Intended for healthcare professionals

Student Careers

Is studying for an intercalated degree a wise career move?

BMJ 2001; 323 doi: https://doi.org/10.1136/sbmj.0111418 (Published 01 November 2001) Cite this as: BMJ 2001;323:0111418
  1. Wai-Ching Leung, honorary lecturer in public health medicine1
  1. 1medicine, health policy, and practice, University of East Anglia, Norwich

Wai-Ching Leung helps you to decide by discussing the evidence

Just over a third of all British medical students obtain an intercalated degree1--mostly BSc degrees, with a few medical schools offering BMedSci--for example, Nottingham, Birmingham, and Newcastle--and BA degrees--for example, Oxford and Cambridge. The proportion of students taking the intercalated degrees varies widely among medical schools. In some medical schools it is obligatory--for example, Oxford, Cambridge, Nottingham, and some London schools. In other schools, it is open only to students who performed well in the first two years--for example, Liverpool. In medical schools where it is not compulsory, students need to decide quite early on in their careers whether to take up this option. However, the advice they receive is often conflicting and confusing.2

What subjects are studied in the intercalated year? Before the 1990s most students took basic science subjects, such as physiology or pathology, although a minority chose subjects such as medical law, medical anthropology, or even subjects unrelated to medicine. With the introduction of an integrated medical curriculum, a wider range of subjects including clinical subjects such as general practice gradually became available.3 The General Medical Council identified two main purposes for the intercalated year--the development of research skills and in depth study in areas of particular interests over an extended period.4 Currently, the degree is intercalated over a discrete time period, usually after the second or third year of study. However, the GMC highlighted that it could run as a thread throughout the medical curriculum. From information gathered from United Kingdom medical school websites, I have summarised a selective range of subjects currently offered, in box 1.

Box 1: Selection of subjects currently offered

Basic sciences

  • Anatomy

  • Biochemistry

  • Physiology

  • Pathology (including histopathology, immunology)

  • Microbiology, virology, parasitology, and entomology

  • Pharmacology (possible industrial experience)

  • Neuroscience

  • Genetics

  • Cell or molecular biology

  • Psychology …

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