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Unsuccessful applications

If you are an international applicant and your application is unsuccessful, you may be able to appeal the decision. 

Find out about appeals


EMR applications

If you applied through EMR, your choices are different. If you're a national of a relevant European state, or have acquired the rights of that state (for example through marriage), and are entitled to practice in that state, you will be required to complete a period of adaptation or an aptitude test to rectify shortfalls in your knowledge or experience.


Period of adaptation (POA)

These are required if, having looked at your application, we feel that there are significant areas of your skills, knowledge and experience that do not meet our standards. They are periods of supervised practice and/or academic training intended to make up for the shortfalls.

More about periods of adaptation


Appealing a POA decision

You may appeal the POA outcome of your application, but you must do so within 28 days from the date of the decision letter.

More about POA appeals


Aptitude tests

If you disagree with the requirement of completing a POA, you can request an aptitude test instead. This is a test of your knowledge relating to the shortfalls identified in your application, and it can take different forms depending on the nature of the shortfalls. The form is described in your Record of Assessment.

To take the test you'll need to contact our Registration team within three months from the date of the decision letter. Tests are free of charge and usually take place in our London offices.

More about aptitude tests


Need help?

If you still have a question about international applications, please contact our Registration team:


Phone (Monday to Friday, 9am-5pm)

UK calls

Tel: 0300 500 4472

International calls

Tel: +44 (0)20 7582 5460

Page updated on: 29/10/2018