Applying

Before you apply for Specialty Training you should check that you're eligible.

Applying

All applications must be submitted via Oriel, we are unable to accept any applications outside of this system.

Please ensure you are only logged into Oriel in one browser window, on one device, as having multiple windows open may impact updates you make.

Please check your application thoroughly before submitting as no one is able to change information after submission, including the administrative team.

Please ensure you submit your application before the 4pm deadline on Thursday 20 November 2025.

Before you apply for Specialty Training you should check that you're eligible against the person specification.

You must read all of these pages and the guidance on the Medical Specialty Recruitment pages before beginning your application.

Summary of changes 2025/2026

1. There will no longer be a Core Training option from 2025/2026 for ACCS EM
2. Longlisting will be carried in two phases, you may hear from us in October to December, and February until the offer date to verify your eligibility in accordance with the person specification
3. You will only need to submit your CREST once and it will be applied to all specialties that you are applying to. Certificate of Readiness to Enter Specialty Training (CREST) decision will apply across all specialties
4. CREST - the 2024 version from last year will be accepted, as well as the CREST currently on the website. You do not need to complete the checklist for applicants if you are using your CREST 2024 from last year. However, we do recommend you review the checklist before submitting to ensure it is completed properly
5. Any application that required a CREST 2024 but did not submit a CREST 2024 at the point of application will be longlisted out
6. The interview process will be a multi-station interview. This will be two stations 10 minutes each one will be a portfolio station and the other will be a clinical/ethical station

Round deadline for submitting a CREST

The 2024 version of the CREST form will be accepted. There is a revised form with an updated checklist, you do not need to submit the new version, we will accept the version without the checklist for this recruitment round. It is anticipated that applicants will be able to provide a CREST at time of application.

Longlisting

Longlisting is the process of checking that applicants meet the minimum requirements to be eligible for a Training post. You can find the eligibility criteria on the person specification.

More information about longlisting can be found in the Medical Specialty Recruitment Applicant Handbook in the Oriel - Resource bank.

There will be an extended longlisting window for ACCS EM due to the high number applications we receive. Checks will be carried out from October 2025 to March 2026, the process of longlisting will be carried out just before the first offers date.

We will notify you via Oriel message if there is any additional information we require. Please note even if you are progressed to the next stage, you can be withdrawn at any stage if you are ineligible. But we will notify all candidates once the longlisting checks have been completed.

More information about longlisting can be found on the Medical specialty recruitment pages.

Shortlisting

In the event that the volume of eligible applicants exceeds the interview capacity approximately 882, applications will be shortlisted using the total MSRA score for the purpose of reducing the number of applicants invited to interview to a number which can be accommodated.

MSRA

• As part of the selection process for 2026 recruitment all eligible applicants will be required to sit the MSRA (unless they have not met the initial eligibility checks). We will not accept MSRA scores from any previous sittings
• The MSRA is a computer-based assessment, delivered in partnership with Work Psychology Group and Pearson VUE, which has been designed to assess some of the essential competences outlined in the Person Specification and is based around clinical scenarios
• The MSRA will be delivered at Pearson VUE test centres and remote testing provisions will be in place, as a reasonable adjustment, for those who require it - contact the Pearson Vue team

Reasonable adjustments and disability confident scheme

Supporting candidates with a disability at the assessment/ selection centre stages of a recruitment process.

The recruitment team positively support the recruitment and employment of persons with a disability and will ensure, where possible, that reasonable adjustments are made at interview to meet the needs of applicants with disabilities. You must ensure that you submit your evidence to the application by close of applications, except in certain circumstances, for example, sudden onset of a condition after the closing date (such as a broken wrist) via our support portal - submit a ticket.

Failure to provide the requested information and documentation by the stated deadline will result in adjustments and/or Disability Confident Scheme status not being met.

For more information regarding reasonable adjustments and the disability confident scheme process, please see the Medical Specialty Recruitment pages.

The recruitment team will ensure, where possible, that reasonable adjustments are made at interview to meet the needs of applicants with disabilities. You must ensure that you include this on the application form and contact the recruitment team.

Booking an interview with approved Reasonable adjustments

For any candidates with approved adjustments, you will receive an email from the recruitment team with a link to the Event Management System (EMS) to book your preferred interview slot.

Please note, Oriel will send you reminders to book your interview. As you are using a different system to book your interview, please ignore Oriel’s reminders. Once the booking window has closed your interview time slot will be booked on Oriel by an administrator and you will be able to see this.

Ranking, outcomes and preferencing

The scores from the MSRA and the online interview will be added together to give a final score used for ranking and appointment. Please note that there will be scaling of the scores in order to get the final score. These are quality assured, if both your unscaled scores are similar, but on scaling then become different, this is because of scaling and statistical adjustment.

Preferencing of posts will be available prior to offers being made. The preferencing window will reopen between offer iterations, in line with the enhanced preferencing process. For guidance on how to submit your preferences please refer to the Oriel Applicant User Guide.

Scoring

The MSRA score will be combined with the online interview scores to produce a total score and final rank. The MSRA will be weighted 40% and the interview score 60% of the total score.

Please note that the final score will involve scaling of the scores.

Offers, references and scoresheet

Offers will be made to those appointable applicants that have ‘matched’ to a post and will be based on the applicant’s ranking and preferences.

Offers will be made via Oriel no later than 4pm on Tuesday 24 March 2026. 

Following initial offers being released, further offers will be made in subsequent iterations.

Applicants have 48 hours from the time of offer (excluding weekends) to confirm via Oriel whether they wish to accept, reject or hold their offer, the offer will expire automatically after 48 hours and your application will not be included in future iteration of offers.

Offers made after the hold deadline will only have the option to accept or reject.

Please only have one browser window of Oriel open at the time of accepting your offer.

We are unable to reinstate offers due to IT issues.

If you are accepting an offer your Oriel status will change to ‘Offer accept’ and you will receive an email automatically.

Please note that it is your responsibility to keep checking Oriel directly for messages and updates.

References will only be requested when an offer has been accepted.

Scoresheets will be released to all applicants on a specified date so you do not need to request your scoresheets after interview.

Allocation

Once an applicant has accepted an ACCS Emergency Medicine post, their information will be passed to the relevant region who will contact them directly to complete the allocation/new starter process.

Further information on how to request a deferred start date or training less than full time (LTFT) can be found on the Medical Specialty Recruitment pages.

Next steps/roles and responsibilities

Your details will be passed on to the local training programme director approximately 14 weeks prior to your start date and to the employing organisation you have been appointed to 12 weeks prior to your start date. Therefore, you should not expect to receive any communication prior to this time.