In this section please provide details of your most relevant publications in journals or presentations to regional, national or international societies. Please state whether the presentation was oral or a poster. Please give full citation details of any published work (please provide PubMed link or alternative in your answer). Please give a statement about your personal contribution to the work (e.g. first author, lead investigator etc.).

Presentations at international, national or regional (not local) meetings. Maximum 2 presentations (oral or poster). (150 words)

Publications in peer-reviewed journals (maximum 3 publications). Do not include case reports or abstracts. (150 words)

Other publications (case reports etc. but not abstracts or letters) Maximum 2 publications. (150 words)

In this section please provide details of teaching, clinical audit experience and research. Please give full details including a statement about your personal contribution to the audit work.

Teaching Experience

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

Research Skills

a) Please give brief details of all research projects and/or relevant research experience that you have undertaken or are undertaking, including methods used. Indicate your level of involvement and your exact role in the research team detailing when this took place, your time commitment, your contribution / involvement and source of funding. If you have been awarded a higher degree as a result of research, this must be detailed in the appropriate section of your application form. Please provide details your academic career plans, if applicable. (300 words)

b) Please describe in more detail one of the research projects above. (300 words)

Clinical Audit What experience of clinical audit do you have? Please state clearly where and when this was undertaken and state specifically your role in each of the projects. (200 words)

Management, Leadership, Teamworking and Communication Skills

Describe any management roles you have been involved in at work (rota organiser, committee etc) or outside of medicine. (150 words)

Achievements and Activities

Please provide evidence of activities and achievements which demonstrate your commitment to a career in this specialty and / or have led to the development of skills relevant to a career in the specialty. (250 words)

Clinical Knowledge and Experience Please give details of your clinical knowledge and experience. Do NOT list numbers of specific procedures. Please note: Assessment of ST3 applicants is based on generic skills; previous experience in Forensic Histopathology is NOT required. (250 words)

Commitment to This Training Programme

What are your reasons for applying to this training programme? (150 words)

Have you passed FRCPath Part 1? (Yes/No)

Have you passed FRCPath Part 2? (Yes/No)