Internal Medicine Training

13th November 2024

How to maximise points in the 2025 Internal Medicine Training (IMT) Application

For 2025, there has been a significant decrease in the number of points on offer in your Internal Medicine Training application, with a total of only 30 (down from 40 for 2024 applications). This is a result of changes to the highest number of points available for some domains, as well as the ‘additional achievements’ and ‘leadership and management’ domains being completely removed. With only a few points between candidates, an extra point can make a big difference to the outcome of your interview.

As you sit down and start thinking about your application, it’s worth knowing what’s going to get you points (which will get you that interview) and how to maximise your points in each area. There will be seven sections in total, and we will go through each section here.

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How can I maximise my points in my Internal Medicine Training (IMT) application?

Section 1: Postgraduate Degrees and Qualifications

The scoring is straightforward and relates to your final mark. Make sure you have your degree certificates in your portfolio!

Postgraduate degrees and qualifications scoring:

Option	Score available	Notes
PhD or MD by research (can include non-medical related qualifications)	4	You undertook research involving original work, usually of at least two to three years’ duration, and ideally resulting in one or more peer-reviewed publication. A majority of the time during the period should have been dedicated to research rather than clinical training. To score yourself for an MD it should meet the UK definition of an MD: “A supervised research degree for students already registered with the General Medical Council, is studied full time over 2 years or 4 years part time awarded a doctorate if your thesis is judged to represent an original contribution to knowledge in your chosen area.”
Masters level degree eg MSc, MA, MRes, etc. (can include non-medical qualifications). Typically lasts 8 months or longer, full-time equivalent.	3	This must be a specific course that usually lasts for three university terms (or equivalent) and is eight months’ or more duration (full time equivalent); it must not be claimed for upgrading a bachelor’s degree without further study as is offered in some universities. You cannot claim this option for qualifications which are gained as part of a programme where a substantial amount of time was spent in clinical training, with significant overlap in capability attainment with Internal Medicine Stage 1.
Other relevant postgraduate diploma or postgraduate certificate typically lasting between one and ten months (whole-time equivalent). You cannot claim for any membership examinations, or parts thereof, from within or outside the UK; this includes the MRCP(UK). Qualifications unrelated to medicine cannot be claimed for in this option.	1	This option is for relevant postgraduate courses / modules – eg diploma of tropical medicine and hygiene. It is not permissible to claim points for partially completed qualifications – eg 1 year of a three-year degree. You can claim this option for an MD or masters degree (by teaching, usually including a dissertation), where a substantial amount of time was spent in clinical training and being taught; the dissertation is a smaller part of the programme, not usually involving new research. In addition to not being able to claim for the MRCP(UK) in this section, you also may not claim for other specialties’ membership examinations (eg MRCGP) or any similar qualifications from outside the UK (eg MRCP Ireland, FCPS Pakistan). For a qualification to count, the eligibility criteria must specify that only graduate entrants can apply.
None/other: please specify	0	This space is for you to mention anything which you think is of relevance, but which cannot be categorised above. Please note that entries under this option do not gain marks at the application stage, but may be one of the factors taken into account by interviewers when deciding upon their interview scoring.

Remember, you are not allowed to score intercalated degrees in this section. Make sure that if you score in this section, it is only for a postgraduate qualification. At this point, if you don’t have it, it’s unlikely that you will, but don’t worry, the number of marks has been significantly reduced, and you can pick them up in other sections!

Section 2: Presentations/Posters

This section is separate to Quality Improvement, so don’t include posters you have presented for QI projects (unless you have two). If you’re struggling here, now is the time to go and talk to your supervisor about what projects they have coming up and whether you can help with an abstract submission for any conferences on the near horizon. You don’t have to present, but get your name on the poster and you get the points.

Many applicants are unaware of the low rejection rates for posters in small conferences, particularly regional and national. It can be much easier to get accepted than you think. Have a look through the list of medical specialities on the RCP website. Each specialty will have a society or organisation responsible for setting up and running conferences, and you will likely find a range of upcoming opportunities to present your work!

Option	Score available	Notes
An oral presentation in which I was a first or second author was given at a national or international medical meeting	6	International/national meetings should involve a document listing the abstracts of the presentations and posters included at that meeting. National meetings must be open to anyone in the country and international meetings must be open to anyone from a range of countries. For the purposes of scoring in this section, the home UK nations will be treated as separate nations. For example, a presentation at a Scotland-wide medical meeting will be considered as a national presentation.
A poster in which I was a first or second author was shown at a national or international medical meeting	4	As above
An oral presentation in which I was a first or second author was given at a regional medical meeting	3	Regional means that participation is confined to, for example, a county, medical training region, health authority, or beyond a recognised cluster of hospitals; for example, in the UK a multi-site trust or health board would count as local rather than regional.
An oral presentation in which I was a first or second author was given at a local medical meeting	2	Local usually means participation is confined to a single local hospital, trust, health board or university.
A poster in which I was a first or second author was shown at a regional or local medical meeting	2	See the options above for notes about what regional/local entails.
None/other: please specify	0	This option can be used for anything else you think is relevant that cannot be categorised above, including presentations not yet delivered. Please note that entries under this option do not gain marks at the application stage, but may be one of the factors taken into account by interviewers when deciding upon their interview scoring.

The number of points on offer has been reduced for 2025 entry, compared to previous years, before the changes mentioned above were introduced. Some things to consider when completing this section:

If you were a significant contributor (usually first or second author) to a presentation/poster but did not personally present/show it, you can still claim the points as if you had presented.
If you were due to present a poster or oral presentation which was cancelled due to the COVID-19 outbreak, you may claim the points as if you had attended and presented. You should provide evidence that your work was selected for presentation, the event was cancelled due to COVID-19, and you must still provide evidence of your work, e.g. poster, abstract, PowerPoint presentation, etc.

Examples of evidence include: a certificate or letter confirming the invitation and/or delivery of the presentation/poster, an abstract submitted to the organiser, and inclusion in the abstracts book for the meeting.

Section 3: Publications

You score the most IMT points for being first author on one or more PubMed cited papers, but points can be picked up for any publications you have been involved with, so hang on to them and get them in your portfolio. If you don’t have any, then talk to your consultant about writing a case report, as these pick up points too. You could even write a piece for a journal, such as a conference review, as this still scores! Be prepared to talk about any publications that you include.

If you’ve presented work at conferences in the past, have a look to see if the abstract was published. You should have been informed of this at the time, but you may have missed it, and it scores you 1 point!

Option	Score available	Notes
I am first author, joint-first author or corresponding author, of one or more PubMed-cited original research publications (or in press)	8
I am co-author of one or more PubMed-cited original research publications (or in press)	6
I am first author, joint-first author, corresponding author or co-author of more than one PubMed-cited other publications (or in press) such as editorials, reviews, case reports, letters, etc	5
I have written on or more chapters of a book related to medicine in its broadest sense (this does not include self-published books)	5	This refers to medicine in its broadest sense and not just hospital medicine. Books must be published by an independent publishing house, i.e. not self-published
I am first author, joint-first author, corresponding author or co-author of one PubMed-cited other publication (or in press) such as an editorials, reviews, case reports, letters, etc	3
I have published one or more abstracts, non peer-reviewed articles or published articles that are not PubMed-cited	1
None/other: please specify	0	This option can be used for anything else you think is relevant that cannot be categorised above, including things not yet accepted for publication. Please note that entries under this option do not gain marks at the application stage, but may be one of the factors taken into account by interviewers when deciding upon their interview scoring.

Section 4: Teaching Experience

Teaching is split into two sections: ‘Teaching experience’ and ‘Training in teaching’. The points in the first section are gained for showing that you can develop and deliver your own teaching program and are split as follows:

1 point – Teaching medical students or other healthcare professionals occasionally. All internal medicine training applicants should have this, and it can be done by volunteering to do a departmental teaching session or a teaching session for medical students. Many hospitals also offer twilight teaching sessions for students, which you can get involved with. Don’t forget to get your certificate!

3 points – Teaching medical students or other healthcare professionals regularly > 3 months. As above, this is a very achievable goal and easy to evidence with certificates and student feedback!

5 points – Worked with local tutors to organise a teaching programme (a series of sessions) to enhance locally organised teaching & provided teaching for 3 months. You need to demonstrate that you have liaised with other tutors to implement new changes into a teaching programme (you don’t have to design the program yourself). Contact the education leads for medical students in your hospital or the education leads for the different nursing or AHP departments; they will be happy for the help, and you will score easy points. Note, the number of points on offer for this has been reduced for 2025 entry.

Examples of teaching programmes include:

Structured bedside teaching
Clinical skills in early years
OSCE preparation +/- examination
Communication skills workshops

How can I set up a program?

Start as early as possible, e.g. in induction week.
Briefly plan a program, e.g. session titles, audience, setting, teaching style, teachers, e.g. other colleagues/ junior doctors.
Discuss the plan with your education supervisor during the first meeting, as they may be able to assist.
Discuss with the medical education department and arrange meetings with the head of medical education to discuss your proposal.
If approved, you will need to plan the program in more detail.
Following this, the medical education department will usually email junior doctors asking for volunteers to prepare and deliver teaching based on your topics, offering certificates and formal feedback.

Teaching experience
Option	Score available	Notes
I have worked with local tutors to organise a teaching programme (a series of sessions) for healthcare professionals or medical students on which I regularly taught over a period of approximately three months or longer. I have evidence of formal feedback.	5	You have worked with local tutors to organise a teaching programme and arrange teachers; it is not necessary for you to have personally designed the teaching programme. You have a certificate or letter of recognition of your contribution. You have evidence of formal feedback from these sessions, or a ‘Developing the Clinical Teacher’/’Teaching Observation’ form.
I have provided regular teaching for healthcare professionals or medical students, as part of a defined programme/course, over a period of approximately three months or longer. I have evidence of formal feedback.	3	For example, regular bedside or classroom teaching, acting as a mentor to a student or acting as a tutor in a virtual learning environment. You have a certificate or letter of recognition of your contribution. You have evidence of formal feedback from these sessions, or a ‘Developing the Clinical Teacher’ / ’Teaching Observation ’ form.
I have taught medical students or other healthcare professionals occasionally. I have evidence of formal feedback	1	Occasionally means less than the approximate three months for higher scoring options but should be at least three sessions. You have evidence of formal feedback from these sessions, or a ‘Developing the Clinical Teacher’ form.
None/other: please specify	0	This option can be used for anything else you think is relevant that cannot be categorised above. Please note that entries under this option do not gain marks at the application stage, but may be one of the factors taken into account by interviewers when deciding upon their interview scoring.

Section 5: Training in Teaching

Whilst achieving higher qualifications in teaching before the IMT interviews (maximum points) may not be feasible, scoring 1 point for brief training in teaching (online modules or in person) is definitely achievable. There are plenty of online courses available. Please note that the requirements for this have changed for 2025 applicants, and any course must have an element of synchronous (live) teaching for at least six hours.

You might find it useful to look at our complete guide for more information.

Option	Score available	Notes
I have a higher qualification in teaching e.g. PG Cert or PG Diploma.	3	For a qualification to count, it must be a university accredited programme, the eligibility criteria must specify that only graduate entrants can apply, and be worth an equivalent of least 60 credit points or equivalent; the Quality Assurance Agency for Higher Education and the EC European Education Area have guidance about credit points
I have had training in teaching methods which is below the level of a PG Cert or PG Diploma.	1	This should be additional to any training received as part of your primary medical qualification. Training should be delivered with a duration of at least six hours (i.e. a one-day course) of synchronous (live) teaching time.
I have had no training in teaching methods.	0

Section 6: Quality Improvement

Getting full marks here should be straightforward. (Although, again the number of marks on offer have been reduced for 2025 entry). Remember, for higher specialty training, the scoring system is the same. Any QI project you start now, keep it going and you’ll score maximum marks at your next application too.

You can design a QI project tomorrow – follow the PDSA Methodology and complete three cycles, analyse the data and demonstrate this, and you’re done. It will look better when it comes to interview if you have presented it at a regional or national meeting/conference, but ultimately this does not affect the points on offer, which are simply for demonstrating how you participated/led the project and how you interpreted the data. Be clear about what changes you have implemented.

Presentation of the project, however, is no longer essential, given that not all QI works need to be presented, but it does make you look good!

The main point is how you evidence your involvement. This can be in the form of the poster or abstract you wrote after the project, or by a letter from your consultant outlining your role in the project!

Option	Score available	Notes
Involvement in all stages of two cycles of a quality improvement project	4	For example you participated in all stages of a PDSA cycle (or similar) as well as a further cycle consisting, as a minimum, of data collection and analysis. Involvement in a project where a change/act/action step has not been carried out but only suggestions for change created/presented does not constitute involvement in all stages. Presentation of a project is not an essential stage as not all QI work requires presentation. It is likely that this involved working as part of a team but you must evidence your own role within the QI activity for all stages.
Involvement in some stages of two cycles of a quality improvement project OR involved in all stages of a single cycle of a quality improvement project.	3	For example you were involved in data collection/analysis for two cycles of a QI project but not the change and/or planning stages. You participated in all stages of a PDSA cycle or were involved in planning, data collection, data analysis and change. Involvement in a project where a change/act/action step has not been carried out but only suggestions for change created/presented does not constitute involvement in all stages. Presentation of a project is not an essential stage as not all QI work requires presentation.
Involvement in some stages of a single cycle of a quality improvement project	1	For example you were involved in data collection and analysis or a project that didn’t implement any change.
none/other: please specify	0	This option can be used for anything else you think is relevant that cannot be categorised above. Please note that entries under this option do not gain marks at the application stage, but may be one of the factors taken into account by interviewers when deciding upon their interview score.

All of these sections will have areas where you can score, where at first glance, you might not think you can. Spend some time reading the guidance from the JRCPTB found here, before putting together your application. Your educational or clinical supervisor is also a really good person to ask for advice when preparing your application.

All tables are taken from the IMT Recruitment’s ‘Application Scoring‘ for 2025 and are available freely here.

Once you have secured your interview, we have a whole host of resources to help you prepare, including our IMT Interview Question bank, written by previously high scoring applicants, that will provide you with interview questions to prepare.

Good luck!

Further reading:

Internal Medicine Training (IMT) Interview Question Bank

Internal Medicine Training (IMT) Points

Internal Medicine Training (IMT) Interview Tips

Check out all our Internal Medicine Training (IMT) Interview Resources.

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