Radiology ST1 Application Process

The exact details of the 2021-2022 recruitment process have not been released yet, however it is expected to be similar to the previous 2021-2022 process, which is detailed below.

What was the application process for Radiology ST1 in 2020-2021?

  1. Applications are made via the online platform ORIEL  This is a national application process encompassing applications within England, Scotland and wales.
  2. The ORIEL application form includes a self-assessment score, based on the candidate’s personal achievements. Evidence to support this scoring will be uploaded onto the ORIEL system. The evidence will be reviewed by radiology consultants to ensure the self-assessment scoring is accurate.
  3. All candidates sit the Multi-Specialty Recruitment Assessment (MRSA) exam.
  4. Candidates are ranked using a combination of both their self-assessment score and their MRSA score. The top 55 scoring candidates bypass the interview and are offered places. They will be ranked 1-55 for offers.
  5. The remaining candidates (i.e. those that ranked 56 and below on their combined self-assessment and MRSA scores) are invited for interview.
  6. Interviews are held remotely on Microsoft Teams. Candidates who attend for interview have a final ranking based on a combined score from their self-assessment, MRSA score, and interview score.

Take your MSRA revision to the next level with our artificial intelligence powered, adaptive question bank

Our state of the art algorithms will help you progress faster than ever.

Find out more →


What is the timeline for 2021-2022?

Milestone Date
Application window  4 November 2021 – 1 December 2021
Evidence verification upload TBC
Invitation for MSRA 21 December 2021
MSRA window 6 January – 15 January 2022
MSRA result 4 February 2022
Interview invitation 7 February 2022
Interviews (remote on Teams) 21 February – 24 February 2022
Programme preferencing TBC
Initial offers 15 March 2022

Important resources

Radiology applicant handbook

Radiology ST1 person specification 

How are training programmes ranked?

Candidates can view all the available deaneries on the ORIEL platform – the number of available places per deanery will be listed, although more specific details on each deanery are limited. Candidates can then rank deaneries based on preference via the ORIEL platform – you do not need to rank every deanery and you can exclude yourself from specific deaneries if you wish. This ranking process takes place before the results of the interview.

What is the offer process?

Offers should be circulated on 15 March 2022 (as per the RCR and ORIEL website). Essentially, candidates are ranked according to their overall score; based on this the top ranked candidate is offered their highest preference job that is available. This process is repeated for each candidate sequentially down the rankings until all jobs have been offered. If there are spare vacancies, there will be a clearing process.

How to prepare for applying for radiology

As described in the post about the application process, the overall radiology application can be divided into the Specialty Recruitment Assessment (SRA) and the interview itself. This post will focus on preparation for the interview.

Basic eligibility

In terms of the basic general eligibility criteria, most of it is basic stuff that the vast majority of candidates will automatically fulfil. More specific, unusual personal circumstances are beyond the scope of this post and you are better off emailing HEE London and South East Recruitment directly if you are worried you are ineligible. However, one specific point to make is that applicants must have 18 months or less of experience in Radiology (excluding Foundation Year modules) to be eligible to apply.

CV preparation

Your CV will form an important part of the application process. Please be aware, however, that unlike other specialty interviews, for radiology the interviewers will NOT have a chance to see your CV or portfolio beforehand. Candidates may be asked to talk about their portfolio and achievements, and it is therefore important to keep a few things in mind:

  1. You need to know your portfolio inside out – under the pressure environment of an interview you need to be able to quickly describe your key achievements to the assessors
  2. There is a limit to how much you can go through during the timeframe of the interview, and therefore concentrate on trying to have evidence of achievement in each criteria, rather than overly focussing on one area

In terms of the criteria listed by the person specification, overall domains include the following:

  • Commitment to radiology – unless you have actually worked within a radiology department, it is essential to have attended a taster week within radiology. Be prepared to talk about what you learned/ observed, and how it confirmed your desire to do radiology as a specialty
    • Attendance at radiology courses/ conferences will also provide evidence for your commitment to the specialty
  • Qualifications – this includes BScs, MDs, PhDs, and post-graduate exams (such as MRCP or MRCS)
    • BScs, MDs, PhDs are probably difficult to achieve within a short timespan, so do not worry if you do not have one. Few applicants will have MDs or PhDs.
    • On the other hand, it is worthwhile trying to pass some postgraduate exams, as this is something that is achievable within your Foundation Years (if you are applying from a more senior role such as Core Medical or Core Surgical Training, then chances are you already have these)
  • Research – particularly radiology-related. If you have a paper then this is ideal, although this may be difficult to achieve so do not stress too much if you do not have one. Even a non-radiology related paper is valuable
  • Audit – again, it is better to have a radiology related audit. It is probably easier to get a radiology related audit (compared to a radiology related paper) so it is worth focusing your efforts on this, especially as many other candidates will have one. It is better to have completed the audit loop, as this demonstrates clinical improvement/ improvement to patient safety
    • In terms of getting involved with a radiology audit, speak to current trainees or consultants in your radiology department
    • The RCR has a list of “audit recipes”, where they have provided templates of audits, including the audit background, cycle, targets and criteria. This saves you having to come up with audit ideas yourself!
  • Teaching – all applicants will have done some teaching. In order to stand out, consider attending a teaching course. Alternatively, consider organising a teaching programme for medical students (beyond the isolated single sessions that most people do). In terms of presenting teaching feedback, it may be worth collating feedback into a few pages summarising favourable comments/ data from your overall teaching – this avoids the problem of shuffling through pages and pages of feedback forms
  • Management and leadership – this is a bit more vague and difficult to provide evidence for.
    • Consider attending a management/ leadership course (if feasible)
    • Alternatively, consider providing examples in a non-medical context (e.g. leadership roles within university societies, from hobbies etc)
    • The person specification also suggests providing examples from multi-source feedback assessments

Professionally written Radiology question bank

Competition is fierce, so let us give you that extra edge to get the job.

Further reading

More tips on smashing your Radiology interview.
Radiology Interview


Radiology Interview Overview 2021-2022

How many places are available? Historical statistics on number of applicants, number of interview places and number of available posts are available on the RCR website. The exact number of available posts for the 2022 round of recruitment is not currently known. For reference, in 2021 there were 353 posts available, with 1677 applicants, of […]

By Medibuddy — 25 January 2022


Radiology Interview Portfolio Marking Scheme

In previous years, candidates were asked to score their own portfolio as part of the in person interviews, as a separate station.  In the 2020-2021 recruitment cycle, this component of the application process has been moved online, and candidates will be asked to score their self-assessment online via the ORIEL platform. Evidence will be uploaded […]

By Medibuddy — 06 January 2022


Radiology ST1 Interview Preparation

We've written a guide on the best way to prepare for your application to ST1 radiology. The overall radiology application can be divided into the Specialty Recruitment Assessment (SRA), and the interview itself. This post will focus on preparation for the interview.

By Medibuddy — 27 November 2017