Applying for paediatric specialty training at ST1 - guidance

Most doctors enter paediatric training at Specialty Training 1, or ST1, starting their posts in August or September each year. This is known as 'National Round 1'.

Applications for 2025-26 recruitment (for posts starting in August/September 2025) are open from 10:00 Thursday 24 October - 16.00 Thursday 21 November 2024.

ST1 applicants to paediatrics are required to have no more than 2 years experience in paediatric posts (excluding Foundation posts), at the point they are making their application, in order to be eligible. Applicants with more than 2 years experience should aim to apply to ST3 in 'National Round 2'.

You can find information and updates on the ST1 recruitment process here, including the applicant guide, person specification and other documents in the Downloads box.

Update, 23 October 2024 - The full applicant guide is now available in the downloads box. Indicative post numbers are also now published for all regions.
Last modified
25 October 2024

National recruitment processes for 2025-26 (new)

The format for recruitment into ST1 is the same as last year. It involves a shortlisting process - based on part of the application - which determines those applicants invited to interview. Interviews will be held virtually.

New for 2025-26

The format for shortlisting is adapted to include a shorter, more defined entry method for applicants, with no long "white-space" answers. In short, this means:

  • All "written" answers input into the Oriel application form will be limited to a maximum of 50 words per section
  • Some items may be entered via drop-down boxes
  • Applicants will be asked to identify the best examples of skills/attributes/experience from their career against the scoring criteria
  • There will be no 'Supporting statement'
  • Scoring sections will be:
    • Additional qualifications
    • Transferable Clinical skills
    • Transferable Clinical experience and reflection
    • Quality Improvement Project/Audit
    • Academic achievements
    • Teaching

Full details and an updated 'Shortlisting Scoring' document will be published shortly. These updates to the application process were also discussed at our 17 October 2024 webinar on ST1 and ST3 recruitment - and we will publish the recording on this page when applications open.

Paediatric recruitment 2025-26

Recruitment for ST1 paediatrics is composed of two elements:

  1. Application form for shortlisting: to cover Past achievements, Clinical experience, Career motivation, Transferable Skills, Governance
  2. A virtual interview, consisting of a two-station multi-scenario format performed online via Qpercom. Each station will be 20 minutes in length and the whole process should last 45 minutes overall, to cover Communications, Career Motivation, Clinical Reasoning and Reflective Practice.

The number of eligible applicants (after longlisting) has exceeded the interview capacity available across our virtual interview centres in recent years by a good number, so application scores will be used as a shortlisting tool to determine invites to interview against overall capacity. Interview capacity will likely be in the region of 800 places, though this may be subject to change.

Appointability will then be determined using the interview scores, with a final appointability threshold of 55% or more.

Note: We can confirm that there is no plan to reintroduce the Multi-Specialty Recruitment Assessment (MSRA) into the paediatric recruitment process.

National round 1 paediatric recruitment timelines for 2025-26

Timelines for Paediatric National Recruitment for ST1 entry posts, starting in August/September 2025 are as follows:

Advert appears Wednesday 23 October 2024, by 17.00
Applications open Thursday 24 October 2024, 10.00
Applications close Thursday 21 November, 16.00
Shortlisting window opens Wednesday 18 December 2024
Shortlisting window closes Friday 10 January 2025
Interview invites* Monday 20 January 2025
Interview booking closes* Wednesday 22 January 2025, by 16.00
Interview window Between Thursday 30 January to Friday 7 March 2025
Preferencing window opens Monday 10 February 2025, from 10.00
Initial offers released Tuesday 18 March 2025, by 17:00
Hold deadline Thursday 3 April 2024, 13:00
Upgrade deadline Tuesday 8 April 2024, 16:00

*Applicants who have been successfully shortlisted will also receive the 'Applicant Declaration' form along with their invite to interview. This must be completed and returned when the interview booking window closes.

The HEE Medical Specialty Recruitment website also provides general information on national recruitment, including full national timelines and 2025-specific guidance documents.

    Guidance

    Full guidance on each part of the recruitment process is available in the ST1 Applicant Guide - all applicants are advised to read through this carefully. You should also refer to the new 2025 ST1 application scoring criteria and person specification. These resources can all be downloaded below.

    We also ran a live Q&A event/webinar on 17 October 2024 and a recording will be posted below and to our Youtube channel for anyone not able to tune in on the day. The session included information on both the application and interview process, for both ST1 and ST3 entry in 2025. The recording will be available to coincide with applications opening on Thursday 23 October 2024.

    Interview dates for 2025

    ST1 paediatric interviews take place virtually, managed by the local teams. The exact dates will be confirmed from the start of November 2024.

    Interview team* Interview dates
    West Midlands Thursday 30 January, Friday 31 January, Tuesday 4 February, Wednesday 5 February
    Thames Valley Wednesday 5 March, Thursday 6 March, Friday 7 March
    Scotland Friday 31 January, Monday 3 February, Tuesday 4 February
    Northern Ireland Thursday 6 February, Tuesday 25 February
    North East Wednesday 5 February, Monday 3 March, Tuesday 4 March

    *All interviews are virtual, so location does not have any bearing on what dates you may want to go for, if you are invited. However, in order to share the administrative burden, the running of the dates is split between the five NHSE, NES and NIMDTA regional offices in the table above.

    Indicative post numbers for 2025 and preferencing

    The table below shows the indicative ST1 post numbers for all UK regions that are advertising in the 2025-26 recruitment round, for posts starting in August/September 2025. Please note that these are indicative post numbers and may change before the preferencing window opens. Therefore minimum and maximum numbers are provided, in order to give as clear a picture of the likely final posts that will be available, when the preferencing window opens.

    Region Indicative Post Numbers (Min) Indicative Post Numbers (Max)
    East Midlands 17 17
    East of England 30 45
    Kent, Surrey, Sussex 18 28
    London 105 115
    North East 15 20
    North West 0 21
    Northern Ireland   18
    Scotland 15 16
    South West Peninsula 11 11
    South West Severn 15 15
    Thames Valley   16
    Wales 16 20
    Wessex   16
    West Midlands 33 34
    Yorkshire and The Humber   56

    The preferencing window will be opened, from 10.00 on Monday 10 February 2025, after the shortlisting has been completed. Applicants invited to interview will then be able to rank their choices on the Oriel system. The final post numbers for each region will have been confirmed by this point and will also be published here, as soon as they are available.

    Note: Preferencing is not therefore available during the application window.

    Past application numbers and competition ratio

    Some regions do prove more popular than others. However, applicants can choose any or all of the preferences for any or all regions, so it is not possible to give an accurate competition ratio by region.

    Both overall application numbers, and consequently also competition ratios, saw a considerable increase for the 2024-25 national recruitment round 1 and no post were therefore put into the national round 1 re-advert round for the third year in succession.

    1583 applications were made to ST1 in 2024 (up from 1231 in 2023), for a total of 479 posts. The final fill rate at ST1 was 99.79%, with 478 of those posts filled, at the end of the overall Round 1 process.

    Paediatric specialty training webinar and Q&A - 17 October 2024

    The RCPCH Medical Recruitment team hosted a webinar and Q&A, for anyone planning to apply to ST1 or ST3, on Thursday 17 October 2024. This was presented by Dr Blanche Lumb, RCPCH Trainee Representative for Recruitment, Dr Simon Broughton, RCPCH Officer for Recruitment, and James Clark, RCPCH Head of Medical Recruitment.

    The audience was guided through all parts of the recruitment process and provided with tips on what makes a successful application, including completing the application form and how to start preparing for the interview. 

    Here is a recording of the webinar: 

    Contact

    For any queries, please contact [email protected]