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2026 Recruitment Cycle

UK Specialty Training Interview Preparation

Free preparation guides for all 82 UK specialty training routes. Station-by-station interview guides, scoring criteria, Oriel self-assessment tips, and key application dates — everything you need to maximise your score.

Interview formats

UK specialty training uses four main selection models. Understanding which format your specialty uses is the first step in targeted preparation.

Portfolio Scored

39 specialties

Your portfolio is scored against a structured marking matrix at interview. Evidence mapping and presentation are critical.

MSRA + Interview

6 specialties

Multi-Specialty Recruitment Assessment determines interview invitation. A lighter interview follows for shortlisted candidates.

Interview Only

1 specialties

All selection weight falls on interview performance. No portfolio scoring — focus entirely on station preparation.

Shared Family

35 specialties

Routes in a shared family use a common recruitment process. Interview format and scoring criteria are shared across the family.

How MedNext helps you prepare

1

Map your evidence

Organise your portfolio evidence against the official scoring matrix for your specialty. Know exactly what's needed and where gaps remain.

2

Track readiness

Monitor your preparation progress across all interview domains. Self-assess against benchmark scoring thresholds.

3

Export for interview

Generate Oriel-ready evidence packs. Ordered, indexed, and formatted to match your specialty's submission requirements.

Browse by specialty

Select your specialty to see station-by-station interview guidance, scoring criteria, key dates, and Oriel self-assessment tips.

Specialty Training

Acute Care Common Stem (ACCS) Emergency Medicine ST1Portfolio ScoredAcute Care Common Stem (ACCS) Internal Medicine CT1Portfolio ScoredAcute Internal Medicine ST4Shared FamilyAllergy ST3Shared FamilyAudiovestibular Medicine ST3Shared FamilyAviation and Space Medicine ST3Shared FamilyCardiology ST4Shared FamilyClinical Genetics ST3Portfolio ScoredClinical Neurophysiology ST3Shared FamilyClinical Pharmacology and Therapeutics ST4Shared FamilyCombined Infection Training ST3Portfolio ScoredCombined Infection Training ST4Portfolio ScoredCommunity Sexual and Reproductive Health ST1MSRA + InterviewCore Surgical Training CT1Portfolio ScoredDermatology ST3Shared FamilyEmergency Medicine (Defined route of entry and ACCS route) ST3Portfolio ScoredEmergency Medicine ST4Portfolio ScoredEndocrinology and Diabetes Mellitus ST4Shared FamilyGastroenterology ST4Shared FamilyGeneral (Internal) Medicine ST4Shared FamilyGenitourinary Medicine ST4Shared FamilyGeriatric Medicine ST4Shared FamilyHaematology ST3Shared FamilyImmunology ST3Shared FamilyIntensive Care Medicine ST3Portfolio ScoredInternal Medicine Training CT1Portfolio ScoredInternal Medicine Training CT3Not RecruitingMedical Ophthalmology ST3Shared FamilyNational Institute for Health Research (NIHR)Portfolio ScoredNuclear Medicine ST3Shared FamilyObstetrics and Gynaecology ST1Portfolio ScoredObstetrics and Gynaecology ST3Portfolio ScoredOccupational Medicine ST3Portfolio ScoredOphthalmology ST1Portfolio ScoredPalliative Medicine ST4Shared FamilyPharmaceutical Medicine ST3Shared FamilyPsychotherapy ST4Shared FamilyRehabilitation Medicine ST3Shared FamilyRenal Medicine ST4Shared FamilyRespiratory Medicine ST4Shared FamilyRheumatology ST4Shared FamilySport and Exercise Medicine ST3Shared FamilyStroke Medicine and General (Internal) Medicine ST4Shared FamilyYear 6 - Nuclear MedicinePortfolio Scored

Frequently Asked Questions

How are UK specialty training interviews structured?

Most UK specialty training interviews consist of multiple timed stations, each assessing different competencies. Common station types include portfolio review, clinical scenarios, communication skills, and management or leadership questions. The exact format varies by specialty.

What is the MSRA and which specialties use it?

The Multi-Specialty Recruitment Assessment (MSRA) is a computer-based exam used by several specialties including GP, Psychiatry, and others. Your MSRA score determines whether you are invited to interview, and in some specialties it also contributes to your final ranking.

How is my portfolio scored at interview?

For portfolio-scored specialties, interviewers assess your evidence against a published scoring matrix. Each domain (e.g. teaching, audit, research) has specific criteria and point allocations. MedNext helps you map evidence to these domains before submission.

When do specialty training interviews happen?

Interview timelines vary by specialty but typically run between January and May. Applications usually open in November–December of the preceding year. Check your specific specialty page for exact dates.

Do I need to prepare differently for each specialty?

Yes. Each specialty has its own interview format, scoring criteria, and evidence requirements. Some weight portfolios heavily, others rely on clinical stations or the MSRA. Use the specialty guides below to tailor your preparation.

What is Oriel and how does it relate to interviews?

Oriel is the NHS recruitment portal where you submit your application, complete self-assessments, and track offers. Interviews themselves happen separately — either online or in person. Your Oriel self-assessment score feeds into your overall application score.

Start preparing today

Create a free MedNext account to track your interview preparation progress, map evidence to scoring domains, and export Oriel-ready evidence packs.

Medically reviewed by MedNext Clinical Team. Last reviewed 27 April 2026.