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NHS specialty training routes for IMGs
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NHS specialty training routes for IMGs
UK specialty training is a national recruitment process. You apply through Oriel, are scored on a person specification and (for many specialties) an MSRA exam, and are matched to a deanery. IMGs can apply once they hold GMC registration and meet the specialty's competence requirements — usually evidenced through a CREST form and a portfolio.
Who this applies to
- IMGs planning to enter UK specialty training within 1–3 years.
- IMGs deciding between core training (CT1) and specialty training (ST1).
Key requirements
- Application portal: Oriel
- Common entry points: CT1 (Internal Medicine, Surgery, Anaesthetics), ST1 (GP, Psychiatry, Paediatrics)
- Assessment: Person spec + MSRA (most specialties) + interview
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Steps
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Choose entry point
Match your post-graduate experience against the specialty person specification.
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Complete evidence requirements
CREST form, MRCP/MRCS Part 1 where relevant, life-support certificates.
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Apply via Oriel in the correct round
Round 1 typically opens in November; deadlines are strict.
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Sit the MSRA and attend interview
Both scores feed into the ranking used to allocate posts.
Get help with your application
Your very own career expert that helps elevate your application to the next level.
Common failure points
- Missing a small piece of the person specification and being scored out at longlisting.
- Underestimating MSRA preparation.
Official sources
Every fact above should be confirmed against the controlling source before you act on it.
- Health Education England — specialty training NHS England / HEE Official
- Oriel recruitment NHS Official
Written by Editorial Lead Reviewed by Procedural Reviewer Published 12 July 2026 Updated 12 July 2026 See change log →
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