2020 National Emergency Medicine ST4 Recruitment.


The National Recruitment Office for ST4 Emergency Medicine is Health Education England - Yorkshire and the Humber. Interviews will be held at a venue to be confirmed.

Further sources of information

Please click here to view the person specification 

ST4 Emergency Medicine Applicant Handbook 

Portfolio Levels of Evidence Form


The interviews for ST4 Emergency Medicine take place on a date to be confirmed. This is after the closing date for ST3 / DRE-EM applications. The results of ST4 applications will not be known by the closing date of ST3 / DRE-EM applications. ST4 applicants who also wish to be considered for appointment to ST3  / DRE-EM posts must submit an ST3 / DRE-EM as applications cannot be transferred between the two recruitment processes.


For information about the posts in each region please follow the links below to view the Local Office / Deanery websites:

 NB Vacancy numbers are updated as they are submitted

Local Office / Deanery

ST4 Vacancies

 East Midlands  
 East of England  
 London and the South East    
 North West (Mersey)  
 North East  
 North West  
 Thames Valley  



 South West (Severn)  
 South West (Peninsular)  
 West Midlands  
 Yorkshire and the Humber


 South Yorkshire  
 East Yorkshire  
 West Yorkshire  

All vacancy information is indicative and subject to change.

Recruitment Timeline

The recruitment process for ST4 Emergency Medicine will follow the timeline below:



Applications Open  
Application Deadline  
Initial Offers Released  
Holding Deadline  
Upgrade Deadline  

 NB The timeline may be subject to change


Applications will only be accepted through the Oriel online application system. For further guidance on creating an account, registering and submitting your application using the system please refer to the Oriel User Guide.

Eligibility & Longlisting

The eligibility criteria for ST4 Emergency Medicine are listed in the Person Specification. It is an applicant’s responsibility to demonstrate that they meet the eligibility criteria.

Please note to be eligible for ST4 Emergency Medicine you must have completed the core elements of Emergency Medicine training by the intended start date.  Please refer to the person specification for the full list of ACCS EM core elements.  If you will not have these core elements you will be longlisted out of the ST4 EM process but you may be eligible for ST3 DRE-EM.  You must make a separate application for ST3 DRE-EM as applications cannot be transferred.

Any candidates that fail to bring evidence of in date ALS, APLS & ATLS will not be interviewed.


All applications will be assessed against the eligibility criteria during longlisting. Any applications which do not meet the eligibility criteria will be longlisted out of the process and will not progress to the next stage.

“By allowing applicants to progress to the interview stage, Health Education England HAS NOT accepted or confirmed that applicants meet all eligibility requirements.  This includes immigration status, evidence of achievement of Foundation competencies or equivalent, and requisite length of time in training as per the relevant national person specification.  This list is not exhaustive, and is applicable to all eligibility criteria.  Applicants may still be withdrawn from the application process at any stage, including after the interviews have taken place, if the evidence pertaining to an eligibility criterion is found to be unsatisfactory.”


Interview Dates and Venue

Interviews to be confirmed

Documents Required at Interview

There are a number of documents that you are required to bring with you when you attend your interview. Please ensure that all copies for items 1-5 provided are on loose A4 white paper, (no plastic wallets, folders, staples or paperclips). Please bring the original documents and copies as listed below:

  1. Original passport plus 1 copy of the signature/photograph page
  2. Electronic evidence of GMC Registration from the online GMC register (printed within 7 days of the interview date)
  3. Original evidence of right to work in the UK plus 1 copy
  4. Evidence that you have been awarded or successfully completed MRCEM/ part A/B and C if already passed plus 1 copy OR FRCEM primary & intermediate  plus 1 copy
  5. Certificates of life support e.g. ATLS / APLS / ALS etc. plus 1 copy (these must be valid at the time of interview)

Please note: Any candidates that fail to bring evidence of in date ALS, APLS & ATLS will not be interviewed.

These documents will be checked against a recruitment checklist and the photocopies will be retained on your recruitment file. If you are appointed to a training post, these documents will be passed to the Local Office/Deanery which will be responsible for your training.

In addition please bring:

  • Your Portfolio containing evidence to substantiate your application. This should be laid out as per the Portfolio Checklistportfolio guidance document  is also available.  The levels of evidence form should be completed and placed at the front of your portfolio.

NB If you fail to supply a portfolio you may not be interviewed as this will count towards your total interview score.

Interview Format

The interviews will consist of 4 “stations”, lasting 10 minutes each. There will be a 5 minute gap between each station. Each station has been designed to assess the selection criteria on the Person Specification. You will rotate round all 3 stations during the interview process, the order you complete the stations may be different to below and different to that of other candidates. 


In this station your portfolio will be marked by trained assessors


There will be a short scenario to read in the 5 minutes before the interview.  You will then be interviewed by 2 assessors who will assess your prioritisation skills.


You will be required to give a 5 minute presentation to the 2 assessors in this room.  The topic of this presentation will be given to you during your 5 minute reading time outside this station.

Simulation (Verbal Complaint)

There will be a scenario to read in the 5 minutes before the interview.  In this station there will be an actor and 2 assessors.


Oriel offers System

The Oriel Offers System will be used to make all offers to training posts in 2020.

For more information about the Oriel Offers system, please refer to the Oriel Offers resource bank.


You will be asked to rank your preferences using the Oriel Offers System. You will receive an email when Preferencing opens.

You will be asked to rank your preferences using the UK Offers System. You will receive an email when Preferencing opens. In the UK Offers System, click on Sub-preferences to access the list of preferences and complete as instructed.

Allocation to Posts

 Successful candidates will be allocated to posts in rank order:

  • The highest ranked candidate will be allocated to their first preferenced post.
  • The second ranked candidate will be allocated to their first preferenced post unless it has already been allocated to the first ranked candidate in which case they will be allocated their second preferenced post.
  • The third ranked candidate will be allocated to their first preferenced post unless it has already been allocated to the first or second ranked candidates. If it has, they will be allocated their second preferenced post unless this has been allocated to the first or second ranked candidates in which case they will be offered their third preference.

This process will continue until all posts are allocated or there are no more appointable candidates.

Any offer made through this recruitment process is an offer of an allocation to a training programme; it is not an offer of employment. Offers of employment can only be by an employing organisation following completion of satisfactory pre-employment checks.

Receiving and Responding to Offers

If you are offered a post you will have 48 hours from the time of your offer, excluding weekends but not bank holidays, to decide whether to accept, reject or hold it. You must respond to the offer through the Oriel Recruitment System. No other form of response will be accepted.



Feedback will be provided at three stages of the recruitment process:


If you are not longlisted you will be provided with the reasons for this. If you are longlisted you will receive an email inviting you to book an interview.

Interview Ranking

You will be able to view your total interview score and rank online through their Oriel account once offers are released. Please note that a thorough Quality Assurance and validation process is carried out on all applicants’ scores following the interviews. No scores will be released until this process is complete.

Interview Scores

Following the conclusion of the offers process, all applicants will be able to view a breakdown of their interview scores including the scores they achieved in each interview station online through their Oriel account.

2019 Results



Applications Submitted

Candidates Interviewed

Appointability Cut Off Score

Maximum Score Available









Additional Information