Sport and exercise medicine involves the management of medical problems and injuries in those who participate in physical activity and sport.

This enables a rewarding, varied and unique career working with all age groups across primary, secondary and tertiary clinical settings as well as on the sports field.


Sport and exercise medicine trainee characteristics

Sport and exercise medicine (SEM) will particularly suit trainees who are:

  • seeking a specialty which presents a variety of clinical and leadership challenges
  • enthusiastic, proactive and able to work within a multidisciplinary team
  • flexible and enjoy working under pressure in a range of clinical environments
  • interested in the management of muscoskeletal injuries and medical conditions which affect people who are keen to participate in physical activity and specific sports.

Working in sport and exercise medicine

SEM includes the delivery of comprehensive musculoskeletal services and the practical application of exercise medicine in chronic disease at an individual and population level.

SEM includes:

  • exercise testing and prescription
  • diagnosing and rehabilitating musculoskeletal injuries
  • research
  • developing population physical activity programmes and policies working alongside public health specialists
  • supporting athletes of all abilities achieve their potential on the field of play.

No day is ever the same for a sports physician. There is significant opportunity to combine different elements of the speciality dependant on an individual’s interests, as many SEM physicians continue to have portfolio careers.

Within the NHS, posts are evolving both in primary, secondary and intermediate care. The military also employ a number of SEM consultants. There are also posts available with a variety of sporting organisations.

Trainees typically commence SEM having completed core medical, general practice or acute care common stem training (in emergency or acute medicine); see the person specification for details.


Medical Care

Find out more about sport and exercise medicine and the services delivered by the specialty on Medical Care – the RCP’s online guide to service design.


Further information

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 sport and exercise medicine is East Midlands.

Health Education East Midlands
Postal address

Health Education East Midlands
Westbridge Place
1 Westbridge Close
Leicester
LE3 5DR

email address 1 (ST3/general queries) [email protected]
email address 2 (fitness to practise queries - confidential)

[email protected]

website http://www.eastmidlandsdeanery.nhs.uk/

Group 2 specialty

This is a Group 2 specialty and requires completion of the first two years of the internal medicine training (IMT) stage 1 programme or equivalent. Please visit the am I eligible? section of this website for further information about the eligibility criteria for Group 2 specialties.

Please be aware that, in addition to physician training, the specialty also accepts applicants from emergency medicine and general practice training routes.

Non-physician applicants must have obtained the basic specialty professional examination in addition to specific clinical experience and competences to be eligible. 

Please view the specialty's person specification for information about the requirements for applying from a non-physician background and the deadlines for when this must be achieved.

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.

Please note that due to the ongoing COVID-19 situation, certain recruitment processes have been affected for round 2 ST3 PSRO-coordinated specialties. As a result, the below information on this page is not applicable for this round only and should not be used where the process has changed. Please refer to the applicant guide for the latest information about how round 2 will operate.

Further guidance about the scoring format of interviews will be published to each specialty page and we hope to have this updated by application closing date. Please visit the specialty pages closer to the time for updated information.

 

Interview content

You will spend approximately 10 minutes at each of the three interview stations, with three-to-five minutes' transfer time between each. Thus the overall time for the interview will be approximately 40-45 minutes.

Click on the relevant stations below for more information on the content of the interview.

Please note that this is subject to change, and will be confirmed by the date of interview.


Interview scoring

Appointable - automatic

If you are awarded a score of at least 3/5, for all marks given to you at your interview, then you will automatically be classed as appointable.

Not appointable - automatic

If any of the 12 scores awarded to you at interview are 1/5, this will reflect poor performance and an area of major concern.

If four or more of your 12 interview scores are of 2/5, this will reflect several areas of concern across your whole interview.

Should your interview assessment fall under either category above, the level of concern over your potential progression to ST3 will see your application classed automatically as not appointable.

Appointability subject to panel decision

In the event that your 12 interview scores contain one, two or three marks of 2/5 (and the rest 3/5 or above), your appointability status will be subject to discussion in the post-interview 'wash-up' meeting.

The clinicians who have interviewed you will discuss your general performance during the interview and any concerns or otherwise they have about your application as a whole.

Should they deem it appropriate, your application will be classed as appointable, and you can then be considered for post offers; whereas if they feel their concerns are too substantial for this outcome, they must class your application as not appointable, and it will progress no further in the current recruitment round.

Review vs automatic status

Please note there is no distinction made between candidates judged as appointable automatically, and those classed as appointable on review. Once deemed appointable it is only your overall score which will be used to determine ranking.

Total score calculation

After interview, a weighting is applied to the scores in each area, as well as the application form score, to give a 'total score'. This score determines your ranking which is used to inform how offers are made. The weighting of different sections, as well as the method by which your total score is established, can be seen by clicking on 'Total score calculation' below.

Please note that this is subject to change, and will be confirmed by the date of interview.

date of last review: 6 December 2019

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.

  • Shortlist scores - the scores awarded to all submitted applications, including average scores and distribution nationally.

  • 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.

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 & posts

Region NTN posts LAT posts* Evidence upload date(s) Interview date(s)
East Midlands

0 - 2

N/A

TBC

TBC

East of England

0

N/A

London and KSS

0 - 3

N/A

North East

0

N/A

North West 

Mersey

0

N/A

North Western

0

N/A

South West

Peninsula

0

N/A

Severn

0

N/A

Thames Valley

0

N/A

Wessex

0

N/A

West Midlands

0

N/A

Yorkshire & Humber

0

N/A

Scotland**

0

TBC

Wales

0

TBC

*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 consist of three questions which range between 8 and 10 minutes in length. You will be marked on these three questions and your communication skills, giving four scored areas in total. You will be scored by two interviewers on each question.

Including time for questioning and scenario reading, the interview will be approximately 30 minutes.

Please note that this is subject to change and will be confirmed by the date of interview.

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;
possibly unappointable, subject to discussion and performance in other areas

3

satisfactory

performed at the level expected of a core level trainee applying to the specialty;
the candidate is suitable for a higher specialty training post

4

good

above average ability;
the candidate is suitable for a higher specialty training post

5

excellent

highly performing trainee;
the candidate is suitable for a higher specialty training post

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

The RIS is the sum of all eight 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 8 and 40.

Appointability requirements

To be classed as 'appointable', you must meet  all  three criteria below:

  • none of your eight interview scores can be 1/5
  • no more than two of your eight interview scores can be 2/5
  • your RIS must be 24 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 below:

    

 

  

    

 Interviewer 1

  

    

 Interviewer 2

  

    

Weighting

  

    

Max score

  

Question 1

Suitability & commitment

/ 5

/ 5

2.5

25

Question 2

Clinical scenario

/ 5

/ 5

2.5

25

Question 3

Ethical scenario

/ 5

/ 5

1.8

18

Communication mark

/ 5

/ 5

1.2

12

Raw interview score

/ 40

Interview score (w weighting)

/ 80

 Application score

/ 58

0.35

/ 20.3

 Total score

/ 100.3