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Medical school comparison

Edinburgh vs St Andrews

Edinburgh and St Andrews are both UK medical schools, but the path to an offer at each is meaningfully different. Both sit in Scotland, so location and clinical-placement breadth are similar — the differentiation comes from selection methodology, interview style and curriculum philosophy.

On UCAT alone there is roughly a 1200-point gap between them — a substantial difference that should shape which you list as firm choice vs. insurance. The interview formats diverge — Assessment day vs MMI — and the prep approaches for the two are fundamentally different.

St Andrews is the older institution (founded 1413); the other (founded 1583) has shaped its medical school around modern integrated-curriculum thinking.

Side-by-side comparison

Edinburgh

Edinburgh

Quick comparison

Location
Edinburgh, UK
A-Level offer
AAA at A-level (theoretically minimum, but A*A*A* predictions ideal for RUK/English applicants to maximise post-interview chances) including Chemistry plus one of Biology, Mathematics or Physics
TrueScore
Edinburgh TrueScore 1850
UCAT home cut-off
1850+ /2700 - a hard floor for 2027 entry. Edinburgh states that an applicant scoring below the cut-off will not be considered at all.
Interview format
Half-day assessment day, held at Edinburgh Medical School or online (Edinburgh describes it as 'not a typical MMI format')
Post-interview chance
Around 800 applicants reach the assessment day each cycle, competing for an intake in the low hundreds across the Scottish, RUK and international pools, so a substantial share of interviewees are unsuccessful. Edinburgh publishes per-cycle admissions statistics with the current breakdown.
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

Edinburgh vs St Andrews - in detail

UCAT thresholds compared

Edinburgh's published UCAT threshold for home applicants is around 1850, while St Andrews sits at approximately 650.

That's a 1200-point gap — large enough to put the two schools in completely different competitiveness tiers. An applicant scoring in the 1100-1500 band would be competitive at St Andrews but borderline at Edinburgh.

Contextual / widening-participation cut-offs differ — Edinburgh: Plus Flag applicants are exempt from the cut-off entirely and are considered with any UCAT total, and they receive a 10% uplift on their UCAT score.; St Andrews: Widening-access applicants receive a 10% uplift on their UCAT score.. Eligible applicants should weight this heavily when choosing.

A-Level and academic profile

Edinburgh requires AAA at A-level (theoretically minimum, but A*A*A* predictions ideal for RUK/English applicants to maximise post-interview chances) including Chemistry plus one of Biology, Mathematics or Physics.

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

Both demand the same A-Level grade band, so academic prediction is unlikely to differentiate your application between them — provided you meet the required subject combination at each.

GCSE profile matters at both schools — Edinburgh: Minimum grade 7/A in Chemistry, Biology, Mathematics and English. Edinburgh then scores your best 8 GCSEs as part of the academic component, applying proportional scoring where school policy meant… 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

Edinburgh uses Assessment day (Half-day assessment day, held at Edinburgh Medical School or online (Edinburgh describes it as 'not a typical MMI format')); St Andrews uses MMI (Multiple Mini Interviews (MMI)). These two formats reward different skills — Assessment day emphasises academic reasoning and thinking aloud through unfamiliar problems, while MMI rewards breadth and quick recovery.

If your strengths lie in conversational depth, either may suit you more. If you prefer discrete capsule answers under time pressure, St Andrews is the better fit.

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

Curriculum and teaching style

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

Specifics: Six-year MBChB — the only six-year MBChB in Scotland — with a compulsory intercalated honours year in Year 3 (one of the largest intercalated cohorts 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: Edinburgh — ~210 Scottish + RUK + ~22 international places per year.; 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

Edinburgh: Around 800 applicants reach the assessment day each cycle, competing for an intake in the low hundreds across the Scottish, RUK and international pools, so a substantial share of interviewees are unsuccessful. Edinburgh publishes per-cycle admissions statistics with the current breakdown.

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

Edinburgh: Shortlisting is dominated by the academic score: the UCAT total contributes 17.5% and the SJT band 7.5%, with the academic assessment carrying the rest. Every application is read independently by two admissions staff, and only your FIRST attempt at a required subject counts - retaking it in a different qualification does not help.

An SJT of Band 4 ends the application outright, with no widening-access exemption. Strong research focus and international reputation.

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?

If your UCAT lands below the UK median (~1880/2700), St Andrews is the more realistic firm-choice option. Both schools sit in the same Scotland foundation-programme catchment, so post-graduation training paths overlap heavily. If you learn best in small-group case discussion, prefer Edinburgh; 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

Edinburgh's typical home cut-off is around 1850, while St Andrews sits at approximately 650 — a 1200-point spread. That's a meaningful gap; St Andrews is materially more accessible for an average-to-good UCAT, while Edinburgh expects performance closer to the top 31% of test-takers. Cut-offs change year on year and vary by tier — check each school's latest published threshold before submitting your UCAS form.

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