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Paediatric sub-specialty training - application guidance

In the UK paediatric training programme, it is possible to sub-specialise during specialty level training (ST5-ST7). Applications are made through a competitive recruitment process.

Those who complete an approved programme of sub-specialty training are eligible to enter the GMC (General Medical Council) specialist register as a paediatrician with a sub-specialty. This page guides trainees through the recruitment process.

The applicant guidance and resources available below are referring to the 2025-26 round. Applications for this round are closed. The 2026-27 round will open in October 2026.
Last updated

Timeline for 2026-27 - TBC

Stage of processDates TBC
Webinar on applying to sub-specialty training 
Programmes advertised on Âé¶¹´«Ã½ website with links to job descriptions on SharePoint 
Applications open on Oriel 
Deadline for Confirmation of eligibility forms on RISR/ePortfolio to be with Âé¶¹´«Ã½ by 
Applications close 
Longlisting and Shortlisting process 
Shortlisting outcomes and invitations to interview sent via Oriel 
Shortlisting feedback emailed out 
Shortlisting appeals deadline 
Shortlisting appeals outcomes 
Webinar on the interview process (invite only) 
Virtual sub-specialty interview period 
Deadline for confirmation of preference choices 
Matching process 
Offers will be made on Oriel 
Hold deadline 
Upgrade deadline 
Clearing round 
Interview feedback sent out 

Trainees must submit the Confirmation of eligibility form to their deanery contact at least a week before the Âé¶¹´«Ã½ deadline to give them enough time to complete their section of the form. If it is sent less than a week before they may use their discretion to accept it or not. It is the trainee's responsibility to ensure they give enough time for all stakeholders to complete their section of the form and it is submitted to the Âé¶¹´«Ã½ by the deadline. Late forms will not be accepted.

Interview dates - TBC

The dates below are subject to change.

Sub-specialtyInterview date(s) TBC
Community Child Health 
Neonatal Medicine 
Paediatric Allergy (PAIID) 
Paediatric Diabetes & Endocrinology 
Paediatric Emergency Medicine 
Paediatric Gastroenterology (PGHAN) 
Paediatric Hepatology (PGHAN) 
Paediatric Immunology & Infectious Disease (PAIID) 
Paediatric Inherited Metabolic Medicine 
Paediatric Intensive Care Medicine 
Paediatric Nephrology 
Paediatric Neurodisability 
Paediatric Neurology 
Paediatric Oncology 
Paediatric Palliative Medicine 
Paediatric Respiratory Medicine 
Paediatric Rheumatology 

What sub-specialty posts can I apply for?

The 2027 programme summaries and job descriptions will be available to view in in October 2026.

Who can apply for sub-specialty training?

All applicants should ensure that they meet the criteria listed below in order for their application to be considered. Paediatric sub-specialty training is available for all trainees in the UK Paediatric Training pathway, along with some specific exceptions for trainees from related specialties, as detailed below.

There are no personal specifications for individual sub-specialties.

Applications that do not meet these criteria will be longlisted out of the process

Eligibility criteria: Âé¶¹´«Ã½ trainees, Âé¶¹´«Ã½ academic trainees, Republic of Ireland (ROI) paediatric trainees

Âé¶¹´«Ã½ trainees
  • Completion of MÂé¶¹´«Ã½ examinations (must have passed at the point of interview)
  • Completion or expected completion of Core Level paediatric training by the time of entry to the sub-specialty training programme
  • Annual Review of Competency Progression (ARCP) must be an outcome 1 at the point of application*
  • Must have enough time to complete sub-specialty training before CCT date (demonstrated on the Confirmation of eligibility form on RISR/ePortfolio

* If currently on an outcome 8 for being out of programme (OOP), your previous outcome must have been 1. If you have joined the training pathway at ST3, after 1 January 2026, and have not yet had an ARCP, you are required to be on outcome 1 by the point of interview. As such, an (interim) ARCP must be arranged, so that their outcome 1 can be confirmed in January 2027.


Âé¶¹´«Ã½ academic trainees
  • As above (for Âé¶¹´«Ã½ trainees)
  • Should have an Academic Clinical Lectureship (ACL) post already arranged

These academic posts are supernumerary to the clinical posts that we advertise in the recruitment programmes, and they are therefore not included in the preferences and offers process. Trainees that are found appointable following the interview process can take up an academic post up till October of that recruitment year. Otherwise, you will need to reapply in a future round.


Republic of Ireland (ROI) paediatric trainees

Must demonstrate the following by submitting a completed Confirmation of eligibility form for Irish PGDiTs which will be available in the Downloads box below:

  • Currently in the ROI paediatric training programme
  • Completion of MRCPI in Paediatrics and all BST General Paediatrics Mandatory Courses
  • Demonstration of completion or expected completion of core training capabilities by the time of entry to the sub-specialty programme as outlined in Âé¶¹´«Ã½ Progress+ curriculum

Eligibility criteria: Other allied medical specialties

There is no requirement for trainees in other allied medical specialties to have MÂé¶¹´«Ã½ examinations or the paediatric capabilities listed in the Âé¶¹´«Ã½ trainee eligibility criteria, but they should be aware of their own essential requirements.

Anaesthetic and Intensive care medicine (ICM) trainees need to demonstrate the following by submitting a completed Confirmation of eligibility form for anaesthetic & ICM PGDiTs which will be available in the Downloads box below

Anaesthetic trainees
  • Currently in UK Anaesthetics training pathway
  • Ensure that 24 months WTE OOP is approved for PICM training
  • Have FRCA
  • Have completed ST5 by the time of entry into PICM training

Contact for more information: PICM ISAC


Intensive care medicine (ICM) trainees
  • Currently in the UK ICM training pathway
  • Have Primary FRCA, MRCEM/intermediate FRCEM, MRCP (UK) or equivalent
  • Have completed Stage 1 of the ICM Training Programme (ST4) by the time of entry into PICM training
  • Dual CCT ICM trainees (with either Acute Internal Medicine (AIM) or EM or Anaesthesia) will need to gain approval to extend their training to complete PICM training. Single ICM CCT trainees will have no extension to training.

Sub-specialty recognition: ICM trainees are eligible for sub-specialty recognition of PICM in their CCT. It is preferable that applications to PICM are made by the end of Stage 1 of the ICM Training Programme, to give the best chance of integrating it into their training.

Contact for more information: PICM ISAC


Trainees outside of a UK/ROI training programme

Applications from those outside of a UK/Republic of Ireland training programme are not eligible to apply. Please look at available options on our page for international doctors looking for opportunities in the UK.

If a doctor has training, qualifications and experience in paediatrics but has gained these partly or completely outside of an approved CCT training programme (for example, they have trained outside the UK or Republic of Ireland, moved abroad or taken a career break) and they are looking to join the GMC Specialist Register, they may be eligible to apply for the Portfolio Pathway.

Trainees from outside of a UK/Republic of Ireland training programme may be eligible to apply to core paediatric training and then apply to sub-specialty training once in the UK training programme.

Sub-specialty recognition

It is not possible to gain 'dual accreditation' in more than one specialty. CCTs will be in Paediatrics. On completion of sub-specialty training, the particular sub-specialty will appear in brackets after the primary specialty Paediatrics on the Specialist Register. Only trainees who have been approved for sub-specialty training within the sub-specialty recruitment process may have a sub-specialty listed on the Specialist Register.

Please see more information about sub-specialty recognition here.

Indicative training time

Sub-specialty training is capability-based and programmes are typically two to three years indicatively. Applicants must ensure they have enough time to complete the required capabilities before their agreed CCT date, as it cannot be changed to accommodate sub-specialty training.

For those applying with less than the indicative time in their chosen sub-specialty remaining before CCT, it is possible to use evidence of a maximum of one-year WTE specialty level training, UK experience or equivalent (OOP Pause or OOP Training) to ensure eligibility. This evidence must have been approved by the relevant CSAC Chair prior to the application process. N.B. Evidence of prior experience does not guarantee success in the recruitment process. There is no guarantee that capabilities will be counted towards future progress in training and they will still need to be evidenced once in a sub-specialty programme.

Applicants are required to email the relevant CSAC Chair for approval and upload the approval email as evidence to their Confirmation of Eligibility form on ePortfolio/RISR. Please see the Evidencing prior experience for sub-specialty training document in the Downloads box below for the type of relevant experience that is accepted. 

How many times can I apply to do sub-specialty training?

Trainees are not limited in the number of attempts that they can apply to sub-specialty training, subject to having enough time left before their CCT date and can count up to one year WTE towards training.

How many sub-specialties can I apply for?

Applicants can apply for a maximum of two sub-specialties in each round. Separate application forms must be submitted for each sub-specialty.

Can I defer my place?

A deferral request will be accepted for statutory reasons only (e.g. parental leave or ill health). Applicants applying for deferred entry must put their intention to defer and their intended start date (if known) on their application form. We do not accept deferral requests for any other reason. This does not affect trainees applying while they are out of programme (OOP) or on parental leave if they meet the eligibility criteria, but trainees will not be able to defer to go OOP.

Please note that any requests for deferral that are made after or outside of the recruitment process timelines, either directly to the employing deanery or the Âé¶¹´«Ã½ Medical Recruitment team are also subject to the same rules.

How do I apply?

Applications are made via the Oriel recruitment system.

  • and register for an account with Oriel using the same email registered on ePortfolio
  • Read the shortlisting scoring criteria thoroughly when completing the application. It contains all the details of the marking scheme and the maximum score for each assessment domain. It also contains the white space questions for each section, so applicants can start planning their answers in advance of the application window.
  • It is recommended that applications be submitted at least 48 hours before the closing date to allow for any technical problems or unforeseen circumstances.
  • Late applications will not be accepted under any circumstances. If technical problems are being experienced whilst submitting a form, the applicant must contact the Âé¶¹´«Ã½ Medical Recruitment team as early as possible and at least an hour before the final deadline.
  • Reasonable adjustments and special circumstances requests need to be noted on the application and the relevant form (available in the Downloads box below) completed and returned to the sub-specialty team.

Shortlisting scores do not contribute to the final score. They will determine if an applicant goes through to the interview stage. Applicants will be appointed based on their interview score and their preferences.

Confirmation of eligibility Forms

All applicants need to submit a Confirmation of eligibility Form to demonstrate their eligibility to apply to sub-specialty training. In preparation for this, applicants should have a formal careers discussion with their Educational Supervisor about how they have prepared for their chosen sub-specialty/ies and discuss the examples required below with them.

New for 2025/26 recruitment round - For each sub-specialty being applied to (maximum of two sub-specialties) applicants are required to include three examples of clinical activities/experience from their career to date that show their interest in their chosen sub-specialty and demonstrate understanding of what is required to work in this area. Applicants are also required to describe their most significant quality improvement project (QIP) or audit to date. Examples must be the same as what is going to be submitted in the Oriel application form - the College team will be checking this as part of longlisting.

Evidence from ePortfolio must be uploaded for each example, which will then be verified by their Educational Supervisor. There are no restrictions on what applicants can upload and from what point in paediatric training, provided it supports the examples. Types of evidence may include reflections, development logs, Case-Based Discussions CBD), Mini Clinical Evaluation Exercises (MiniCex), etc.

Approval from the Educational Supervisor does not guarantee a maximum score at shortlisting.

The next sections have more information per type of trainee.

Âé¶¹´«Ã½ trainees

Trainees need to ask their Educational Supervisor and local deanery (see the Downloads box below for the deanery contact list) to complete the Confirmation of Eligibility Form on RISR/ePortfolio before submitting an application.

To open a form once logged into ePortfolio, click on ‘create’ under ‘create a new event’ and the Confirmation of eligibility form for sub-specialty training should be listed under 'whole timeline'. Click on the link to open a new form.

One form is needed for each applicant, not for each application, unless sub-specialty training experience is being counted towards different applications.

Applicants must make sure their Confirmation of eligibility Form has been submitted via RISR/ePortfolio to the Âé¶¹´«Ã½ Medical Recruitment team by the Oriel application deadline. The form does not need to be uploaded to Oriel. Any application submitted without a confirmation of eligibility form on ePortfolio will be longlisted out of the process.

Republic of Ireland (ROI) paediatric trainees

Trainees from ROI will need to complete the Confirmation of eligibility Form for ROI PGDiTs 2026, available in the Downloads box below and email it to subspecialty@rcpch.ac.uk by the application deadline.

Anaesthetic and Intensive care medicine trainees

Trainees from these specialties are required to complete a Confirmation of eligibility Form for Anaesthetic & ICM PGDiTs and email it to subspecialty@rcpch.ac.uk by the application deadline.

Events

Paediatric sub-specialty careers event - June 2026

On 8 and 10 June 2026 the Âé¶¹´«Ã½ Medical Recruitment Team held this event online across two evenings. Between 6-7pm each evening we started with the Opening Talk and ended with a Questions and Answers. The College team delivered a presentation on the recruitment process then representatives from each of the sub-specialties gave a short introduction on what it is like to work in their specialisms. There are recordings for both evenings below.

On 8 June there were representatives from Paediatric Allergy, Paediatric Diabetes and Endocrinology, Paediatric Emergency Medicine, Paediatric Gastroenterology, Hepatology and Nutrition, Paediatric Inherited Metabolic Medicine, Paediatric Neurology, Paediatric Palliative Medicine and Paediatric Respiratory Medicine.
 


On 10 June there were representatives from General Paediatrics, Community Child Health, Neonatal Medicine, Paediatric Immunology and Infectious Diseases, Paediatric Intensive Care Medicine, Paediatric Nephrology, Paediatric Neurodisability, Paediatric Oncology and Paediatric Rheumatology.

Please check back here soon for future events.

Contact us

If you have any questions, please contact the Âé¶¹´«Ã½ Medical Recruitment team: