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Medical school comparison

Exeter vs St Andrews

Exeter and St Andrews are both UK medical schools, but the path to an offer at each is meaningfully different. Exeter is based in Exeter, Devon, England, UK (England) while St Andrews sits in St Andrews (Scotland), and the regional context shapes everything from fee status to NHS-deanery destination.

On UCAT alone there is roughly a 1230-point gap between them — a substantial difference that should shape which you list as firm choice vs. insurance. Their A-Level requirements (A*AA vs AAA) place them in slightly different academic-strictness tiers. St Andrews is the older institution (founded 1413); the other (founded 2013) has shaped its medical school around modern integrated-curriculum thinking.

Side-by-side comparison

Exeter

Exeter, Devon, England, UK

Quick comparison

Location
Exeter, Devon, England, UK, UK
A-Level offer
A*AA at A-level including A in Chemistry and A in Biology
TrueScore
Exeter TrueScore 1900
UCAT home cut-off
~1880+ /2700 with A*A*A* (5th decile) OR ~2100+ /2700 with A*A*A (8th decile). Points cut-off 74+/100.
Interview format
Multiple Mini Interviews (MMI)
Post-interview chance
International (2026 policy): ~33% (10 places, ~30 interviews); UK Undergrad: 366/696 = 53%
Decision date
March onwards / mid-May

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

Exeter vs St Andrews - in detail

UCAT thresholds compared

Exeter's published UCAT threshold for home applicants is around 1880, while St Andrews sits at approximately 650.

That's a 1230-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 Exeter.

Contextual / widening-participation cut-offs differ — Exeter: ~1820+ /2700 with A*A*A* (4th decile) OR ~2010+ /2700 with A*A*A (7th decile); 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

Exeter requires A*AA at A-level including A in Chemistry and A in Biology.

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

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

GCSE profile matters at both schools — Exeter: Grade 6/B in English Language. No other GCSE requirements. 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 Exeter 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.

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

Post-interview offer rate

Exeter: International (2026 policy): ~33% (10 places, ~30 interviews); UK Undergrad: 366/696 = 53%. 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

Exeter: Focus on non-academic qualities including communication, empathy, role-play and realistic insight into the course and career. Points-based shortlisting combining A-level prediction + UCAT decile (75% academic / 25% UCAT). SJT not used - band 4 is fine.

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. For applicants with predicted A-Level grades at the lower end of the AAA-A*AA range, St Andrews is the lower-risk academic option.

Regionally, the choice often comes down to cost of living and NHS-deanery preferences — Exeter feeds into the England foundation programme network; St Andrews into the Scotland network.

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

Exeter's typical home cut-off is around 1880, while St Andrews sits at approximately 650 — a 1230-point spread. That's a meaningful gap; St Andrews is materially more accessible for an average-to-good UCAT, while Exeter expects performance closer to the top 30% 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 .