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2027 Self-Assessment & Interview Scoring

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Self-Assessment

The official 2027 self-assessment scoring system, question by question, with the interview stations and the full 234-mark matrix. Transcribed from the NHS England documents; always confirm against the national recruitment page before applying.

The 13 Self-Assessment Questions (2027)

Your validated self-assessment score shortlists you for interview and carries 34 weighted marks of the final 234. The scorers also mark how meticulously you follow the evidence instructions — treat the upload itself as an organisational test (Question 13 scores it explicitly).

Q1. Employment summary pageDetails

A single page summary (to end July 2027) of graduation date, foundation training and every post-foundation post with job title, specialty and dates, LTFT details, and any periods out of employment. Unscored — but it frames the whole review.

  • Do not upload employment contracts — a single summary page only.
  • Include periods out of employment (sick leave, parental leave etc).
Q2. Months in Trauma & Orthopaedic postsmax 8 ptsDetails

Total months (FTE) in a primarily T&O placement in any post-foundation job in any country, by end of July 2027 or completion of Core Training if later. Note the deliberate penalty for very long experience.

ResponseScore
0 to 3 months0
4 to 9 months1
10 to 36 months8
37 to 59 months4
60 months or more1
  • Evidence of completion of training posts; contract front page (with dates) for non-training posts.
  • A month counts as 30 days; unaccounted periods to end July 2027 are ASSUMED to be T&O employment.
  • Prospective statements of intent about ceasing employment are not considered.
Q3. Complementary specialty experiencemax 2 ptsDetails

At least 4 months (post-foundation) in: Plastics, Neurosurgery, Vascular, ENT, Cardiothoracics, EM, ITU, Urology, OMFS, Paediatric Surgery or General Surgery.

ResponseScore
No 4-month block in any listed specialty0
4+ months in 1 listed specialty1
4+ months in 2 or more listed specialties2
  • Training post evidence or contract front page with dates.
Q4. Neck of femur fracture operations (STS/STU)max 4 ptsDetails

Wholly completed NOF fracture operations performed supervised-trainer-scrubbed or supervised-trainer-unscrubbed, at the time of application, in a consultant-validated logbook.

ResponseScore
0 to 50
6 to 172
18 or more4
  • Consultant-validated logbook consolidation sheets — name, signature and GMC number on each sheet.
Q5. Validated PBAs for NOF fracture surgerymax 1 ptsDetails

6+ ISCP consultant-validated PBAs at level 2 or above for wholly completed NOF operations.

ResponseScore
0–5 validated PBAs0
6 or more validated PBAs1
  • ISCP evidence validated by a consultant or recognised ISCP trainer (registrar trainers without CCT not accepted).
  • Upload exactly 6 — more is not needed.
Q6. First-author publicationsmax 4 ptsDetails

Best 2 first-author PubMed-indexed papers since starting medical school. No abstracts, case reports, book chapters, letters or technical tips.

ResponseScore
None with PMID0
One with PMID2
Two with PMID4
  • PMID, title, authors, journal, date for each; only the first 2 evidenced are considered.
  • Collaborative group names don't count as first author.
  • Journals not indexed in BOTH PubMed and Web of Science (e.g. Cureus) are discounted.
Q7. Other publicationsmax 2 ptsDetails

Best 2 other publications (any author position, excluding Q6 papers). An Associate PI role on an NIHR study counts as one 'other author' publication.

ResponseScore
None with PMID0
One with PMID1
Two with PMID2
  • PMID + details, or a validated Associate PI confirmation letter (one only).
  • Collaborative papers need evidence of a significant role (design, analysis or writing).
Q8. National / international presentationsmax 4 ptsDetails

Best 2 presentations at national/international conferences. Group 1 = podium delivered by you (2 pts each). Group 2 = delivered by co-author, poster walk, JAM or poster (1 pt each).

ResponseScore
0 presentations0
1 × Group 2 only1
1 × Group 1 only2
2 × Group 22
1 × Group 1 + 1 × Group 23
2 × Group 14
  • Certificate of delivery/acceptance + display, and attendance certificate.
  • Each project counts once even if presented at several meetings.
Q9. Audit / QIP / collaborative projectsmax 2 ptsDetails

Best 2 projects since Foundation: closed-loop audit against a published standard, QIP using recognised methodology (e.g. PDSA), or a published collaborative project (data collection = one closed-loop audit).

ResponseScore
None0
One project1
Two projects2
  • Active involvement in BOTH cycles; outcomes evidenced on a single slide (not the full deck).
  • Validated certificate or letter from the audit lead — not the meeting agenda.
Q10. Higher degreemax 2 ptsDetails

A completed stand-alone UK higher degree (or equivalent) examined by thesis/dissertation, at the time of application. Intercalated BScs don't count.

ResponseScore
None0
Masters (MSc, MMedEd, MS, MCh(Orth), ChM) or PGCert1
PhD or MD2
  • Degree certificate; overseas degrees need an equivalence letter + transcript.
Q11. Leadership & managementmax 3 ptsDetails

One statement best describing your involvement within medicine.

ResponseScore
No evidence0
Local role (rota co-ordinator, journal club organiser)1
Significant local/regional role (6+ months)2
National/international formal role, elected or competitively appointed (6+ months, e.g. BOTA, ASiT)3
  • Signed letter from the recognised body for national roles; otherwise consultant-signed documentation with GMC number.
Q12. Teachingmax 3 ptsDetails

Involvement in teaching to end July 2027 (or completion of Core Training).

ResponseScore
Little or none0
Regular formal teaching over last 2 years (4+ sessions/year)1
Significant role: recurring programme (fortnightly+), course delivery, or teaching in contract2
Formal substantive teaching role (solely teaching)3
  • OoT forms / delegate feedback (redacted) / programme evidence / contract; role within last 5 years, 6+ months.
  • ATLS Instructor / Training-the-Trainer attendance does not count.
Q13. Organisation of evidencemax 2 ptsDetails

The reviewer scores how well your upload is organised: summary page first per domain, legible, orientated documents.

ResponseScore
Poorly organised evidence0
Well organised evidence2
  • This question cannot be appealed.

The Interview: four 10-minute stations

A single 60-minute online interview (Qpercom), two independent scorers per station, five minutes of reading time before each. Notes on paper are permitted; AI use is not.

Commitment to Specialty

10 minutes on your career and experience — two interviewers score Career Motivation/Learning & Development, Leadership & Team Involvement, Organisation & Planning, Communication (Information Giving) and Academic. The panel does NOT see your portfolio.

Clinical Judgement

A 10-minute clinical scenario scoring Technical Knowledge, Problem Solving & Decision Making, Situational Awareness and both Communication domains.

Prioritisation

A 10-minute prioritisation exercise scoring Organisation & Planning, both Communication domains, Judgement under Pressure and Situational Awareness.

Communication

A 10-minute patient-communication scenario scoring Technical Knowledge, Situational Awareness, Judgement under Pressure and both Communication domains.

Practise every station in the question bank — including AI-marked spoken answers scored on the real station domains.

Scoring Matrix — 234 marks

StationDomains (10 marks each)Total
Self-AssessmentCareer Motivation, Learning & Development (16) · Academic (16) · Organisation & Planning (2)34
Commitment to SpecialtyCareer Motivation, Learning & Development · Academic · Leadership & Team Involvement · Organisation & Planning · Communication — Information Giving50
ClinicalTechnical Knowledge · Situational Awareness · Problem Solving & Decision Making · Communication — Information Gathering · Communication — Information Giving50
PrioritisationJudgement under Pressure · Situational Awareness · Organisation & Planning · Problem Solving & Decision Making · Communication — Information Gathering50
CommunicationTechnical Knowledge · Judgement under Pressure · Situational Awareness · Communication — Information Gathering · Communication — Information Giving50
OverallAppointability: 146/232 minimum overall (2026 figure — 2027 TBC)234

Key Dates

The 2027 timeline is not yet published (interviews expected March 2027, TBC). The 2026 cycle ran as follows — expect the same shape a year on:

Applications open10am, Thu 20 November 2025
Application deadline4pm, Tue 16 December 2025
Evidence upload (Qpercom)5–14 January 2026
Self-Assessment validation27/28 January 2026
Interviews (online, Qpercom VIDs)Tue 24 – Fri 27 March 2026
Initial offers releasedby 5pm, Tue 14 April 2026
Hold / upgrade deadlines22–23 April 2026

Source: NHS England 2027 Self-Assessment Scoring System and the 2026 Applicant Handbook, via the national recruitment page. Always verify against the official documents before relying on any figure.

More interview info

Practise every station

The question bank covers every station with model answers and AI-marked spoken practice.

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Frequently asked questions

How many marks is the 2027 self-assessment worth?

34 of the 234 total interview marks. Thirteen questions cover experience, operative numbers, publications, presentations, audit, higher degrees, leadership, teaching and evidence organisation.

What scores the most points?

T&O experience: 10–36 months full-time-equivalent scores the maximum 8 points, while 60+ months scores just 1. Neck of femur operative experience (18+ validated cases) and two first-author PubMed-indexed papers score 4 each.

How is the self-assessment verified?

Every claim is validated against the evidence you upload in the January window. Scores are adjusted where evidence doesn't support the claim, and the two marks for well-organised evidence cannot be appealed.

Do case reports or Cureus papers count as publications?

No — the publication questions exclude abstracts, case reports, book chapters and letters, and journals must be indexed in both PubMed and Web of Science.