The Cardiff Medicine course
What you actually study, and where you will be
Cardiff's MBBCh is a 5-year course taught through team-based learning and case-based learning in a spiral curriculum, with patient contact from Year 1 and placements in Wales (2027 entry). Cardiff's C21 is a spiral, non-modular course taught through team-based work on patient cases. Placements run across the whole of Wales, and the main clinical exam comes in Year 4, leaving Year 5 for working in clinical teams.
- Degree
- MBBCh
- Length
- 5 years
- Teaching
- Team-based learning + Case-based learning + Spiral
- Clinical contact
- Year 1
- UCAS code
- A100

Photo: Jeremy Segrott (from Cardiff, Wales, UK) / Wikimedia Commons · CC BY 2.0 · cropped
Photo: Colin Smith · CC BY-SA 2.0 · Photo: Martin Speck · CC BY-SA 2.0 · Photo: Athena's Pix (Back, but give me time!) profile at Flickr website · CC BY 2.0
The Cardiff medicine course at a glance (2027 entry)
Cardiff's medical degree is the MBBCh, short for Bachelor of Medicine, Bachelor of Surgery. It runs for five years full time under UCAS code A100, with around 300 places in Year 1. Staff and students call it C21, after the project that redesigned it. It is recognised by the General Medical Council (GMC), the UK regulator for doctors. Graduates can apply to register and start the Foundation Programme, the two-year paid training most new UK doctors begin with.
Your base is the Heath Park campus, on the site of the University Hospital of Wales in Cardiff. In Year 1 teaching is split between the Cochrane building there and the School of Biosciences, and you study anatomy at the Anatomy Centre on Cathays Campus.
The five years fall into three phases. Phase 1 (Years 1 and 2) covers core science and clinical practice. Phase 2 (Years 3 and 4) is built around extended placements in hospitals and GP (family doctor) practices across Wales. Phase 3, the final year, is called the Harmonisation year and is spent mostly as part of clinical teams.
The course is spiral and non-modular. Instead of finishing a topic and moving on, you meet the same common clinical problems again each year, in more depth and closer to real patients. You learn through patient cases worked on in teams, meet patients from Year 1, and by Year 3 spend more time with patients than on campus.
| Degree | MBBCh, known at Cardiff as C21 |
|---|---|
| Course length | Five years full time |
| UCAS code | A100 |
| Year 1 places | Around 300, including about 25 for overseas students |
| Main base | Heath Park campus, at the University Hospital of Wales |
| Teaching style | Case-centred team-based learning, about one patient case a fortnight |
| Anatomy | Dissection, prosection and body painting at the Cathays Campus Anatomy Centre |
| First patient contact | Year 1, a day most weeks in south east Wales |
| Placements | Hospitals and over 230 GP practices across Wales |
| Intercalation | Optional extra year after Year 3 or Year 4 |
What makes Cardiff medicine different
All of Wales as the placement map
From Year 3 you work through placement blocks of seven or eight weeks around Wales, each starting and ending with a week of university-led teaching. Settings range from rural GP practices and small community hospitals, known as cottage hospitals, to city emergency departments.
Clinical finals in Year 4, then a working final year
Your Year 4 clinical exam also counts as the clinical half of the national licensing exam, which frees Year 5 for working in clinical teams. The year ends with a seven-week assistantship in which you manage patients under the supervision of a hospital team.
Team-based learning built around patient cases
For 2027 entry, Years 1 and 2 are taught mainly through case-centred team-based learning (cTBL). Your team works through a new patient case roughly every fortnight, and lectures, anatomy, skills and placement time all link to it. It develops the case-based learning Cardiff used for over a decade.
A new year-long GP placement option
From September 2026 you can choose to spend Year 3 on the Community Clinical Placement Year (CCPY) in Monmouthshire. Instead of rotating through placement blocks, you spend the whole year attached to one general practice, working there two days a week. Every fortnight you also join a community service, such as prison medicine or agricultural health. The learning outcomes are the same as the standard Year 3.
Up to 73% of the course in Welsh
Cardiff offers much of the course in Welsh, for fluent speakers and learners alike. If you complete a third of the course in Welsh, you can apply for a grant from the Coleg Cymraeg Cenedlaethol. This body has a branch in every Welsh university and supports students who study in Welsh.
How Cardiff teaches medicine
In Years 1 and 2 the main teaching method is case-centred team-based learning, shortened to cTBL. You work through a series of patient cases, each lasting about two weeks. You learn in a small team that sits inside a larger group, with trained academic facilitators checking you are on track. In Year 2 the teams widen to include more of your year group.
Around the cases sit lectures, seminars, practical classes such as dissection, lab sessions and clinical skills teaching. Science is taught in partnership with the School of Biosciences. Some sessions are shared with students on other health courses, including pharmacy, optometry and speech and language therapy, so you see how the wider healthcare team works.
From Year 3 the balance changes. You spend most of your time in outpatient clinics, on wards and in general practice, taught by hospital doctors, GPs and clinical skills tutors. Time back in Cardiff is used to revisit the science, with more focus on how disease develops, how it is diagnosed and how it is treated.
Self-directed learning, meaning study you plan and do yourself, runs through the whole course and grows each year. By Year 5 most learning happens on the job, supported by simulation sessions and small-group work on clinical thinking and decision-making.
If you speak Welsh or want to learn, you can work with Welsh-speaking and Welsh-language tutors, and with Welsh-speaking supervisors on some placements where possible. You can sit some exams and written assessments in Welsh, and where possible do group assessments with other Welsh-speaking students. Some student residences are set aside for Welsh speakers and learners.
The ways you will learn
| Case-centred team-based learning | Besides the science, the team sessions build research, teamwork, communication and critical appraisal skills, meaning judging how far a piece of evidence can be trusted. |
|---|---|
| Communication skills workshops | Throughout the course you practise consultations with actors trained to behave as patients and with real patient volunteers. You get feedback and are sometimes filmed so you can review your own performance. The scenarios get harder over time, up to skills such as breaking bad news. |
| Clinical skills and simulation | You learn physical examinations and practical procedures in the Clinical Skills Centre. In the Simulation Centre you then practise what a junior doctor does for an acutely unwell patient: checking vital signs, deciding what to do and carrying it out. |
| Immersive and virtual learning | A 360-degree projection room at the University Hospital of Wales lets small groups explore parts of the body in detail or rehearse techniques in simulated settings. Virtual reality is used for basic science, anatomy and physiology. Online resources include a virtual laboratory you can walk through and an online virtual hospital called the Wales Virtual Hospital. |
A typical week on the Cardiff course
In Years 1 and 2 your week is shaped by the case your team is working on, which usually runs for about a fortnight. Cardiff's own example is an athlete with a knee injury. Lectures cover inflammation and anti-inflammatory medicines, and in the Anatomy Centre you explore the knee joint and its muscles through dissection and other methods.
In clinical skills sessions you learn how to examine a knee, and on placement you may sit in a clinic that deals with sports injuries. In Year 1 most weeks also include a patient-contact day, described below. Team sessions, lectures, skills teaching and your own study fill the rest of the timetable.
How anatomy is taught at Cardiff
You study anatomy at the Anatomy Centre on Cathays Campus, in small groups led by clinical anatomists, academics and clinical demonstrators from the School of Biosciences. The basics come in the 12-week introduction at the start of Year 1, and after that anatomy follows the case or body system your team is working on.
Several methods are used side by side. In dissection you carefully cut through a donated body yourself to expose its structures. In prosection you study body parts that experts have already dissected. Body painting means drawing structures onto the skin of a living person, such as a classmate, to learn where organs and muscles sit. E-learning and video tutorials support all of these.
Virtual reality and the immersive projection room described above are also used for anatomy. Anatomy exams are part of the assessment programme.
When you first meet patients at Cardiff
You meet patients in your first year. On most weeks of Year 1 you spend a day in local hospitals, GP practices or other community services around south east Wales. The patients you meet have conditions that match your current case, and you also meet the NHS staff who care for them.
In Year 2 the Community Clinical Learning programme continues this, with a set task for each placement. You build a portfolio of what you have seen, linking real people to your cases and to wider goals such as professional behaviour and how health services are run.
Years 3 and 4 are mostly clinical. You follow patients along their care pathway, from the community into hospital and back out again. On placement you talk to and examine patients, record what you find and practise skills first learned in simulation. You present cases to senior staff and join weekly case discussions with the multidisciplinary team, meaning all the professions involved in a patient's care.
Year by year at Cardiff
- Year 1
Foundations, then the first cases
The year opens with a 12-week introduction to the core knowledge, skills and behaviour expected of a doctor. The rest of the year is built on clinical cases that link basic science to common conditions, starting with normal structure and function and moving on to disease.
- The introduction covers the basics of anatomy, biochemistry, physiology, cell and molecular biology, immunology, microbiology and pathology.
- Early training in communication, clinical skills and the professional behaviour expected of a doctor from day one.
- Cases on conditions such as musculoskeletal (bone, joint and muscle) injuries, heart disease, diabetes and gastrointestinal problems, where you learn to reason from first principles.
- Written tests in single best answer (SBA) format, where you pick the best of several options, sat on the national exam platform from Year 1.
- Year 2
Community learning, projects and a practical exam
Cases and team learning continue, with larger teams. Community placements carry set tasks, and the Year 2 programme of Student Selected Components (SSCs), projects you choose, has four parts.
- A simulated road traffic collision, where you work with emergency service staff to manage a major incident with several casualties.
- Two SSC experience projects, with options beyond traditional medicine such as social work, complementary medicine and the professions allied to medicine.
- An SSC journalistic article: you search the research literature, weigh the evidence and write it up for a general reader.
- The Year 2 and Year 5 C21 Conference, where small groups present posters on their first project, judged by Year 5 students, alongside keynote talks on coping at medical school and medical ethics.
- Your first progress tests. Students in Years 2 to 5 sit the same broad SBA paper, so you can track your growth from year to year.
- A practical exam, the Integrated Structured Clinical Examination (ISCE). This is Cardiff's version of the Objective Structured Clinical Examination (OSCE), where you rotate round timed stations. In 2022-23 you had to pass it to move into Phase 2.
- Year 3
Following patients through the system
Year 3 teaches clinical method and diagnostic reasoning, tied back to the underlying science. Most of your time is spent on placement in Welsh hospitals and primary care (GP and community services), learning by following patients through the health service. Each placement block starts and ends with a week of university teaching.
- Clinical placement blocks: Oncology and Surgical Practice; Hospital Front Door, named after the point where patients first come into hospital; and Chronic Disease 1. The course page's list of Year 3 placements also includes Clinical Science, Clinical Practice.
- Chronic Disease 1 includes dedicated time in a general practice.
- Applied Clinical Sciences, a science strand taught in Cardiff throughout the year.
- The Oncology Project, where you are paired with a patient living with cancer and follow them through their investigations and treatment.
- A year-long SSC on a subject of your choice.
- The aim is to become able to assess patients, form a differential diagnosis (the list of conditions that could explain the symptoms) and explain investigations and treatment.
- Year 4
Specialist placements and clinical finals
Year 4 follows the same pattern as Year 3 but with more specialist cases, again with bookend weeks of university teaching and an SSC. It includes the clinical exam that forms one half of the Medical Licensing Assessment (MLA), the national exam every UK medical student must pass to practise.
- Women, Children and Family: time with obstetricians (doctors for pregnancy and birth) and paediatricians (children's doctors) across Wales, in community and hospital settings. Some students take this placement at a partner European medical school through the European Exchange Scheme.
- Clinical Neuroscience, Psychiatry and Ophthalmology: an eight-week attachment, with ophthalmology (eye medicine) taught as a dedicated week in Cardiff.
- Chronic Disease 2: geriatrics (care of older people), musculoskeletal disease and dermatology (skin conditions).
- The Year 4 ISCE, which counts as your Clinical and Professional Skills Assessment (CPSA), the practical half of the MLA.
- The chance to apply for final-year elective places at Cardiff's partner institutions.
- Year 5
Harmonisation: working inside the team
Cardiff calls the final year the Harmonisation Programme, because it blends what you already know with what the Foundation Programme will ask of you. Learning is mainly in the workplace, with your responsibility for patients growing through the year.
- Two eight-week placements early in the year, one in hospital and one in general practice, contributing to patient care under supervision.
- An eight-week elective almost anywhere in the world.
- Cardiff-based blocks called Preparing for Practice, and Science and Practice, covering teamwork, leadership, service improvement, research skills and life as a Foundation doctor.
- The Applied Knowledge Test (AKT), the written half of the MLA, and the Prescribing Safety Assessment, a national test of safe prescribing.
- A closing seven-week Senior Student Assistantship, where you manage patients directly under the supervision of a hospital team.
- If your first foundation job is in Wales, the assistantship is in that hospital, shadowing (working alongside) the foundation doctor whose job you will take over. If not, it is in Wales, and you may be able to spend a week at your foundation hospital with approval.
How you are assessed at Cardiff
You are assessed in many ways: anatomy exams, progress tests, short answer papers, coursework, placement feedback, practical clinical exams and end-of-unit quizzes. Formative assessments are practice that shows you how you are doing, while summative ones must be passed to progress. Written reports and oral presentations must reach a satisfactory standard too. On placement, supervisors also assess you through observed encounters and a practical skills log, and a professionalism panel monitors your conduct throughout.
From Year 2 to Year 5 you sit progress tests of 125 SBA questions, written to mirror the format of the Applied Knowledge Test described below. Every assessment except the progress tests in Years 2 to 4 allows up to three attempts in total, with no more than two in one academic year.
The student booklet for 2022-23 described the Year 2 ISCE as six 15-minute stations. Each station combined several tasks: talking to or examining a real or simulated patient, a practical procedure, interpreting simple data such as X-rays or ECGs (heart tracings), and questions on diagnosis. A formative ISCE came first, and an online virtual ISCE let you rehearse.
Since the 2024-25 academic year, a UK medical degree must include a pass in the Medical Licensing Assessment to count as a primary medical qualification, the degree that lets you register as a doctor. The clinical half is your Year 4 ISCE, which the GMC approved as the CPSA in November 2023. The written half, the Applied Knowledge Test (AKT), takes the place of one of your Year 5 progress tests.
The CPSA has eight 15-minute stations with four minutes of reading time, sat in one session. You must pass at least six, at the standard of a new Foundation Year 1 (F1) doctor. Simulated patients include actors with intellectual disabilities and, for child health stations, local GCSE drama students trained in role play. Resits use the same format with different stations.
For the AKT, Cardiff uses the Medical Schools Council's shared version, which the GMC approved for Cardiff in June 2024. You sit it in late January or early February of Year 5, with a first resit in May. It has two computer-based papers of 100 SBA questions, each two hours long, on consecutive days. The Prescribing Safety Assessment, also in Year 5, must be passed to graduate.
Where you will actually be at Cardiff
Clinical placements are run by the NHS health boards across Wales, in hospitals, community medical centres and more than 230 general practices. In Years 1 and 2 they are in south east Wales. In Years 3 and 4 you go further afield on blocks of seven or eight weeks, each starting and ending with a week of university-led teaching at Heath Park or University Hospital Llandough. The final-year placements are the Junior Student Assistantship, the Primary Care Attachment and the Senior Student Assistantship.
Cardiff describes the range as running from inner-city deprivation to farm-related illness. You may work in holiday resorts, quiet country communities and post-industrial towns, as well as in large urban teaching hospitals. Some blocks mean living away from home for a while.
You pay for your own transport to some local placements, and the university provides accommodation for placements further away from south Wales. You also need your own stethoscope and Cardiff University branded scrubs, the loose uniform worn in clinical areas, for all five years.
The CCPY, which you apply for in Year 2, is a longitudinal integrated clerkship: instead of rotating through blocks, you stay with the same patients, supervisors and team all year. Your weeks mix two days in general practice with a fortnightly community clinic, teaching sessions, self-study and SSC project work. It is run with Monmouthshire County Council, local practices and community organisations. It builds on CARER (the Community and Rural Education Route), a year-long GP clerkship Cardiff ran from 2018 to summer 2026.
The school's base, where Year 1 teaching and some of the bookend weeks around Year 3 and 4 placement blocks take place.
- University Hospital of Wales
- Cochrane Medical Education Centre
The other venue for the university-led bookend weeks around Year 3 and 4 placement blocks.
- University Hospital Llandough
A teaching and research base for medical students, built with the local health board and focused on community medicine and direct patient contact. Between 60 and 90 medical students use it each week.
- Keir Hardie Health Park Academic Centre
Year 1 and 2 patient-contact days, in local hospitals, general practices and community services.
Base for the optional CCPY in Year 3. Community clinic options include children's social services, reablement teams that help people regain independence, prison medicine, environmental health and agricultural health.
Years 3 to 5 placements at hospitals and general practices run by the health boards.
Some Year 4 students take the Women, Children and Family placement abroad through the European Exchange Scheme.
Electives and chosen modules at Cardiff
Student Selected Components run in every year of the course. You can pick a project proposed by a tutor or design your own, choosing the specialty, the location and the tutor. Projects can take place anywhere in Wales and range from clinical research and basic science to the links between the arts and health.
Almost any activity with a medical element can count. Cardiff mentions students who have worked with organisations for homeless people to see how common illnesses are managed, spent time at military bases, or built e-learning modules for students elsewhere.
The elective is the final SSC, an eight-week placement in Year 5 that can be almost anywhere in the world. You choose the country, the institution, the specialty and the tutor. Cardiff has links with universities in Europe and Asia, and you can apply for places at partner institutions in Year 4, which leaves time to plan.
You pay for your own elective. The school has staff who help you organise it and can point you towards bursaries. Costs vary widely, because you could spend the elective in Cardiff or on another continent.
Intercalation at Cardiff
Intercalating means pausing your medical degree for a year to take a separate degree in a related subject, then returning to the MBBCh. At Cardiff it is optional and happens after Year 3 or Year 4. About 100 Cardiff medical students can intercalate each year, graduating with a BSc or MSc as well as the MBBCh.
Current options at Cardiff include BScs in Emergency, Pre-hospital and Immediate Care (EPIC), Psychology and Medicine, Pharmacology, Biochemistry and Biomedical Sciences. MSc options include Applied and Experimental Clinical Immunology, Applied Bioinformatics, Medical Education, Neuroscience, and Tissue Engineering and Regenerative Medicine. The list has changed from one year's course page to the next, and the school will also help you arrange a place at another university.
The EPIC BSc shows what a year can involve. Modules cover pre-hospital and sports emergencies, emergency diagnostics, resuscitation science, trauma science and paediatric emergency medicine, plus a research project. Placements are in emergency departments across Wales, with weekly time out with the Welsh Ambulance Service in an ambulance or rapid response vehicle.
Facilities and support at Cardiff
Where you will learn
The Cochrane Medical Education Centre at Heath Park is the home of medical education. It houses the Clinical Skills Centre, the Simulation Centre, a library, seminar rooms and student support services, and it is shared with students on other healthcare courses. Heath Park also has a common room and a students' union hub and cafe, nicknamed the IV Lounge.
The Clinical Skills Centre is where you learn physical examination and the practical procedures that the GMC requires every new doctor to perform safely. The GMC's current list, published in 2019, has 23 of them. Rooms with audiovisual equipment are used for everything from communication skills to basic life support. After timetabled sessions you can keep practising in a self-directed learning area.
The Simulation Centre has four teaching rooms and four simulation rooms. The simulation rooms hold adult patient manikins in a space set up like a real clinical area, and cameras let classmates watch your scenario live and let you replay it afterwards.
For whole-year teaching, the school's large lecture theatres can hold more than 400 students at a time.
Support while you study
You are given a personal tutor who meets you regularly and is your first contact for academic worries, and who can also advise on personal and wellbeing issues. Cardiff recommends meeting at least once a semester. You also keep a personal development plan, a record where you reflect on your abilities and progress.
My MEDIC is a confidential support service just for School of Medicine students. It helps with things like exam anxiety, study skills, stress, low mood, motivation and problems at home or in relationships. You can refer yourself through an online form, or a tutor or year director can refer you with your consent.
On placement, support staff are based at each district hospital in Wales. At each hospital an Honorary Senior Lecturer, a senior clinician, is responsible for teaching quality, and undergraduate managers handle day-to-day organisation. You also have a named educational supervisor.
After exams you get your marks alongside the cohort's results, and clinical exams add station marks, feedback by skill area and examiner comments. If you fail, you can meet staff for feedback and use remediation group sessions, podcasts and an online tool. The GMC's 2024 report also describes a near-peer scheme pairing Year 3 students with Year 5 mentors.
Is the Cardiff course right for you?
This course may suit you if
- You like learning in a team around a patient case, with the science, anatomy and skills for that case taught alongside it.
- You want to meet patients from Year 1 and spend most of Years 3 and 4 on placement rather than on campus.
- You would enjoy moving around Wales and seeing medicine in rural practices, seaside towns and post-industrial communities as well as city hospitals.
- You would rather sit your main clinical exam in Year 4, accepting that it makes Year 4 a heavy year, and spend the final year working inside clinical teams.
- You speak Welsh, or want to use Welsh in your medical career, since much of the course can be taken in Welsh.
Things to think about
- Placement blocks can take you away from Cardiff for several weeks at a time, and you pay for travel to some local placements.
- The course is non-modular, so your choices come through SSCs, the elective and intercalation rather than optional modules.
- The CCPY only started in Monmouthshire in September 2026, so it has little track record there yet.
- The course content shown for 2027 entry is an example and is under review, with the final version due by September 2027.
Cardiff medicine course — frequently asked questions
Applying to Cardiff?
How to get into Cardiff
Entry requirements, UCAT, personal statement and interview, step by step.
Open the guide →Cardiff UCAT cut-offs and offers
UCAT cut-offs, A-level offers, interview format and decision dates.
See the requirements →Compare Cardiff with other schools
Put the teaching style, anatomy teaching and placements next to another school.
Open the comparison →Prepare for the Cardiff interview
Format breakdown, school-specific sample questions and prep tips from tutors who interviewed here.
Read the guide →Where this Cardiff course guide came from
This guide was written from 21 official sources — Cardiff University's own course pages and programme documents, plus the regulator and NHS placement partners where they publish detail — read on 2026-09-23, then checked claim by claim against those sources.
- Medicine (MBBCh), 2027 entry course page, Cardiff University
- Medicine (MBBCh), 2026 entry course page, Cardiff University
- School of Medicine undergraduate degree programmes brochure, 2027 entry
- C21 medical programme, School of Medicine
- A flexible curriculum, School of Medicine
- Being a medical student at Cardiff University, School of Medicine
- Community Clinical Placement Year (CCPY), School of Medicine
- Elective, School of Medicine
- Intercalate, School of Medicine
- Facilities, School of Medicine
- Innovation and technology, School of Medicine
- Support and wellbeing, School of Medicine
- Welsh language opportunities, School of Medicine
- Admissions information for studying Medicine at Cardiff
- Year 2 ISCE booklet for students, 2022-23
- GMC Medical Licensing Assessment CPSA compliance decision, Cardiff University, November 2023
- GMC Medical Licensing Assessment AKT compliance decision, Cardiff University, June 2024
- Prescribing Safety Assessment, UK Foundation Programme
- Bachelor's degrees, types of degree, Cardiff University
- Cardiff University Branch, Coleg Cymraeg Cenedlaethol
- Outcomes for graduates: Practical skills and procedures, General Medical Council, April 2019
Courses are restructured between cycles. Anything here that decides your application — an anatomy offer, a placement city, a compulsory intercalated year — should be confirmed against the official page for your entry year.
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