This page gives an overview of what is required in terms of documentation for the achievements claimed in the self-assessment section of your application form.

You will not be required to upload any documents to support your self-assessment with your application form. Instead you will be contacted at some point after applications close when you can start uploading them. Oriel will not be used for evidence documents and this will be done via a separate system, with login details given when you are contacted.

The anticipated dates when evidence will be required to be uploaded are published in the 'Interview dates & posts' section of each specialty's page. Please note that you will need to load documents separately for every specialty to which you have applied, and specialties may have different dates for uploading.

All candidates are advised that they must have documentary evidence available from the time of application for all achievements for which they score themselves. It is advised to ensure you have access to all your documents when you apply to avoid complications later in the process.

Evidence requirements and tips

Interviewers will need to verify your evidence in a short time so please keep the below in mind when organising the evidence you will upload, as poorly organised/presented documents may mean achievements cannot be verified.  

  • If you supply no evidence, or no evidence for three or more of your scored achievements, you will not be shortlisted.
  • There are points available as part of the application score for well-organised evidence, this will be on the basis of following the instructions in this document; see the section below for more information.
  • Only evidence supporting each of the claimed achievements should be uploaded. There is no requirement to upload any additional documents or achievements if they are not directly related to the scoring domain where points are being claimed.
  • Assessors will be advised that where evidence of an achievement is unclear or difficult to verify, they should award a score commensurate with what they can be confident in verifying. 
  • Only sufficient evidence should be provided to justify the scores awarded; the application scoring area of the website gives examples of documents that could be used for each domain. Only include enough evidence to demonstrate achievements which justify your selection. For example:
    • If you have completed a national presentation, you should not include evidence for other presentations.
    • If you have written a book, you do not need to upload the whole book, just sufficient pages so interviewers can verify your achievement.
  • For most specialties, evidence of training courses or areas noted in your commitment to specialty section should not be included unless they specifically relate to a scored option; see the section below about exceptions to this.
  • Applicants must ensure patient-identifiable data is redacted as this may result in their employing trust being notified.
  • Any documentation not in English must be translated for credit to be received.
  • File types – only files in PDF, JPEG or PNG format are accepted by the upload system.
  • Flie size - the maximum file size is 28MB.
  • When evidence is loaded, it needs to be tagged to the domain(s) to which it pertains. For example, if you have a presentation for which you have been awarded a prize, you can upload the presentation evidence once and tag it under both domains.

Additional guidance will be issued with any request for evidence documentation to be uploaded.

Organisation and thoroughness mark

There will be two marks available for evidence which is organised satisfactorily. If presentation is sufficiently poor that it makes to difficult to verify self-assessment, this could lead to an application not being shortlisted, regardless of other scoring. It is anticipated that it will be rare for a not shortlisted outcome to be made on the basis of poor organisation and any decisions will be reviewed by the clinical lead. Factors which could contribute to a not shortlisted outcome include:

  • over-supplying evidence-well beyond what is required to justify the score, or the areas not requested as part of self-assessment
  • poor display of evidence, e.g. via incorrect ‘tagging’ of files, poor naming conventions, difficult to read documents
  • serious concerns about probity due to persistent or blatant over-scoring on their application
  • serious breaches of patient-identifiable data in your evidence. Applicants must ensure patient-identifiable data is redacted; issues may also result in your employing trust being notified.

Evidence of commitment to specialty

If the specialty to which you have applied is assessing commitment to specialty alongside self-assessment verification, some of these specialties will request documentary evidence to be uploaded to demonstrate commitment. It will be made clear in the 'Planning your application' section of each specialty's page, whether they are assessing commitment to specialty at this stage and, if so, whether evidence is required to be uploaded.

Although it is not possible to be exhaustive about the types of evidence to provide, examples include: attendance at taster sessions, participation in projects relating to the specialty, attendance at specialty events/teaching, participation in specialty groups/societies. You can also 'tag' evidence loaded for self-assessmemt domains to commitment to specialty if they relate to the specialty of application; e.g. a publication or presentation.

As with other evidence categories, be mindful of how much evidence you are uploading and avoid uploading large numbers of documents. Your evidence need only be sufficient to demonstrate to assessors whether you meet the criteria for a 'satisfactory' or 'good' level of commitment.

Patient-identifiable data

Information governance regulations state that you must not allow any patient-identifiable data (PID) to be moved away from the designated (usually clinical) area.

As such, you must ensure none of the documentation you use at interview (eg details of case reports, audit, etc.) contains information which could be used to identify patients, as this would be a breach of patient confidentiality; this includes hospital or NHS ID numbers.

All such patient-identifiable data must be redacted.

If patient-identifiable data is found, it is likely that your employer, supervisor and region (as relevant) will be notified, in order to take further action.

In most cases you do not apply directly to general internal medicine (GIM) at ST4 level. Training in GIM will be done in parallel with training in one of the Group 1 physician specialties and access to ST4 training is gained by applying for one of these specialty programmes. Group 1 programmes offer dual accreditation in the specialty and GIM. 

The Group 1 programmes which dual accredit with GIM are acute internal medicine, cardiology, clinical pharmacology and therapeutics, endicrinology and diabetes, gastroenterology, geriatric medcine, genitourinary medicine, infectious diseases, neurology, palliative medcine, renal medicine, respiratory medicine and rheumatology. 

Single accredited GIM with sub specialty Stroke medicine recruitment

A pilot programme for single accreditation in general internal medicine coupled to sub-specialty stroke medicine is starting in 2024. Programmes may be available in regions throughout the UK. They would comprise two years of GIM and a year of stroke. This would mean successful applicants could go from completion of IM- Stage 1 to CCT after a further three years of training. They could be completed in any order but it is most likely that the middle of final year would be stroke medicine. Recruitment to these programmes will start in the second round of 2024 recruitment and the other tabs in this area of the website relate to the application and interview process. Applicants must have completed IM Stage 1 or have an alternative certificate by the time of interview. 

The specialty

The current GIM curriculum is designed to provide broad training in the key skills which will be required by consultants taking part in the admission and inpatient management of patients with acute medical problems as well as patients with chronic medical conditions. 

The curriculum builds on IMT to allow the trainee to maturate their skills in GIM.

There is a growing demand for high quality GIM skills as the UK population ages and patients develop multiple, complex co-morbidities. Delivering good GIM care will become an increasingly challenging and rewarding part of physician practice. 

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 lead region for GIM/Stroke.

Group 1 specialty

This is a Group 1 specialty and requires completion of the internal medicine training (IMT) stage 1 programme or equivalent; all programmes in the specialty will dual specialise with general internal medicine.

Therefore, this specialty uses the standard HST eligibility criteria for Group 1 specialties and does not accept candidates from any alternative training routes. Please visit the am I eligible? section of this website for further information.

Commitment to specialty

The specialty will not be assessing your commitment to specialty as part of the shortlisting process and will score your application purely via the self-assessment scoring framework. Commitment to specialty will be assessed as part of the interview.

This specialty will be participating in round 2 of 2024.

This specialty will be participating in round 2 of 2024.

Indicative post numbers

Indicative 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. In many cases these will be presented as a range (e.g. 1-4) as it is not always possible for regions to know at this stage how many vacancies there will be.

It is the intention that indicative post numbers for all regions will be published prior to the application opening date, although this cannot be guaranteed. Please note that this table is not likely to be updated subsequent to indicative numbers and actual numbers will be confirmed when programme preferences are opened later in the round.

Numbers subject to change

Please be aware that it is not uncommon for vacancy numbers to change as the round progresses.

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. In the past, post numbers have risen an average of 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.

The interview be split across two separate stations with a separate pair of interviewers scoring you on the areas within their station. There will be five questions, 7.5 minutes each in length. You will be marked on these questions and your communication skills, giving six scored areas in total. The headings below show the question areas and in which station they will be covered, along with information about what will be assessed.

Each station will last 15 minutes, so, including the time between stations, the interview will be approximately 40-45 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:






















not considered appointable


area for concern

performed below the level expected from a core level trainee applying to the specialty;
possibly unappointable, subject to discussion and performance in other areas



performed at the level expected of a core level trainee applying to the specialty;
the candidate is suitable for a higher specialty training post



above average ability;
the candidate is suitable for a higher specialty training post



highly performing trainee;
the candidate is suitable for a higher specialty training 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.


Raw interview score (RIS)

The RIS is the sum of all twelve scores awarded to you during your interview, but before any weighting is applied.

As each individual score will be between 1 and 5, your RIS will be between 12 and 60.

Appointability requirements

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

  • none of your twelve interview scores can be 1/5
  • no more than two of your twelve interview scores can be 2/5
  • your RIS must be 36 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.

As this is a brand new specialty, we have no historic data to share. 

This page will be populated after the recruitment round.