Core Medical Training Recruitment

Overview - CT1 recruitment

The RCP-coordinated CT1 recruitment process

At the invitation of the Department of Health, in summer 2008 the Royal College of Physicians designed and implemented a nationally-coordinated recruitment system for CT1 posts in the specialty of CMT.


    The aim of the project was to introduce a process which was fair, effective, strong, robust, transparent, and efficient.

    We believe that such a system has been created and introduced. Since a successful launch for 2008/09 recruitment, feedback received by the recruitment office from all stakeholders - candidates, clinicians, deanery recruiters, DH - has been overwhelmingly positive throughout the three years of the project's life.

Devolved UK nations

    Since the project's beginning, Wales joined the RCP process in 2009/10, with Northern Ireland joining for 2010/11 and Scotland in 2012/13; thus the recruitment process is now fully UK-wide.


    In 2011/12, recruitment to CT1-level posts in the specialty of acute care common stem (acute medicine) was added to the RCP-SRO recruitment process - hence the change of title to 'CT1 recruitment'.

    The RCP-SRO is keen to continue delivering this recruitment process in future years and providing advice, assistance and information throughout.

The MRCP(UK) diploma


From 2011 onwards, it was determined that trainees must gain the full MRCP(UK) diploma - ie pass Part 1, Part 2 and PACES - to be eligible for CMT certification, and to be eligible to enter training at ST3-level.

As such, it is strongly recommended that you examine the exam timetable at and plan to have passed the full diploma prior to applying to ST3.

Sitting MRCP(UK) Part 1

    Please note that it is permissible, and indeed desirable, to take MRCP(UK) Part 1 prior to entry into CT1.

    Passing Part 1 before you enter CT1 will give you a head-start in terms of obtaining the full diploma, as well as demonstrating an early level of commitment to medical, hospital-based specialties.

Previous years

    In the past three years where the RCP has coordinated recruitment to CMT, around 20% of candidates had obtained Part 1 prior to application.

Not mandatory, nor assessed, at CT1

    However, please be aware that obtaining Part 1 is not an essential criterion for CMT or ACCS-AM eligibility, nor are there any points on offer for this when scoring your application form.

The Royal College of Physicians of London


We are a forward-looking organisation, relentless in our pursuit of improvements in healthcare and the health of the population.

We will achieve this by enhancing and harnessing the skills, knowledge and leadership of physicians in setting challenging standards and encouraging positive change based on sound evidence.

Physicians are specialists in the diagnosis and treatment of medical conditions. They are trained in acute (internal) medicine and/or one of the specialties (such as cardiology or oncology). They carry out investigations and procedures, give advice, and prescribe treatments.

  • We support our fellows and members during every stage of their careers, and in doing so improve the quality of patient care.
  • We set and monitor standards of medical training to ensure that patients are treated by fully trained and capable doctors.
  • Our senior physicians sit on appointments committees to ensure that new consultants are of high calibre.
  • Our evidence-based clinical guidelines and audits support our fellows and members in improving and scrutinising clinical care.
  • Our education programmes provide physicians with the knowledge and skills they need for high performance.
  • We lobby government at the highest levels to ensure the best outcomes for patients.

In addition to supporting physicians in their daily practice, we take a wide role in public health. Our activities include campaigning for change, advising government and parliament, and taking part in national debates on medical, clinical and public health issues.

The Royal College of Physicians (RCP) has supported and represented physicians for nearly 500 years.

Our roots stretch back to Henry VIII, but our 29,000 members today work in the fast-paced, ever-changing, highly technological world of medicine in the UK and across the globe.

The Joint Royal Colleges of Physicians Training Board (JRCPTB)


The JRCPTB is a Federation of Royal Colleges of Physicians of the UK (Edinburgh, Glasgow and London) body responsible for delivering the three colleges' role in setting and maintaining standards for physician specialist training in the UK.

Setting and reviewing curricula and assessment standards as required by the GMC

    In 2009 this was the subject of a major project (Project 2010) that delivered re-writes of all 30 CMT, Specialty and sub-specialty curricula incorporating lay, service and professional perspectives, leadership competencies and health inequalities.

    The SACs will continue with the development of curricula and assessments working to the GMC's timetable for 'minor' and 'major' changes.

    We have also recently commenced pilot evaluation of the proposed system for workplace-based assessment (WPBA). The pilot began in August 2012 and will run until 2014.

    For more information visit our assessment pages.

Supporting trainees progress through training to certification

    This involves; monitoring individual trainees' progress through specialist training, providing expertise and advice as required for trainees and their supervisors, and to make recommendations for the award of Certificate of Completion of Training (CCT) and Certificate confirming Eligibility for Specialist Registration (CESR) via the combined programme pathway.

    For more information visit our training and certification pages

Working with deaneries/LETBs

    To assist deaneries/LETBs in delivering the quality management of specialist training and to provide annual specialty reports, in accordance with the GMC Quality Assurance framework, we aim to:

  • Develop efficient processes, working with the Postgraduate Deans and College representatives locally, for the Quality Management ensuring delivery of physician training as stipulated in curricula and assessment strategy.
  • Operate the agreed processes, gathering relevant routine data, assisting the SACs with the production of annual reports.

Further reading

    We have also produced a leaflet 'A short guide to the JRCPTB' which helps to explain how the JRCPTB conducts its work and how the income we receive is spent. If you would like hard copies of the leaflet please contact us at