Please provide details of your undergraduate degree stating the title and subject of the degree, date of award of degree and the awarding university, college or other higher education authority

• Degree Title
• Entry date to degree course
• Date degree awarded
• Distinction or classification
• Awarding university, college or other body

Have you undertaken any undergraduate research or audit projects that have not resulted in an externally reviewed publication? (Yes/No)

If Yes, Please provide details of substantive undergraduate research or audit projects that have not resulted in an externally-reviewed publication stating the year(s), the sponsoring body (university, college, other higher education authority, hospital etc.) the subject of the work, your role in the work and its relevance to your intended career in neurosurgery.

Have you achieved any undergraduate prizes and awards (before your final medical degree)? (Yes/No)

If Yes, Please list up to five undergraduate prizes and awards (awarded before your final medical degrees) stating the date of the award, the awarding body, and the nature of the award or prize including those eligible to receive the award (year group, subject group etc.) and the work undertaken to achieve the award or prize.

Have you undertaken any substantive clinical electives and attachments? (Yes/No)

If Yes, Please provide details of up to five substantive clinical electives and attachments stating the year the work was undertaken, the sponsoring body (hospital, primary health care centre, charity etc.) the nature of the attachment including its impact on your professional development and its relevance to your intended career in neurosurgery.

Have you achieved any higher degrees (requiring a minimum of two years full-time or equivalent study e.g. PhD, MD)? (Yes/No)

If Yes, Please provide details of higher degrees awarded (requiring a minimum of two years full-time or equivalent study e.g. PhD, MD) stating the title and subject of the degree, a synopsis of the degree, date of award of degree, the awarding university , college or other higher education authority, the degree subject and its relevance to your intended career in neurosurgery.

Do not include intercalated degrees that are integral part of your medical school undergraduate or postgraduate curriculum, or university hierarchy.

Have you achieved a (not intercalated) First Degree in Medical Sciences (e.g. BSc, BMed Sci, MRES)? (Yes/No)

If Yes, Please provide details of (not intercalated) First Degree in Medical Sciences (e.g. BSc, BMed Sci, MRES) stating the title and subject of the degree, a synopsis of the degree, date of award of degree, classification of the degree and the awarding university, college or other higher education authority. Do not include any intercalated degrees completed as part of the medical course.

Have you achieved any other degrees and diplomas (this may include the MRCS or equivalent, diplomas in research methodology, teaching etc.)? (Yes/No)

If Yes, Please provide details of other degrees and diplomas (this may include the MRCS or equivalent, diplomas in research methodology, teaching etc.) stating the date of the award of the degree or diploma, the awarding university, college or other higher education authority, the subject of the degree or diploma and its relevance to your intended career in neurosurgery. Please include any other degree in medical science in this section (e.g. BSc) stating the level of award (e.g. 1, 2:1, 2;2, 3), subject detail, awarding body and year

Have you undertaken any substantive postgraduate research projects that have not been part of a higher degree and have not resulted in an externally-reviewed publication? (Yes/No)

If Yes, Please provide details of substantive postgraduate research projects that have not been part of a higher degree and have not resulted in an externally-reviewed publication stating the year(s), the sponsoring body (university, college, other higher education authority, hospital etc.), the subject of the work, your role in the work and its relevance to your intended career in neurosurgery.

Have you been awarded any postgraduate prizes and awards (awarded after your final medical degrees)? (Yes/No)

If Yes, Please list postgraduate prizes and awards (awarded after your final medical degrees), stating the date of the award, the awarding body, and the nature of the award or prize including those eligible to receive the award (year group, subject group etc.) and the work undertaken to achieve the award or prize. List up to five achievements in order of importance.

Have you undertaken any postgraduate clinical courses (undertaken after your final medical degrees)? (Yes/No)

If Yes, Please list postgraduate clinical courses (undertaken after your final medical degrees) stating the date undertaken, the sponsoring body (university, college etc.), and the nature of the course.

You must have certification of attending and completing all courses declared.

To enable us to calculate your total clinical experience we will need to know if any of the academic/clinical teaching fellow posts you have declared involved any clinical work.

Have you declared any Academic or Clinical Teaching Fellow posts in your employment history? (Yes/No)

If Yes, Please list the Academic/Clinical Teaching Fellow posts you have declared stating the percentage of clinical work involved in each of these posts.

Would you like to opt in to receive email notifications of recommended Neurosurgery courses for ST1/ST2 level trainees e.g. Neurosurgery Bootcamp? (Yes/No)

Please note:- This is not a comprehensive service and only a limited number of emails will be sent, applicants should continue to refer to existing sources of information regarding available vacancies.