five years to complete (or pro-rata if training less-than-full-time).

Dual training ensures that specialists of the future have the necessary skills to deal with all the problems which may occur in old age.

If trainees wish to pursue specialist stroke medicine training as well, this requires an additional year of training (extending training to a total of six years).


Medical Care

Find out more about geriatric medicine and the services delivered by the specialty on Medical Care – the RCP’s online guide to service design.


Further information

    General / application queries

    For general queries relating to areas such as eligibility criteria, making an application or the Oriel system, please contact the Physician Specialty Recruitment Office.

    Below are the contact details for the regions recruiting to Geriatric medicine:

    Geriatric medicine 2021 - regional contact details
     RegionsLead regionContact details

    Wales

    N/A [email protected]

    Scotland

    N/A http://www.scotmt.scot.nhs.uk/contact-us/hospital-specialty-recruitment-contacts.aspx

    2021 participation

    Please note that there are not planned to be any posts in England in this specialty in 2021. There will only be recruitment for Scotland and/or Wales posts. Please see the 'dates and posts' tab for information about post availability in these nations.

    Should the specialty be recruiting to both Scotland and Wales, there will be a separate vacancy for each nation participating. You can only be in contention for posts to a nation to which you have submitted an application.

    Should an applicant apply to and be shortlisted for both nations, they will only be offered a single interview with the scores used for both applications.

    Eligibility

    This specialty uses the standard ST3 eligibility criteria, and does not accept candidates from any alternative training routes.

    Please visit the am I eligible? section of this website for further information.

    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.

    Round 1 interview dates & posts

    Region NTN posts LAT posts* Evidence upload date(s) Interview date(s)
    Wales 4-10 TBC 02 February - 08 February 2021 17 March - 18 March 2021
    Scotland 3 TBC 01 February - 08 February 2021 26 April 2021
    HE East Midlands N/A n/a N/A                                     N/A
    HE East of England N/A n/a

    London and KSS

    London

    N/A

     n/a

    KSS

    N/A

     n/a
    HE North East N/A n/a
    HE North West

    Mersey

    N/A

    n/a

    North Western

    N/A

    n/a
    HE South West

    Peninsula

    N/A

    n/a

    Severn

    N/A

    n/a
    HE Thames Valley N/A n/a
    HE Wessex N/A n/a
    HE West Midlands N/A n/a
    HE Yorkshire & Humber N/A n/a

    *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 nationally-coordinated process.

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

    Please note that due to the ongoing COVID-19 situation, certain recruitment processes have been affected for round 2 ST3 PSRO-coordinated specialties. As a result, the below information on this page is not applicable for this round only and should not be used where the process has changed. Please refer to the applicant guide for the latest information about how round 2 will operate.

    Further guidance about the scoring format of interviews will be published to each specialty page and we hope to have this updated by application closing date. Please visit the specialty pages closer to the time for updated information.

     

    Interview content

    You will spend approximately 10 minutes at each of the three interview stations, with three-to-five minutes' transfer time between each. Thus the overall time for the interview will be approximately 40-45 minutes.

    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 fall 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.

    Total score calculation

    After interview, a weighting is applied to the scores in each area, as well as the application form score, to give a 'total score'. This score determines your ranking which is 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.

    date of last review: 6 December 2019

    Interview Content

    The interview will consist of three questions which range between 5 and 10 minutes in length. You will be marked on these three questions and your communication skills, giving four scored areas in total. You will be scored by two interviewers on each question.

    Including time for questioning and scenario reading, the interview will be approximately 23 minutes.

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

    Scoring Framework

    The score of 1-5 an interviewer will award you for each assessment area is judged in relation to how well you perform against an expected level. Below is the framework used to award scores at interview, as well as interpretation of what these scores represent:

      

      

      

    Mark

      

      

      
      

      

      

     Rating

      

      

      
      

      

      

    Assessment

      

      

      

    1

    poor

    not considered appointable

    2

    area for concern

    performed below the level expected; possibly unappointable, subject to discussion and performance in other areas

    3

    satisfactory

    performed at the level expected during CT2; the candidate is suitable for an ST3 / LAT post

    4

    good

    above average ability; the candidate is suitable for an ST3 / LAT post

    5

    excellent

    highly performing trainee; the candidate is suitable for an ST3 / LAT post

    As shown in the table, for each of the question areas at interview, 3/5 is considered a satisfactory score; and reflects the level of performance that would be expected of a trainee ready to progress to a specialty training programme.

    Should your performance go above and beyond this expected level, interviewers can award marks of 4/5 or 5/5 as appropriate.

    Conversely, should your interview performance not reach the expected level, then interviewers can award marks of 1/5 or 2/5, as reflects their level of concern over your performance.


    Appointability

    From the eight scores awarded during your interview, an 'appointability' status will be calculated to determine whether you can be considered for an offer.

    The intention is to ensure successful candidates can display competence consistently across all areas of assessment covered at interview, rather than allowing outstanding achievement in one or more areas to make up for sub-par performance elsewhere.

    Appointability is awarded automatically and is based on two factors: individual interview scores and the 'raw interview score'.

    Appointability criteria

    To be classed as 'appointable', you must meet three criteria below:

    • none of your 8 interview scores can be 1/5
    • no more than two of your 8 interview scores can be 2/5
    • your RIS must be 24 or above.

    If you meet all three requirements, your application will be assessed as appointable, and can progress to be considered for post offers.

    However, if you fail to meet any of these requirements, your application must then be assessed as not appointable, and it will progress no further in that round.


    Total Score

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

    These scores are then combined to give your total score which determines 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, is detailed in the table below:

        

     

      

        

     Interviewer 1

      

        

     Interviewer 2

      

        

    Weighting

      

        

    Max score

      

    Question 1

    Clinical scenario

    / 5

    / 5

    2.5

    25

    Question 2

    Ethical scenario

    / 5

    / 5

    2.5

    25

    Question 3

    Suitability & Commitment

    / 5

    / 5

    1.8

    18

    Communication mark

    / 5

    / 5

    1.2

    12

    Raw interview score

    / 40

    Interview score (w weighting)

    / 80

     Application score

    / 56

    0.36

    / 20.16

     Total score

    / 100.16

    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 the nationally-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.