ST3 is three parallel workstreams running simultaneously. The trainees who succeed plan the sequencing. The trainees who struggle let everything collide in the final months.
SCA Workstream
6 months out: knowledge consolidation — iatroX adaptive quiz, CKS deep-dives. 3 months out: case exposure — SCA Revision or SCA Prep. 2 months out: simulation ramp-up — MedTutor AI, Clinitalk, peer practice. Final month: intensive daily practice. SCA is typically sat in the second half of ST3.
AKT Workstream (If Outstanding)
Sit at the earliest opportunity in ST3 to clear the way for SCA focus. Passmedicine or Pastest as primary Q-bank. iatroX for daily adaptive drilling.
Portfolio Workstream
Increase clinical case review rate — aim for 3+ per week in ST3 to ensure comprehensive capability coverage. Complete all OOH sessions. Update PDP. Schedule remaining WPBAs (COTs, CBDs) proactively. Complete MSF and PSQ. Final ESR must reference ST3-year evidence specifically.
Administrative Workstream
Performers list — start PCSE application approximately 3 months before expected CCT. Form R — complete and submit by deanery deadline. CCT application — submitted via FourteenFish after final ARCP satisfactory outcome.
Weekly Management
A weekly 15-minute check-in with yourself: where am I on each workstream? What is the next action for each? What is at risk? This simple habit prevents the end-of-ST3 panic that derails trainees who do not track progress.
Common ST3 Disasters
Late OOH completion. Missing safeguarding evidence. ESR not submitted by deadline. Performers list application delayed. All preventable with advance planning.
Where iatroX Fits
iatroX spans all three clinical demands — adaptive quiz for AKT/SCA knowledge, guideline Q&A for clinical practice, and CPD documentation for portfolio evidence.