Trauma and Orthopaedic Surgery ST3 · 2027 criteria
Trauma and Orthopaedic Surgery ST3 self-assessment 2027: points calculator and scoring guide
Pick the option that fits your evidence at each step to see your score out of 37, and what you can still add before the deadline.
Applications expected to close 4pm, Thu 10 Dec 2026
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T&O ST3 points calculator
The 2027 Trauma and Orthopaedic Surgery ST3 self-assessment has 13 questions. Q1 is an unscored career summary and the other 12 carry points, which add up to 37; the scoring system itself doesn’t print a total. The N divisor that shrank papers, talks and audits in 2026 has gone, so every answer now maps to a fixed score, and posters count for the first time. In 2026, NHS England North East and Yorkshire ran the national round for posts across England and Scotland. T&O hasn’t published its own 2027 dates: national Round 2 runs from 10am on 19 November to 4pm on 10 December 2026, while in 2026 T&O closed later, at 4pm on Tuesday 16 December 2025. Papers, presentations and audits only count if they’re done “By the application closing date”.
T&O ST3 self-assessment (2027 'Self-Assessment Scoring System'; uploaded evidence is assessed by a reviewer) points at a glance
Your score is the total of the domain scores, out of a maximum of 37.
No N weighting in 2027. The 2027 scoring system has no divisor question and makes no reference to a weighting document (the 2026 form said 'see weighting document for details'); no 2027 weighting document was found. Q1 is now an unscored single-page summary: 'Please provide to the end of July 2027 a single page summary detailing your date of graduation, foundation training (or equivalent) and post-foundation training posts with job title, speciality and dates of employment, and less than full time training details (if relevant). Include details of any periods out of employment (sick leave, parental leave etc) Do not upload employment contracts.' 'NB. All time periods refer to full time equivalent.' No overall maximum is stated in the document; 37 is the sum of the Q2-Q13 maxima (8+2+4+1+4+2+4+2+2+3+3+2). How the self-assessment combines with the interview isn't in the document.
| Domain | What scores (official wording) | Max |
|---|---|---|
| Q2 Months in trauma and orthopaedic surgery |
Scores the single best option you can evidence, up to 8 points. One band only (0-8). Peaks at 10 to 36 months. 'NB. All time periods refer to full time equivalent.' (page 1) | 8 |
| Q3 Complementary specialty posts |
Scores the single best option you can evidence, up to 2 points. 0-2. | 2 |
| Q4 Fractured neck of femur operations (STS or STU) |
Scores the single best option you can evidence, up to 4 points. 0, 2 or 4. 2027 bands: 0 to 5, 6 to 17, 18 or more (2026: 0 to 6, 7 to 17, 18 or more). | 4 |
| Q5 Validated PBAs for neck of femur operations |
Scores the single best option you can evidence, up to 1 point. 0 or 1. New question for 2027. | 1 |
| Q6 First-author publications (best 2) |
Scores the single best option you can evidence, up to 4 points. 0, 2 or 4. Only the best 2 count: 'Only the first 2 publications evidenced will be considered'. | 4 |
| Q7 Other publications or Associate PI (best 2) |
Scores the single best option you can evidence, up to 2 points. 0, 1 or 2. 'Only one Associate PI position will be considered.' | 2 |
| Q8 National and international presentations and posters (best 2) |
Each item you can evidence adds its points, up to 4 points for the domain. Only your best 2 count. Best 2 pieces of work only, max 4. Response table: '0 presentations | 0', '1 x Group 2 Presentation only | 1', '1 X Group 1 Presentation only | 2', '2 X Group 2 presentations | 2', '1 X Group 1, and 1 X Group 2 presentations | 3', '2 X Group 1 presentations | 4'. 'Please be reminded that the maximum number of pieces of evidence is 2.' | 4 |
| Q9 Closed-loop audits, QIPs or collaborative projects (best 2) |
Scores the single best option you can evidence, up to 2 points. 0-2. Counts projects since completion of Foundation training (2026: since starting medical school, 1 per cycle, divided by N). | 2 |
| Q10 Higher degree or PGCert examined by thesis |
Scores the single best option you can evidence, up to 2 points. 0-2. 'We are aware of organisations such as UK NARIC however the Selection Design Group will be the final arbitrators.' | 2 |
| Q11 Leadership or management within medicine |
Scores the single best option you can evidence, up to 3 points. 0-3. 'The Selection Design Group will be the final arbiters'. | 3 |
| Q12 Teaching |
Scores the single best option you can evidence, up to 3 points. 0-3. 'Attendance at teaching courses such as ATLS Instructor and Training the Trainer will not be counted'. 'Selection Design Group will be the final arbiters'. | 3 |
| Q13 Evidence organisation (assessed by reviewer) |
Scores the single best option you can evidence, up to 2 points. 0 or 2. Reviewer-assessed in 2027 (2026: a yes/no confirmation). 'Please note this question cannot be appealed'. | 2 |
| Total | Not published as a single figure: this is the sum of the domain maxima. | 37 |
Dates for this round
- Applications open (expected; 2027 T&O dates not yet seen) expected source 1 source 2
- Applications close: papers, presentations and projects must be done by then (expected; Round 2 date) expected source 1 source 2
- Date not published yet Self-assessment evidence upload (2027 dates not published) expected source
- Date not published yet Interviews (2027 dates not published) expected source
- Initial offers released by expected source
What you can still add before 10 December 2026
What each of these adds is the difference between the option you would reach and the one you already hold, so it can be nothing if you hold that option already. The calculator works out the gain from your own answers.
- Q4 Fractured neck of femur operations (STS or STU). Log further NOF operations done STS or STU before you apply, and get the logbook consolidation sheets signed by a consultant (name, signature and GMC number on each sheet). The question counts operations 'At the time of application'.
- Q5 Validated PBAs for neck of femur operations. Complete and get validated enough ISCP PBAs (level 2 or above) for NOF operations to reach six before you apply, validated by a consultant or recognised trainer with CCT. The question counts PBAs 'At the time of application'.
- Q8 National and international presentations and posters (best 2). Submit an abstract (free) to NMERC 2026 at nmerc.org/submit and present it online on Sat 14 Nov 2026, on a project not already among your best two. An oral you deliver is Group 1 (2); a poster is Group 2 (1). Only your best two pieces count. Keep the certificate and evidence letter. The Selection Design Group is the final arbiter on legitimate conferences. Gets you to: Group 1: national/international presentation delivered by you; Group 2: national/international poster (digital or printed). The NMERC meeting on Sat 14 Nov 2026 comes before the expected close (Round 2 closes 10 Dec 2026), and presentations count 'By the application closing date'.
- Q13 Evidence organisation (assessed by reviewer). Lay out your evidence before you upload: legible, clear and correctly orientated, with a summary first page for each domain. 'Uploaded documents must be legible, clear and orientated.' This mark can't be appealed.
Evidence traps
- Teach the teacher courses still score nothing in T&O, by name.
Attendance at teaching courses such as ATLS Instructor and Training the Trainer will not be counted
source - Only your best two count in each research question. Extra papers or presentations are discounted, so upload your two strongest.
MAXIMUM 2 pieces of work can be evidenced; additional evidence will be discounted. / Only the first 2 publications evidenced will be considered, additional evidence of other publications will not be considered.
source - Papers in journals not indexed in both PubMed and Web of Science, such as Cureus, are discounted.
Papers that have been published in journals that do not have a robust peer review process or in journals that are not currently indexed in both PubMed and Web of Science (e.g., Cureus) will be discounted.
source - Unexplained gaps are counted as T&O time, and T&O months peak at 10 to 36 (8 points); 37 to 59 months drops to 4.
Please note any time periods unaccounted for up to the end July 2027 will be assumed to be in Trauma and Orthopaedic employment. / 10 to 36 months | 8 / 37 to 59 months | 4
source - Evidence layout is marked by the reviewer and can't be appealed.
Please note this question cannot be appealed: Selection Design Group will be the final arbiters
source
Sources
- Trauma and Orthopaedic Surgery 2027 National Recruitment: Self-Assessment Scoring System (NHS England), 2027 T&O ST3 self-assessment scoring system (NHS England, PDF created 8 Oct 2026; copy supplied by Erudical). File '2027_to_scoring_system.pdf', 6 pages, 13 questions, PDF creation date 8 Oct 2026 (author field 'WYLOREC3'), SHA-1 e824f57bad0f515cf9696dc04ce55794ed49f983. Read from the copy Rohan supplied and from rendered page images. Likely posted on the Y&H T&O recruitment page (URL given), probably at /sites/default/files/2027_to_scoring_system.pdf; not verified: the Y&H site bot-challenges this machine and the Wayback Machine was offline on 12 Oct 2026.
- Trauma and Orthopaedic Surgery 2026 National Recruitment: Self-Assessment Scoring System (NHS England, archived 'updated draft'), 2026_to_self_assessment_scoring_system_updated_draft.pdf, 4 pages, Wayback capture of 12 Dec 2025. The recruitment page later linked '2026_to_self_assessment_scoring_system_updated_final_1.pdf', which was never archived, so final wording may differ. Read from the local copy saved on 10 Oct 2026; SHA-1 (3DYGC4SN7M6KMLAIROEHP2AETOTFKM3X) matches the Wayback index, checked 12 Oct 2026.
- Trauma & Orthopaedic Surgery 2026 National Recruitment: Self-Assessment Weighting (NHS England, archived), 2026_to_self_assessment_weighting.pdf, 1 page, Wayback capture of 12 Dec 2025; SHA-1 (NJCPYWSKEFMM6HHBIEGIAXL5X2PPWKZS) matches the Wayback index, checked 12 Oct 2026. Table read from a rendered image of the page.
- National Trauma & Orthopaedic Surgery ST3 Recruitment (NHS England Yorkshire and Humber, archived copy), Wayback capture of 23 Jan 2026 (2026 round). No later capture exists (CDX checked 12 Oct 2026).
- Trauma and Orthopaedic Surgery ST3 person specification 2027 (Medical Hub), Person specification and entry criteria for Trauma and Orthopaedic Surgery ST3 2027 recruitment
- Recruitment timelines (Medical Hub), Page last reviewed 24 February 2026; 2027 Round 2
What changed in the 2027 T&O scoring system
The 2027 document reads very differently from the 2026 draft. Q1 no longer sets a weighting: it asks for “a single page summary” of your graduation date, foundation and post-foundation posts, and you should “not upload employment contracts”. Months in T&O still peak at 8, but the top band is now 10 to 36 months, 37 to 59 months scores 4, and 4 to 9 months drops to 1. The lower neck of femur bands move down by one case, so 6 to 17 now scores 2 and 18 or more still scores 4, and a new Q5 adds 1 point for “6 or more ISCP consultant validated PBA level 2 or above” for those operations. Research is now a best-two system: two first-author papers score 4, two other papers score 2, and “An Associate PI (principle investigator) role for an NIHR study can be counted as equivalent to one “other author” publication.” Audits count only “since completion of Foundation training”, two projects at most. A PGCert examined by thesis or dissertation now scores 1 alongside a Masters. Leadership runs to 3 and must be “within medicine”, teaching runs to 3, and evidence layout is now marked by the reviewer and “cannot be appealed”.
T&O points you can still add before the close
Months, degrees and six-month roles are mostly set by now, so three questions are worth watching. A presentation is the biggest swing: Q8 keeps your best two pieces of work, and replacing a poster with a talk you deliver yourself, or adding a second talk, is worth up to 2. Neck of femur cases count “At the time of application”, so crossing from 17 to 18 lifts Q4 from 2 to 4, as long as each consolidation sheet carries the consultant’s name, signature and GMC number. Reaching six validated PBAs adds 1 in Q5, but “Registrar trainers who do not have CCT will not be accepted.” Teaching needs two years of regular sessions or a substantial role held for at least six months, so it can’t be built in the weeks left. Erudical is always looking for teachers for its Teach the Teacher course, if delivering teaching interests you; NMERC and Erudical roles may qualify. See the NMERC and Erudical websites and contact us for details.
T&O evidence rules that cost marks
The research questions now discard extras: for presentations, “MAXIMUM 2 pieces of work can be evidenced; additional evidence will be discounted”, and for papers, “Only the first 2 publications evidenced will be considered”. Choose your two strongest and upload only those. Papers in journals “not currently indexed in both PubMed and Web of Science (e.g., Cureus) will be discounted”, and you can’t reuse a Q6 paper in Q7. On time in post, “any time periods unaccounted for up to the end July 2027 will be assumed to be in Trauma and Orthopaedic employment”, so an unexplained gap could carry you past 36 months and from 8 points to 4. Audit outcomes go “on a single PowerPoint slide. Do not supply the full presentation.” Q13 asks that “Uploaded documents must be legible, clear and orientated”, with a summary first page for each domain.
Worked example: a CT2 on 24 of 37
Take a hypothetical CT2 with 18 months in T&O, at least 4 months each in general surgery and emergency medicine, 10 neck of femur operations and 4 validated PBAs. They have one first-author and two other papers in journals indexed in both PubMed and Web of Science, one national oral they gave themselves, two closed-loop audits since foundation, a rota co-ordinator role and two years of regular formal teaching, with no higher degree and well organised evidence. On the 2027 scoring system:
- Q2 months in T&O: 10 to 36 months, 8.
- Q3 complementary specialties: two, 2.
- Q4 neck of femur operations: 6 to 17, 2.
- Q5 validated PBAs: 0 to 5, 0.
- Q6 first-author papers: one, 2.
- Q7 other papers: two, 2.
- Q8 presentations: one Group 1 talk, 2.
- Q9 audits and QIPs: two, 2.
- Q10 higher degree: none, 0.
- Q11 leadership: a local role, 1.
- Q12 teaching: regular formal teaching, 1.
- Q13 evidence: well organised, 2.
That’s 24. A teach the teacher course adds nothing. If they deliver an oral on a different project at NMERC on 14 November, Q8 moves from one Group 1 presentation to two, from 2 to 4, so the total becomes 26, a gain of 2. A poster instead would make Q8 “1 X Group 1, and 1 X Group 2 presentations”, worth 3, a gain of 1. Two more validated PBAs before applying would add another 1. No cut-off score is published.
The calculator scores all 12 scored questions on the 2027 tables, gives your total out of 37 and shows what a presentation at NMERC would add. We’ll show your result and email you a copy.
Go to the T&O ST3 calculator at the top of this page
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Does a teach the teacher course count for T&O ST3?
No. The 2027 teaching question repeats the exclusion word for word: “Attendance at teaching courses such as ATLS Instructor and Training the Trainer will not be counted”. A teach the teacher course adds 0 to a T&O application whatever you already hold, and we don’t offer it for T&O. Q12 rewards teaching you give. “Regular engagement in provision of formal teaching during the last 2 years (minimum 4 sessions per year)” scores 1. A significant role, such as a programme with “minimum one session every other week” or “involvement in delivery of a course”, scores 2, and a post that is solely teaching scores 3. The 2026 tier for a 60-credit teaching qualification is gone, and a PGCert now only counts in Q10, if it was examined by thesis or dissertation. You can compare how each specialty treats teaching courses in our teaching points by specialty table.
NMERC and the T&O presentations question
The online NMERC conference on Saturday 14 November 2026 falls before the Round 2 close on 10 December. Any doctor or medical student can submit an abstract at nmerc.org/submit, every abstract is reviewed before it is accepted, and presenting is free. Q8 counts presentations “including at virtually delivered established conferences”, and a talk you give is Group 1, worth 2, while a poster is Group 2, worth 1. Only your best two pieces count, so the gain depends on what you already have: a talk adds 2 if you have fewer than two pieces of work, 1 if it replaces a Group 2 item, and nothing if you already hold two Group 1 talks. The project must be new to your list, since “Each project will only be counted once even if presented at more than one meeting”, and “The Selection Design Group will be the final arbiters regarding legitimate conferences and duplicate presentations”. Co-authors can benefit too: Q8 also counts “Presentation of work in which you were involved but delivered by another author” as Group 2, if you can show a significant role, and NMERC’s evidence letter and abstract book list every co-author with their author position. T&O asks for “a copy of the certificate of attendance at the relevant meeting”, so keep the certificate and letter you’re sent.
T&O ST3 self-assessment questions
How is the T&O ST3 self-assessment scored in 2027?
There are 13 questions. Q1 is an unscored single-page summary. The rest score months in T&O (up to 8), complementary posts (2), neck of femur operations (4), validated PBAs (1), first-author papers (4), other papers or an Associate PI role (2), presentations and posters (4), audits or QIPs (2), a higher degree or PGCert (2), leadership (3), teaching (3) and evidence organisation (2). That adds up to 37. Nothing is divided by N any more, and the document doesn’t say how the self-assessment combines with the interview.
How many points is a national poster or presentation worth for T&O ST3?
A presentation you deliver at a national or international conference scores 2. A poster, a poster walk, a JAM session or a talk of your work given by a co-author scores 1. Your best two count, so the most you can score is 4, from two talks you gave yourself.
When is the T&O ST3 deadline for 2027?
T&O hasn’t published its own 2027 dates. The national Round 2 window is 10am on 19 November to 4pm on 10 December 2026. In 2026, T&O applications opened at 10am on 20 November 2025 and closed at 4pm on 16 December 2025, evidence went up from 5 to 14 January, and interviews were held online from 24 to 27 March 2026.
Is ATLS needed for T&O ST3 in 2027?
Yes, by interview. The 2027 person specification lists as essential “Evidence of demonstrable and up-to-date competences in advanced trauma life support at the time of interview”, where the 2025 specification used in the 2026 round didn’t. Its desirable criteria include “A practical course devoted entirely to orthopaedic casting techniques aimed at orthopaedic trainees”. An ATLS Instructor course still scores nothing in the self-assessment.

