Applications for both traditional core surgical training (CST) and the IST posts are made through Oriel. IST run through and uncoupled posts are listed alongside uncoupled CST posts, and applicants must rank those posts they would accept if offered. IST posts are clearly indicated, allowing applicants to rank only IST posts, only non-IST posts, or a combination. Offers are made on the basis of ranked preferences and scores achieved at interview.

For more information on Oriel and the application process, go to https://www.oriel.nhs.uk/Web/FAQContent.

IST supports flexibility for trainees that wish to change specialties after beginning their training. For trainees who join the pilot but subsequently wish to train in a different specialty, prevailing arrangements for flexibility in training will ensure that competencies gained are transferable between the specialties.

Run through training in the IST pilot follows the same curricula as uncoupled core/higher specialty surgical training outside the pilot. The end point of training (CCT) is therefore the same, but the experience of training is enhanced in the pilot, and the duration of training may be shortened if competencies are achieved at a higher rate. However, many IST training enhancements are expected to also benefit non-pilot trainees in IST pilot sites.

In Scotland, all core surgical training posts are included in the pilot.

National arrangements for interdeanery transfers will continue to apply to trainees in the pilot and outside it. As a vacant post is required to accommodate each successful transfer applicant, it cannot be guaranteed that an IST post in another location will be available for any trainee transferring out of an existing IST pilot post.

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