School of Medicine
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Fitness to Practise 

Becoming a doctor means more than acquiring knowledge and skills.

Medical students cannot complete the undergraduate curriculum without coming into close, and sometimes intimate, contact with members of the public who may be vulnerable or distressed.

It is essential that you do nothing to diminish the trust which sick or vulnerable people and their relatives place in you.

The award of a medical degree automatically entitles the graduate to be provisionally registered by the General Medical Council and to practise under supervision as a doctor.

By awarding a medical degree, a university is therefore confirming that the graduate is fit to practise to the high standards laid down by the GMC in its guidance to the medical profession, "Good Medical Practice".

Duty of care

Universities have a duty to ensure that no member of the public is harmed as a consequence of participating in the training of their medical students.

If your conduct as a medical student falls below the high standards of honesty or behaviour that the public has a right to expect from the medical profession, the Faculty of Medicine and Health Sciences Fitness to Practise procedures will be initiated and may result in an appearance before the Fitness to Practise Committee, which has the power to expel a student from the course. 

Members of the public may raise such concerns directly with staff from the school or may access the Intervention Request Form directly.

Health note

Offers are subject to the results of hepatitis B and C, HIV, tuberculosis, two MMR vaccinations (or evidence of immunity to measles and rubella), and varicella vaccinations (or a history of having chicken pox). You will need to have an Occupational Health assessment. 

See Guide to Immunisation, Screening and Health Clearance

Students with disabilities or health problems 

You should read very carefully the following statements which describe our position - and that of all other medical schools in the UK - with regard to certain personal circumstances which could make it difficult or impossible for you to practise as a doctor. 



The following School of Medicine policies relating to fitness to practise can be found on our Policies and Regulations page.

  • Medical student contract 
  • Professional values, behaviour, health and entry into Medicine
  • Medical student dress code
  • Criminal records policy for medicine
  • Guidance on use of social media
  • Intervention request form
  • Support request form
  • Exposure Prone Procedures
  • Whistle Blowing Policy

Students with dyslexia

The central question when considering an applicant who has dyslexia is whether the condition is of sufficient severity to prevent you from practising safely as a doctor.

more about dyslexia ...

In general, the requirements for admission to medical school are so high that we are dealing with a self-selected group of people who have largely learnt to compensate for dyslexia. The approach we take is to try to explore with you the extent to which dyslexia interferes with your studies and your life in general.

In addition, we try to judge the level of insight that you have about difficulties that might be encountered with important matters such as accurate drug prescribing. The University has extensive learning support facilities. The GEM course allows a limited amount of extra time in purely academic examinations, by which we mean essays and multiple choice papers.

However, it is the view both of the British Dyslexia Association and the Medical School that absolutely no concessions should be made in the conduct of clinical examinations. The reason is obvious and it is all to do with your safety as a doctor.

The responsibility that universities with medical schools have in this regard is not only moral but legal. The 1983 Medical Act states that when a university grants a medical degree it is not only confirming that you have reached the requisite academic level but that you are also fit to practise medicine, which of course is not simply a question of academic attainment.




Students with infectious diseases

Immunising medical students against Hepatitis B and testing their response protects both you and your patients against the risk of contracting Hepatitis B in the health care setting.

more about infectious diseases ...

Accordingly, the school requires that all students receive a full course of immunisation against the Hepatitis B virus or, in the case of failure to respond to the vaccine, that you are not infectious carriers of the virus. This is carried out once you join our medical course.

The school reserves the right to re-test any or all of its medical students for any or all markers of Hepatitis B virus. Students who are chronic carriers of Hepatitis B and C may be allowed to continue on the course. However, you should be aware that there may be restrictions placed on certain aspects of your training. In addition, your career opportunities may be restricted.

The NHS and GMC guidelines for carriers of Hepatitis B and C may change in the future, and prospective students should be aware of this uncertainty.

Additional checks are carried out on entry for HIV, Tuberculosis, Rubella and Chicken Pox and our offers are subject to satisfactory screening.




Students with emotional, physical or behavioural difficulties

We ask you to inform us if you have been treated for mental illness, if you have been diagnosed as having a personality disorder or if you have deliberately harmed yourself. We also ask you to tell us if you are addicted to drugs, including alcohol.

Should any of your colleagues, teachers or you yourself have concerns about your emotional and physical well-being whilst on the course, this can be highlighted using the Support Request Form which will generate a process to offer you help and guidance. 


Criminal offences and related matters

All new medical students are required to have a criminal record check carried out prior to the commencement of their course.

more about criminal offences ...

Consequently, you must advise us if you have received any convictions, cautions, warnings or reprimands irrespective of the reasons. Failure to disclose this information is looked on very severely by the School of Medicine. You must also tell us if you have been the subject of a Child Protection investigation.

Failure to disclose information which directly relates to your fitness to practise will result in the termination of your medical course.

If you are worried about your eligibility for the course because of previous or current convictions you are strongly advised to contact the Academic Lead for Admissions or the Admissions Officer in writing before you apply. We treat all information in strict confidence.

Part of the application process requires us to use the Disclosure and Barring Service (DBS) to assess the suitability of applicants. DBS forms will be checked immediately following your interview and will only be processed for those offered a conditional place. All information will be handled and disposed of securely in line with legislation.

It can take up to eight weeks to process the police checks.  For more information please visit the Disclosure & Barring Service (DBS) website.






School of Medicine

University of Nottingham
Medical School
Nottingham, NG7 2UH

Contacts: Please see our 'contact us' page for further details