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ST3 General Surgery Longlisting and Shortlisting for 2026: Complete Guide

Updated: 7 hours ago

General Surgery ST3 Registrar

Understanding the longlisting and shortlisting process is crucial for your ST3 General Surgery application. With competition ratios around 3.76:1 in 2024, maximising your portfolio score could be the difference between securing an interview and missing out entirely. Here's everything you need to know about the two-stage selection process.

Understanding the Two-Stage Process


Stage 1: Longlisting (Eligibility Check)

This is the initial hurdle. You must meet all essential criteria to progress to shortlisting.


Stage 2: Shortlisting (Competitive Scoring)

Your portfolio is scored out of 60 points. The highest-scoring candidates ar

e invited to interview based on available capacity.

Longlisting: Meeting the Entry Requirements

Before your application can be evaluated for scoring, you need to meet all the longlisting criteria outlined in the 2026 person specifications.


Essential Requirements


Medical Qualifications:

  • MBBS or equivalent medical qualification

  • MRCS (Parts A & B) completed by 14th April 2026 (Initial offers released)

  • Full GMC registration at time of appointment

  • Current license to practice


Competencies:

  • Evidence of CT/ST1 competencies achieved at time of application

  • CT/ST2 competencies achieved by time of appointment

  • For International Medical Graduates (IMGs): Competencies must be signed off by UK consultants via Certificate of Readiness to Enter Higher Surgical Training (CREHST)


Employment & Eligibility:

  • Complete employment history provided

  • Eligibility to work in the UK

  • Not previously removed from training in this specialty (except exceptional circumstances)

  • Fitness to practice confirmed

  • Sufficient language skills (IELTS if applicable)


Important Exclusion: You must not already hold or be eligible for a CCT/CESR in General Surgery, nor be eligible for the specialist register.

Shortlisting: The 60-Point Self-Assessment Score


Once you've cleared longlisting, your application is scored across seven domains. Your total self-assessment score determines whether you'll be invited to interview.


The Scoring System Overview


Maximum Total Score: 55 points

Domain

Maximum Points

Percentage

General Surgery Experience

8

14.5%

Appendicectomies (Logbook)

10

18.2%

Audits/QIPs (2 closed loop + 1 other)

8

14.5%

Time spent in other specialties

4

7.3%

Publications (2 best)

10

18.2%

Presentations (2 best)

10

18.2%

Higher Degrees

5

9.1%

Breaking Down Each Question


Question 1: General Surgery Experience (8 points)


Question: By the end of July 2026 (or completion of Core Training if later), how many months will you have spent in General Surgery in any post-Foundation job?


Scoring:

Months of Experience

Points

0 to 3 months

Not eligible to apply

4 to 7 months

1

8 to 12 months

6

13 to 36 months

8

37 to 60 months

4

61+ months

1

Evidence Required:

  • Evidence of training post completion

  • For non-training posts: Contract front page with dates and role description

  • If dates not on contract: Letter from HR/Head of Service/Supervising Consultant

Question 2: Appendicectomies Logbook (10 points)


Question: How many appendicectomies (lap/open) have you completed at STS, STU, P, or T level at time of application?


Scoring:

Number Performed

Points

0 to 9

Not eligible to apply

10 to 20

2

21 to 35

7

36 to 70

10

71 to 85

5

86+

1

Evidence Required:

  • Consolidation sheets from validated logbooks acceptable countersigned by Educational Supervisor

  • Full and consecutive logbook pages from validated system

  • Each page signed by relevant supervisor with name and GMC number clearly legible

  • No gaps allowed - any gaps result in minimum score

Question 3: Audits and QIPs (8 points)


Question: Submit 1 best closed-loop audit


Requirements:

  • Must be presented (you need presentation evidence)

  • Must show your involvement in design, execution, and presentation

  • For closed-loop: Both loops must be evidenced

  • No marks for generic mandatory audits such as VTE or antibiotics prescribing


Points are Qualitative Awarded For:

  • Your level of involvement (design, data collection, analysis, presentation)

  • Use of reference standard (guidelines, NICE, BOAS, etc.)

  • Study design quality

  • Clinical importance of the question

  • Demonstrated impact of work


Evidence Required:

  • Presentation slides (6 per page)

  • Letter from Head of Department/Clinical Lead clearly stating your contribution

  • Audit/QIP certificates are NOT sufficient


Strategy:

  • Only submit once both loops of your closed-loop audits are presented

  • Demonstrate clear impact: "Changed departmental protocol" or "Improved compliance from X% to Y%"

  • Choose clinically important topics aligned with national guidelines

  • Show meaningful involvement beyond data collection

  • Get detailed letters of support - certificates may not be accepted

Question 4: Time spent in other specialties (4 points)


Question: By July 2025, will you have spent at least 4 months in specified allied specialties since Foundation?


Eligible Specialties: T&O, Plastics, Neurosurgery, ENT, Cardiothoracic, A&E, ITU, Paediatric Surgery, Urology, Vascular, OMFS


Scoring:

Experience

Points

No 4-month posts in these specialties

0

At least 4 months in 1 specialty

2

At least 4 months each in 2+ specialties

4

Evidence Required:

  • Evidence of training post completion

  • For non-training posts: Contract front page with dates and role description

  • If dates not on contract: Letter from HR/Head of Service/Supervising Consultant

Question 5: Publications (10 points - 5 per publication)


Question: Submit your 2 best publications in PubMed-indexed journals, published by time of application.


Requirements:

  • Must have PubMed ID

  • Published (not "in press" or "accepted")

  • Collaborative papers, abstracts, case reports, letters, technical tips all acceptable

  • Publications in pay-to-publish journals no longer accepted


Points Awarded For:

  • Candidate contribution

  • Level of authorship (first author scores higher)

  • Quality of study design

  • Impact factor of journal


Evidence Required:

  • Full copy of publication including authorship list, journal reference, PubMed ID

  • For collaborative papers: List of collaborators with your name highlighted


Strategy:

  • First authorship in moderate-impact journal often scores better than middle authorship in high-impact journal

  • Case reports and letters count - don't dismiss them

  • Ensure publications are fully published, not just accepted

Question 6: Presentations (10 points - 5 per presentation)


Question: Submit your 2 best presentations (includes posters), completed by time of application.


Points Awarded For:

  • Candidate contribution to the work

  • Being the presenter (not just listed author)

  • Quality of study

  • Scope of meeting (regional/national/international)


Evidence Required:

  • Copy of relevant page from meeting programme

  • Copy of presentation (6 slides per page) or poster


Strategy:

  • International > National > Regional

  • Oral presentations score higher than posters

  • Being the presenting author matters significantly

  • Quality of work matters - poorly designed studies score lower even at international meetings

Question 7: Higher Degrees (5 points)


Question: Have you completed a stand-alone UK higher degree or equivalent examined by thesis/dissertation by time of application?


Scoring:

Qualification

Points

PG Certificate

1

Diploma/Masters without thesis

2

Masters with thesis (MSc, MMedEd, MS, ChM)

3

MD

4

PhD

5

Important Notes:

  • Intercalated degrees do not count

  • Must be awarded (not pending)

  • Non-UK degrees require equivalence evidence


Evidence Required:

  • Copy of degree certificate

  • For thesis/dissertation degrees: Clear evidence it included thesis

  • For non-UK degrees: Equivalence letter from institution + results transcript

The Evidence Verification Process


Self-Assessment Phase (During Application)

You calculate your own score based on your achievements and claim this in your application.


Evidence Upload Window

16th December 2025 – 12th January 2026

You must upload:

  • Supporting evidence for each domain

  • Additional documentation as specified


Verification Phase

26th – 27th January 2026

Independent assessors review your evidence and assign a "verified score." This may differ from your self-assessment if:

  • Evidence is insufficient

  • Claims don't match documentation

  • Quality indicators aren't met


Results & Appeals

12th February 2026: Verified scores released

12th – 16th February 2026: Appeal window (if you disagree with verified score)

Important: You cannot submit new evidence during appeals - only challenge the assessor's interpretation of existing evidence.

Probity Warning

All statements must be accurate and truthful. The GMC principle of "maintaining trust by being open and honest" applies here. False or misleading claims will result in:

  • Referral to Probity Panel

  • Potential GMC involvement

  • Application rejection

  • Serious professional consequences

Start Building Your Portfolio Now


The shortlisting process rewards those who plan ahead. If you're in Core Training now:

Start closed-loop audits early - they take time to complete both loops

Target quality publications - first authorship in solid journals

Present your work - regional, national, or international meetings

Maintain meticulous logbooks - no gaps, every case signed

Document everything - keep evidence organised as you go

Choose rotations strategically - aim for optimal general surgery exposure

Get clear contribution letters - don't rely on generic certificates


The shortlisting phase determines whether you'll even get a chance to interview.

With only the highest-scoring candidates invited, every point matters.


Already shortlisted or expecting to be? Your interview performance will ultimately determine your ranking and first-choice prospects. Start preparing now - with limited time between invitation and interview, early preparation gives you a crucial advantage.


Ready to prepare for interview? Explore our clinical scenario question bank designed specifically for ST3 General Surgery interview stations.



 
 
 

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