Please indicate whether you have you got evidence of one of the following competences?

• Current employment in a GMC-recognised histopathology programme (2021 curriculum) which leads to satisfactory completion of Integrated Cellular Pathology Training (ICPT) by the advertised post start date.
• Satisfactory completion of ICPT in a GMC-recognised histopathology training programme (2021 curriculum) evidenced by ARCP.
• Satisfactory completion of Stage A and Stage B in a GMC-recognised Histopathology Specialty Training (2015 curriculum) evidenced by ARCP.
• Achievement of ICPT competences via alternative experience to a UK histopathology training programme.
• Other

Please give details of any completed postgraduate medical qualifications/ other degrees/ diplomas/ certificates (e.g. MD, etc.).

For a MD please state whether this is linked to your primary medical qualification or the result of an independent research thesis. Please include here any relevant qualifications listed as desirable on the person specification. (Words allowed: 200)

Have you completed the following?

Completion of at least 2.5 years training in general Histopathology, including Autopsy work by advertised post start date date [sic] (or alternatively Stage A and B Histopathology training completed as per old curriculum) (Yes | No)

Please give details of your relevant clinical experience, including the particular skills and attributes that make you suitable for a career in this specialty. (Words allowed: 200)

Please provide evidence of activities and achievements which demonstrate your commitment to a career in this specialty and/or which have led to the development of skills relevant to a career in this specialty. (Words allowed: 200)

Give details of outstanding achievements outside the field of medicine. Where possible, please specify why any such achievements might be relevant to your application. (Words allowed: 100)

What experience of clinical governance do you have (including audit and quality improvement)? Please state clearly where and when this was undertaken and indicate specifically your role. Please give full details including a statement about your personal contribution to the work. (Words allowed: 200)

What experience do you have of delivering teaching? Have you undertaken a teaching skills course or a formal qualification in teaching. (Words allowed: 200)

Please provide evidence of activities and achievements which demonstrate your skills in the above, relevant to a career in the specialty. (Words allowed: 200)

Additional achievements: Prizes, awards and other distinctions (include specialty and qualifying distinction). Please state awarding body, date of award and any relevant additional information. (Words allowed: 250)

Please provide details of your most relevant presentations at national or international bodies or societies. Please state whether the presentation was oral or a poster. (Words allowed: 200)

Please provide details of your most relevant publications in peer reviewed journals. Please give full citation details of any published work. Please replace your name with asterix (xxxx) in the citation. Please give a statement about your personal contribution to the work (e.g. first author; lead investigator). Short-listed candidates will be asked to bring copies of all peer-reviewed publications to interview. (Words allowed: 200)

Please provide evidence of research whether past or in progress. If you have undertaken or are undertaking a research project, please give details and indicate your involvement. (Words allowed: 250)