Evidence
1. Statement to Support achievements
Before completing this page, you should complete the self-assessment section of the application form. Once complete, use the spaces below to provide information to demonstrate why you chose each option on the self-assessment section. Your statement, along with documentary evidence, must be able to demonstrate that your choice was justified.
Remember that your self-score will not be adjusted ahead of shortlisting.
If you do not have an achievement in that area, please put ‘N/A’ in the relevant box.
2. Postgraduate degrees and qualifications
Please include details of the qualification awarded, institution/awarding body and dates. Do not include qualifications you are currently undertaking but have not yet completed, or use this section for the MRCP(UK) or other similar membership examinations; MRCP(UK) parts completed should go in the separate section on the ‘Supporting information’ page. You cannot score for intercalated degrees (words allowed: 30)
Please provide the start and end date of the course and the whole-time equivalent duration (e.g. weeks, months, years). (words allowed: 30)
Please describe the teaching methods used for this course and the approximate percentage of teacher contact time. (words allowed: 50)
3. Presentations / posters
In this section please provide details of the presentation and/or poster to justify your selection; refer to the IMT Recruitment website for full guidance
How were you selected for this presentation/poster and, where appropriate, describe the eligibility criteria for selection? (words allowed: 40)
What was the subject of the presentation/poster? Provide an overview of the content. (words allowed: 100)
Where was it shown and who was the audience? (words allowed: 30)
What was your role in the planning, design, preparation and delivery? (words allowed: 100)
4. Publications
Please provide details of the publication(s) which justify your selection, including a statement about your personal contribution to the work. Please specify if you are claiming on the basis of an abstract; detailed guidance about choosing the right option can be found on the IMT Recruitment website. (words allowed: 100)
Where applicable, please give full citation details (as in Pubmed (http://www.ncbi.nlm.nih.gov/pubmed); failure to provide may result in any points being deducted where the scoring option requires Pubmed citation.
5. Teaching experience
Please provide details of your teaching experience, including details about the type of teaching, your personal contribution, details of any feedback obtained and how you have reflected on this; the IMT Recruitment website has guidance to help choose the right option
What was your contribution to the organisation and design of the teaching programme? (words allowed: 75)
What was your contribution to the teaching? (e.g. sessions personally taught / teaching time). (words allowed: 50)
Was feedback gathered, how was this done and how have you reflected on this to develop your practice? (words allowed: 75)
6. Training in teaching
Please provide details about the course provider, any qualification gained, start and end dates and duration of the training. (words allowed: 40)
How was the course conducted and how much synchronous (live) teaching time was involved? (words allowed: 50)
7. Quality improvement
Please justify why you have assessed yourself against the option selected using the fields below. If you have been involved in a long-running multi-cycle project, you can only claim points based on the cycles in which you were directly involved. If your project has not yet completed a single cycle, you can only select the ‘none/other’ option. Remember that for projects which do not demonstrate use of QI methodology you should only select the ‘none/other’ option. See the IMT Recruitment website for full guidance.
What was the project and the intended aims? (words allowed: 50)
Describe your involvement in planning and describe the use of QI methodology in this project. Please confirm the number of cycles this project has completed and the number with which you have been personally involved. (words allowed: 100)
How was data collected and analysed and what was your role? (words allowed: 50)
Describe your involvement in a change/act/action step and the change(s) brought about. (words allowed: 75)
If you were involved in presenting the project, please give details of where it was shown, the audience and your role. (words allowed: 50)
Supporting
1. MRCP (UK)
Please give details of any sections of the MRCP(UK) examination you have already passed, and the date on which the examination you passed was held.
Please note – passing any part of the MRCP(UK) is not an entry requirement for IMT, and this area will not be scored, this information is sought for planning purposes only.
MRCP(UK) Part 1
Have you passed MRCP(UK) Part 1? (Yes/No)
MRCP(UK) Part 2 Written
Have you passed MRCP(UK) Part 2 Written? (Yes/No)
MRCP(UK) PACES
Have you passed MRCP(UK) PACES? (Yes/No)
2. Commitment to specialty
Commitment to specialty
Your answers in this section will not contribute to your application score, but commitment to specialty will be part of the interview and your answer reviewed at that stage.
Explain in the space provided why you have applied for this specialty. (words allowed: 150)
If you wish to describe a preference here for either ACCS-internal medicine or IMT, please note this will not jeopardise your application in any way whatsoever; although stating such a preference is not required or expected by any means.
What have you done to prepare for an internal medicine training programme? (words allowed: 150)
3. Additional Achievements
If you have any additional achievements to which you wish to draw attention that is not covered in previous sections, please use the space provided. For example: major prizes or awards or contributions to leadership and management. (words allowed: 100)
4. Training courses attended
In this section you can give details of training courses that you have attended. You can enter a maximum of four, although there is a text box available should you wish to add any additional course information you think particularly relevant.
Include in this section training courses you have attended which are most relevant to this programme.
Please note that entries you make in this section do not gain achievement points at the application stage, but may be reviewed should you go on to attend interview.
Training course 1
Enter the name of the course attended. (words allowed: 20)
Training course 2
Enter the name of the course attended. (words allowed: 20)
Training course 3
Enter the name of the course attended. (words allowed: 20)
Training course 4
Enter the name of the course attended. (words allowed: 20)
Additional training course information
If you would like to add information about any additional training courses which you have attended which you think are particularly relevant and not mentioned above, please use the space provided. It is not mandatory to do this and recommended only to include courses which are most relevant. (words allowed: 100)
5. Mailing Preferences
Membership to the physician royal colleges offers career support, on demand educational content, plus discounts on events and services, suitable for FY, IMT and ST grade doctors. They also represent the views of medical trainees with representatives and stakeholders throughout the UK, through a range of committees and networks.
Do you wish to be added to the mailing list and receive regular updates about memberships?
o Edinburgh/Glasgow/London
o Edinburgh
o Glasgow
o London
o Edinburgh/Glasgow
o Edinburgh/London
o Glasgow/London
o I do not wish to be added to any education mailing lists
The three physicians royal college frequently run workshops and educational programmes (both online and in-person) which are suitable for FY, IMT and ST grade doctors.
Do you wish to be added to the mailing list and receive regular updates relating to these workshops and programmes?
o Edinburgh/Glasgow/London
o Edinburgh
o Glasgow
o London
o Edinburgh/Glasgow
o Edinburgh/London
o Glasgow/London
o I do not wish to be added to any education mailing lists
If you choose to receive information from one or more of the three physicians royal colleges, you are opting in to receive contact from the relevant college(s) directly with reference to both of the above questions. The colleges are required by law to abide by strict data protection legislation and will not share your data with any third party until legally obliged to do so.