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City St George's Graduate Entry Medicine (GEM)

A 4-year accelerated MBBS for graduates from any discipline, using GAMSAT for admissions

Important: In 2025, St George's, University of London merged with City, University of London to form City St George's, University of London. This page reflects the combined institution's Graduate Entry Medicine programme.

Quick Facts

UCAS Code A101
Course Length 4 years
Annual Intake 71 places (2025/6)
Admissions Test GAMSAT
Degree Requirement 2:1 in any discipline
Interview Format MMI (6 stations, in person)
Location Tooting, South London
Eligibility Home fee status only

HOW WE BUILT THIS

We compile these profiles from each university's own published admissions pages and review them monthly. Entry requirements do change mid-cycle, and universities sometimes publish updates without announcing them.

Use this page to get oriented quickly, build your shortlist, and work out which questions to ask — then confirm the specifics that your application depends on (grades, admissions test, fees, eligibility) directly with the university before you apply. If you spot something that looks out of date, tell us and we will check it.

Last reviewed: October 2026 · Entry year covered: 2027

About City St George's Graduate Entry Medicine

City St George's GEM is a graduate entry programme with its own set of admissions criteria. This guide covers entry requirements, the application process, and what distinguishes this programme for 2026 entry.

The Graduate Entry Medicine programme (A101) at City St George's is a 4-year accelerated route to an MBBS for graduates who want to pursue a career in medicine. Unlike many other GEM programmes in the UK, City St George's welcomes applicants from any degree discipline, including arts, humanities, social sciences, and business.

This programme uses the GAMSAT (Graduate Medical School Admissions Test) rather than the UCAT, making it an excellent option for graduates who may not have a science background but are committed to a medical career. The GAMSAT is designed to assess reasoning and problem-solving skills that are relevant to medical study, regardless of prior scientific training.

Key Advantage: City St George's GEM explicitly welcomes non-science graduates. If you studied English, History, Law, Business, or any other subject, you can apply without needing A-Level sciences or a science degree.

Considering City St George's Graduate Entry Medicine (GEM)? Future Doc's Predictable Offer Protocol™ coordinates every element of your application as one interconnected system, from UCAT preparation to university selection to interview readiness. 93% of our students receive at least one offer. Find out how it works.

City St George's GEM Entry Requirements

Degree Requirements

Requirement Detail
Degree Classification 2:1 honours if you apply on a UK undergraduate degree. If you apply on a UK postgraduate degree (MA, MSc, MPhil, PhD), a Pass is enough — but you must also hold an undergraduate degree at 2:2 or higher.
Degree Subject Any discipline accepted (science and non-science)
Degree Status Must be completed and fully awarded (including re-writes) by 31 July of the academic year of application. Final-year students can apply.
A-Level Sciences Not required — applying on a degree means no GCSE or Level 3 requirements apply

GAMSAT Requirements

Aspect Detail
Test Required GAMSAT (not UCAT)
Minimum Score A minimum of 50 is required in each component, plus an overall cut-off score recalculated each year (competitive applicants typically score well above this)
Component Weighting Both components considered; applicants meeting the criteria are then ranked by overall GAMSAT score for interview
Degree Recency Your degree should have been awarded within the past five years. If it is older, City St George's will consider supplementary Level 3 qualifications or relevant work experience from the last five years, case by case.
GAMSAT Validity Scores are valid for two years (your best result within that window can be used)

The GAMSAT is now delivered in two parts:

  • Part one — the written component: two essays (one argumentative, one reflective), sat remotely from home
  • Part two — the exam component: sat under exam conditions around two weeks later, covering Reasoning in Humanities and Social Sciences, and Reasoning in Biological and Physical Sciences

"City St George's GEM is one of the most accessible graduate entry programmes for non-science graduates. The fact that they use GAMSAT rather than requiring science A-Levels or a science degree opens doors for many talented people who discovered medicine later. If you're a career changer from a humanities or social science background, this should be high on your list."

— Dr. Ash, Future Doc

Additional Requirements

  • Fee status: Home fee status only (no international applicants)
  • Work experience: Evidence of commitment to healthcare and understanding of the medical profession
  • References: Academic and/or professional reference
  • DBS: Enhanced DBS check and occupational health clearance required

GAMSAT Preparation

The GAMSAT is a challenging test that requires preparation, especially the sciences for non-science graduates. Here's what to focus on:

Reasoning in Humanities and Social Sciences

  • Practice interpreting texts, poetry, and data
  • Develop critical reasoning skills
  • Time management is crucial under exam conditions

The Written Component (Two Essays)

  • Practice essay writing under timed conditions, sat remotely from home
  • Prepare for one argumentative and one reflective essay
  • Focus on structure, coherence, and depth of analysis

Reasoning in Biological and Physical Sciences

  • For non-science graduates: focus on the equivalent of A-Level biology and chemistry and GCSE physics
  • The emphasis is on applying scientific reasoning, not just recalling content
  • Many successful candidates self-study these topics over 6-12 months

Preparing for your City St George's Graduate Entry Medicine (GEM) interview? Future Doc's Think Like a Doctor™ module includes university-specific practice, high-pressure simulations, and an intensive In-Person Interview Day. Our near-100% interview-to-offer conversion rate reflects months of preparation across the full application, not just last-minute coaching. Learn more.

Interview Process

City St George's uses the Multiple Mini Interview (MMI) format for GEM applicants, the same format used for the 5-year programme. Interviews will usually be in person.

Aspect Detail
Format MMI with short interview stations, usually in person
Number of Stations Six stations
Duration per Station Around five minutes each, with a 60-second break between stations
Interview Period January to March

MMI Station Types

  • Communication stations: Role-play scenarios with actors
  • Ethical reasoning: Discussion of healthcare dilemmas
  • Motivation: Why medicine and why now (career change narrative)
  • Problem-solving: Practical or logical reasoning tasks
  • Professional insight: Understanding of the NHS and medical profession
  • Reflection: Discussion of experiences and what you learned

"As a graduate applicant, you'll need to articulate why you're changing career. This isn't a weakness, it's an opportunity. Your previous degree and work experience have given you skills and perspectives that school leavers don't have. Own your journey and explain how it's prepared you for medicine."

— Dr. Ash, Future Doc

Application Statistics

City St George's publishes its own admissions data, so these are real figures rather than estimates. The numbers below are for the 2025/6 entry cycle, the most recent published.

Metric Figure (2025/6 cycle)
Places Available 71
Main Cycle Applicants 584 standard entry, plus 13 deferred entry
Interview Invitations 245 standard entry, plus 4 deferred entry
Conditional Offers Made 123 standard entry, plus 43 deferred entry
Applicants Placed on Waiting List 43
Total Enrollers 63 standard entry, plus 8 who applied in an earlier cycle
Application to Place Ratio Roughly 8:1 on the 2025/6 figures — and note applications have fallen from 1,145 in the 2022/3 cycle
Overall GAMSAT Cut-Off (Historic) 56 (2026 cycle), 54 (2025), 56 (2024), 56 (2023), 61 (2022), 60 (2021). Section minimum is 50 in each section every year.

Source: City St George's published admissions statistics, read October 2026. City St George's cautions that "it is not possible to predict what the UCAT and GAMSAT thresholds will be in any individual year, nor to use data from previous years to predict subsequent years' thresholds".

Work Experience Requirements

City St George's expects GEM applicants to demonstrate a genuine understanding of medicine and commitment to a medical career. As a graduate, you may have different types of experience compared to school leavers:

  • Clinical exposure: Shadowing doctors, hospital volunteering, or work in healthcare settings
  • Caring roles: Care homes, hospices, support work, or community volunteering
  • Transferable skills: Professional experience that demonstrates communication, teamwork, and leadership
  • Reflection: Ability to articulate what you learned and why it confirms your motivation

The school recognises that gaining clinical experience can be challenging for working graduates. Quality of reflection matters more than quantity of hours.

Course Structure

The 4-year Graduate Entry programme is an accelerated version of the 5-year course, designed for students who can handle a more intensive pace due to their prior learning skills.

Year 1: Foundations

Intensive coverage of biomedical sciences with early clinical integration. The first year compresses material that 5-year students cover over 18 months. Clinical skills training begins immediately.

Year 2: Systems-Based Learning

Integrated teaching organised around body systems. Increased clinical placements and application of scientific knowledge to patient care. Students on the GEM programme join 5-year students for some teaching.

Years 3-4: Clinical Rotations

Full clinical immersion with rotations across medical and surgical specialties. GEM students follow the same clinical curriculum as Years 4-5 of the standard programme. Includes preparation for foundation training.

Is Intercalation Available?

Intercalation is not typically available on the GEM programme due to the accelerated nature of the course. However, you already have a degree, so this is rarely a concern for graduate students.

Special Applicant Categories

International Students

Not eligible

The Graduate Entry Medicine programme is only open to applicants with Home fee status. International students should consider the 5-year A100 programme instead.

Do They Accept Re-applicants?

Yes

Re-applicants are welcome to apply again. You should demonstrate how your application has improved, including any additional experience, improved GAMSAT score, or new qualifications.

Mature Students

Welcomed

The GEM programme is specifically designed for mature students. Many successful applicants are in their late 20s, 30s, or even 40s. Life experience is valued.

Contextual & Widening Participation Offers

A contextual offer is an adjustment a university makes for applicants whose circumstances have made their education harder than the grades alone suggest. Universities use them because they recognise that two students with the same predicted grades have not always had the same run at them. They are a formal, published part of the admissions process — not a favour, and not something you have to argue for.

What the adjustment actually is varies by school, and it matters more than most applicants realise. Depending on where you apply, qualifying can mean: a lower grade offer; being ranked against other widening participation applicants rather than the whole field; a guaranteed or prioritised interview; a lower admissions test threshold or extra shortlisting points; relaxed GCSE or subject requirements; or access to a separate gateway or foundation year route.

The short version for this course: City St George's contextual admissions scheme does not cover it. That is worth knowing before you spend time looking for a route that is not there.

What City St George's Actually Publishes

City St George's runs a full Contextual Admissions policy at its Tooting campus, with three criteria groups and a two-grade reduction for applicants in groups 1 and 2. But the policy sets two gates that a graduate entry applicant cannot pass, and the course list confirms it:

  • The policy is open to Tooting applicants who are "holding undergraduate status (do not hold a degree)". Entry to the four-year A101 requires a completed degree, so graduate applicants are outside the policy by definition.
  • The published list of eligible courses names Medicine MBBS (5-year) — the four-year Graduate Entry programme is not on it.
  • Even the contextual bursaries carve it out: the travel bursary is for undergraduate programmes "excluding the Graduate Entry Medicine programme", and the Fitness to Practise bursary uses the same exclusion.

So if you are applying to A101 and you meet City St George's widening participation criteria, that status does not lower your offer, lower your GAMSAT threshold, or get you an interview.

What Does Decide Your Application

How selection actually works What that means for you
GAMSAT rank, and almost nothing else, decides the interview City St George's states: "Each applicant that meets our entry criteria is ranked by their GAMSAT score" and "the highest scoring applicants are invited to interview". Your personal statement is read but not formally assessed and is not used to decide whether you are interviewed. There is no contextual uplift, no extra shortlisting points, and no separate widening participation pool.
The cut-off moves every year The overall GAMSAT cut-off is set by how many interview places exist and how strong that year's scores are. The published historic overall cut-offs are 56 (2026 cycle), 54 (2025), 56 (2024), 56 (2023), 61 (2022) and 60 (2021), alongside a fixed minimum of 50 in each section. City St George's explicitly cautions against using past years to predict the next one.
No extenuating circumstances on GAMSAT Stated plainly: "We will not consider any extenuating circumstances in relation to GAMSAT test scores."
Recent engagement in education is the one flexibility published If your degree was awarded more than five years ago, supplementary Level 3 qualifications or relevant recent work experience can still be considered on a case-by-case basis. This is not a widening participation concession, but it is the one published route around a hard-looking rule.

What This Means If You Are a Widening Participation Applicant

  • If you do not yet hold a degree, the five-year MBBS at Tooting is covered by the contextual scheme: a two-grade reduction (AAA down to ABB, or IB 32 down to 30) for anyone meeting one Group 1 criterion (care experienced, carer, refugee or asylum seeker, estranged) or two Group 2 criteria (school with an average A-level grade of C- or below, school in the bottom 40% for HE progression, POLAR4 quintile 1 or 2, IMD decile 1 or 2, free school meals). That is a different application, with UCAT rather than GAMSAT.
  • Group 3 (service children, Gypsy, Roma and Traveller communities, mature non-graduate applicants) gets pre- and post-application support but no contextual offer, even on the five-year course.
  • On A101, the lever that moves is GAMSAT. If your circumstances have made preparation harder, the honest answer is that City St George's does not adjust for it — so the preparation itself has to carry the weight.

What It Does Not Get You

  • No contextual offer on the four-year Graduate Entry MBBS — the course is not on the eligible list and graduate applicants fall outside the policy's "do not hold a degree" condition.
  • No guaranteed interview. Interview invitations are allocated strictly by GAMSAT rank until the places are filled.
  • No lower GAMSAT threshold for any applicant group.
  • No travel or Fitness to Practise bursary — both explicitly exclude the Graduate Entry Medicine programme.
  • International applicants cannot apply at all: "You must be eligible for ‘home’ tuition fees."

For a side-by-side comparison, see every UK medical and dental school's widening participation scheme.

Fees and Funding (2027/28)

Fee Status Annual Tuition
Home (UK) £10,050 — published by City St George's for 2027/28, in line with the maximum permitted by the UK Government
International Not applicable — the four-year Graduate Entry MBBS is open only to applicants eligible for home tuition fees, so no international rate is published

Funding

Aspect Detail
Student Loan Eligibility Yes — but second-degree funding rules apply. You may be eligible for a tuition fee loan without a full maintenance loan. Check your own position with Student Finance England.
NHS Learning Support Fund Non-repayable grants of at least £5,000 a year for eligible healthcare students
Fee waivers City St George's states fee waivers are available for this course, and that means-tested support is available
Contextual admissions bursaries Not available on this course — the travel bursary and Fitness to Practise bursary both exclude the Graduate Entry Medicine programme

Verified October 2026 on City St George's own Medicine (Graduate Entry) MBBS course page. Fees for second and subsequent years are likely to increase annually in line with RPI-X and the maximum regulated fee rate.

Location and Teaching Sites

GEM students are based primarily at the Tooting campus, with clinical teaching across South West London and Surrey:

  • St George's Hospital, Tooting - Major teaching hospital and Level 1 trauma centre
  • St George's University Campus - Lectures, anatomy, and simulation facilities
  • Kingston Hospital - District general hospital placements
  • Croydon University Hospital - District general hospital placements
  • Epsom and St Helier Hospitals - Additional placement sites
  • GP Practices - Community placements across South London and Surrey

How to Strengthen Your Application

Applying to medical school requires more than meeting the minimum entry requirements. Here are practical steps to strengthen your application:

For an overview of all UK medical schools and how they compare, see the UK Medical Schools hub page.

City St George's GEM FAQ

Can I apply to City St George's GEM without a science degree?

Yes, absolutely. City St George's GEM explicitly welcomes applicants from all degree disciplines. You do not need A-Level sciences or a science degree. The programme uses GAMSAT, which tests reasoning skills rather than requiring specific prior knowledge (though you will need to prepare for the biological and physical sciences component).

What GAMSAT score do I need for City St George's GEM?

City St George's requires a minimum of 50 in each GAMSAT component, plus an overall cut-off score that is recalculated each year. Competitive applicants typically score well above this, and scores are considered alongside degree classification and interview performance. Focus on scoring as highly as possible across both components.

Can international students apply to City St George's GEM?

No, the Graduate Entry Medicine programme (A101) is only open to Home fee status applicants. International students should consider the 5-year A100 programme instead.

How many places are available on City St George's GEM?

Approximately 70 places are available each year. With around 800-1,000 applications, this means competition is approximately 12:1.

Is the GEM programme more intensive than the 5-year course?

Yes, the 4-year programme covers the same content in less time, so the pace is faster. However, graduate students typically have stronger study skills and time management abilities. The programme is designed with graduate learners in mind.

Can I work while studying on the GEM programme?

The programme is full-time and intensive, so significant paid work alongside studying would be very challenging. Some students do occasional work, but you should plan financially for four years of full-time study.

How can I improve my chances of getting into City St George's GEM?

Focus on achieving a strong GAMSAT score (60+), secure a 2:1 or First in your degree, gain meaningful healthcare experience that you can reflect on thoughtfully, and prepare thoroughly for the MMI. Most applicants treat these as separate tasks, which is why the national success rate is just 16%. Future Doc's Predictable Offer Protocol coordinates every element as one interconnected system, which is why 93% of their students receive at least one offer.

Is City St George's GEM a good programme?

Yes, City St George's GEM is well-regarded. The accelerated 4-year programme provides intensive clinical training at St George's Hospital, one of London's major trauma centres. The programme benefits from the diverse perspectives that students from non-science backgrounds bring, and the clinical exposure is excellent.

Official Resources

Contact

What Detail
Admissions email admissions@sgul.ac.uk (Tooting campus admissions)
General enquiries study@sgul.ac.uk
Course page Medicine (Graduate Entry) MBBS — UCAS code A101, institution code C60

Need Help With Your City St George's Graduate Entry Medicine (GEM) Application?

Most applicants treat the medical school application as a series of separate hurdles: the UCAT, personal statement, work experience, university selection, and interviews. They try to solve each one independently. This creates a fragmented approach where the pieces never add up.

Future Doc works differently. Through the Predictable Offer Protocol, a dedicated coach who knows your complete profile coordinates every element of your application as one interconnected system. Every decision is made with the full picture in mind.

The result: 93% of our students receive at least one offer. If they don't, they come back next year for free.

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Dr. Ash - Founder of Future Doc

Dr. Ash

Founder of Future Doc and creator of the Predictable Offer Protocol. A qualified doctor and dentist who has helped thousands of students secure medical and dental school offers through Future Doc's interconnected coaching system.

Last updated: February 2026. Information verified against City St George's admissions pages and Medical Schools Council guidance.