Application portal, important documents and useful hints and tips
Application portal
Applications for ST1 Clinical Radiology training in England, Scotland and Wales are submitted through the ORIEL recruitment system. This is a single online application for all training posts in England, Scotland and Wales, meaning you do not have to submit multiple applications to each area of the country individually. Applications can only be accessed during the job application period, typically around November each year.
What is ORIEL?
- Website: oriel.nhs.uk
The overall selection process and timeline can be found at the bottom of the ST1 Clinical Radiology interview & application advice page on this website.
Important points:
- You will need 3 consultant referees
- You will not be asked to rank training schemes at this stage (this comes later in the application process)
- You will need to complete a portfolio review as part of the application which will include uploading evidence. This will be validated later on in the application process.
- You can apply to more than one specialty training programme at this point (e.g. Clinical Radiology and Anaesthetics)

Important documents
Below are two essential documents to read before making an application:
Clinical Radiology ST1 Applicant Guidance
- Medical Applicant Guidance is available to view for the medical recruitment round online. The guide is here to assist you in making the best possible applications throughout the full application process.
Person specification 2027 for ST1 Clinical Radiology
- This is essentially the eligibility criteria for applying, and probably the most important document to read if applying for ST1 Clinical Raidology. Make sure you meet the person specification for the relevant parts of the application form. Some parts of the person specification are not covered in the ORIEL application and may be assessed during the interview.
- Importantly, applicants must:
- Be fully registered with the GMC at the time of application and hold a current licence to practise on the date your post commences.
- Have evidence of achievement of foundation competancies in the three and a half years preceeding the advertised post start date.
- Be eligible to work in the UK.
Categorising your portfolio
Categorising your portfolio is done by the applicant (you) and is an early part of the application process and makes up 30% of your final interview score so it is vital you try to do well here. A portfolio is a record of all of your achievements to date.
The scoring system may change year to year, however the 2027 system is presented below. There are 5 domains, with various categories you can choose for each:
- Commitment to Specialty
- Leadership and Management
- Teaching & Training
- Formal Teaching Qualifications
- Audit & Quality Improvement
- Academic Achievements
- Prizes & Awards
For each of the 5 domains, the level of experience has been assigned a category (A-E). You need to use your discression to match your experience and achievements to these descriptors and select a category which best reflects your situation. If multiple descriptions are appropriate in a single domain, select the single one which results in the higher score. Once submitted, the categories cannot be edited if there is a mistake, so be very careful!
You can upload a single piece of evidence for each domain, which should be uploaded as one continuous PDF file.
You will likely be asked to subsequently upload proof of your achievements for review so it is really important you keep a good record of these during your training. Keep any certificates, awards or letters. If you do not have evidence of an achievement then you will be unable to gain points for it and all achievements must be fully completed at the time of submission (i.e. you cannot claim for a degree not yet awarded). You may include publications if they have been ‘accepted’ by a journal and passed peer review, but remain “in press” or “pre-print”. The evidence uploaded in this case should include the acceptance letter from the editor. Presentations are only valid once they have actually been delivered.
In summary:
- Do not include qualifications if you have not yet been awarded an outcome
- Do not include articles submitted for publication if they have not been accepted
- Do not include a presentation if you have not yet presented it
All achievements should be dated after the commencement of your first relevent undergraduate degree, and in any case, within the last 10 years. If an achievement legitimately fits under multiple domains (e.g. academic work which was presented orally then subsequently published), then it is ok to claim in both categories.
Here is the categorisation system for 2026:
Portfolio review domains
Domain 1 – Commitment to Specialty
| Description | Category |
| Multiple significant exposures to the work of a clinical radiology department | A |
| One significant exposure to the work of a radiology department | B |
| Attend a radiology-based course of at least 1 day in length | C |
| Attend a radiology related conference | D |
| None of the above | E |
A significant exposure means a period of at least 3 whole day equivalent time attached to a clinical radiology department. For example:
- A taster week/observership placement.
- A student-selected component, elective, or similar part of a degree course.
- A radiology based clinical (not lab) research project involving presence in a department/working with a radiologist.
Multiple exposures must be meaningfully different; for example, more than one of the above types. Two taster weeks in different settings would qualify for the highest descriptor and score A, but two taster weeksn offering the same experience would not and would score B.
Evidence for this section could include:
- Letter confirming placement from clinical supervisor/education lead.
- Official university documents confirming radiology-based placement/component.
- Details of a radiology-based project with evidence of your involvement from your supervising consultant.
- Course/conference certificate.
Domain 2 – Leadership and Management
| Description | Category | Examples |
| Hold/have held a national level leadership or managerial role involving radiology | A | National role e.g. within specialist society, royal college, nationally held fellowship position, relevant to radiology. |
| Hold/have held a national level leadership or managerial role not involving radiology, but relating to healthcare OR Hold/have held a local/regional level leadership or managerial role involving radiology | B | National non-radiology healthcare role e.g. within BMA, royal college, etc. Local role e.g. committee member of undergraduate radiology society |
| Hold/have held a national level leadership or managerial role outside healthcare OR Hold/have held a local/regional leadership or management role not involving radiology but relevant to healthcare | C | National roles outside healthcare may include charity work, sports, creative arts. Local role relevant to healthcare but not radiology e.g. Junior Doctors Forum or Mess committee, Foundation programme rep. |
| Hold/have held a local/regional leadership or management role outside healthcare | D | As above, at a local level. |
| None of the above | E |
Any roles claimed above must have been for a minimum period of 6 months. For UK applicants, National refers to activity within England, Scotland, Wales, Northern Ireland or the UK as a whole; Local would mean at the level of a hospital single Trust, University etc. Roles outside healthcare include voluntary activity, arts, and other sciences, but not paid employment.
Appropriate evidence would include confirmation of election/appointment, evidence of attendance at committee meetings, letters from chair or senior figure within relevant organization. Evidence should specify the applicant by name, the role, and major responsibilities thereof.
Domain 3 – Teaching & Training
| Description | Category |
| Hold a formal teaching qualification awarded at postgraduate level, for example: masters, CILT, PGDip, PG Cert | A |
| Have made a major contribution to a national or international teaching programme, with evidence | B |
| Evidence of other training in teaching methods after study of at least 2 days (such as Train the Trainers) | C |
| Have evidence of providing regional teaching | D |
| None of the above | E |
For the purposes of this section a formal teaching programme should have a duration of at least 3 months in total.
A major contribution means a leading or organising role, such as a formal teaching fellowship or personally organising a formal, multi-session teaching course. National or international programmes should be open to all relevant learners in that discipline and would usually form part of a formal qualification e.g. MBBS degree, speciality diploma, etc.
Local or regional programmes would be organised at the level of, for example, a single hospital Trust, and could include Foundation Programme teaching or similar activities. Formal teaching outside medicine, for example, to school students or in the community can also be included.
One-off, small group teaching would qualify in the 3rd descriptor, as would evidence of solely delivering a single session to a larger local or national programme.
Appropriate evidence would include the following:
- Official documentation indicating your role as an organiser or deliverer of teaching.
- Contemporaneous feedback collated or countersigned by a 3rd party.
Domain 4 – Audit & Quality Improvement
| Description | Points |
| I have led 2 or more audits or quality improvement projects relating to radiology which can be shown to have resulted in changed practice or evidence that current practice met the required standard (with no change needed) | A |
| I have led an audit or quality improvement project relating to radiology which can be shown to have resulted in changed practice or evidence that current practice met the required standard (with no change needed) | B |
| I have led a non-radiology audit or quality improvement project, shown to have resulted in changed practice or evidence that current practice met the required standard (with no change needed) | C |
| I have contributed to, but not led, an audit or quality improvement project | D |
| None of the above | E |
Leading an audit/quality improvement (QI) project would usually include a major role in conception, data collection, analysis, and presentation. If your evidence does not demonstrate this, please select a different descriptor appropriately.
An audit and re-audit to complete audit cycle will be considered as two separate audits (e.g. if related to radiology, would be category A)
Evidence required:
- A letter from supervising consultant or QI/audit project stating level of involvement to satisfy the requirements described in the table above. The letter must be signed (can be digital signature to reproduce a physical signature) and include:
- consultant name and GMC number (or corresponding national medical registration equivalent)
- date
- the body of the letter should cite the date of completion of the work and/or the date of presentation. Presentation at a conference/national or international meeting could be evidenced with a CPD certificate to that effect
and
- Copy of audit project presentation outlining scope and impact (findings and improvements achieved) of project or, a summary of the project detailing scope and impact of the project
Demonstration of changed practice could be via a closed-loop second audit cycle showing better compliance to gold standard, or by improvement in a quality metric, etc.
Relating to radiology means that diagnostic imaging formed a major part of the project
Domain 5 – Academic Achievements
| Description | Points |
| I hold a postgraduate research degree or research Masters (PhD, MD, MDRes) OR, I have at least one peer-reviewed publication relating to radiology as first author | A |
| At least one peer-reviewed publication relating to radiology not as first author OR, I have at least one peer-reviewed publication not relating to radiology but as a first author OR, A case report related to radiology, as first author OR, At least one oral or poster presentation relating to radiology at a national or international level, as first author | B |
| I have at least one peer-reviewed publication not relating to radiology, not as first author OR, A case report not related to radiology, as first author OR, At least one oral or poster presentation relating to radiology at local/regional level, as first author | C |
| An author (not first author) of at least one published case report OR, An author (first or subsequent) of at least one oral or poster presentation not relating to radiology at either local, regional, national or international level OR, Involvement in a research team as part of an elective, intercalated degree, extended student research and enterprise project, academic foundation programme, academic summer school or other research taster OR, I have at least one peer reviewed publication as a consortium* author with any credit | D |
| None of the above | E |
*consortium authorship – Papers with >12 authors will be considered consortium papers
Please note, as mentioned above, intercalated and additional undergraduate degrees have been removed from scoring according to national specialty recruitment policy. (Points scored in this section are only for postgraduate achievements).
All activity in this section should be scientific relating to radiology meaning the project should involve diagnostic imaging. This does not preclude papers in other fields e.g. surgery, oncology, etc, if they have a significant imaging focus. Publications and presentations can relate to audit/QI activity.
Presentations should be proffered papers which have been through a process of peer-review (i.e. not invited oral or poster presentations) and:
Copy of letter of acceptance of oral/poster presentation or copy of event programme citing presentation must include:
- The name of presenter or first author
- The institution convening the meeting
- The date of the meeting/presentation
Evidence could include:
- Degree certificate
- Your Open Researcher and Contributor IDentifier (ORCID) summary
- Citation including DOI/indexing service identifier (e.g. PMID)
- Conference catalogue
Scoring your portfolio
Assessors at interview will score your portfolio using the following table.
Please note that for Domain 1 the scores are double weighted.
| Category | Score |
| A | 4 |
| B | 3 |
| C | 2 |
| D | 1 |
| E | 0 |
Useful hints and tips
Prepare for the Multi-Specialty Recruitment Assessment (MSRA)
- The Multi-Specialty Recruitment Assessment (MSRA) test was introduced into the recruitment process in 2016. All applicants will be required to sit this test early in the new year. Full details of the test and the available test venues in the UK and overseas will be posted on the ORIEL recruitment system. The MSRA will be used to shortlist-out only the lowest scoring applicants, with interview places allocated to the top scoring applicants according to the number of interview slots available. Click for more detailed information on the MSRA.
Don’t upload excessive information
- You should be mindful that during your interview the panel member has only 10 minutes to go through your portfolio categories and evidence to help inform the first part of your interview. If you make this challenging this will reflect badly and could lose you points.
Fill out the application with care
- Although you are only giving basic information and there are no specialty specific questions, please don’t treat it as a ‘box-ticking exercise’. Every year candidates fail to be ‘longlisted’ because they have filled out the application incorrectly or missed the application deadline. Common reasons are not having the correct visa or not meeting the eligibility criteria, usually by having more than 18 months experience in radiology (not including foundation programme training placements).
Don’t leave applying until the last minute
- The application is an online web based form and can take quite a while to complete so don’t leave applying until the last minute! There are many sections of the application to complete, but you have the ability to save and go back to it at a later time to finish it off. Remember many candidates failed to get an interview because they missed the application deadline.
