Cardiology is one of the most popular and varied medical specialities, comprising a wide range of sub-specialities including electrophysiology, device therapy, interventional cardiology, imaging and specialist heart failure management.
Cardiological problems account for a large proportion of the medical workload, and by delivering evidence-based care cardiologists can make a real difference to patients.
Cardiology trainee characteristics
Cardiology will particularly suit trainees who are:
-
motivated
-
hard-working
-
able to develop procedural skills
-
keen to engage in clinical research
Working in cardiology
Within cardiology, physicians can develop a wide range of careers encompassing cardiovascular research, interventional cardiology, electrophysiology & device implantation, specialised heart failure management, advanced cardiac imaging and several smaller sub-specialities.
Sub-specialties/combined training
Working in some sub-specialities involves performing procedures with a high intensity on-call while others are more out-patient based with minimal on-call commitments.
In all these areas the pace of change and development is very rapid, providing a stimulating working life.
Widespread requirement
Cardiological input is required in every hospital and consultant appointments are made in both district general hospitals and tertiary centres; sometimes appointments will be made with sessions at both district general hospitals and the local tertiary centres.
Currently most electrophysiology and advanced cardiac imaging posts are within tertiary centres.
Competitiveness
Cardiology remains a very competitive speciality, and many trainees will choose a period of academic research leading to an MD/PhD during their training; this is highly encouraged.
Potential cardiologists will need to demonstrate excellence in their career to date, and to show that they are committed to the speciality.
The needs of patients with cardiovascular disease continue to grow and cardiologists can do more and more to help them. Cardiology therefore remains a growing speciality.
Further information
- NHS health careers - cardiology
- JRCPTB specialty page and curriculum
- ST4 cardiology person specification
- The British Cardiovascular Society
General / application queries
For general queries relating to areas such as eligibility criteria, making an application or the Oriel system, please contact the Physician Specialty Recruitment Office.
Queries regarding the progress of a submitted application should be directed to the lead recruiter for this specialty. The lead recruiter for cardiology R1 2025 is South West.
Region | Contact details |
---|---|
South West |
Group 1 specialty
This is a Group 1 specialty and requires completion of the internal medicine training (IMT) stage 1 programme or equivalent; all programmes in the specialty will dual specialise with general internal medicine.
Therefore, this specialty uses the standard HST eligibility criteria for Group 1 specialties and does not accept candidates from any alternative training routes. Please visit the am I eligible? section of this website for further information.
Commitment to specialty
The specialty will not be assessing your commitment to specialty as part of the shortlisting process and will score your application purely via the self-assessment scoring framework. Commitment to specialty will be assessed as part of the interview.
Not expected to participate in round 2
This specialty does not normally participate in the second round. Although it cannot be guaranteed until the first round is completed, it is unlikely that there will be a second round for this specialty this recruitment year. Participation in the second round is confirmed in June each year.
As part of the process of applying to HST, you may wish to gain an idea of how recruitment progressed in previous years for the various specialties participating in the nationally-coordinated recruitment.
To this end, we have published data dating back to 2013 (where this is available), based around four main areas:
-
Competition ratios - application numbers submitted to each specialty, along with the number of NTN and LAT posts available in each. It is worth noting that posts are subject to change throughout the round (increasing on average between 20-40%), and post numbers for this data are taken at the end of the round.
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Shortlist scores - the scores awarded to all submitted applications, including average scores and distribution nationally.
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Total scores - the total score awarded to all candidates who completed the full recruitment process for a specialty (application and interview), including some analysis of scores.
-
Post fill rates - the number of posts filled by region.
We have published information for all specialties participating in our process that year; consequently not all specialties will have data in all cases.
Year | Apps. | NTN posts | LAT posts | Total posts | Comp. | Unique* |
---|---|---|---|---|---|---|
2024 | 501 | 126 | 5 | 131 | 3.8 | TBC |
2023 | 433 | 127 | 13 | 140 | 3.1 | 57% |
2022 | 412 | 129 | 5 | 134 | 3.07 | 51% |
2021 | 401 | 98 | 0 | 98 | 4.1 | N/A** |
2020 | 533 | 114 | 13 | 127 | 4.2 | 62% |
2019 | 372 | 117 | 8 | 125 | 3.0 | 65% |
2018 | 360 | 135 | 5 | 140 | 2.6 | 69% |
2017 | 326 | 128 | 8 | 136 | 2.4 | 68% |
2016 | 324 | 141 | 9 | 150 | 2.2 | 69% |
2015 | 324 | 99 | 49 | 148 | 2.2 | 70% |
* the percentage of unique candidates that only applied to this specialty (out of the PSRO-coordinated specialties)
** As many specialties did not participate in recruitment in 2021, the data is not comparable.
Please note that cardiology has not participated in round 2 since 2012.
Indicative post numbers
Indicative vacancy numbers are available in the table below, broken down by region and divided between substantive national training number (NTN) and locum appointment for training (LAT) posts. In many cases these will be presented as a range (e.g. 1-4) as it is not always possible for regions to know at this stage how many vacancies there will be.
It is the intention that indicative post numbers for all regions will be published prior to the application opening date, although this cannot be guaranteed. Please note that this table is not likely to be updated subsequent to indicative numbers and actual numbers will be confirmed when programme preferences are opened later in the round.
Numbers subject to change
Please be aware that it is not uncommon for vacancy numbers to change as the round progresses.
More commonly, post vacancy numbers can increase as the round goes on (and confirmation of posts becomes available); but it is also possible that numbers can reduce as well. In the past, post numbers have risen an average of 20-40% from the start to the finish of the round but this can vary greatly for individual specialty/region combinations.
It is possible that regions which do not have a post at the start of the round may declare one after applications have closed. Whilst we try and minimise instances of this, it is not always possible to predict vacancies so even if there appears not to be a vacancy in your preferred specialty/region combination, you may wish to consider applying in case one becomes available during the round; you can check with the region concerned if you wish to check on the likelihood of a post arising.
Generally, once a region enter a post into a round they would always have at least one post available and would only withdraw it in exceptional circumstances.
Round 1 Interview dates and posts
Region | NTN posts | LAT posts* | Evidence upload date(s) | Interview date(s) |
---|---|---|---|---|
East Midlands |
6 - 10 |
N/A |
30/12/24 - 09/01/25 |
TBC* |
East of England |
0 - 13 |
N/A |
||
London |
TBC |
N/A |
||
Kent, Surrey and Sussex |
TBC |
N/A |
||
North East |
4 - 8 |
N/A |
||
North West |
Mersey 0 - 1 |
N/A |
||
North Western 5 - 7 |
N/A |
|||
South West |
Peninsula 0 - 2 |
N/A |
||
Severn TBC |
N/A |
|||
Thames Valley |
0 - 3 |
N/A |
||
Wessex |
1 - 11 |
N/A |
||
West Midlands |
2 - 8 |
N/A |
||
Yorkshire & Humber |
12 - 15 |
N/A |
||
Scotland** |
2 - 4 |
TBC |
||
Wales |
2 - 7 |
TBC |
* Interview dates being rearranged from the originally published dates
*English LATs
Please note, English regions do not recruit to LAT posts.
**Scotland post numbers
If you are interested in working in Scotland, a breakdown of post numbers by the four Scottish regions is available on the Scottish Medical Training website. This has details of all specialty training post numbers in Scotland, including specialties which are not part of the nationally-coordinated process.
The SMT website will always be the more accurate one where they differ.
Interview content
The interview will be split across two stations with a separate pair of interviewers scoring you on the areas in their station. There will be five questions which range between 5-13 minutes in length. You will be marked on these questions and your communication skills, giving six scored areas in total. The headings below show the question areas and in which station they will be covered, along with information about what will be assessed.
Each station will last 22 minutes, so, including the time between stations, the interview will be approximately 50-55 minutes.
Please note that this is subject to change and will be confirmed by the date of interview.
This question will focus on your commitment to higher training in the specialty and give you opportunity to expand on the information provided in your application form.
This question will last approximately 10 minutes.
This question will explore the non-clinical aspects of being a medical registrar, focusing on two of the Capabilities in Practice (CiPs) from the Internal Medicine Stage 1 Curriculum:
- Managing an acute unselected take
- Managing a multi-disciplinary team including effective discharge planning
This discussion will be prompted by a short question provided by interviewers. This will not be given to you before - this will be given verbally by interviewers once the previous question is finished. This question will last approximately 7 minutes.
Questioning will ask you to draw on your experience of managing a team caring for acute medical admissions by giving examples of how you have managed that type of situation.
This question will explore ethical, professionalism and governance issues. It will start with a hypothetical situation which is not given to you before entering the station and will be given verbally by interviewers.
This is not a clinical question, but will deal with the moral, ethical, legal, etc. issues of a particular situation. Following the hypothetical situation, and where time allows, there will be one or more questions about GMC Good Medical Practice principles.
The assessment of this question is underpinned by the principles of GMC Good Medical Practice.
This question will last approximately 5 minutes.
Prior to this question you will be given a clinical scenario and a short while to review it. You will then be asked questions relating to this scenario for approximately 13 minutes.
Scenario considerations
The scenario will describe a hypothetical clinical situation which has arisen in which you are, or have become, involved. Areas to consider when reviewing the scenario and preparing for discussion are:
- what steps you would take
- any potential treatments possible
- any further information you would gather
- how you would go about communicating with any people (eg patients, family members, colleagues) involved in the scenario.
You should also take into account any other factors you deem appropriate, using your experience and professional judgement.
Following the first clinical scenario, you will be given a second clinical scenario to consider. This question will not be available to you to consider in advance and the hypothetical scenario will be given verbally by the interviewers. You will be asked questions on this scenario for approximately 9 minutes.
Scenario considerations
The scenario will follow the same pattern as the first clinical scenario. That is, it will describe a hypothetical clinical situation which has arisen in which you are, or have become, involved. Areas to consider when reviewing the scenario and preparing for discussion are:
- what steps you would take
- any potential treatments possible
- any further information you would gather
- how you would go about communicating with any people (eg patients, family members, colleagues) involved in the scenario.
You should also take into account any other factors you deem appropriate, using your experience and professional judgement.
Not an actual question, you will be assessed and scored specifically on the communication skills you demonstrate throughout the station.
This will be both an assessment of how you would communicate with patients, colleagues, etc. in the scenario, as well as of how well you communicate with interviewers throughout all questions.
Scoring framework
The score of 1-5 an interviewer will award you for each assessment area is judged in relation to how well you perform against an expected level. Below is the framework used to award scores at interview, as well as interpretation of what these scores represent:
Mark
|
Rating
|
Assessment
|
1 |
poor |
not considered appointable |
2 |
area for concern |
performed below the level expected from a core level trainee applying to the specialty; |
3 |
satisfactory |
performed at the level expected of a core level trainee applying to the specialty; |
4 |
good |
above average ability; |
5 |
excellent |
highly performing trainee; |
As shown in the table, for each of the question areas at interview, 3/5 is considered a satisfactory score; and reflects the level of performance that would be expected of a trainee ready to progress to a specialty training programme.
Should your performance go above and beyond this expected level, interviewers can award marks of 4/5 or 5/5 as appropriate.
Conversely, should your interview performance not reach the expected level, then interviewers can award marks of 1/5 or 2/5, as reflects their level of concern over your performance.
Appointability
Raw interview score (RIS)
The RIS is the sum of all twelve scores awarded to you during your interview, but before any weighting is applied.
As each individual score will be between 1 and 5, your RIS will be between 12 and 60.
Appointability requirements
To be classed as 'appointable', you must meet all three criteria below:
- none of your twelve interview scores can be 1/5
- no more than two of your twelve interview scores can be 2/5
- your RIS must be 36 or above.
If you meet all three requirements, your application will be assessed as appointable, and can progress to be considered for post offers.
However, if you fail to meet any of these requirements, your application must then be assessed as not appointable, and it will progress no further in that round.
Total score
After interview, a weighting is applied to the scores in each area, as well as your application score.
These scores are then combined to give your total score which determines your ranking, which will in turn be used to inform how offers are made. The weighting of different sections, as well as the method by which your total score is established, is detailed in the table accessible through the link below:
|
Interviewer 1
|
Interviewer 2
|
Weighting
|
Max score
|
Question 1 |
||||
Suitability and commitment |
/ 5 |
/ 5 |
1.6 |
16 |
Question 2 |
||||
Medical registrar suitability |
/ 5 | / 5 | 1.2 | 12 |
Question 3 |
||||
Professionalism & governance |
/ 5 |
/ 5 |
1.6 |
16 |
Question 4 |
||||
Clinical scenario 1 |
/ 5 |
/ 5 |
1.6 |
16 |
Question 5 |
|
|||
Clinical scenario 2 |
/ 5 |
/ 5 |
1.2 |
12 |
Question 6 |
||||
Communication mark |
/ 5 |
/ 5 |
0.8 |
8 |
Raw interview score |
/ 50 |
|||
Interview score (w weighting) |
/ 80 |
|||
Application score |
/ 40 |
0.5 |
/ 20 |
|
Total score |
/ 100 |