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O&G · Application roadmap

How to Apply for O&G ST1 in 2027

Work backwards from eligibility and MSRA while finishing only the experiences that can still improve informed answers.

Last verified: 28 September 2026Part of: O&G ST1
Recruitment and training source status

The 2027 person specification and live 33.3% MSRA weighting are current. The live interview page describes the present two-station format but says it is subject to change; the detailed mark split remains on a page titled for the August 2023 intake and is labelled legacy throughout.

ContentsA practical O&G ST1 application timeline

Plan backwards from Oriel

A practical O&G ST1 application timeline

The application is a sequence of eligibility, MSRA, possible interview, national ranking, preferencing and offers. Build experiences that improve specialty understanding and spoken examples; do not manufacture a portfolio competition that the official process has not published.

12+ months: test both halves of the specialty

Arrange exposure to labour ward and acute gynaecology as well as clinic, theatre, antenatal care and multidisciplinary work. Begin one bounded QI or audit and a teaching activity that can reach an outcome. Record what the work taught you about unpredictability, consent and team decisions.

Use the RCOG foundation-doctor guide

6–12 months: finish useful work

Complete data collection, present findings locally, test one change and evaluate teaching. Seek a defined research contribution rather than a vague promise of authorship. Build examples of prioritisation, conflict, communication, leadership and raising a safety concern.

Read RCOG application advice

3–6 months: shift serious effort to the MSRA

Use timed Professional Dilemmas and Clinical Problem Solving practice, keep an error log and revisit weak topics. Continue only projects that can genuinely finish. Map completed experiences to the current person specification and likely structured-question functions.

Review the official MSRA format

Final weeks: protect eligibility and exam execution

Check Foundation competence, experience limits, GMC details and reasonable-adjustment evidence. Reproduce exam conditions, plan sleep and travel, and stop buying new question banks when reviewing errors would add more value.

Check the national application page

After the MSRA: prepare for either route

A very high score may lead directly to offers; an intermediate score may lead to interview. Prepare prioritisation, ethics or governance and structured examples while awaiting the outcome. Do not infer a future cutoff from candidate spreadsheets.

Check how MSRA is used

Interview and preferencing: rehearse decisions, then compare programmes

Practise short answers that tolerate interruption and follow-up. When preferencing, compare rotation footprint, labour-ward exposure, gynaecological surgery, protected teaching, simulation, LTFT, research, tertiary work and commuting rather than relying on a league table.

Recheck the live interview page

From understanding to practice

Put this topic into an interview answer

Use Structured interview for original prompts and an answer structure relevant to this topic.

Explore O&G ST1 practiceExplore the Question bank and spoken practice coming at launch.

Spoken practice is launching soon. Use the free questions and guides to start preparing now.

Sources

References linked in this article

O&G ST1 hub sources