Specialty Applications

Otolaryngology ST3 - Specialty Specific Application Form Questions

These are the UK Specialty Training application form questions used on Oriel for applications to Otloaryngology (ENT) ST3 higher specialty training. These are the application form questions used for posts advertised in November 2023 with a start date from August 2024.
 
The questions are presented here to help you prepare for your future applications. Please be aware application form structures, questions, word counts, etc. can change and there is no guarantee that future application forms will remain the same. 

Supporting Information

1. Career Progression, CCT / CESR or Specialist Register

Do you already hold, or are you eligible to hold a CCT/CESR in Otolaryngology (ENT) or are you currently eligible for the specialist register in this specialty? (Yes | No)

2. Membership Examination

Candidates who are not expected to attain the full qualification in one of these 3 options by 5pm on Thursday 18 April 2024 will not be interviewed and expected to withdraw themselves from the process.

All candidates are required to evidence their attainment of the full qualification. Candidates holding the full qualification at the time of application must attach the form to the application before submission. Candidates expecting the results between application submission and 5pm on Thursday 18 April 2024 must upload the evidence onto their application as soon as they have it. Failure to do so will result in candidates being removed from the process

Which of the following do you currently hold (full qualifications only):

  • MRCS (ENT)
  • MRCS and DOHNS
  • MRCS and DipEBORL
  • None


3. Additional Information

Would you like to opt in to receive email notifications of recommended Otolaryngology courses for ST3 level trainees e.g. Otolaryngology Bootcamp? (Yes | No)

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

Would you like to opt in to receive email notifications of locally advertised non training posts? (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

Self-assessment

1. Self-assessment guidelines for candidates

The 2024 National Otolaryngology (ENT) ST3 self-assessment scoring process will involve the prior publication of the scoring mechanism. Candidates will self-score as part of their application, and the verification of candidate’s self-assessment scores will occur between applications closing and the interview date. The process is outlined in more detail below with further details available in the 2024 National Otolaryngology (ENT) Handbook.   

Candidates are initially requested to self-score their Portfolio submitting their scores together with supporting evidence via the Health Education England Online Portal.  Validation of each candidate’s self-assessment scores will be performed by the Assessment Team. The candidate will be notified of any changes to their self-assessment score with an explanation for the changes.  Candidates will be advised of the appeals process if they wish to contest their final score. The specific dates for each stage of this process will be published on the Otolaryngology(ENT) webpage.

Self-Assessment:  

  • This form contains the framework for applicants self-assessment scoring. 
  • Applicants will be asked to complete the multiple choice questions for each section on an online form to derive a final self-assessment score (questions may appear slightly differently on the final application form).
  • Only one bullet point/response for each question can contribute to the score.
  • Candidates will be asked to provide portfolio evidence to support the answers given during Self-assessment and submit this via the online interface.
  • Candidates are instructed to only provide evidence regarding the self-assessment questions. No other information should be contained. Uploads containing unnecessary information may be marked down.
  • No additional evidence will be accepted following the self-assessment submission date.
  • All submitted portfolios will be validated by a team of assessors who cross-check the candidates self-assessment scores with submitted evidence and agree a final score.
  • Candidates will be notified of their final score together with detailed explanations for any changes.  
  • Candidate wishing to appeal their Self-assessment score will be directed to the appeals process by HEYH.
  • Appeals will be presided by the Appeals Panel. The outcome of an appeal will be returned to the applicant within a short timeframe. The Appeals Panel will have the final decision on the self-assessment score at the end of this process. 

Please note-

If a candidate’s portfolio is not provided in the specified format and evidence cannot be verified by the assessor during the allocated time, a score of zero will be awarded for that element of the portfolio.

Candidates considered to have provided documents that are inaccurate, falsified, or contain private or confidential patient details will have evidence taken and be referred to a Scrutiny Panel. The Scrutiny Panel will be conducted by Health Education England and the candidate will be offered an opportunity to explain their actions and provide supporting documentation. The result of the Scrutiny Panel may lead to one or more of, but not limited to, the following. 

 – Candidate removed from the current round of National ENT recruitment.

 – Candidate being reported to the GMC.

 – Candidates current Trust and/or LETB/Deanery being notified.

2. Time spent in recognised allied specialties

Evidence to upload:

Evidence of completion of training posts.

For non-training posts please provide a copy of the front page of your contract of employment which includes dates.

If the front page of your contract does not include both start and finish dates other evidence will be required to confirm duration of post e.g. Letter from HR/Head of Service/Supervising Consultant.

1) Time in recognised allied specialties. In the time since you completed your foundation training until the 7th August 2024 (2nd October 2024 for current core trainees in a scheme which finishes in October 2024) how many of the recognised specialties will you have spent 4 or more months in? (Pro rata for less than full time trainees (LTFT) i.e. if 60% LTFT = 6.7 months).

  • None : 0
  • One : 3
  • Two or more : 6


Notes:

Accepted specialities: OMFS, Plastics, Paediatric surgery, Paediatrics, Neurosurgery, GP, Cardiothoracic surgery, Upper GI surgery, Ophthalmology, A+E, ITU, Audiovestibular medicine.

Must be main focus of post (i.e. not just covering on-calls). 

Reconstructive elements within other specialties (e.g. Breast Surgery) do not count as plastics experience.

Employment must be continuous and locum work will generally not be accepted.

2) Time in ENT posts (after foundation training) In the time since you completed your foundation training until the  7th August 2024 ( 2nd October 2024 for current core trainees in a scheme which finishes in October 2024) how long will you have spent in ENT? (60% LTFT equivalent timings in brackets)

  • Less than 6 months (10 months) : 0
  • 6 – 24 months (10 – 40 months) : 20
  • 24 – 36 months (40 – 60 months) : 12
  • > 36 months (> 60 months) : 4


3.Postgraduate degrees and qualifications

Notes:

EXCLUSIONS: MD (where basic medical degree is equivalent to MB BS) and MS (where not requiring completion of a thesis, or where thesis contributes < 50% marks). 

Non-UK higher degrees should be stand-alone qualifications, not integral to primary medical qualification, with regulations equivalent to the relevant UK qualifications

Intercalated degrees do not count 

3) How many of the following qualifications have you been awarded?  Peer reviewed theses eg :- MPhil, PhD, MD, MCh, MS

  • None : 0
  • One : 4
  • Two or more : 6


Evidence to upload:

Copies of degree certificates 

4) How many of the following qualifications do you have?  Peer reviewed theses which have been submitted, but not yet awarded. eg :- MPhil, PhD, MCh, MD, MS.

  • None : 0
  • One or more : 2


Evidence to upload:

Evidence of thesis and submission

5) How many of the following qualifications do you have? MSc or equivalent. (Minimum 180 credits)

  • None : 0
  • One or more : 2


Evidence to upload:

Copies of degree certificates

4. Paper Publications

Notes:

Journals must have an Impact Factor listed in the most up to date Web of Science list [Journal Impact Factor List 2021 – JCR, Web Of Science (PDF, XLS) – Journal Impact Factor (impactfactorforjournal.com)]

‘Formally accepted’ papers will be counted.

Books must have an ISBN number (books related to exam revision or interview preparation courses will not count).

NO publications may count in more than one category


6) Since leaving medical school
, how many first author peer reviewed papers or first author book chapters have you had published?

  • None : 0
  • One : 2
  • Two : 4
  • Three : 6
  • Four or more : 8


Evidence to upload:

PMID number (or equivalent)

ISBN number

Acceptance letters for ‘formally accepted’ publications.

8) Since leaving medical school how many Non-peer reviewed / non-PMID paper or e-publications do you have?     

  • None : 0
  • One or more : 1


Evidence to upload:

PDF of publication or hyperlink to e-publication

9) Peer reviewed publications before leaving medical school:

  • None : 0
  • Non-first author (one or more) : 1
  • First author (one or more) : 2


Evidence to upload:

PMID number (or equivalent)

ISBN number

Acceptance letters for ‘formally accepted’ publications

10) Published collaborative research

  • None : 0
  • Site lead / Local collaborator/data collection : 1
  • Steering committee : 2


Notes:

Must be part of a recognised collaborative group (eg Integrate)

Evidence to upload:

PMID number (or equivalent)

Acceptance letters for ‘formally accepted’ publications.

5. Audits

Notes:

Audits will not be considered without a supporting, completed audit form and evidence of presentation.

Where max points in this category have been achieved additional 2 cycle audits can be considered as a ‘single cycle’ and as such used in 12

Audits of personal practice will be accepted at the discretion of the assessment panel and will be limited to one audit per candidate

Evidence to upload:

One audit form per audit, signed by the audit supervisor & stamped by the hospital. The forms are available on Oriel.

Evidence should also be provided that the audit has been presented (eg letter from audit department)

Where it is not possible to obtain a stamped audit form, the evidence must be supported by an email from the supervising consultant explicitly confirming the candidate’s role in the audit, number of loops completed and date of presentation. 

11) Since leaving medical school, how many ‘closed loop’ audits (must include 2 cycles), on separate topics, where you were the primary auditor (i.e. initiated, designed and completed the audit) have you completed?     

  • None : 0
  • One : 2
  • Two : 4
  • Three or more : 6


12) Since leaving medical school
, how many single cycles of audit, on separate topics, where you were the primary auditor (ie initiated, designed and completed the audit) have you completed?

  • None : 0
  • One : 1
  • Two : 2
  • Three : 3
  • Four or more : 4


13) Since leaving medical school
, how many single cycles of audit on separate topics where you were NOT the primary auditor have you completed?

  • None : 0
  • One or more : 1


6. Presentations (including audits) since medical school

Notes:

Where maximum points have been achieved in 14, additional poster presentations may be considered as ‘regional’ and as such can be used in 15.

Examples of International / National meetings BACO, American Academy, IFOS, ERS, EUFOS, ORS, BRS, BAPO, ENTUK H&N, BLA, BSO, RSM, BAHNO, SOS, WORLA. Please note that local or regional meetings that occur abroad will not be recognised as an international meeting.

Examples of Regional Meetings, SWLA, SWEAM, North of England, MIO, Semon Club, Toynbee Club (after 2019).

Accepted presentations / posters that have not yet been given will not be counted. 

The same project/paper cannot be used in more than one category.

Presentations must be original work (e.g. teaching presentations will not be accepted)

Equivalent online Meetings / Conferences will be considered at the discretion of the Assessment and Appeals Panels.

Evidence to upload:

Certificates for oral/poster presentations. No other evidence (eg presentation slides) will be accepted.

14) How many times have you given a 1st author poster presentation (including audits) at a national / international meeting, since medical school?

  • None : 0
  • One or more : 2


15) How many times have you given a 1st author poster presentation (including audits) at a regional meeting since medical school?

  • None : 0
  • One or more : 1


16) How many times have you given an 1st author oral presentation in person (including audits) at a national / international meeting since medical school?

  • None : 0
  • Once : 3
  • Twice or more : 5


17) How many times have you given an 1st author oral presentation in person (including audits) at a regional meeting since medical school?

(exclude ‘in house’ hospital meetings)

  • None : 0
  • Once : 2
  • Twice or more : 3


Notes

Where maximum points have been achieved in 16, additional oral presentations may be considered as ‘regional’ and as such can be used in 17.

18) First author presentation at Regional / National / International Meeting before leaving medical school:

  • None : 0
  • Poster (once or more) : 1
  • Oral (once or more) : 2

 

 7. Surgical logbook

Notes:

‘Performed’ means coded P, S-TU, S-TS in the ISCP/E-Logbook.

Worked examples:

  • 5x tonsillectomy + 3x grommet + 2x MUA nose + 2x pharyngoscopy
    =2 + 1 + 1 + 1 = 5 points
  • 11x tonsillectomy + 6x grommet + 1x MUA nose + 5x direct laryngoscopy + 3x foreign body removal + 1x cervical LN biopsy + 3x excision of H&N skin lesion + 5x drainage of pinna haematoma/suturing of pinna laceration + 1x nasal polypectomy
    =2 + 2 + 0 + 2 + 1 + 0 + 1 + 2 + 0 =10 points

Evidence to upload:

ISCP / e-logbook summary sheet demonstrating cases and numbers.

19) How many times have you performed a Tonsillectomy

  • 0-1 times : 0
  • 2-3 times : 1
  • 4 or more times : 2


20) How many times have you performed Insertion of Grommets

  • 0-1 times : 0
  • 2-3 times : 1
  • 4 or more times : 2


21) How many times have you performed Reduction of fractured nose (GA or LA)

  • 0-1 times : 0
  • 2-3 times : 1
  • 4 or more times : 2


22) How many times have you performed Direct pharyngoscopy or direct laryngoscopy 

  • 0-1 times : 0
  • 2-3 times : 1
  • 4 or more times : 2


23) How many times have you performed EUA and removal of foreign body (ear, nose or throat) under GA

  • 0-1 times : 0
  • 2-3 times : 1
  • 4 or more times : 2


24) How many times have you performed Cervical Lymph node biopsy

  • 0-1 times : 0
  • 2-3 times : 1
  • 4 or more times : 2


25) How many times have you performed Excision of skin lesion (H&N)?

  • 0-1 times : 0
  • 2-3 times : 1
  • 4 or more times : 2


26) How many times have you performed Drainage of Pinna Haematoma or suturing of pinna laceration?

  • 0-1 times : 0
  • 2-3 times : 1
  • 4 or more times : 2


27) How many times have you performed Nasal polypectomy?

  • 0-1 times : 0
  • 2-3 times : 1
  • 4 or more times : 2


8. Postgraduate Medical Teaching Experience / qualifications

28) Have you been involved in medical teaching / training delivery?

  • None : 0
  • By contributing to course as faculty member : 2
  • As principal organiser of relevant course (which has already run by the submission closing date) : 4


Notes:

Online courses will be considered.

Supporting evidence to upload:

Signed letter of support from a consultant supervisor (or equivalent) clearly stating the nature and level of your involvement.

29) Do you have a qualification in medical education

  • None : 0
  • Postgraduate Certificate (PGCert) in education (minimum 60 credits) : 1
  • Postgraduate Diploma (PGDip) in education (minimum 120 credits) : 1


Notes:

MSc in education may score 2 points here if not already used in question 5.

Supporting evidence to upload:

Copy of certificate.