Graduate Entry and Mature Applicants to Medicine FAQ: A guide for the chronologically challenged

 

aka

 

“The Mature FAQ”

 

 

 

Maintained by Alexis Manning alexismanning@googlemail.com

 

Last updated: 05/10/07

 

 

 

 

This document is available in HTML format on http://www.geocities.com/alexism1974/maturefaq.htm.

 

The HTML version may look a little uglier and have some typos since it has been automatically converted from Word.  The current Word document is available on request but will look pretty much the same ;)

 

Please direct any contributions or comments to the email address above.   Copyright held by the respective contributors.  No portion of this document may be reproduced without prior permission.

 

 

 


Recent change history:

 

 

05/10/07:  Major revamp

21/08/06:  More UKCAT info added; DoH bursary amounts updated;

13/07/06:  OU no longer offers ST240, suggest S205 instead; GAMSAT cutoffs, ACER url and fees updated; Info on Scottish funding courtesy of Megan; Bank loan section updated – URLs fixed, amounts updated; Brief coverage of UKCAT added; uni requirements updated from Medschoolsonline; George’s no longer accept grad applicants for the 5 year course; Oxford GEP entry exam info removed since they will use UKCAT; Practical advice for those applying after temporarily working abroad courtesy of MedicMark; Updated funding section for ‘new system’ of fee loans/grants.

29/12/05:  Uni place numbers updated from Medschoolsonline; Notts will not accept grad applicants for their 5 year course; HYMS accept OU quals; reinstated some info that was damaged in the prettification; updated Warwick entrance requirements; new Irish graduate entry courses info from Teacher; private med schools section updated to indicate current GMC status; info on Oxford GEP entry exam; updated current funding status snafu for grads.

21/09/05:  Graduates may not be eligible to have their 3K/yr course fees deferred until after they graduate, noted for 2006 applicants to be aware.

 

 

 

 

Contents

 

Introduction. 4

1. “Am I too old?”. 5

2. How to apply. 7

3.  Appropriate work experience. 8

4.  Which kind of course should I apply for?. 10

4a.  Foundation courses. 10

4a1.  Southampton. 11

4a2.  St George’s. 11

4a3.  Lincoln à Notts. 12

4a4.  Others. 12

5.  Where should I apply?. 13

5a.  Four year courses. 13

5b.  Five year courses. 14

5c.  Course structure and teaching styles. 15

5d.  Where should I apply if I have a 2:2 or below?. 16

5e.  Alternative entrance methods. 17

5e1.  Private UK universities. 17

5e2.  Overseas universities with a UK site. 17

5e3.  Irish universities. 18

5e4.  EU universities. 18

5e5.  Further afield. 18

6.  Qualifications required. 19

6a. Taking A-levels. 19

6b. Taking OU courses. 20

6c. Taking Access to Medicine courses. 21

7.  Funding. 22

7a.  Scottish funding. 22

7b.  Tuition fees / top-up fees. 23

7c.  Student loan for fees. 24

7d.  Maintenance grant and Uni bursaries. 24

7e.  Maintenance loan (aka ‘student loan for maintenance’) 25

7f.  Extra grants. 25

7g.  DoH Bursary. 26

7h.  Charitable grants. 27

7i.  Bank loans. 28

8.  International applicants. 29

8a.  Can I apply for GEP courses?. 29

8b.  I am a UK national.  I must automatically be considered a Home student, right?  29

8c.  What is ordinary residence?. 30

8c1.  Exception: Working/Studying abroad temporarily. 30

8c2.  Exception: Resident in the EEA. 31

8c3.  Further unusual exceptions. 31

8c4.  My ears are bleeding and I still don’t understand. 31

8d.  Am I eligible for the DoH bursary?. 31

9.  Entrance exams. 32

9a.  GAMSAT. 32

9b.  BMAT. 34

9c.  PQA.. 35

9d.  MSAT. 35

9e.  UKCAT. 36

10.  Interviews. 38

11.  Fitness to practice. 39

11a.  Criminal Records Background checks. 39

11b.  Hepatitis B and other vaccinations. 39

11c.  Health issues. 41

12.  Clearing. 43

13.  Personal experiences. 44

14.  Useful places for more info. 48

Other guides for mature/graduate applicants. 48

Forums. 48

General guides to medical applications / careers. 48

Other 49

 

 


Introduction

 

There’s a lack of available information for mature and graduate would-be UK med students and what does exist is widely scattered.  This document is an attempt to remedy that by collating information from many sources in one place.

 

You should treat it as a starting point for your own investigations – while I make every effort to keep the information updated, the medical schools are constantly changing their requirements and policies, often without publicising these changes on their websites and prospectuses.  I also rely heavily on submissions and comments from readers, some of whom will be better informed than others.  I do make an effort to filter out unsubstantiated rumour from fact, but errors are bound to slip through.

 

Please feel free to contact me with any comments or suggestions, particularly if you see something you believe to be incorrect.  Ideally, please provide a web or prospectus source for your information if possible

 

Be aware that the info in here may quickly become dated, this is a particular risk with regards to the sections that deal with funding.  Much of the content consists of people’s opinions; if you disagree with any comment please feel free to submit your contribution so a more balanced viewpoint can be given.  No responsibility is taken for the result of following any of the advice given in this document, implied or explicit -- this is all free advice and worth every penny you paid for it! J

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Major contributors: Smiley, Squeak, Xmas

Contributors: Adnan, Clarkey, Daedalus, Dr Nick

Prettified by: Sparky

Thanks also for comments and suggestions to: Bufforpington, Canicula, DH2005, Doc Clooney, Fluffy, Gem, GirlieBiker, Hadi, Icklepickle, JakeK, Kev, Littletroll, Loobyloo, Makey, MedicMark, Megan, Megane1976, Mrdb, Nadia, Neil Howie, Ohler, Rich73, Stargazer, Sunny, Teacher, Tangliss, Tara, VodKatie00 and Will Watson.

 

 

 

 

 

 

1. “Am I too old?”

 

Many UK med schools are willing to accept older students.  For example, UEA has two people on their course aged 46, Peninsula has a 52 year old, Durham also has a couple of people aged 46, etc.  These tend to be the exceptions rather than the rule though, and there is little doubt that the older you are, the harder it is to get into medical school.  In practice, many med schools start turning their noses up at applicants older than their mid-thirties.

 

Stats from 2001 illustrate this:

 

21 yrs              424 applied, 228 accepted: 54% ratio

22 yrs              478 applied, 312 accepted: 65% ratio

23 yrs              301 applied, 159 accepted: 53% ratio

24 yrs              206 applied, 96 accepted: 47% ratio

25 to 29           488 applied, 220 accepted: 45% ratio

30 to 39           271 applied, 71 accepted: 26% ratio

40 and over     43 applied, 10 accepted: 23% ratio

 

More recent stats show that this pattern hasn’t changed significantly with the increasing number of GEP places and applications.

 

UCAS statistics and datasets are available, including a method of generating customised statistics at http://www.ucas.co.uk/figures/enq/index.html.  For more admissions stats, including age-related information, see the BMA report on the demographic makeup of medical schools on http://www.bma.org.uk/ap.nsf/Content/DemographyMedSchls.

 

Some courses are more open to mature applicants than others, this is discussed more later.  This shows the importance of making a backup plan for what to do if you don’t get into med school.  Some mature applicants have had to reapply four times before being accepted.  It is also important to bear in mind the length of medical training.

 

For example, to become a GP, you will follow roughly the path below:

 

Medical School: 4 / 5 / 6 years

            You are now a doctor who can only practice under supervision, and are provisionally registered with the GMC.  From here on out, you draw a salary.  Latest salary details are available on http://www.bmjcareers.com/cgi-bin/section.pl?sn=salary

 

F1, F2:  These ‘foundation years’ are new replacements for the pre-registration house officer (PRHO) year and the first year of being a senior house officer (SHO).  After the first year you can work without supervision.  You may be expected to know the basic details of the career pathway at interview.  Current information is available from the NHS website – Modernising Medical Careers: http://www.mmc.nhs.uk/.  Salary: £20,741 before overtime payments (“band supplements”).  Band supplements are an additional percentage of your salary depending on how many hours you have to work in a week.  Be aware that many new F1 and F2 jobs are ‘unbanded’ 9-5 jobs, so the basic salary is all you’ll get.  While this is better from a lifestyle point of view (if not a training point of view) it is something you need to bear in mind when working out how much debt you can afford.

 

ST posts: 2 years minimum in approved hospital posts.  If you didn’t want to become a GP then you would spend 4 – 7 years in ST posts (ST1, ST2, etc) for your chosen specialty.

 

GP Registrar: 1 year

            Essentially a GP Trainee, working under the guidance of an experienced GP. Salary: £43,449.  (Information from http://www.bma.org.uk/ap.nsf/Content/Hubgpregistrars).  I believe overtime payments stop at this level.

 

GP:

            You are now a full fledged GP.  Salary: approx £60-90K.  Income partly depends on ‘quality’ points being accrued by the practice for such things as vaccination compliance, measuring diabetic patients’ waistlines, etc. 

 

The astute will note that this is a bit woolly in the middle – this is because the MMC shakeup is still continuing and the pathway may well change again.  This represents 10 years from start to finish.  So if you start your course aged 30, you will become a GP at age 40.  If you wish to specialise in another area, you may find it takes another ten years on top of that to hit the top grades.  For example, a surgeon may spend 5 years as an SHO followed by 6 years as an SpR before becoming a consultant, so 18 years from when you enter medical school.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2. How to apply

 

You apply for med school through UCAS in the same way that school-leavers do.  This means that you need a personal statement and a reference.  School leavers usually get an academic reference but depending on what your situation is this may not be appropriate.  If you are a recent graduate, using your personal tutor as a reference is probably best, else it’s better to talk to your current employer as to the feasibility of writing you a reference.

 

Manchester uni have some excellent guidelines on what they expect to see in a reference at http://www.medicine.manchester.ac.uk/undergraduate/medicine/applying/all/  - this is well worth pointing your referee at if they don’t have a lot of experience in writing references for medicine applicants.  There is also quite a lot of detail here on what you should put in your personal statement.

 

There are some sites on the web that have sample personal statements (such as http://www.studential.com) if you need inspiration, but be aware that the quality of the statements on these sort of sites is highly variable

 

If your academic performance was less than stellar, it’s a good idea to at least mention this on your personal statement, especially with regard to extenuating circumstances.  People seem divided on whether or not it’s a good idea to send supplementary references, CVs, etc to your university choices.  The general consensus is that, at worst, it does no harm, and at best may help your application.  Some courses (e.g. George’s GEP) explicitly ask for supplementary references not to be sent, in which case you obviously shouldn’t, but if you accidentally send supplementary references to a university that doesn’t want them, the worst that will happen is that they’ll be thrown in the bin – it’s hard to envisage a situation where sending supplementary references will adversely affect your application.

 

You may only apply for 4 medical places per attempt through UCAS, so it is important to make your choices carefully.  If you are unable to travel due to family commitments and can only make one or two choices, ensure you address this in your personal statement to try to turn it to your advantage.  The application deadline for medicine is October 15th on the year before your course starts, that is, to start in September 2009 your application must reach UCAS by October 15th 2008.  Ensure you keep a photocopy of your application form.

 

 

 

 

 

 

 

 

 

3.  Appropriate work experience

 

School-leavers are encouraged to gain work experience partly to gain experience of teamwork and communication, and partly to try to discourage them from medicine.  Many people have gleaned a very glamorous idea of what medicine is like from watching TV soaps, and don’t realise that medicine is more about cleaning vomit from your shoes than strutting around in a spotless white coat.  Even though this is less true of mature applicants, universities like to see that you have made an effort to try to find out more about medicine and that you have a caring nature.

 

It costs ~£250K to train a doctor, and ~20% of candidates are not practicing medicine five years after graduation, so it is very much in the university’s interest to test your motivation.  Without any relevant work experience, mature applicants are, frankly, unlikely to get an interview.  Some universities (e.g. Bart’s) have more lenient policies with regard to work experience, but most candidates report being asked about their work experience at interview.

 

If you are currently working in the healthcare field, obviously this section doesn’t apply to you.  Otherwise it’s a good idea to gain relevant experience where possible, this can include any of the following:

 

  • Hospice voluntary work
  • Hospital volunteering
  • St John’s ambulance
  • Samaritans
  • Working as a nurse auxiliary / healthcare assistant
  • Working on social / welfare committees either at university or as community work
  • Working with physically or mentally disabled people
  • Volunteering at an old folks’ home
  • Shadowing (‘work experience’)
  • ** [AM: More please!] **

 

If you have any friends or relatives in medicine, arranging to sit in on a day at a GP surgery or at an operation can be mildly illuminating but, in my opinion, this is of much less value than it is for school-leavers.  If you can get it, overseas healthcare work is a great way to make your application stand out.

 

Hospices and hospitals are usually keen to recruit voluntary staff, particularly if you give them an idea of how long you’ll be able to volunteer for.  You will need to have a criminal records check – this process can take 4-6 weeks, so it is best to arrange your voluntary work early.  It seems universities prefer long-term placements to short intensive stints for voluntary work, since this shows commitment.

 

The universities are looking for evidence that you are aware of the realities of medicine, so hands-on work (or, at least, observation of hands-on work!) is preferable.  Getting this experience can be difficult, so don’t feel discouraged if you’re initially rejected.

 

If you’re interested in more formal work experience (i.e. shadowing), your options are GP practices or hospitals.  Here you are likely to get only a few days of experience, but raw volume is relatively unimportant, rather what the universities will be interested in here is what you’ve gained from the experience.

 

GP practices have a formal selection procedure where applicants are evaluated at a weekly meeting.  Many people are unaware of this and, because they approach the practice in a casual manner, are unsuccessful.  The best approach is to consider it as a formal application for a job, and contact the practice manager with a covering letter describing your past experiences and explaining your reasons for choosing that specific practice.  Be aware that practices near your home may reject you on the grounds of patient confidentiality, so applying a little further afield is a good idea.

 

Hospitals are rather less difficult with regards to potential work experience.  If you have any friends or relatives within a trust, approaching them is ideal.  Alternatively, choose a maximum of 4 areas of interest and find out the heads of these respective departments (usually consultants).  Once you have identified the person responsible for the department, write them a formal letter as described above.  Some people suggest that you should apply to 4 departments in several hospitals to increase the chances of success. This way you have a greater probability of being successful, and if there are too many offers, you can kindly decline.


Good areas to investigate are paediatrics, nursing or geriatrics.  The volume of applications tends to be higher over summer, so you are more likely to get a positive response if you make arrangements earlier.

 

If you are a Scottish student then there is a special program at Monklands Hospital to help students to gain appropriate work experience.  It is a course of work experience in different departments of the hospital (A&E/ICU/ERU etc) where you will have the opportunity to shadow doctors and speak with patients, but has an added twist in that you are treated rather like a medical student.   That is, you wear a white coat/shirt & tie, are given an overview of the patient’s illness and treatments, and have the opportunity to ask as many questions as you like.  The site can be found at http://www.monklandsnextgen.com and includes a forum.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4.  Which kind of course should I apply for?

 

There are three main course lengths, and which one is most appropriate to you depends on your background and qualifications.

 

6 year (Foundation / pre-medical courses): These are suitable for people without the required A-level science qualifications.  Competition for places on these courses is usually high, and most people will be better served by acquiring the necessary qualifications.  See the section below for more information.

 

5 year: Standard medical course.  A DoH bursary is available for the final year.  Many med schools allocate ~10% of their places for mature applicants, though there is not necessarily a fixed quota.

 

If you don’t have a science degree already and are studying a 5-year course, you may have the option of taking an additional year to gain a Bachelor’s degree in clinical science, usually by taking a year between your 3rd and 4th year (“intercalation”).  Gaining a BSc can influence your future career prospects, however it’s something to consider later as all 5-year courses offer intercalation.  If this is very important to you, you might want to consider the proportion of students that intercalate at a given university and whether you need to be at the top of the class to be able to do so.  Nottingham offers a 5-year course with a BSc fully integrated into the teaching.  Oxford and Cambridge courses have a compulsory intercalated degree.

 

4 year (Accelerated / graduate entry course / GEP / GEM): These are suitable for people who already have a degree.  If your degree is in a relevant subject (e.g. Biology, Health Sciences, etc) or a science, you will find more universities willing to consider you.  The competition for these courses is very high because most of them attract a DoH bursary for years 2 – 4 (see ‘Funding’ for more details).  Some of these places have entrance exams, on which more later.

 

Many GEP courses have a slightly elongated academic year in the first year (mid-Sept until the end of June), followed by a vacation until the following September.  From the second year onwards, the length of the course increases and become effectively full-time, that is, 45 weeks or more a year.  This varies from one course to another so you will need to check the specifics of your particular course.  Bursaries and loans take these extra teaching weeks into account, but it is worth bearing in mind that you are unlikely to able to earn money during the holidays.

 

 

4a.  Foundation courses

 

Some universities run six year courses aimed at students without the necessary A-levels.  Information on a few of these is given below.

 

4a1.  Southampton

 

Southampton has run a Widening Access to Medicine Program since Oct 2002.  This course is not intended for graduates.  The age limit is 35, and the entry requirements are flexible, allowing 4 AS Levels or 3 A2s as well as less traditional qualifications such as access courses.  For 3 A2s their typical offer is CCC, and they do expect chemistry and/or biology to be among the subjects offered.  The aim of the course is to bring you up to the general level of the 5 yr BM program entrants. If you pass the first year exams, you are automatically accepted onto the BM program.

 

Eligibility requirements:

 

You must:

 

  • Be the first member of your immediate family to go to university
  • Live in a postcode which is in the bottom 20% in terms of prosperity
  • If you studied A-levels at a college, be eligible for or be claming EMA (education maintenance allowance)

 

There are around 30 places in each year. There were around 60 applicants for 2003 entry, which is partly due to the fact that the course is not well advertised.  It seems unlikely that this low level of competition will continue.  People on the course are entitled to a bursary of £1000 per year and accommodation is provided.  Only around 1 or 2 people per year quit the course, and last year only one person failed. The course is made up of lectures and hospital visits and is similar in content to the first year of a medical degree.

 

Please bear in mind that there is little information about this on the Soton website, and doubtless some of the details of the program are subject to change.  If in doubt, contact the university for more information.

 

4a2.  St George’s

 

St George’s have run a Foundation For Medicine course since 2003 which is a joint venture between SGHMS and Kingston University.  There are up to 20 places available on the FFM but the entry criteria are strictly adhered to - it isn't a back door route into medicine for those who haven't got good enough A levels or already have a degree.  Only people who are over 21 and are UK/EU residents are eligible.  For further information on the entry criteria visit the online prospectus: http://www.sghms.ac.uk/Courses/undergrad/foundation_med.htm

 

The course is made up of 8 modules, all giving a good grounding in the basic sciences relevant to medicine, including chemistry, maths and IT, physiology (2 modules), cells and tissues, introduction to genetics and "structure and function of biomolecules".  It is taught by a mixture of lectures, tutorials and practical sessions and examined by a mixture of coursework and exams.  Almost all of the teaching is done at Kingston alongside other Life Science students.  The final module is an introduction to healthcare course which is delivered by St Georges.  This is made up of a few seminars and visits to various departments within the hospital and in the community.  The healthcare module is assessed by a portfolio of reflective documents on the different shadowing placements and also on some fictional case studies and is Pass/Fail only. 

 

You are interviewed as a prospective medical student for the FFM, you have to pass the CRB and occupational health checks before you can start the FFM since successful completion means you have a guaranteed place on the MBBS at SGHMS.  This year (2003-04), successful completion has meant passing every module and having an overall average of 60%. 

 

There are no bursaries available to FFM students like the WAMP at Soton.  You are eligible to apply for a student loan and tuition fee support from your LEA for the FFM year.

 

4a3.  Lincoln à Notts

 

Lincoln runs a scheme where students take a one year course leading to a Cert HE / ScM Certificate in Science for Health Professionals and then, if they gain at least 60% in that course, go on to take up a place at Nottingham to study Medicine.  In 2006, they had 12 places for Medicine applicants.

 

Full details are available on: http://www.lincoln.ac.uk/home/cours...ience/index.asp

 

The requirements are that you must:

 

  • be the first member of your family to go to university
  • be receiving means-tested benefit or in receipt of Education Maintenance Allowance
  • have family/cultural links to Notts and/or Lincolnshire
  • be attending a school or college which doesn’t have a good record of sending people to higher education

 

There are also academic requirements, including 200 UCAS points (or the equivalent), a minimum of a C grade in GCSE Maths and English, and a minimum of a C grade in GCSE Biology, Chemistry, or Double Science.

 

A bursary is associated with the course, but the exact amount is currently not specified.

4a4.  Others

 

The list above is just a starting point for your investigations and is not exhaustive.  Many other medical schools offer foundation / widening access to medicine-type courses.  These include:

 

GKT - http://www.kcl.ac.uk/depsta/medicine/access/couldistudy.html

 

[ ** AM: add more here **]

 

The full list of 6 year courses will always be available from: http://www.ucas.com.

 

 

 

 

5.  Where should I apply?

 

If you have a degree you are likely to be interested in the four-year courses.  Some of them require your first degree to be in science, others do not.

 

Please refer to the table below for a list of 4-year courses and their stated requirements for 2006.  Note that any entry enclosed in square brackets [as so] indicates that this appears to be an effective requirement rather than a formal one.  So a course which only seemed to interview applicants with a 1st in earlier years will have [1st] in the ‘Degree Restrictions’ column.  A full list of courses is always available from http://www.ucas.com

 

You may also wish to look at the BMA’s guide to becoming a doctor (see links section), which gives application advice and lists qualifications required for each medical school.

 

 

5a.  Four year courses

 

BE AWARE THAT THIS LIST IS NOT BEING ACTIVELY MAINTAINED AND IS OUT OF DATE.  This table is kept for indicative purposes only, and any applicants are strongly advised not to rely on it but to use the up-to-date lists found at http://www.medschoolsonline.co.uk  

 

 

  University

# Places

Degree Restrictions

Other Qualifications

Entrance Exam

Birmingham

40

Life science 2:1 [mostly 1sts]

Chem 'C'

None currently, considering GAMSAT

Bristol

19

Life / medical science 2:1

“applicants must have covered a substantial component of Cell Biology and Mammalian Physiology in their previous degree”

None

Cambridge

20

"good degree in any discipline"

Complex

BMAT

GKT

24

2:1 arts or science

-

MSAT

Leicester

64

2:1 health science

-

UKCAT

Liverpool

32

2:1  in biological / healthcare

"Taken into consideration"

None

Newcastle

25 η     

2:1 [almost all 1st]

Any within last 2-3 yrs

UKCAT

Nottingham

91 ε     

2:2

-

GAMSAT

Oxford

30 ζ     

Life science / chemistry “usually 2:1 or better”

2 science A-levels or equivalent; if degree is Chem, must have GCSE/O-level Bio or better.

UKCAT

Queen Mary

40 δ    

2:1 in science or health-related subject  

-

MSAT

Southampton

40 η    

2:1

GCSE passes English, Maths and Science; AS Chem & Biol OR A2 Chem

None

St George's

70 ε     

2:2

-

GAMSAT

Swansea

70

2:1

Chem OR Biol at AS/A/degree level

GAMSAT (only used as part of their scoring system)

Warwick

164 ζ   

2:1 bio sciences (or 2:2 bio sciences with subsequent doctorate)

A-levels / GCSEs not considered

MSAT

 

 

δ          For 2004 and 2005 entry, 14 of these places were earmarked for Queen Mary's biological science and engineering students.  It’s not clear whether this can be expected each year.

 

ε           Notts and George’s use a shared interview process.  This means that you will be interviewed by one or the other, and then usually offered a place or rejected by both.  So applying to both of these unis is something you should think over carefully.

 

ζ           Their website or prospectus imply that this course is willing to take on Overseas applicants for the GEP course.  If you are an Overseas applicant, I recommend you contact any GEP course before you apply.

 

η          This course is always very heavily oversubscribed (even compared to other GEP courses) due to the liberal entrance requirements.

 

 

5b.  Five year courses

 

If you have no degree, you are restricted to the 5 or 6-year courses.  They may expect you to present other qualifications, such as A-levels, access qualifications or Open University credits (more on this in the next section).  It’s worth mentioning here that mature applicants without a degree are not penalised, indeed, two of the board users without degrees applying for 2003 got four interviews each.

 

5-year courses that are generally considered ‘mature-friendly’ include Aberdeen, Bart’s (recommended by several people), Dundee, Durham, Edinburgh, George’s, Sheffield, and Southampton.

 

New 5 year courses often seem to have a high mature intake in their first year (e.g. UEA).  Whether this will continue in future remains to be seen.

 

5-year courses where there is some contention as to how mature-friendly they are: Glasgow (low intake of matures, matures required to have rigorous academic background)

 

The entry requirements for matures are much more varied and flexible than for four year courses.  If you have non-standard qualifications, I recommend you contact the university directly.  The full list of 5 year courses will always be available from www.ucas.com.  To emphasise, the requirements of the courses are changing and are often flexible for mature students – if in doubt, contact the universities.

 

Please note that A-level General Studies is not usually accepted, and usually 10% of places are available for mature students.

 

Medschools Online (http://www.medschoolsonline.co.uk) sent questionnaires to each university asking them about their places for mature or graduate students, and I recommend their website as an excellent starting point when considering 5 year courses.  The observant will note that there used to be a similar table here, but their one is very clear and more up to date so there is no point in replicating it here.

 

If you have your choice between a selection of universities, which ones you apply for is a matter of strategy as much as anything else.  At the risk of being viciously mauled by wild bears, I’ll go out on a limb and say it makes little difference which med school you go to.  All are GMC-certified.  The exams you have to pass are of the same difficulty.  You can make more ‘connections’ at places with more specialist centres such as London, and that may also be a factor if you plan an international career, but that’s about it.

 

So your selection criteria should be based firstly whether you think you’ll be happy living there for the next five – seven years, then on the course structure.  If you have the option to apply for four-year courses, it’s recommended to apply for at least some five-year courses as well.  The competition for the four-year ones is such that you could easily find yourself without a place and being forced to reapply next year.  There’s plenty of disagreement whether it’s better to apply to 2 GEP and 2 5-year courses or 3 GEPs and 1 5-year course, but most people seem to agree that 4 GEPs is a high-risk strategy.

 

Med schools often have other entrance info buried in the prospectus.  For example, George’s in 2003 offered a guaranteed interview for their five year course to anyone with a 1st and also reduced the A-level requirements.  So once you have drawn up your shortlist, go through the prospectuses with a fine-toothed comb.  These details are often noticed by other applicants and mentioned on message boards.

 

 

5c.  Course structure and teaching styles

 

There are several teaching styles used, some of which may suit you better than others.

 

Traditional Courses: Usually five / six year.  Basic clinical / biomedical sciences are taught thoroughly in the first two to three years with little reference to clinical conditions or treatment.  Teaching is heavily lecture-based with some tutorials and labs (anatomy, physiology, etc).  The idea is that you learn how a body should work normally, then you learn how it behaves abnormally, and then, during the following two or three years of clinical teaching (usually in a hospital or clinical setting), how to fix it.  Very traditional courses like this are becoming rarer, but Oxford and Cambridge still largely follow this for their five-year courses.

 

Integrated Courses: Integrated Medicine courses teach the basic sciences and clinical aspects concurrently.  They can be lecture based, involve Problem Based Learning (PBL), or a combination of the two.  The degree to which Problem Based Learning is used varies, it is en vogue and many courses have some aspect of PBL these days.

 

In PBL, teaching centres on clinical problems which are solved in a group / tutorial setting.  The general idea is that information sinks in better with a clinical peg to hang it on.  This style of teaching is supposed to discourage skimming the surface of a subject and hopefully recall involving real situations will be better.  There is a lot of self-directed learning involved and students are expected to identify their own weaknesses (particularly with the 4 year accelerated programs).  Clinical contact begins very early on with some of these courses (again, particularly with graduate courses).

 

Courses such as the George’s and Nottingham GEPs or the Manchester 5-year are heavily PBL based.  A combination of PBL and lectures is common, although the proportion varies from university to university.

 

 

5d.  Where should I apply if I have a 2:2 or below?

 

If you have a degree of 2:2, nearly no four-year courses will consider you - except Notts and George’s for which you have to be willing to brave the evil GAMSAT.  If you have a doctorate and your 2:2 is in the biological sciences, Warwick GEP may consider you.

 

With a degree of 2:2, you will likely find it quite difficult to get into medical school.  Many med schools will refuse to consider your application.  However, it is by no means impossible, but you don't have much scope to be choosy about which med schools you apply to!

 

The most important thing to do initially is to write to each of the med schools detailing your situation to find out if they will consider your application.  If you have extenuating circumstances for your degree result, make sure that you make this very clear to the universities.  You may be required to furnish proof of this by providing a letter from your doctor or from your old university as appropriate.  Follow-up letters and phone calls may be required to get a response that goes beyond setting out the entrance requirements from the prospectus.  You need to know whether it’s worth a UCAS slot applying to this place!

 

The replies will vary - some will simply not consider your appllication, some will consider applicants with a 2:2, and some will consider applicants with a 2:2 only if it is superseded by a higher degree (e.g. MSc or PhD).

 

Examples of med schools which are 2:2-friendly are: UEA (need evidence of good science background though), GKT, Keele, Manchester, Leeds, UCL (need a higher degree for those), Warwick GEP (require a doctorate).

 

If your degree is in a non-science subject and you do not have science A-levels, some universities may be prepared to consider you if you acquire those qualifications (See following section).  In the absence of extenuating circumstances, you will likely be expected to get top grades to show that your degree result was a fluke.

 

It’s possible to ‘upgrade’ to a 2:1 by taking OU credits and gaining a 2:1 from the OU.  More details of this are available on http://www3.open.ac.uk/credit-transfer/index.htm, but it’s worth mentioning that nursing courses and some professional qualifications may also be used for credit.  This is degree-level work and includes research projects, so this is not an easy option by any means.  Similarly, if you may be able to complete a degree with the OU if you started it elsewhere and then dropped out.

 

It goes without saying that you need to make your application stand out.  Things that will go in your favour in this respect are good A-level grades, a higher degree, an excellent personal statement and reference and lots of relevant work experience. 

 

This applies even more to those with 3rds.  One other possibility is to take the GAMSAT and apply to Peninsula for their five year course since they are only interested in your GAMSAT result and ignore your previous academic record.

 

 

 

5e.  Alternative entrance methods

 

Those who have tried to get into a UK university without success may be considering applying to foreign or private universities.  A very brief overview of this is given below.

 

Please be aware that if you get a degree from a non-EU university, you are required to take further exams (the PLAB) to work in the UK – these are not just a formality.  [** AM: insert PLAB failure stats here if any found **]

 

A list of medical schools is available from the WHO: http://www.who.int/hrh/wdms/en/

 

5e1.  Private UK universities

 

Brunel University are thinking of hosting a private medicine course in 2006, the med school will be called “The Hunter School of Medicine” and will be based at its Uxbridge campus (reference: http://society.guardian.co.uk/NHSstaff/story/0,7991,1392332,00.html and http://news.bbc.co.uk/1/hi/education/4181579.stm).  This would be a three year course, open to nurses and paramedics, with tuition fees of approximately £20,000/yr. 

 

University of Buckingham Medical School.  Postgraduate entry only.  £20,000 per year: one year of distance learning in preclinical sciences followed by three years of clinical teaching, with the focus to be on “the patient with choice, respect and care being more than just slogans”.  The course seems to aim to attract people from the worlds of business, service provision and academia. Opening estimated 2009.

 

As of 05/10/2007, all I can find is that these two proposed courses have joined forces as Buckingham-Brunel and have applied for GMC approval, please contact me if you have any further information.

 

5e2.  Overseas universities with a UK site

 

There are many foreign universities who have a UK teaching site.  For obvious reasons, I am not going to comment on any of them specifically.  I cannot suggest strongly enough that you Google and do your research if you are thinking of applying.

 

Things to check:

·         Make sure they are honest and open about the need to sit the PLAB in the UK.  “WHO accredited”, “recognised by the GMC” or “leading to limited registration with the GMC” is often thrown about without explaining this properly.

·         Ensure the fees are clearly set out.

·         Stability of the med school – how long have they been open?

·         If possible, find any existing students (e.g. on the web) and see what they think.  All med students will have some gripes about their course, but they’ll be able to tell you if they regret their decision.

 

5e3.  Irish universities

 

Application is done through a system similar to UCAS, CAO: www.cao.ie.

 

University College Dublin has developed a 4 year grad entry course, with the first intake being expected in Sept 2006.  The details (especially with regards to funding) are still being finalised. The university site has details of the course and how to apply on: http://www.ucd.ie/horizons/programmes/medgrad_overview.htm

 

Please note that, since this application does not go through UCAS, the deadline is in February of the applying year (e.g. Feb ’07 for 2007 entry).

 

The rumour mill says that University College Galway and University of Limerick may also be developing grad entry courses, but I have been unable to find any official comment on this; please contact me if you know of any.

 

** [AM - If anyone wants to expand this section with regards to places available for UK students, fees, etc, let me know] **

 

5e4.  EU universities

 

If you qualify within the EU, then you will not have to sit the PLAB exam before practising in the UK.

 

** [AM - Any further information or suggestions for this section welcomed] **

 

5e5.  Further afield

 

If you qualify outside the EU, then you will have to sit the PLAB exam before practising in the UK.

 

** [AM - Any further information or suggestions for this section welcomed] **

 

 

 

 

 

 

 

 

 

 

6.  Qualifications required

 

If you have a degree you may find that these requirements are changed or waived.  If in doubt, it is strongly recommended you phone your prospective universities and talk to them about your qualifications and whether they would consider you.  You may find that you can get away with taking fewer qualifications than you had thought.  Conversely, if your degree is an old one you may find that they demand you show recent evidence of academic ability.

 

Some med schools will accept Access to Medicine courses and some will accept Open University qualifications in lieu of A-levels.  There’s more information about these in the appropriate sections below.

 

 

6a. Taking A-levels

 

The A-level system has changed from the one that most mature applicants are familiar with.  Students now take the A-level in two parts, AS in one year and A2 in the next.  The difficulty of AS is gauged about that of the old ‘O’ level, while the A2 is gauged a little above the old ‘A’ level.  Since each has equal weighting, it doesn’t take a genius to realise that you should knock yourself out to get as high a score as possible on the AS portion.

 

How you take the A-levels depends on your situation.  There are a few options:

 

·         Evening classes – the quality of teaching here tends to be lower, partly because there are fewer teaching hours, partly because of the quality of the teachers, and partly because the bar on who can enter the class can be very low.

·         Part-time classes – some places do intensive courses where you can take the AS and A2 portion in a year.  Some of these places do one full day a week courses.  These courses often double as ‘retake courses’ for failed students.  Cost ~£250/A-level as a mature student.

·         Full-time classes – here you join the AS and A2 classes as a full time student, having a few hours one day and a few hours the next.

·         Distance learning or private tutoring – you will need a friendly local school which will allow you to use their laboratory for the practical components of the course.

·         Private colleges – these offer small group teaching and (usually) a higher standard of teaching and facilities than available at most FE colleges.  They are often more flexible than FE colleges and, if you apply early enough, may be able to help you arrange classes around your part-time work.  Be aware that some private colleges have no lab facilities and so you may have to take a practical exam.  The cost may be an issue, some courses will charge you anything up to £2,400 / A-level.  An example of a private college used by a 2003 board member is http://www.mpw.co.uk

 

Which will suit you best depends on whether you are in full-time employment or not.  The first rule is to confirm with the universities exactly what A-levels you need.  You may find that your old O-level (or GCSE) Biology exempts you from having to take A-level Biology.  You may find that AS Biology is adequate, or, if you have a degree, that some universities will exempt you from their normal entry requirements, and so on.

 

It’s worth noting here that many mature students find A-level courses very aggravating.  The daytime courses are geared towards teaching children and you must expect to be treated like a child.  If you don’t take an evening class, you will be taking the course with many people who have absolutely no interest in it.  Moreover, the quality of teaching is highly variable from one institution to another.  The best approach, in my opinion, is to teach yourself from the textbook and use the classes as revision sessions and to answer any questions you have.

 

Whether you should do the A-levels in one year or two depends on how many A-levels you intend to take.  Three A-levels in a year is hard work, but doable.  Bear in mind that for medicine you will usually be required to get very good grades (e.g. AAB), so don’t compromise your chances by taking on too much.  Most matures should be able to get away with one or 1 ½ A-levels (e.g. A-level Chemistry and AS Biology), which is no real problem to do in a year with the right motivation.

 

 

6b. Taking OU courses

 

Some universities will accept Open University qualifications in lieu of A-levels, including Aberdeen, Bristol, Cambridge, Dundee, HYMS, Leicester, Liverpool, Newcastle, Nottingham, St George's, and UEA.  This is not intended as an exhaustive list, so don’t strike a university from your shortlist just because it isn’t included.

 

There’s enough variability in the requirements that it’s best to contact the unis to confirm, but they usually require S103 (Discovering Science), SK277 (Human Biology) & any other 30 point Level 2 module, with a grade 1 (a distinction) in the Level 2 modules (Level 1 S103 is not graded).   If you lack a background in Chemistry, you may wish to take a module like S205 (The Molecular World) or similar.  A problem with OU qualifications is that the courses start in February and not September, so timing can be an issue.  Results come out in December / January, however, so it is possible to receive an unconditional offer based on an OU course you are currently taking.

 

To get a distinction in the level 2 modules, you must exceed 85% in both coursework and in the exam – an average score which is above 85% is not adequate.


The S103 course, "Discovering Science", is an excellent "top-up" in the sciences for those who already have the requisite qualifications for entry but need to get to grips with some biology, chemistry and physics (there is also a bit of Earth Science in it as well for good measure).  Completion of just this module leads to the OU "Certificate in Natural Sciences".

 

Those who take S103 are still required to exceed the distinction passmark (85%) to be considered, and a letter from the OU to your uni will be required to confirm that you have achieved this, even though S103 is ungraded and so cannot technically be passed with a distinction.  This has been confirmed for Notts, and may apply at other universities.

 

Further information from: http://www.open.ac.uk

 

** [Any further OU information welcomed] **

 

 

6c. Taking Access to Medicine courses

 

Access to Medicine courses are full-time one-year courses that can be used as entry qualifications for some universities.  They are aimed at non-science graduates and at applicants without the appropriate science A-levels.

 

They have obvious disadvantages: there is a large amount of material that needs to be covered, essentially covering an A-level syllabus plus a project in ten months; they are more academically rigorous than A-levels but are accepted by fewer universities; if you change your future employment plans, it will be blindingly clear to any employer that you have taken a major shift in direction.  For all these reasons, taking A-levels would usually be preferable.

 

On the plus side, Access courses do generally have a very good applicant success rate.  The number of universities that accept Access courses is increasing each year.  They also have the advantage that they are tailored to teaching mature students and cover medically related topics that aren’t represented at A-level at all.

 

Some universities look very favourably on applicants from Access courses, indeed, some actually prefer an Access course over standard A-levels.  This is partly because students on an Access course get no holidays and have to work very rigorously, so students who succeed in these courses are likely to be strong performers at university.

 

There has been some controversy on the forum of late whether Access to Medicine courses are still as favoured, with the typical offer from some universities being changed from a certain number of Distinctions to Distinctions in every subject.  There have been some claims that preference is given to those who are applying to universities from nearby Access to Medicine courses, disadvantaging those applying from elsewhere.  [** AM: If you want to include an opposing point of view, please contact me **]

 

On the plus side, some universities such as UEA are very supportive of Access to Medicine courses.  If you wish to go the Access to Medicine route, I suggest you talk to the colleges who are running the courses to find what their placement rates have been, and what universities they have found accommodating.

 

 

 

Other Access to Medicine courses:

 

http://www.kcl.ac.uk/depsta/medicine/access.htm (Kings College, London)

http://www.som.soton.ac.uk/prospectus/undergrad/WAMP/wamp.asp (Southampton, Pathway into Medicine)

http://www.readmedicine.com/pre-med.html (Sussex University - Brighton)

 

 

 

7.  Funding

 

Nearly all funding is dependent on you having been ordinarily resident in the UK for the three years prior to the start of your course.  Please see the International applicants section below for more information.  This may apply to you even if you are a UK national if you have been working or studying abroad.

 

For most British citizens, funding will depend on whether you have taken a previous degree or not (or, more precisely, whether you have previously received public funding for a degree).  The next section deals with Scottish students, but the rest of the funding details apply to English students only.

 

 

7a.  Scottish funding

 

The fees for medicine in Scotland from September 2006 are expected to be £2700 per year (although this figure awaits parliamentary approval in summer 2006).  Scottish resident first degree students do not pay tuition fees up front.  The university will charge all EU graduates £2700, but Scottish residents are entitled to apply to SAAS (the Scottish Award Agency) for the difference between the standard fee rate (expected to be £1200 per year) and the increased rate.  This is not means tested.

 

Contact SAAS for individual criteria for eligibility.  You are required to be ordinarily resident in Scotland, but living in Scotland purely for educational purposes is not acceptable [AM: Apparently.  Given that this requirement no longer applies for EU applicants in England, I would be inclined to argue this point if it applies to you].  12 months working in Scotland, out of education, may be considered enough to qualify you as ordinarily resident in Scotland.  As a general rule, if you are from England/Wales and are moving to Scotland purely for the purpose of taking up a place at university then you have to deal with your home LEA for the fees

 

In the 5th year, a graduate will be entitled to fee support and the health department bursary, as well as a student loan throughout.  Students over 25, or financially independent for 3 years, will not be assessed according their parents.  If you turn 25 during the course, you will be re-assessed and may become 'independent' in subsequent years.

 

There are no 4 year fast track courses in Scotland, and the Scottish Executive has made no provision for Scottish students (i.e. who have not been ordinarily resident in England or Wales for purposes other than education) on the GEP courses in England and Wales to receive support equivalent to English and Welsh domiciled students.  Therefore, Scottish residents should expect to pay full fees set by the university and will not receive the bursary in years 2,3 or 4.  SAAS recommend all individuals to contact them for an assessment of your individual situation.  It does seem very variable: One forum member who is an EU graduate was offered SAAS funding; others have not been so lucky.

 

 

 

7b.  Tuition fees / top-up fees

 

There are two possible fees that the universities can levy on their students to cover the costs of tuition.

 

Students who start their course before 2006 are liable for a ‘standard fee’ of ~£1,175/yr throughout the course.  This document does not cover any other funding information for these students since it is aimed primarily at new medical applicants.  For more information check: http://www.dfes.gov.uk/studentsupport/ or http://www.studentsupportdirect.co.uk

 

Students who start in 2006 or later are liable to ‘variable fees’ (aka “top-up fees”).  These fees will not be payable during the course, however, rather students will take out a loan for these fees, repayable once they start earning £15,000/yr.

 

It is notable that these fees differ around the UK.  In England and NI, they are £3,070/yr from 2008 entry onwards.  In Wales, they will be £3,000/yr for 2008 entry, and Scottish medical courses are £2,700/yr for 2008 entry.  Whatever fee you are charged, you will be charged throughout your course.  During this document, it is assumed that you will be charged the £3,070/yr since that is the most common case.

 

The funding situation for graduate applicants here is unfortunate.  People who already have received public funding for a degree are NOT eligible for a tuition fee loan and will instead have to pay the £3,070/yr fee up front.  You may wish to view a report on this at http://www.medschoolsonline.co.uk/docs/uploaded_documents/Graduate_Fees_Report.pdf.  There is still pressure being brought to bear to try to reverse this decision, and it is worth getting involved and adding your voice.

 

It should be noted that none of these issues affect mature applicants who don’t have a prior degree: it affects graduates who had public funding for their previous degree.

 

There have been some rumours that graduate applicants will not be eligible for student loans – this is false.  To clarify the situation, there are several different categories of funding and people confuse them, causing this kind of rumour to spring up.  Check the DfES website on http://www.dfes.gov.uk/studentsupport/ for the word from the horse’s mouth.  Also, many of their finance guides have moved to the Student Support Direct website on http://www.studentsupportdirect.co.uk.  They are quite comprehensive and worth reading.

 

In summary, there are now three main types of funding:

 

Student loan for fees: This is a loan for the £3,070/yr tuition fees, repayable once you earn £15,000 or more per year.  This is NOT available for graduates. 

Maintenance Grant:  This is a non-repayable means-tested grant, which is NOT available for graduates.

Maintenance Loan:  This is the new name for the old student loan, and is also referred to as ‘student loans for maintenance’ to differentiate it from the ‘student loan for fees’.  Graduates are eligible for this loan, which is essentially the same as the old student loan.

 

There are also additional bursaries which are set by the universities and are likely to be in the region of ~£300, although there will be significant variation between universities.

 

More information on each of these sources of funding is given in the sections below.

 

It is very important to be aware of what you are entitled to.  The LEAs are not used to this new system, and may well award you money to which you are not entitled.  They will chase you up for this later on, so to forestall being asked to repay £5,000 halfway through your course, you need to inform them of any errors they make.

 

 

7c.  Student loan for fees

 

This is currently NOT available to students who have a previous degree which was publicly funded.

 

Those who are eligible may apply for a ‘Student Loan for fees’ from their LEA.  The £3,070/yr tuition fees are then paid directly from the LEA to the university.  Once you are earning more than £15,000/yr, you repay it at the rate of 9% of your earnings above £15,000/yr.  For example, if you earn £20,000/yr, then you will pay your loan off at the rate of £5,000 * 9% = £450/yr.

 

Those who are not eligible need to pay the £3,070 tuition fees themselves each year.

 

 

7d.  Maintenance grant and Uni bursaries

 

This is currently NOT available to students who have a previous degree which was publicly funded.

 

This grant is non-repayable, and is means-tested; those with an annual income of £17,910 or less are eligible for a grant of £2,765.  Above that threshold, the grant is reduced until at £38,330 no grant at all is given.

 

The first £1,230 of maintenance grant you are given is offset against the maintenance loan; in other words, it has the effect of reducing your maintenance loan by £1,230.

 

To complicate matters further, there is a Special Support Grant which replaces the Maintenance Grant for people who are on benefits; as far as I can tell, apart from the change of name this is exactly the same as a Maintenance Grant but will not affect the benefits you receive.  Quite why the Department of Work and Pensions couldn’t just have kept the same name, I couldn’t tell you.

 

Also, any university which charges you £2,765 or more per year in tuition fees must offer a non-repayable bursary of at least £305 per year.  The amount of this bursary varies from university to university; you need to contact them to get the details.  It is claimed that this will be an average of £1,000/yr.  My interpretation of the DfES documents is that those who are ineligible for a maintenance grant will also be ineligible for university bursaries, but this is not particularly clear.

 

 

7e.  Maintenance loan (aka ‘student loan for maintenance’)

 

For the academic year 2007-2008, you may get a student loan of up to £4,510 (£6,315 if you are based in London, £3,495 if you are living with your parents).  75% of this is not means tested, that is, you are guaranteed that amount no matter what your family’s income is.  Note that these figures are reduced slightly for the final year of your course.

 

If you are lucky enough to be eligible for a maintenance grant, the first £1,230 will be offset against your maintenance loan, reducing your loan by £1 for every £1 of grant up to £1,230.

 

Graduate-entry medicine courses typically have longer academic years than five-year courses.  A supplementary loan for each extra week above 30 term-time weeks is available.  For 2007-2008, this is set at £79/wk (£100/wk if you are based in London, £52/wk if you are living with your parents).  If your course year is 45 weeks or greater, it’s treated as if you were studing there for 52 weeks.

 

Students entitled to DoH bursaries will be entitled to 50% of the student loan in years they receive those bursaries.

 

 

7f.  Extra grants

 

Details of all additional grants are available from the Student Support Direct website.  A summary of these grants follows, extracted from the DfES booklet “Financial support for higher education students”, but please refer to the Student Support Direct website for full details, conditions, and current amounts.

 

 

 

Childcare Grant: for those with dependent children in childcare

Maximum of £148.75/wk for one child;

Maximum of £255/wk for two or more children.

(Total maximum of 85% of actual costs)

 

May not be taken if you get the Childcare portion of the Working Tax Credit from HM Revenue and Customs.

Parents’ Learning Allowance: for students with dependent children who either receive a childcare grant or who have income below a minimum threshold.

Up to £1,435/yr

Child Tax Credit: for students with dependent children

Variable, contact www.hrmc.gov.uk/taxcredits

Adult Dependants’ Grant: for students who have adult members of their family who depend on them financially

Up to £2,510/yr

Disabled Students’ Allowances: for those with physical or mental disabilities, including dyslexia

Complex.  A general allowance of up to £1,640/yr.  Specialist equipment allowance of up to £4,905 over the whole course.  Non-medical helper’s allowance of up to £12,420/yr.  Additional everyday travel costs undertaken due to your disability may be reimbursed.  Contact your LEA early if you fall into this category.

Additional travel costs: if you have to travel long distances for clinical training

Means tested, you are liable for the first £290 of any additional travel costs

Assembly Learning Grant

Welsh ordinarily resident students only.  Depending on household income, you may receive a grant of up to £2,700.  Check www.learning.wales.gov.uk for details.

 

 

7g.  DoH Bursary

 

This applies for years 2-4 for English and Welsh students on four-year courses, for the final year for students on 5-year courses, and for years 5 and 6 for students on 6-year courses.  Students from Scotland or Northern Ireland are not currently eligible.  Details for 2007-2008 are available in the booklet "Financial Help for Existing Health Care Students" available on: http://www.nhspa.gov.uk/sgu/Forms/default.aspx

 

The bursary is means-tested: your family’s income will be assessed, and your bursary may be reduced depending on the total income.  “Casual earnings” you make as a student are disregarded up to £7,500.  There is a wide range of allowances:

 

 

Basic rates

£2,672/yr (£3,225 if you are based in London, £2,231 if you are living with your parents).

Extra teaching weeks above 30 weeks and 3 days

£78/wk (£100/wk if you are based in London, £52/wk if you are living with your parents). If you have to attend 45 weeks or more, you get an allowance as if you were there for all 52 weeks of the year.

Dependant’s allowance

£2,510/yr for an adult dependant or first child

£512/yr for each subsequent dependant child.

Parents Learning Allowance

£1,239/yr

Two Homes Grant, for those maintaining a second home for themselves and a dependant

£874/yr

Practice Placement Costs

Variable reimbursement for travelling to clinical placements, many restrictions.

Tuition Contributions

The tuition contribution of £3,070/yr will be paid on your behalf in any year you receive a DoH bursary

Disabled Students Allowance

Complex – check the link to the DoH document.

As can be seen, the bursaries are very valuable and this is one reason why competition for the four-year courses is so intense.  In years when you receive a bursary, you can get 50% of your usual student loan.  I believe that the bursary grants (e.g. dependant’s allowance) entirely replace the LEA’s grants for those years, but haven’t confirmed this.

 

As has been said, these bursaries are means-tested depending on your income or that of your family.  Current information is available from the DoH web link above, but for 2007-2008 the parental/spousal contributions are calculated as follows:

 

For dependent students: Parental contribution starts when they have a residual income of £23,087 or above.  It is calculated from: £45 + (residual income – £23,087) / £9.50

 

For independent students: Spousal/personal contribution is calculated using the same formula.

 

These contributions will reduce your bursary on a pound-for-pound basis.

 

 

7h.  Charitable grants

 

Many charities and trusts may offer support for mature medical students in the form of grants or interest free loans.  Application is competitive and you can expect a relatively low rate of return from a lot of time and hard work.  Although you are unlikely to be able to support yourself solely on funding from charity sources, they may provide a source of supplemental income to help toward specific living expenses.  Understandably it is not recommended to rely on this as a significant source of funding.  However, mature students, women, those with disabilities, those with families or in significant financial difficulty and those studying medicine as a second degree may stand a better chance than most of gaining awards.

 

http://www.scholarship-search.org.uk provides a search facility for grants, and seems quite comprehensive.

 

http://www.egas-online.org/fwa/index.html will do an offline search for you.

 

The Directory of Grant Making Trusts is available in libraries and at university careers services. It’s also available as a searchable CD-ROM.

 

http://www.dsc.org.uk/acatalog/Grant_making_Trusts.html might be useful for London-based candidates.  They offer training sessions on how to search for funding.

 

http://www.scvo.org.uk/essentials/directories/grant_making_trusts/index.htm has a list of educational grants for individuals in or from Scotland.

 

It’s worth noting that many charities and grants seem to have early closing dates, so this is worth considering sooner rather than later.

 

There are hardship grants available if you run out of other options.  Often the med school will administer a hardship fund, but others are available.  An NHS hardship grant is available to holders of NHS bursaries, for example.  The Student Loans Company may make you an extra hardship loan of anywhere from £100 to £500.

 

 

7i.  Bank loans

 

Many banks now offer Career Development Loans to graduates and at a deferred or preferential rate of interest.  These loans are also available to 5-year medics in the fourth and fifth year of their course.  Terms of the loans vary; each big student bank has its own deal.

 

HSBC offer a “Postgraduate professional studies loan” which allows you to borrow £5,000/yr plus tuition fees.  If you’ve been earning in the 12 months previous to your new degree, you can borrow 2/3rds of your last year’s salary instead of the £5,000.  They also allow you to top up your loan throughout the year if you’re running out of money, or if you need transport during the clinical part of your course.  More info on 0800 520 420 or at your local branch.  People report very variable experiences with HSBC, with some people being rejected without good reason, and others being offered money very easily.  If you have problems, you might want to try a bigger branch that is familiar with medical students.

 

URL: http://www.hsbc.co.uk (under Loans; Professional Studies Loan).

 

Natwest: Professional Trainee Loan – borrow up to £20,000, repayment over up to seven years.  http://www.natwest.com/graduates/ . 

 

Barclays: Borrow up to £15,000, repay over 9 years, repayments holiday 9 months after training ends. Rate is 2% above base rate. http://www.barclays.co.uk/

Lloyds TSB: Borrow up to £10,000 at a preferential interest rate.  Repayments deferred for 48 months from borrowing date, loan can be repaid over up to five years. http://tinyurl.com/cl0z

 


8.  International applicants

 

I have had many requests for information from overseas applicants, particularly in regards to funding.  Common questions are answered in this section.  The rules regarding Overseas applicants can be complicated, so the golden rule here, as always, is to contact the universities and your LEA (if applicable) to verify the appropriate action for your situation.  I am not a legal expert and the following is only my interpretation and my understanding of the rules which are, in any event, subject to change.  Enough disclaimers?  Then we’ll begin.

 

“Overseas” and “Home” do not have the meanings here that they do in normal conversation, which is why they are capitalised in this discussion.  Home students are not necessarily UK nationals, Overseas students are not necessarily from outside the UK.

 

So, the basics.  The universities levy tuition fees on their students.  Depending on whether you are a Home student or an Overseas student, you are liable to different rates of fees.  Overseas students can pay anywhere from £12,000 – £20,000 per year.  Home students are usually liable only for the tuition fee contribution (£1,175 per year for students who started before 2006, £3,070 per year for students who start in 2008 or later).  To be considered a Home student, you must:

a)      be living in the UK without the duration of your stay being limited by the immigration laws

b)      be ordinarily resident in England or Wales on the first day of your course

c)      be ordinarily resident in the UK for the three years before the start date of your course, subject to some exceptions discussed more fully below.

 

If you fail these tests then you are considered an Overseas student.  If there is any doubt, it’s best to contact the LEA and universities as soon as possible to verify that there is no possibility of being considered a Home student.

 

 

8a.  Can I apply for GEP courses?

 

If you are considered a Home student, yes.  Although some GEP courses are said to consider Overseas applicants (see “Where should I apply?” above), I strongly recommend that Overseas applicants should contact any GEP course they are considering to ensure that they don’t waste a UCAS slot.

 

 

8b.  I am a UK national.  I must automatically be considered a Home student, right?

 

Not necessarily.  If you have been living abroad at any point during the three years before the start of your course then you may fail to meet the ordinary residence test.  Most people will meet the test under the “temporary employment” exemption, though.  See below for more details.

 

You can also download the booklet “Student support for students living or working overseas: a guide for students and their parents who are, or who have been, temporarily

employed overseas” from: http://www.dfes.gov.uk/studentsupport/formsandguides/gui_guides.shtml

 

 

8c.  What is ordinary residence?

 

Ordinary residence is a difficult concept to put over clearly.  Basically, it means that you are usually resident in a particular country and you are settled there.  So if you go abroad temporarily, you are still considered ordinarily resident in your home country.  If you have moved permanently to the UK, are free to remain, and intend to remain, it’s fairly clear that you are currently ordinarily resident in the UK.

 

You must have been ordinarily resident in the UK for the whole three years before the start of your course.

 

It used to be that if you were in the UK during those three years primarily for the purposes of education (for example, if you had come from abroad to read a different university course or to take A-levels in the UK) then you would not be considered ordinarily resident for that period.  This is no longer the case if you are an EU national or the child of one – discuss with your LEA for confirmation.

 

8c1.  Exception: Working/Studying abroad temporarily

 

The key word here is “temporarily”.  If you (or your parents or your spouse) went abroad to take on a temporary post, and you would otherwise be living in the UK, then you may still be considered ordinarily resident here.  You will be expected to show evidence that this was always intended to only be a temporary absence (e.g. a time-restricted work or study visa, time-limited work contract, etc).

 

One contributor had to go through this process, and suggested the following for those who are now abroad, or are moving abroad for a job, but intend to apply for medicine:

-          Get something in your contract of employment that states the duration of your employment. If not possible, get a letter on company letterhead from your manager setting out your period abroad.

-          Keep a UK bank account and UK driving licence registered at the address in the LEA to which you will apply for funding.

-          Write to the universities you intend to apply to, explaining your situation, and try to get something in writing from them suggesting that you will be assessed as a home student. Often these letters are for guidance only, but help you make your case to the LEA when applying.

-          Make some trips back to the UK. Some universities determine your status partly on how many trips back to the UK you made while you were away.

-          Register to vote in the UK and stay on the electoral register.

-          Try and work out early on which LEA you will apply to. If you lived in London for two years prior to going abroad, and paid council tax there, you can keep your records of payments and proof of address and apply to that LEA. Alternatively, if your bank account and driving licence and electoral register entry are all in a different LEA (for example you may have kept these registered in the LEA where you grew up / where your parents still live) then you can still apply there.

 

8c2.  Exception: Resident in the EEA

 

If you are an EU or UK national and have been ordinarily resident in the European Economic Area for the three years before the start of your course, this may be taken as if you were ordinarily resident in the UK for that period.  See: http://www.direct.gov.uk/en/EducationAndLearning/UniversityAndHigherEducation/StudentFinance/StudentsFromOtherEUCountries/index.htm.

 

8c3.  Further unusual exceptions

 

The three year requirement may be waived in the following situations.  If you fall into any of these, I recommend you contact your LEA for full advice:

·         You are a refugee or an immediate family member of a refugee

·         You have applied for asylum and been granted exceptional leave to remain, or are an immediate family member of that person.

·         You are an exchange student studying in the UK on a fully reciprocal basis

 

 

 

8c4.  My ears are bleeding and I still don’t understand

 

You can find more information at http://www.ukcisa.org.uk/student/fees_student_support.php  If this doesn’t help then I strongly recommend you contact your LEA and universities as soon as possible to determine your fees status.

 

 

8d.  Am I eligible for the DoH bursary?

 

To be eligible for the DoH bursary you must be domiciled in England or Wales on the first day of the course.  Domicile is a fairly simple concept.  Your domicile is the country you call home or the one to which you intend to return.  Usually this is the country you were born in, and domicile is quite difficult to change – you have to have abandoned any intention of ever living permanently in the original country.

 

So for 99% of people, if you were born in England or Wales, then you are eligible for a DoH bursary.  If not, not.

 


9.  Entrance exams

 

There are four major entrance exams for 2006: GAMSAT, BMAT, MSAT and UKCAT.

 

 

9a.  GAMSAT

 

This exam is required for the 4-year courses at Nottingham, Keele, George’s and Swansea, and also for Peninsula’s 5-year course (in lieu of presenting three A-levels taken within the last two years).

 

GAMSAT is an unpleasant endurance test.  It is an all-day exam, which has three sections:

 

Section I - Reasoning in the Humanities and Social Sciences (multiple choice)  [100 mins]

- [20 minute break] -

 

Section II - Written Communication (two 30 minute asssignments) [1 hour]

 

- [1 hour lunch break] -

 

Section III - Reasoning in Biological and Physical Scciences - Biology 40%, Chemistry 40%, Physics 20% (multiple choice) [170 minutes]

 

Your final score is worked out in two different ways, your score is whichever is higher:

 

[(% score section I) X 1 + (section score II) x 1 + (% score section III) x1] / 3

 

OR

 

[(% score section I) X 1 + (section score II) x 1 + (% score section III) x 2 ]  / 4 

 

Requirements may vary for Peninsula, but for St George’s and Nottingham, you must score above 50 in sections I and III and at least 55 in section II.  Interviews are offered to everyone who scores above a cut-off.  The exam is supposed to be normalised but variations in the number of candidates vs. number of interview slots means it is calculated fresh each year.  Scores are valid for application for 2 years (i.e. if you sit the exam Jan 2005, you can use your score for admission in 2005 and 2006).  Sometimes the universities show some leniency with low scores in a particular section (particularly section II), but this is purely at their discretion and cannot be relied upon.

 

Previous cutoff scores for St George’s (and including Nottingham for 2003 onwards) were

 

2000:  61

2001:  62

2002:  64

2003:  59

2004:  61

2005:  62

2006: 62

2007: 61

 

Previous cutoff scores for Peninsula were:

 

2003: [** AM: Can anyone remember what it was?  I *think* 55 but am not sure **]

2004: 59

2005: 62

2006: 62

2007: ?62

 

Other important things to bear in mind are:

 

In the UK the exam is in September (from 2007 onwards).   The exam fee is currently £176 and you’ll need to meet this expense yourself.

 

Note that you must be at the exam hall at 8am on the day; if you’re sick, if your train is delayed, or any other such problems, tough, that’s it for you until next year. 

 

Full details are available on: http://www.gamsatuk.org 

 

You may find the forum http://groups.yahoo.com/group/talk-gamsat/ useful for discussing GAMSAT preparation tips with other sufferers worldwide.  A detailed list of the types of questions given in the Jan 2003 UK exam is floating around there.

 

Tips:

 

  • Get the sample papers: though the content of the exam on the day will be different, only looking at the sample papers will give you a feel for what to expect.  The papers cost £37.  You may be able to find someone on the message boards that’ll sell you their old copies more cheaply, but trying to take the GAMSAT without them is just foolish.
  • As general guide, if you already have A level sciences, A-level revision guides will be useful to brush up and refresh your memory (it seems that most first year science courses don’t venture THAT far beyond A-level territory).  If you haven’t done the subject before, a full textbook (and greater time commitment) will be of more use.
  • It is possible to succeed in the GAMSAT without doing any work on Physics and just using intelligent guesswork for those questions.  It’s doubtful it’s possible to succeed without Chemistry.  Biology questions tend to revolve more around data handling than specific recall.
  • Practice the exam with exam style timing if possible.  Timing is tight for both reasoning sections.  Get a feel for how quickly you need to deal with the questions.  And you’ll become familiar with the feeling ”If I turn the page and see another @#!$ question, I will bang my head against the desk and run from the exam hall screaming”.  Get used to it!
  • Practice essay writing: about HALF the applicants fail on the essay section.  The questions can be very esoteric.  The quality of ideas seems to be rewarded more than structure, but avoid stream of consciousness style writing.  Also avoid overly emotional or one-sided responses to the stimuli.  Take a few minutes to plan out what you want to say before launching (this can also put the brakes on any urge to get carried away).  Even if 30 minutes seems short, five minutes spent planning and a couple of minutes spent pulling the threads together at the conclusion will be time well spent.
  • For the science section, you don’t need to answer the questions in the order they ask them. Play to your strengths.  If you know Physics is your weak point and you can deal well with the Biology, leave the obvious Physics questions until the end… but be careful to keep your place on the answer grid.
  • Leave no question blank - and yes, this does mean guessing if you haven’t a clue or are running out of time.  It’s a fair bet that the exam will be normalised (i.e. approximately equal numbers of A, B, C and D answers), so you can use this as a rough guide to guess the right answers if you truly have no clue.
  • Don’t panic. You can still do well even if you don’t finish the reasoning sections.
  • Keep things in perspective. The exam is designed to select all rounders.  Everyone out there has their strong and weak points.  Maybe you don’t feel your science or humanities background is strong enough for the exam.  But how many science geeks are out there who can tease out the finer nuances of a passage of a novel or write a coherent and original essay in 30 mins?… and visa versa.
  • Recognise the questions you can’t do.  Even if you have become embroiled in a question, if it’s a losing battle, make an educated (or not) guess and move on!  Then forget about it.  There are plenty of other questions in the paper waiting for your attention and they won’t appreciate you fretting over water under the bridge.
  • Be prepared for the sheer number of applicants: sitting in an exam hall with 1000 other people can be quite intimidating!
  • Take extra layers to wear, was absolutely freezing in Jan 2003.
  • Bring some food with you since the lunch that’s provided is rather frugal.

 

 

9b.  BMAT

 

This is a new admissions test which will be used by the five year courses at Oxford, Cambridge and UCL from 2004 onwards.  Cambridge also use it for the four year course.  Obviously, since it is new, there is little information on it beyond that shown on the http://www.bmat.org.uk website.

 

The exam is designed to assess academic ability and basic scientific knowledge (Key stage 4 / GCSE Double Science and Maths).  Though it is going to be a “significant component” of selection, unlike the PQA it does not try to assess suitability to practice medicine.  Things like references and personal statements and previous exam results will be taken into account.

 

It is described as being “challenging” and  capable of discriminating between candidates who have achieved the highest grades in school examinations”. How much this should worry mature students remains to be seen.   There are sample questions on the website, but as of yet (May 2003) there is no complete sample paper.

 

The exam consists of three sections:

 

Section I   : Aptitude and Skills (60 minutes)

Section II  : Scientific knowledge (30 minutes)

Section III : Written communication, essay (30 minutes)

 

Judging from the specification on the website, the difficulty of the questions is pegged to be harder than the old MVAT (previously used by Cambridge) but not quite as bad as GAMSAT.  It also has the benefit of being a 2 hour test.

 

If you have sat this exam and any of the other entrance exams, please contact me so I can include some comparative difficulty information on it.

 

 

9c.  PQA

 

PQA is a test which was used for the GEP course at Queen Mary in 2003 and 2004.  No GEP courses currently use it.

 

Applicants are required to sign a non-disclosure agreement.  It consists of an IQ test, a personality test, and a ‘morals’ test.

 

People who have previously taken the PQA recommend trying to answer the non-IQ questions honestly without trying to make a statement or stand out.  In 2003, they seemed to select the people who’d given very ordinary answers over those who gave more extreme ones but who had higher scores in the IQ section.  Doing IQ tests may be useful in preparing for that section.

 

You should be aware that there is some concern over the selectivity of this test.  In 2003, approximately 1000 applicants sat this exam, and 650 passed.  QMUL then randomly selected people from this pool for interview, causing much controversy.

 

QMUL’s plans for 2004 involved randomisation before people were selected for PQA.

 

QMUL have switched to using the MSAT for 2005.  This section will remain in case any other university starts using the PQA.

 

 

9d.  MSAT

 

MSAT is a test which is used for the GKT, QMUL, and Warwick GEP courses.  Information about it is available on http://www.acer.edu.au/tests/university/msat/intro.html

 

The exam consists of three sections:

Part I - Critical Reasoning/Problem Solving
Part II - Interpersonal Understanding
Part III - Written communication

 

In general the style is very similar to GAMSAT, but the main differences are as follows:

Part I contains a bit less 'soft reasoning' skills and a bit more 'hard/numerical reasoning' than GAMSAT. It seems to be testing general reasoning skills rather than 'social/humanities reasoning'. It is a multiple choice test (MCQ)

 

Part II is very much a test of emotional and ‘soft’ skills. It too is in the form of a MCQ, with questions about how one would best deal with various scenarios and situations, choosing from the options presented. It is quite hard to know what is the 'right' answer, since the options may range from 'confrontation' through 'negotiation' to 'passivity' and differing behaviours can be the result of personality and experience in any given situation. Logical reasoning and a thorough reading of the question (i.e. what exactly is the desired result and how will each suggested action potentially lead/not lead to it) can help a little with some of the trickier questions.

 

Part III is essay writing similar to the GAMSAT, with 2 essays to be written in 30 minutes. The second of these is pretty much identical to the GAMSAT essays where you are presented with a collection of quotations and a subject and have to weave a coherent discussion from these threads. The first essay is very different. You are presented with a collection of data items on a particular subject (e.g. reports, tables, charts, graphs etc.) and are asked to produce a coherent essay about it. Part of the challenge is to decide what is a reasonable point of view to take from the data provided and how to write about it. It may be that you are penalised for writing about the subject from general knowledge without referring closely to the given materials, but this is not confirmed.

 

 

9e.  UKCAT

 

UKCAT is a relatively new unified entrance exam used by most medical schools for 2007 entry onwards.

 

The website at http://www.ukcat.ac.uk gives more information about the structure of the test and its content.

 

A contributor sat this exam in July 2006 and wrote that there were 4 sections, each 22 minutes long.  Three sections had 40 questions and the other had about 60 questions, which works out to approximately 30 seconds per question.  They also noted that they were videotaped during the exam, which is worth being prepared for.  Presumably this is to monitor any potential cheating rather than anything else.

 

They described the exam as follows:

 

Part One: Comprehension type exercise.  40 questions

 

They were presented with a short passage of information and a statement related to that passage, and they had to decide if the statement was true, false, or if they couldn’t tell from the passage given.

 

There were 4 statements per passage and 5 passages in total.  The key to this is to read the passage thoroughly (though still swiftly) first time around so you do not have to keep referring back to it.

 

Part Two: Matching patterns. 60/65 questions

 

They were given two sets of patterns, set a and set b, which contained 6 different boxes with shapes inside. They were then given a box with shapes, and had to choose whether it belonged to set a, set b or neither set.  The differences in the two sets are not always as glaringly obvious as you might hope.