Alternative routes into medical school (6 ways)

For those in the UK who want to pursue a career in medicine but may not follow the traditional pathway, there are several alternate routes into the profession:

1. Foundation Year or ‘Access to Medicine’ Courses

At some universities, students can choose between Medicine with a preliminary foundation year (1-year standalone course in basic science) or Medicine with an access or gateway year (1-year course for highly academically able students that have had barriers to their learning due to situations where they have come from.

They provide essential science training and allow students to progress to a full medical degree upon completion.

2. Graduate Entry Medicine (GEM)

Graduate Entry Medicine (GEM) is designed for individuals who have already completed an undergraduate degree. GEM programmes typically take four years and are faster-paced.

While a science background may be preferred, many programmes accept graduates from a range of disciplines. You will usually need to achieve at least a 2:1 at undergraduate level.

3. Medical Apprenticeships

Medical apprenticeships are a relatively new route into the profession. These apprenticeships blend practical training with academic study, allowing students to earn while they learn. This route is a formal, funded pathway to medicine.

These courses started around the UK in 2024. They are a good way of being paid as you learn, and not building up £10,000-£100,000s of debt.

4. Military Medicine Programmes

Joining the armed forces as a medical officer trainee provides an alternate route into medicine, with the military often covering training costs.

This path involves a commitment to serve in the services (for at least 4 years) post qualification; but can be a unique opportunity for those interested in military and trauma medicine.

5. Training abroad in English speaking medical schools 

Some students choose to study medicine in countries like Ireland, the Czech Republic, Georgia or Poland – where entry requirements may be more flexible. After graduation, doctors can complete the necessary exams to practice in the UK.

These countries have courses specifically designed for UK students.

6. Training in the European Union (EU)

Post Brexit this is a good option, especially if you have dual nationality. Training in an EU country may be cheaper, and you can end up working in a leading national health system (i.e. better than the NHS).

The Netherlands is a good example, and most Dutch people speak excellent English. Do you have an Irish (or other European) grandparent? If so, why not start applying for a passport now.

Other resources

How to get into medical school (7 ways)
History of medical school training in the UK
Alphabetical list of medical schools in the UK