ACCS Emergency Medicine CT1/ST1 Competition Ratios

The competition ratio for ACCS Emergency Medicine CT1/ST1 training posts in 2025 was 14.23:1. 5,081 applications were made for 357 posts.  This is an increase in the competition level compared to 2024 when 2,718 applications were made for 359 posts (a competition ratio of 7.57:1).

In 2025 there were 357 ACCS Emergency Medicine CT1/ST1 posts compared to 359 posts in 2024. A decrease of two posts. 

ACCS Emergency Medicine is classified as CT1/ST1 as applicants can choose whether to go through the CT or ST training route during the application process. 

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This data has been taken from the reports available on NHS England’s Medical Specialty Training website (https://medical.hee.nhs.uk/medical-training-recruitment/). Data is presented here in a single table to make it easier to sort, filter and make comparisons across specialties, etc. The published data may not include posts in Scotland or Northern Ireland if they manage their own recruitment rather than recruiting via the national recruitment process across the whole of the UK.

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