Official Partner The Royal Society of Medicine


ACCS (Acute Medicine) Application

Applicants for ACCS (Acute Medicine) must apply using the online application system, Oriel. The application form includes the following sections.


The personal section of the form includes personal details such as contact numbers, or details of any disabilities. It also establishes whether the applicant is working in a training post at the time of application, and covers candidates’ requests for training on a part-time basis, or to defer the start date. Applicants fall under the guaranteed interview scheme if they have a disability or disease expected to last over 12 months. Any disabilities indicated should put the candidate at a significant disadvantage to other candidates in obtaining or keeping a job.


The eligibility section of the form includes information about GMC registration status. It covers how the candidate will show that they meet the eligibility requirements for language skills, and details of the right to work in the UK. Most EEA or UK candidates do not need special dispensation to work in the UK. However, Croatian applicants are not automatically entitled to work in specialty training programmes.

Non-UK or EEA applicants entitled to work in the UK are considered equally with UK and EEA citizens. Doctors with visas that have restrictions on working in the UK may not be able to apply for specialty training, and may need to get a Certificate of Sponsorship. However, the Home Office must be satisfied that there are no candidates from the UK or EEA that are suitable for the post. Doctors with visas are therefore subject to the resident labour market test.

If the RLMT is applicable, then candidates from outside the EU or UK should consider applying in Round 2. Doctors continuing their employment with the same sponsor under a Tier 2 visa do not need to meet the RLMT requirements.

There has been a single sponsor for all training programs in England since 2015, and there is also a single sponsor for training programmes in Northern Ireland and Scotland. Therefore, candidates working in a training post in England, Northern Ireland, or Scotland are eligible for all posts in that country and do not have to meet the requirements of the RLMT.

English Language Skills

Trainees will have to provide evidence of English language skills if they hold a degree in a language other than English. They can do this by completing the International English Language Testing System that assesses speaking, listening, reading, and writing skills.

Applicants must achieve an overall score of at least 7.5 unless they have worked for over two years in the NHS. A written testimony from a supervisor who can vouch for the applicant’s English language skills is also acceptable.

Fitness to Practice

In the fitness to practice section, applicants must answer questions about their fitness to practise and any criminal record.


In the competences section, applicants must show that they have achieved foundation competences.


In the employment section, applicants must enter their past three years’ employment history. They must account for any gaps longer than 28 days.

Supporting Information for ACCS (Acute Medicine)

In the supporting information section of the form, applicants can include information about MRCP exams, their commitment to the speciality, how they meet the criteria in the person specification, achievements outside of medicine, and details of attendance at training courses relevant to their application.

Those applying for Academic Clinical Fellowships must apply via the recruitment process coordinated by the JRCPTB. The JRCPTB then clinically benchmarks the applicants. The applicants then indicate their interest in ACT posts, and if they also want to be clinical benchmarked. Applicants for ACF posts only will have their application withdrawn after confirmation of interview scores.


In the preferences section, applicants can choose a maximum of four regions in which they wish to work.


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