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Medical school comparison

Buckingham vs St Andrews

Buckingham and St Andrews are both UK medical schools, but the path to an offer at each is meaningfully different. Buckingham is based in Buckingham (England) while St Andrews sits in St Andrews (Scotland), and the regional context shapes everything from fee status to NHS-deanery destination. Their A-Level requirements (ABB vs AAA) place them in slightly different academic-strictness tiers.

St Andrews is the older institution (founded 1413); the other (founded 1976) has shaped its medical school around modern integrated-curriculum thinking.

Side-by-side comparison

Buckingham

Buckingham

Quick comparison

Location
Buckingham, UK
A-Level offer
Minimum ABB at A-level including Chemistry OR Biology - both are not required.
TrueScore
-
UCAT home cut-off
-
Interview format
Three-stage selection: academic screening, digital Multiple Mini Assessment (MMA), then an MMI/OSSE task circuit
Post-interview chance
Refused to state
Decision date
March onwards

St Andrews

St Andrews

Quick comparison

Location
St Andrews, UK
A-Level offer
AAA at A-level (offer and predicted) including Chemistry and one of Biology, Mathematics or Physics
TrueScore
St Andrews TrueScore 1850
UCAT home cut-off
No threshold published. Applicants who meet the requirements are ranked on their UCAT global score, and roughly the top 650 are invited to interview.
Interview format
Multiple Mini Interviews (MMI)
Post-interview chance
RUK Student (2025): 123/162 = 74%; Scottish + RUK: 411/505 = 81%; International (2023): 56/82 = 68%
Decision date
March onwards

Buckingham vs St Andrews - in detail

A-Level and academic profile

Buckingham requires Minimum ABB at A-level including Chemistry OR Biology - both are not required.

St Andrews requires AAA at A-level (offer and predicted) including Chemistry and one of Biology, Mathematics or Physics.

St Andrews is the stricter A-Level offer; Buckingham is slightly more forgiving. If your predicted grades are borderline, Buckingham carries the lower academic-rejection risk pre-interview.

GCSE profile matters at both schools — Buckingham: At least grade 4 in GCSE English and at least grade 4 in GCSE Mathematics (or equivalent). St Andrews: Minimum 5 GCSEs at grade 7/A in one sitting (achieved A-level applicants may be considered with fewer). GCSE grade 5 in Biology, Mathematics, and English (Language or Literature) required if not…

Interview formats

Both Buckingham and St Andrews use MMI interviews, so the underlying prep approach is the same — practise ethics frameworks, NHS hot-topic answers and (for MMI) structured station responses against a timer.

That said, the specifics differ slightly: Buckingham runs three-stage selection: academic screening, digital multiple mini assessment (mma), then an mmi/osse task circuit; St Andrews runs multiple mini interviews (mmi). Mock practice tailored to each school's exact format is the highest-leverage prep.

Interview windows: Buckingham interviews in December - March; St Andrews in December - March.

Curriculum and teaching style

Buckingham runs a Integrated curriculum; St Andrews runs a Traditional curriculum. The teaching philosophies are different — Buckingham delivers more didactic lectures with structured systems-based progression, while St Andrews uses a more traditional lecture-led structure.

Specifics: Four-and-a-half-year accelerated MB ChB (no UCAT required). Clinical placements at Milton Keynes, Stoke Mandeville and partner NHS sites. First 3 years at St Andrews leading to BSc (Hons) Medicine. Most students then transfer to a partner clinical school for years 4-6 of MBChB.

Intake size: Buckingham — ~70 home + significant international places per year (UK's only private medical school).; St Andrews — RUK ~24 places, Scottish ~150, International ~30 (3-year pre-clinical only - clinical years at partner schools).. A larger cohort means more peer breadth; a smaller cohort means more tutor contact.

Post-interview offer rate

Buckingham: Refused to state. St Andrews: RUK Student (2025): 123/162 = 74%; Scottish + RUK: 411/505 = 81%; International (2023): 56/82 = 68%.

Post-interview odds give you the clearest signal of how competitive each school is at the final stage — a school with a 60% post-interview success rate is structurally easier to convert than one at 25%, even if the interview thresholds look identical on paper.

What makes each distinctive

Buckingham: UCAT is not used - Buckingham selects with its own computer-based MMA (Multiple Mini Assessment). Private university: fees rise to £41,500/year for UK and £47,000/year for international applicants (£186,750 and £211,500 across the 4.5 years). Apply directly, outside UCAS.

St Andrews: Three-year pre-clinical course at St Andrews followed by transfer to a partner medical school for clinical years. SJT not used (was used many years ago, not now or in future). Scottish students face much lower cut-offs than RUK applicants.

Which is right for you?

For applicants with predicted A-Level grades at the lower end of the AAA-A*AA range, Buckingham is the lower-risk academic option. Regionally, the choice often comes down to cost of living and NHS-deanery preferences — Buckingham feeds into the England foundation programme network; St Andrews into the Scotland network.

If you learn best in small-group case discussion, prefer Buckingham; if you prefer lecture-led foundations, the other suits better. Your firm/insurance choice should ultimately weight: where your UCAT and predicted grades sit relative to each school's threshold, which interview format you can prepare for most credibly, and where you'd actually want to live for five or six years.

Common questions

Neither school publishes a single fixed UCAT cut-off; both use UCAT as part of a composite shortlisting score alongside GCSE and personal-statement weighting. Buckingham guidance: UCAT not used. Selection is by Buckingham's own computer-based MMA (Multiple Mini Assessment). Private university, applied to directly outside UCAS.. St Andrews guidance: No threshold published. Applicants who meet the requirements are ranked on their UCAT global score, and roughly the top 650 are invited to interview..

School data reviewed by the NextGen MedPrep editorial team — last reviewed .