General Psychiatry ST4

You will be expected to attend emergencies and provide domiciliary care, which may include out of hours visits if you are based in a post which works mainly in the community rather than a hospital base, at any time during your training programme. If you are not a car driver, you are expected to provide a car and driver at your own expanse in order to meet this requirement. Relying on public transport, bicycles and taxis is not normally acceptable. If you do not hold a UK/EEA driving licence but plan to drive on an existing overseas licence, you must ensure that this is valid. The DVLA website has more information regarding overseas driving licences.

  • I hold a full, current UK/EEA drivers licence - I have access to a vehicle for work purposes and am able to provide emergency and domiciliary care at any time during my training programme. If, for any reason, my licence ceases to be valid or I no longer have access to a vehicle, I agree to provide a vehicle or vehicle and driver at my own expense so that I may continue to fulfill this requirement.
  • I hold a full, current UK/EEA drivers licence but do NOT have access to a vehicle for work purposes - should it be necessary in the course of my training programme to provide emergency care / domiciliary care, I agree to provide a vehicle or vehicle and driver at my own expense so that I may fulfill this requirement.
  • I do not drive - Should it be necessary in the course of my training programme to provide emergency and domiciliary care and I have not yet obtained a full valid UK drivers licence, I agree to provide a vehicle and driver at my own expense so that I may fulfil this requirement
  • I do not drive due to medical reasons - Should it be necessary in the course of my training programme to provide emergency / domiciliary care, I agree to provide a vehicle and driver at my own expense so that I may fulfil this requirement unless my employer is able to make other reasonable adjustments to the job or this requirement.
  • I hold an overseas drivers licence that allows me to drive legally in the UK - I understand that an overseas licence is valid for 12 months from date of residence in the UK and that in order to continue driving in the UK after this date, I am required to obtain a UK drivers licence.

The ST4 Psychiatry specialties person specifications require applicants to have confirmation of full MRCPsych by the offer date for this recruitment round (Tuesday 14th April 2026)

In this recruitment round your CASC score will contribute towards your final interview score.

Please note the Royal College of Psychiatrists’ temporary waiver of the requirement to have Papers A and B before taking CASC has now come to an end.

Please note that if you do not currently have any of the above papers and you either do not sit, or fail them, you must let us know at the earliest possible opportunity as you will not be able to continue with your ST4 Psychiatry application.

Please choose the statement that applies to you with regards to the CASC exam

  • I have already passed the CASC exam
  • I can confirm that I have registered to sit CASC and received confirmation that I have a place for the January 2026 diet.
  • I have not yet passed CASC and have not registered to sit the exam in the upcoming January 2026 diet.

Please choose the statement that applies to you with regards to Paper A

  • I already have a pass in Paper A
  • I have not yet passed Paper A

Please choose the statement that applies to you with regards to Paper B

  • I already have a pass in Paper B
  • I have not yet passed Paper B.

Please tick here to confirm that you are aware you will have to upload documents to evidence your Self-Assessment answers during the evidence upload window of 10am (UK Time) on Monday 16th February 2026 and 4pm (UK Time) on Monday 2nd March 2026.

Guidance on completing the self assessment section of the application form is available on our website: https://medical.hee.nhs.uk/medical-training-recruitment/medical-specialty-training/psychiatry/higher-psychiatry-training/overview-of-higher-psychiatry-training/self-assessment (Yes)

Previous Experience in a UK Core Psychiatry Training Programme

Please note we are collecting this information for monitoring purposes, it will not be used as part of the recruitment process.

Are you currently in a UK based Core Psychiatry Training Programme? (Yes | No)

Are you a UK medical graduate or do you have more than 6 months experience working in the NHS (including Foundation)? (Yes | No)

GMC ethical guidance workshops

The GMC run free ethical guidance workshops for doctors who are new to the UK. The purpose is to help with adaptation to UK medical practice.

If you think you would benefit from these workshops, we encourage you to visit the GMC website.

Please answer the following self-assessment questions, selecting the descriptor that applies to you in each domain. You may only award yourself one score per domain, so ensure you chose the highest scoring response that applies to you and that you have suitable evidence for. You cannot score multiple times per domain if you meet more than one option. You must provide an answer to all questions.

Please note, all domains are measured at the time the Self-Assessment evidence upload window for this recruitment round closes (Monday 2nd March 2026). You must only score yourself points for documents that you have/will have as at Monday 2nd March 2026, or earlier. Any document submitted during the upload window that is achieved after this date will not be counted.

You will need to be able to upload evidence to support your score in each of the domains between 10am (UK Time) on Monday 16th February 2026 and 4pm (UK Time) on Monday 2nd March 2026.

You may wish to prepare the supporting evidence now. Full instructions on what will be required for each domain is available on our website: https://medical.hee.nhs.uk/medical-training-recruitment/medical-specialty-training/psychiatry/higher-psychiatry-training/overview-of-higher-psychiatry-training/self-assessment

  • BSc/BA (or similar/higher)
  • MD linked to Primary Medical qualification
  • None of the above
  • Distinction (or equivalent) for my Primary Undergraduate Medical Degree (i.e exceptional standard/performance for overall degree)
  • Prize, Merit or Distinction during my undergraduate medical training (i.e award for high performance in module or part of degree course OR the award of Merit for overall degree)
  • I was not awarded a Prize, Merit or Distinction during my undergraduate medical training
  • Masters qualification
  • Postgraduate diploma
  • Postgraduate certificate in relevant field e.g Quality Improvement, Patient Safety, Leadership, Management
  • None of the above
  • Personal award or recognition from a national recognised medical organisation or body
  • Personal award or recognition from a local/regional recognised medical organisation or body
  • None of the above
  • Held a Leadership role at a national level for at least 6 months
  • Held a Leadership role at a local level for at least 6 months
  • Leadership role undertaken for less than 6 months or no Leadership role undertaken
  • I have completed a quality improvement project (QIP) or complete audit cycle (i.e first audit/project, action plan and re-audit/assessment to quantify impact of intervention) which has resulted in national change.
  • I have completed a quality improvement project (QIP) or complete audit cycle (i.e first audit/project, action plan and re-audit/assessment to quantify impact of intervention) which has resulted in regional change.
  • I have completed a quality improvement project (QIP) or complete audit cycle (i.e first audit/project, action plan and re-audit/assessment to quantify impact of intervention) which has resulted in local change.
  • I have completed a quality improvement project (QIP) or complete audit cycle (i.e first audit/project, action plan and re-audit/assessment to quantify impact of intervention) but I cannot evidence any resultant change.
  • I have not participated in an audit or Quality Improvement project.
  • Completion of a PhD with original research
  • Significant involvement in research (e.g two-year MD with original research) OR Chief Investigator of a peer review grant funded multicentre research project
  • I have had personal and direct involvement of leading a postgraduate research project
  • I have had ongoing commitment to research as a co-investigator OR recruited a significant amount of patients during the period of study
  • I have been involved with recruitment of participants to research projects or assisted with data collection
  • I have not participated in research
  • I have undertaken a major dissertation and been awarded a masters in Medical/Clinical Education
  • I have made a major contribution to a regional or national teaching programme including organising a programme
  • I have obtained a Postgraduate Diploma in education/teaching
  • I have made a major contribution to a local teaching programme including organising a programme
  • I have obtained a Postgraduate Certificate in education/teaching
  • I have some experience in formal teaching Health Professionals (e.g lectures)
  • I have some experience of formal teaching Health-related topics to a non-medical audience (e.g lectures)
  • I have attended a Teaching the Teachers course, Generic Instructors course or similar
  • I have carried out informal teaching of colleagues (including nurses and medical students)
  • I have not contributed to teaching
  • I am first author in more than one peer-reviewed publication as a postgraduate, OR sole author of several book chapters
  • I am first author on one peer-reviewed publication as a postgraduate, OR sole author of a book chapter
  • I am co-author in more than one peer-reviewed publication as a postgraduate, OR co-author of a book chapter
  • I am co-author in one peer-reviewed publication as a postgraduate OR I am an author of an undergraduate publication
  • I have published one or more abstracts or articles (including e-publications) OR I have published a letter
  • I have not published anything
  • I have presented at a regional, national or international meeting
  • I have presented at a local meeting on more than one occasion
  • I have made a local/departmental presentation
  • I have made no presentations nor shown any posters

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