Clinical Radiology ST1 assesses your portfolio across five domains, each graded A to E in the official process; Docrr models this as 24 marks. Commitment to specialty is double weighted by the official process, so it carries 8 of the 24 marks. Only completed achievements from the 10 years before 21 November 2025 count, and every claim needs supporting documentation. Over-claiming is treated as a probity concern and can sink the whole application.
What the sections are
- Commitment to specialty — 8 marks. Full marks looks like: "Multiple significant exposures to the work of a clinical radiology department."
- Leadership and management — 4 marks. Full marks looks like: "National-level leadership or managerial position involving radiology."
- Teaching and training — 4 marks. Full marks looks like: "Formal teaching qualification at postgraduate level (Masters, PGCert, PGDip, CILT)."
- Audit and quality improvement — 4 marks. Full marks looks like: "Led 2 or more radiology audits or QI projects shown to have changed practice."
- Academic achievements — 4 marks. Full marks looks like: "Postgraduate research degree (PhD, MD, MDRes), or first-author radiology peer-reviewed publication."
What costs people marks
- Only completed achievements from the 10 years before 21 November 2025 count — in-progress work does not score.
- Over-claiming is treated as a probity concern and can sink the whole application, so score yourself against the letter of each band.
- Leadership roles must have been held for a minimum of 6 months, and formal teaching programmes must total at least 3 months.
- Commitment to specialty is double weighted, so evidence of real time inside a radiology department (at least 3 whole-day-equivalents for a 'significant exposure') moves your score more than anything else.
- Audit evidence means a signed letter from the supervising consultant detailing your level of involvement, plus the project presentation or a summary documenting scope and impact — and the top band needs 2 or more radiology audits or QI projects shown to have changed practice.
- Only postgraduate achievements count in the academic domain, and up to 2 pieces of evidence are accepted for the top bands in commitment and audit.
Check the official document
This page is a plain-English summary of the framework as Docrr models it — it is not the framework itself. Before you rely on any number here, check the official source: NHSE clinical radiology ST1 portfolio review guidance.
Scoring frameworks change annually, sometimes substantially, and the version that matters is the one attached to the round you are applying in. Last checked against the source on 2026-08-17.