Rehabilitation medicine is one of few specialities in which you can truly practice holistic medicine. You use your high level medical knowledge and skills, setting them in the context of the whole person – their family and friends, their work and other interests and passions, their home and the area they live in, and their ambitions, hopes and fears. You work within a multi-disciplinary team as an equal member of the team. Your contribution is your detailed knowledge of disease. Your special skill is in understanding how disease interacts with all other aspects of the person, and in using this understanding to help the team and the person achieve the best outcome possible. You will work across all boundaries and with all agencies and professions. All your life you will be learning from other knowledgeable and skilled people. As a doctor, you may often lead the team, but this is not a right or expectation. Leadership has to be learned, and the position earned.
As a consultant in rehabilitation medicine you will face interesting and new challenges every day of your life – medical, ethical, legal, personal, and inter-personal. Because you are working closely with patients and their families, and with members of your team and other teams, you are always having to learn, to explain, to draw on your medical knowledge and skills. You also realise how much research is needed, and for anyone with an academic or research interest, the opportunities are huge.
Rehabilitation medicine - trainee characteristics
Rehabilitation medicine should be attractive to any doctor who:
- values and enjoys talking to and sharing expertise with patients and their families
- is comfortable with acknowledging uncertainty, and allowing patients to choose
- values and enjoys discussing clinical matters within a multi-professional team, as an equal member of the team, both learning from them and teaching
- wants life-long variety in their daily work
Working/training in an ST3 rehabilitation medicine post
Rehabilitation crosses all boundaries, and as a trainee you will learn how to act as a doctor in a great variety of settings, from intensive care units and specialist wards, through almost all specialist and generalist wards in hospitals, and through mental health settings, on to community settings such as nursing homes, day centres and patients’ homes.
The clinical workload in the UK currently primarily involves patients with: any and all neurological disorders, including traumatic brain and spinal cord injury; trauma, including complex musculo-skeletal injuries and limb loss; other causes of limb loss; chronic pain including back pain; other more specific musculo-skeletal disorders; and a wide-range of psychologically-based problems alone or associated with a specific disorder. However rehabilitation cover all patients, and internationally covers psychiatry and learning disability; cardiac and chest conditions; children and the elderly; renal services and so on.
The knowledge and skills applies to all people receiving health care. You will learn about the nature and utility of the biopsychosocial model of illness; establishing patient priorities and negotiating team-based goals; liaising with other teams and professions; and having good medical diagnostic and treatment skills to recognise new problems, and to place each patient’s medical problems in the correct perspective.
The changing nature of healthcare with increasing numbers of people with complex, long-term disabling disorders will require many rehabilitation medicine specialists. The increasing numbers of people with multiple morbidity, and with long-term disabilities coupled with the increasing emphasis on community healthcare gives this speciality a (potential) central place in healthcare this century. Join it.
See (freely available):
Wade DT, Halligan PW
The biopsychosocial model of illness: a model whose time has come.
Clinical Rehabilitation 2017;31:995-1004 - https://doi.org/10.1177/0269215517709890
Wade DT
Rehabilitation – a new approach: Overview and part one: the problems
Clinical Rehabilitation 2015;29:1041-1050 - http://journals.sagepub.com/doi/full/10.1177/0269215515601174
Broad remit - team-based role
The physician works within a multi-professional team utilising his or her clinical and leadership skills, ability to assess risk, and emotional intelligence to effectively manage patients in a goal-orientated rehabilitation programme.
This wide remit combines clinical skills and practice with the prospect of developing and implementing services, teaching and training members of the multi-professional team, and promoting evidence-based rehabilitation through local and national policy.
Dual accreditation
Training in rehabilitation medicine complements other specialties and there may be an opportunity in some regions to attain dual accreditation in neurology, rheumatology and stroke medicine.
Rehabilitation medicine is a small, but expanding, specialty and it is an excellent time to contemplate this progressive career choice. Training typically consists of a four-year programme, which encompasses learning across the clinical areas.
Competition levels
Competition ratios for ST3 posts are particularly favourable and diversity in applicants is welcomed with access to the programme being attainable after achieving MRCP(UK), MRCS, MRCGP or MRCPsych qualifications.
Rehabilitation is increasingly becoming the focus of effective patient management and in recognition of this consultant posts are predicted to expand in the coming years.
Rehabilitation medicine is a bright, exciting specialty especially suited to doctors able to ‘think outside the box' and who wish to work predictable hours with manageable on-call commitments.
Medical Care
Find out more about rehabilitation 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.
Queries regarding the progress of a submitted application should be directed to the lead recruiter for this specialty. The lead recruiter for rehabilitation medicine in 2021 is West Midlands.
Health Education West Midlands | ||||||
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Postal address | Health Education West Midlands 1st Floor St Chad's Court 213 Hagley Road Edgbaston Birmingham B16 9RG |
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email address | specialtyrecruitment.wm@hee.nhs.uk | |||||
website | www.westmidlandsdeanery.nhs.uk/ |
Eligibility
Please be aware that this specialty accepts applicants from several other training routes, in addition to core-level physician training: anaesthetics, general practice, obstetrics and gynaecology, opthalmology, paediatrics, psychiatry, surgery
Non-physician applicants must have obtained the basic specialty professional examination in addition to specific clinical experience and competences to be eligible.
Please view the specialty's person specification for information about the requirements for applying from a non-physician background and the deadlines for when this must be achieved.
Physician trainees can view the standard eligibility criteria as detailed in the am I eligible? section.
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.
This is where your application form and training to date will be reviewed. This will include checking the documentation you have brought along to ensure all content on your application form is correct.
Evidence checking
Normally your evidence folder will have been reviewed by the interviewers immediately prior to your arrival in the station. They will be:
• Checking that your achievements in your evidence folder match that claimed on your application form.
• Considering your career progression to date.
• Identifying areas about which they may wish to question you during the interview.
Areas for assessment
The two main aspects of discussion here, on which you will be assessed, will be your suitability for and commitment to ST3 training in the specialty, and your achievements and engagement with training and learning to date.
Scoring at the station
It is important to recognise that the scores awarded to you at this station will not purely be about your achievements, as this already contributes towards the scoring via your application form. Interviewers will be deciding upon scores via a combination of factors, for example: your responses to the questions asked, the breadth and quality of your achievements and your career progression.
Prior to arriving at station 2, you will be given a clinical scenario to review. Upon arrival at station 2, you will be asked questions relating to this scenario.
The clinical scenario will be relatively brief (two/three sentences), so once you have read this, the remainder of the pre-station time will allow you to undertake some short preparation (just mental preparation - this does not mean making notes, etc.)
Scenario considerations
The scenario will describe a hypothetical clinical situation which has arisen in which you are, or have become, involved.
There are some points you should consider when reviewing the scenario and preparing for discussion:
- what steps you would take
- any potential treatments possible
- any further information you would gather
- how you would go about communicating with any people (eg patients, family members, colleagues) involved in the scenario.
Of course, you should take into account any other factors you deem appropriate, using your experience and professional judgement.
Areas for assessment
One mark will be awarded to you based on your suggestions and responses to the clinical scenario.
The second assessment carried out here will be on the communication & reflection skills you display.
This will be both an assessment of how you would communicate with patients, colleagues, etc. in the scenario, as well as of how well you communicate with interviewers at the station; plus consideration of your reflections on the scenario afterward.
[Please note - interview nerves will be taken into account!]
This station will feature assessment of an ethical scenario, and discussion of a question on the subject of professionalism & governance.
Ethical scenario
The first assessment area will be the ethical scenario. As with the clinical scenario at station 2, this takes the form of a hypothetical situation, described briefly in text form, details of which will be given to you before arriving at station 3.
However, as you would expect this scenario focuses less on a clinical situation, and deals more with consideration of the moral, ethical, legal (etc.) issues which may arise in a particular situation.
The first area of assessment at station 3 will be your suggested reponses to the ethical scenario during discussion here, as well as your knowledge of the different considerations required.
Professionalism & governance
Following the ethical scenario will be discussion of professionalism & governance.
This discussion will be prompted by a short question (often a single sentence) provided by interviewers. This will not be given to you before arriving at the station - this will be given verbally by interviewers once ethical scenario discussion is finished.
This section of the interview is designed to assess your demonstration and understanding of professionalism and governance in a given situation.
Familiarise yourself with Good Medical Practice
Please note - assessment at station 3 is underpinned by the principles of GMC Good Medical Practice.
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.
Int. 1 | Int. 2 | Weighting | Max score | |
Station 1 | ||||
Evidence | / 5 | / 5 | x1.6 | / 16 |
Suitability for specialty | / 5 | / 5 | x1.2 | / 12 |
Station 2 | ||||
Clinical scenario | / 5 | / 5 | x1.6 | / 16 |
Communication reflection mark | / 5 | / 5 | x0.8 | / 8 |
Station 3 | ||||
Ethical scenario | / 5 | / 5 | x1.6 | / 16 |
Professionalism and governance | / 5 | / 5 | x1.2 | / 12 |
Raw interview score | / 60 | |||
Interview score (including weighting) | / 80 | |||
Short-listing (app form) | / 80 | x0.25 | / 20 | |
Overall assessment score | / 100 |
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:
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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.
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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.
Round 1
Year | Apps. | NTN posts |
LAT posts |
Total posts |
Comp. | Unique* |
2019 | 19 | 25 | 0 | 25 | 0.8 | 32% |
2018 | 39 | 33 | 0 | 33 | 1.2 | 67% |
2017 | 34 | 21 | 0 | 21 | 1.6 | 32% |
2016 | 30 | 19 | 0 | 19 | 1.6 | 40% |
2015 | 36 | 22 | 1 | 23 | 1.6 | 50% |
* the percentage of unique candidates that only applied to this specialty (out of the 24 PSRO-coordinated specialties)
Round 2
Year | Apps. | NTN posts | LAT posts | Total posts | Comp. |
2018 | 13 | 20 | 0 | 20 | 0.7 |
2017 | 12 | 20 | 0 | 20 | 0.6 |
2016 | 14 | 10 | 0 | 10 | 1.4 |
2015 | 8 | 12 | 1 | 13 | 0.6 |
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) |
---|---|---|---|---|
West Midlands | TBC | N/A |
TBC |
TBC |
East Midlands | TBC | N/A | ||
East of England | TBC | N/A | ||
London and KSS |
London - TBC |
N/A | ||
North East | TBC | N/A | ||
North West |
North Western TBC |
N/A | ||
Mersey TBC |
N/A | |||
South West |
Peninsula TBC |
N/A | ||
Severn TBC |
N/A | |||
Thames Valley | TBC | N/A | ||
Wessex | TBC | N/A | ||
Yorkshire & Humber | TBC | N/A | ||
Scotland** | TBC | TBC | ||
Wales | TBC | TBC |
*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.
Interview Content
The interview will consist of four questions which will be 8 minutes each in length. You will be scored by two interviewers on each question.
Including time for questioning and scenario reading, the interview will be approximately 36 minutes.
Please note that this is subject to change and will be confirmed by the date of interview.
Prior to this question you will be given a clinical scenario and short while to review it. You will then be asked questions relating to this scenario. This question will last approximately 8 minutes.
The clinical scenario will be relatively brief (two/three sentences), so once you have read this, the remainder of the reading time will allow some short preparation (just mental preparation - this does not mean making notes, etc.).
Clinical scenario considerations
The scenario will describe a hypothetical clinical situation which has arisen in which you are, or have become, involved. Some points to consider when reviewing the scenario and preparing for discussion are:
- what steps you would take
- any potential treatments possible
- any further information you would gather
- how you would go about communicating with any people (eg patients, family members, colleagues) involved in the scenario
You should also consider any other factors you deem appropriate, using your experience and professional judgement.
This question will focus on your suitability for and commitment to ST3 training in the specialty and give you opportunity to expand on the information provided in your application form.
This question will last approximately 10 minutes.
This question will see you given an ethical scenario to review As with the clinical scenario in question 1, this ethical scenario takes the form of a hypothetical situation, described briefly in text form, details of which will be given to you before answering the question. You will have a short while to review the scenario and there will be approximately 8 minutes of discussion afterwards.
This scenario focuses less on a clinical situation, and deals more with consideration of the moral, ethical, legal (etc.) issues which may arise in a situation.
The area of assessment here will be your suggested responses to the ethical scenario during discussion, as well as your knowledge of the different considerations required.
Following the ethical scenario will be discussion of professionalism & governance.
This discussion will be prompted by a short question (often a single sentence) provided by interviewers. This will not be given to you before discussion, this will be given verbally by interviewers once the ethical scenario discussion is finished. This question will last approximately 8 minutes
This section of the interview is designed to assess your demonstration and understanding of professionalism and governance in a given situation.
Familiarise yourself with Good Medical Practice
Please note - assessment for this question is underpinned by the principles of GMC Good Medical Practice.
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 accessible through the link below:
|
Interviewer 1
|
Interviewer 2
|
Weighting
|
Max score
|
Question 1 |
||||
Clinical scenario |
/ 5 |
/ 5 |
2.5 |
25 |
Question 2 |
||||
Suitability and commitment |
/ 5 |
/ 5 |
2.5 |
25 |
Question 3 |
||||
Ethical scenario |
/ 5 |
/ 5 |
1.8 |
18 |
Question 4 |
|
|||
Professionalism & Governance |
/ 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 |