Exclusion Guidelines for Entry into Specialty Training
Trainees released from a training programme or who have relinquished their NTN or DRN may not be eligible to re-apply for that specialty.
Principles
Released from training programme due to exam failure
- Core or run-through trainees released from a training programme due to failure to pass the requisite exam for progression in that specialty will only be eligible to re-enter that training programme once the requisite exam has been attained but only at the level for which the exam was an entry point. For example:- ST3 Paediatric trainee released from the training programme having failed to pass and only re-enter training at ST4 level having attained the MRCPCH.
- CT2 CMT trainee released from training programme having failed to pass the Full MRCP (UK) or equivalent. The trainee will not be eligible to apply for a CMT post in any Deanery but will be eligible to apply for an ST3 post in a medical specialty once the entry exam has been attained.
Released from training programme due to insufficient and sustained lack of progress. A trainee released from training programme due to insufficient and sustained lack of progress will only be eligible to re-enter that specialty in exceptional circumstances.
Such applicants may only be considered provided they have documented support for their application. Such evidence could include:
- Letter of support from the Postgraduate Dean or designated deputy from the Deanery where they have been released
- Letter of support from the trainee’s most recent educational / clinical supervisor if they are not currently in a recognised training post
- Evidence of any mitigating circumstances that would not necessarily make someone ineligible for re-entering the training programme
This evidence should be submitted as part of an application to specialty training and should be submitted to: severn.fitness@southwest.nhs.uk and the original document verified at interview.
If an applicant is unable to provide documented support for their application they should discuss with the Mr Chris Vandeleur, Business and Operations Manager at the Severn Deanery. The decision to accept or decline the application will be at the discretion of the receiving Deanery and will be final.
Trainee resigned from training programme
Where a trainee has relinquished their NTN or DRN part way through a training programme they will only be eligible to re-enter via a competitive process. Trainees’ will only be eligible to re-enter that training programme at a level above which they have already attained a level of competence. For example:
- CT2 Anaesthesia trainee resigns from the training programme shortly after the CT1 year having received an ARCP Outcome 1. The trainee will only be eligible for entry at CT2 level having already attained CT1 level competencies.
The exception to the above will be Higher Specialty Training where applicants may already have ST3/4 level competencies via a LAT post and this is the last entry point for that specialty.














