IMT Application Scoring Guide

Published March 30, 2022 | Updated January 22, 2024

MedCourse Blog

By MedCourse

Useful, relevant, and interesting content for UK Junior Doctors.

Let’s not kid ourselves – for eligible candidates, the self-assessment score for IMT application in 2024 is the single most important part of the application process (right up until the interview).

Scoring highly means you get a chance to interview for an IMT placement. Not only this but at interview a high application score means you’ll likely also do well in the “Application and Suitability” section.

The Internal Medicine Training application system has escaped the slow conquering march of the MSRA exam, at least for 2024, so shortlisting is still based on self-assessment scores.

In this article, we’ll go through the application scoring matrix for 2024, giving you the experience and advice from IMTs who have been thorugh the process in recent years.

Updated on 13th October 2023 for new guidance.

Experience and Advice from High-Scoring Candidates

Justin, Priyanka, and Sashi have generously contributed to this article with their tips, advice, and experience. They all aced their applications and work with Optimise Interviews to help applicants nail their IMT Application and Interview.

Dr Justin Chiong
Dr Justin Chiong

Justin studied medicine at the University of Edinburgh and did his foundation years in Scotland, during which he successfully completed a part-time MSc in Clinical Education.

He subsequently moved to the Northwest to continue his training as an NIHR Cardiology Academic Clinical Fellow, and IMT.

Dr Priyanka Gandhi
Dr Priyanka Gandhi

Priyanka studied Medicine at the University of East Anglia. She enjoys teaching and pursued an intercalated degree in Medical Education at the University of Leeds.

Now she teaches in various capacities from face-to-face to online-based platforms. More recently, she has started as an IMT 1 trainee in the North West.

Dr Sashiananthan Ganesananthan
Dr Sashiananthan Ganesananthan

Sashi studied Medicine at Cardiff University. Following graduation, he completed the academic foundation programme at Imperial College London.

He enjoys teaching and has completed a PgCert in Clinical Education at the University of Edinburgh, leading a 9-month international teaching programme.

If this advice is useful, you should also check out the Optimise IMT course to help you nail your IMT application.

Our IMT Series
Ultimate Guide to IMT article
IMT Application Process (1)
IMT Application Scoring
IMT Interview Guide

Key Documents

IMT Application Timeline

Vacancies publishedWednesday 25th October 2023 by 5pm
Applications openThursday 26th October 2023 at 10am
Applications closeThursday 23rd November 2023 at 4pm
Longlisting closeThursday 19th December 2023
Invitation to interviewBy Thursday 21st December 2023
Interview booking deadlineFirst invites – Thursday 28th December 2023
Second invites – Tuesday 2nd January 2024
Interview windowTuesday 2nd January Friday 16th February 2024
Rankings ReleasedTuesday 27th February 2024
Programme preferencesTuesday 27th FebruaryMonday 18th March 2024
Initial Offers outTuesday 19th March 2024
Hold deadlineThurs 4th April 2024 at 1pm
Upgrade DeadlineTuesday 9th April 2023 at 4pm
Post start dateWednesday 7th August 2024
From IMT Recruitment

How Self-Assessment Scoring Works

Self-assessment scoring for the IMT application is done on Oriel while completing the full application form. See our application guide for advice on other parts of the form, including eligibility and commitment to speciality.

During this section (part 4 of the form) you will be asked to select options for each of the domains listed below so that an overall application score can be calculated. You have until 4pm on 23rd November to submit this, so you have a bit of time to squeeze in an extra point or two, but don’t leave it too late.

5 Rules for Submitting Your Application

Don’t get caught out during your application – there’s a danger of having it thrown out if you break the rules.

The JRCPTB reports that it treats this very seriously if it appears to be a deliberate attempt to mislead. They leave the consequences unsaid, but could potentially include a talking to from a scary 3-letter organisation.

  • Don’t Mislead
  • Be careful when assigning points – if interviewers feel that you have been purposefully misleading on your self-assessment, they will dock points and may even consider rejecting your application. Make sure your portfolio has evidence to back up your claims.
  • Don’t Double Claim
  • You cannot use one achievement across two domains – for example, if you performed a quality improvement project, presented it, and then gained a publication from it, you can only claim points in one category of your application.
  • You should therefore be tactical when deciding which points to claim in which category – think about all the projects and achievements you have and use them in categories that maximise your overall IMT shortlist score.
  • Have the Evidence
  • While you won’t need to upload evidence of your achievements, applications are audited at random, so if you’ve claimed for something you don’t have evidence of you could get in hot water.
  • Check it Before Submitting
  • You won’t be able to change much of the form once it’s been submitted, and it’s not certain that you’ll be allowed to send another. Check and double-check everything before you hit submit.
  • Do It In Time
  • There is a hard deadline of 4pm on 23rd November. If you try to submit at 4.01pm, it won’t be accepted under any circumstances, which we’re sure includes Oriel being clogged up with thousands of last-minute submissions.
  • Submit your application AT LEAST the day before, ideally more like a week or two.

What’s a Good Score?

Scores will change from year to year depending on a number of factors including competition ratio, changes to the scoring system, and whether COVID had an impact on the applicants’ ability to gather points.

The data for 2023, which is important as there were major changes to scoring which also apply to the 2024 application, showed a mean of 17.83 and a median of 18 out of a total of 4292 applications.

IMT recruitment will try to get every single candidate an interview if possible. However, with competition ratios increasing year-on-year, a cutoff score is used.

What IMT recruitment doesn’t tell us, however, is what the shortlist cutoff is, so we tried to work it out ourselves using rigorous (un)scientific methods.

In 2023, 4292 applicants were whittled down to 3642 interviews (84.9%, for those without a calculator), meaning 650 candidates weren’t offered an interview.

As we don’t have the raw data, we had to use the graph given to us by IMT recruitment to calculate what this means for scoring. Looking at the number of candidates in each scoring category, we roughly calculated the score below which there were more than 650 scoring candidates.

Using this method, we can think that 650+ candidates scored 9 or below, so can reasonably(?) assume that a score of 10 or above gave the candidate an interview spot.

However, we can’t be sure about this, because other than human error in our guesstimation, the graph’s x-axis is (mis?)labelled “interview score” and only gives even numbers. We think, given there is a 40 on the x-axis, that each column represents the score given plus the odd score following this (so 0 actually means 0-1), but we don’t really know.

So, if you’re a fan of “rough and ready” data science, we assume that those who scored 10 or more in their 2023 self-assessment were shortlisted.

However, we don’t know what the range of scores will be for 2024, so it’s a safe to assume that to give yourself the best possible chance of success you should aim for a score of at least 15-20.

If we mucked up the data, or have done all this work and the numbers are actually out there somewhere, please get in touch.

3 Reasons You Need to Maximise Your Score

IMT isn’t as competitive as many of the higher medical specialities, but aiming for a high application score is useful for a few reasons:

  • Get Shortlisted for Interview
  • The self-assessment section is used to determine whether you will be shortlisted for an interview. IMT has become more competitive in recent years, so even if you are eligible for IMT recruitment you may miss out on an interview if you score poorly on your application.
  • Ace Your ST4 Application
  • Higher medical speciality (ST3/4) application follows essentially the same scoring guidelines as the IMT application, so if you can max out your score in a few domains for IMT, you can focus on other domains when preparing for the ST3/4 application.
  • Get Interview Ready
  • While the interview score is what matters for ranking and achieving the rotation & location of choice, up to half of the points for the interview are scored on similar points as the application score. Boost your application points and you’ll be able to get more points at the interview!

Changes to the IMT Application Scoring For 2024

Back in 2022 the JRCPTB is making some changes to application scoring for IMT and ST3/4 applications 2022/23. The main changes included a reduction in points, most drastically in degree status and additional achievements, and a change in how points are attained for each application section.

However, for 2024 it appears that not much has changed.

The changes made in 2022 are detailed in the table below:

IMT application scoring matrix update as of June 2022
From “2023 IMT Changes” – Royal College of Physicians.

However, for 2024 it appears that not much has changed. We will get confirmation of this at some point by IMT recruitment, so keep your eyes out for an update to this article.

Application Scoring Matrix 2024

Each section of the self-assessment score gives you points depending on which option you have selected. You won’t have to supply the evidence, but you will have to describe why you have selected each option in part 3 of the application form.

There are 7 sections to score points on during IMT application scoring, giving you a maximum of 40 points. These sections are:

  • Postgraduate degrees
  • Additional achievements
  • Publications
  • Teaching experience
  • Training in teaching
  • Quality improvement
  • Leadership and management

The main tip for maximising your points while planning your IMT application is to sniff out opportunities. Work out which sections you can improve on most, and which points are easiest to gain. Be enthusiastic during ward rounds with your consultant and registrars. Ask around for projects that you know will improve your application or interview score.

Networking can go a long way, particularly when it comes to research and publications. If you can make a good impression with a senior colleague, ask them who the “go-to” consultant is for research, or who they think would be willing to help you get a publication. They might put a word in or give you tips on whether that consultant will reply to an email. 

Justin’s Advice for Getting Involved in Projects

If you go to a course or conference and are inspired by a speaker or topic, try your hardest to pluck up the courage to go up to them and introduce yourself.

This can either be after their talk or later in the evening if there is a networking session.

From their perspective, they will almost always have projects and ideas for trainees to get working on (even if you have no initial knowledge of the topic). Even if you don’t want to take on any project work, you never know how many contacts you make at these sorts of events can help in your future career.

For example, I attended an Optimise interview course in preparation for my IMT/ACF applications, which was organised by Dr Balrik Kailey and I had several questions which were specific to my portfolio (which I didn’t want to publicly ask during the interview course).

I was nervous about approaching but decided to contact him directly, which in hindsight made a huge difference to my application. He was able to not only answer my questions but also helped me get involved in other projects which were great for my CV.

Postgraduate Degrees and Qualifications

If you started planning early, you can obtain a few extra points in the category of postgraduate degrees. Degrees earned following undergraduate medicine can either come from a break in training or by studying for a part-time master’s while working.

Intercalated degrees do not count any section. You can only include a degree here if it was completed before or after your time at medical school, not during.

There are 4 points available in this section:

  • 4 points – PhD or MD (by research, using the UK definition of MD), including non-medical related qualifications
  • 3 points – Masters level degree, including non-medical qualifications (not including intercalation!)
  • 1 point – Other postgraduate diploma (PGDip) or certificate (PGCert) related to medicine, for which only graduate entrants can apply. You cannot claim for membership exams such as MRCP.

Additional Achievements

If you have a competitive spirit, this is a section where you can eek an extra couple of points. Medical prizes can be awarded for essays, research, quality improvement projects, and exceptional achievements. The 2 points can be gained whether you were awarded the prize as a medical student or as a doctor, and don’t have to be specific to Internal Medicine. Check out the Royal Society of Medicine’s page on trainee prizes.

While this section previously scored 6 points, this has now been reduced to reflect the difficulty in improving on this section while in training.

There are 3 points available in this section:

  • 3 points – Honours or distinction in your medical qualification, so long as it is awarded to no more than the top 18%.
  • 2 points – National or international prize related to medicine
  • 1 point – One or more prizes, distinction, or merits in your medical qualification, so long as it is awarded to no more than the top 20%
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Presentations and Posters

This is a fantastic area to pick up some points during your foundation training or FY3 year, though you’ll have to make sure you have already met the criteria by the time you apply to IMT. Most projects, however small, can be easily presented to a local medical meeting to pick up a couple of points – though you should make sure you don’t also claim this work in another category.

Research and Quality Improvement Projects can easily be turned into a poster, and there are many medical conferences that accept posters from junior doctors. Some medical conferences have interactive screens rather than physical posters, meaning they can fit in as many posters (and sell as many tickets) as they want. You’d be surprised at how easy it is to have a poster presentation at a conference.

Oral presentations are more difficult, and you’ll need to ensure your abstract grabs the attention of your chosen conference when you apply. Some well-known consultants will be invited to speak at conferences on their projects. Find someone with a reputation, get yourself first or second on the author list, and ask to present it at a conference they’re speaking at, and you’ve bagged max points.

There are 7 points available in this section. For each section you must be listed as 1st or 2nd author:

  • 7 points – Oral presentation at a national or international medical meeting
  • 5 points – Poster shown at a national or international medical meeting
  • 5 points – Oral presentation at a regional medical meeting
  • 2 points – Poster at a regional or local medical meeting
  • 2 points – Oral presentation at a local medical meeting


Publications are another area you can bag lots of extra points if you plan ahead. Networking with research consultants or eager registrars can help you get case reports, research, and publications. Even if you don’t have the opportunity to perform your own research project, collaborating enough for you to be named as a co-author in a research publication can get you 6 points in this category.

You must plan carefully for this section – publications can take over a year from application to publication in a PubMed-cited format. You can still claim points if the publication is “in press” (accepted without any requested alterations, but not yet published).

There are 8 points available in this section:

  • 8 points – First or joint-first author of one or more PubMed-cited original research publication
  • 6 points – Co-author of one or more PubMed-cited original research publication
  • 5 points – First or co-author of more than one PubMed-cited publication such as editorials, reviews, case reports, and letters
  • 5 points – Author of one or more chapters of a book related to medicine (not including self-published books)
  • 3 points – First or co-author of one PubMed-cited publication such as editorials, reviews, case reports, and letters
  • 1 point – Published one or more abstracts or articles that are not PubMed-cited

Justin’s Tip for Research

A big tip that I learnt (too late!) on the Optimise Interviews application form course is that you can score maximum marks for a publication, even if you are a co-first author.

If I had known this in my foundation years, I would have pushed harder for the doctors I was working with on a research project in cardiology to put me as a co-first author. It takes nothing away from them and makes a big difference in terms of the points scored on the application form.

Teaching Experience

If you enjoy medical education, then this is an easy win for your application. It’s also a section in which you can earn points right up to the last few months before your application.

If your local department runs a regular educational meeting, you can approach the person in charge of this and ask whether you can organise this for more than three months, teaching regularly. If you are at a teaching hospital, you could also ask the undergraduate department or your department’s education lead if you can organise weekly or fortnightly teaching for medical students.

There are 6 points available in this section:

  • 6 points – Work with local tutors to organise a teaching programme for healthcare professionals or medical students for three months or longer. You must regularly teach as part of this.
  • 3 points – Provide regular teaching for healthcare professionals or medical students for three months or longer.
  • 1 point – Occasional teaching for healthcare professionals or medical students.

To score points, you must get formal feedback, including independent verification of this from a tutor or organiser.

To gain 3 or 6 points, you need evidence of the programme content (such as a timetable) and a letter or form signed by a local tutor or organisation.

Priyanka’s Experience of Teaching

I got involved in teaching very early on during my foundation programme, helping the foundation programme coordinators with patient safety teaching, this allowed me to fulfil some aspects of the IMT application but also worthwhile reflecting on patient incidents.

Teaching is something anyone can get involved in and to organise a program for others whether it is at your ward or generally it all adds up.

Training in Teaching

Some trainees will have pursued a master’s or PGDip/PGCert in medical education or teaching. For those who haven’t, there’s only one point to gain here – but it’s an easy one to get, and if you have a study budget you can do it for free!

Booking a medical education course such as a “Teach the Teacher “ course can give you that easy extra point or you can search our course calendar for training in teaching courses.

There are 3 points available in this section, which can only be earned if they are in addition to any training received as part of your primary medical qualification:

  • 3 points – Masters level teaching qualification
  • 2 points – Higher teaching qualification such as PGDip or PGCert
  • 1 point – Training in teaching which doesn’t qualify for 2 points

Sashi’s Experience of Teaching Qualifications

I completed a Postgraduate certificate in medical education at the University of Edinburgh. It allowed me to not only understand my own learning methods on the wards but allowed me to conduct effective bedside teaching for medical students.

At the time, I was also organising teaching programmes and reflections for the PgCERT and the course also permitted fellowship to the Higher Education Academy (FHEA) and membership to the Academy of Medical Educators. It was not just for the points!

Other courses which may be less resource-heavy include the Teach the Teacher course or locally organised teaching courses offered to medical education fellows.

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Quality Improvement Projects

Quality Improvement Projects (QIPs) were an area of change for 2023 application scoring, with a focus on completing two full cycles of a QIP. This makes sense when you consider many will complete a QIP cycle as part of their foundation programme.

If you already have a QIP from your foundation years and can repeat another cycle, you’ve already scored maximum points. If you haven’t, it’s best to pick a relatively focused project in which you can perform rapid data collection cycles.

The important thing is that you pick a project where you can gather data quickly, make improvements, and then take another data cycle. If you only have a year until IMT application and your project requires 6 months of prospective data for data collection, you’re going to miss out – find something you can complete in a shorter timeframe.

Audits can count as Quality Improvement Projects, so long as you use QI methodology such as Plan, Do, Study, Act (PDSA) cycles. Mind the Bleep has a good article on audit and quality improvement projects if you need some inspiration.

There are 5 points available in this section:

  • 5 points – Involvement in all aspects of a QIP, for two or more cycles
  • 3 points – Involvement in some stages of two cycles of a QIP
  • 3 points – Involvement in all stages of a single cycle QIP
  • 1 point – Involvement in some stages of a single cycle QIP

Sashi’s Experience of Quality Improvement Projects

Be wary of those long and tedious audits/quality improvement projects offered to you as trainees. There is of course a time and place for this but be wary some of these end up going nowhere.

It’s always best to focus on ones that have very clear, simple, achievable outcome measures (SMART outcome or something like that) and you are able to do 3 cycles (maximum points!). On these local, smaller audits you can lead on them and potentially discuss them more passionately.

I did a simple VTE audit for COVID-19 patients and made some difference to VTE prescribing on a ward. Because I looked so passionate doing my VTE audit, the medical education team also awarded me a foundation leadership merit award!

All from a three-week VTE audit!

Leadership and Management

For this section, you need to plan and be aware of when applications for leadership roles open. Many trusts and deaneries have leadership and managerial roles for junior doctors which fulfil the requirements of these points.

National and regional roles can include junior doctor representative roles within medical organisations such as the BMA, or roles within non-medical organisations such as charities or scouting groups. Local roles count for the same type of organisation, but it might be easier to apply for trainee representative roles on a hospital committee or leadership roles for a junior doctor’s mess. To gain points, you must be able to demonstrate making an impact.

There are 4 points available in this section:

  • 4 points – Held a national or regional leadership or managerial role for 6 or more months
  • 2 points – held a local leadership or managerial role for 6 or more months
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