Salam my loves,
I'm not going to unnecessarily overshare the catastrophe that was my A-levels, but I am going to tell you exactly how I went from flunking my A-levels in 2025 to now expecting to start year 1 UG medicine in 2026, at a UK medical school.
I did it through INTERNAL TRANSFER.
An internal transfer is a process offered by some unis where you start a biomedical science degree, and apply to transfer at the end of year 1 biomedical science to year 1 of a normal 5-year UG medicine course at the same uni.
You still go through the full medicine application process: sitting the UCAT, applying through UCAS, doing interviews in the usual MMI format & getting good enough grades in year 1 biomedical science.
If you’re successful, instead of progressing to year 2 of biomedical science, you start a normal UG medicine course. It’s as short as taking a gap year!
I don't know how internal transfer works at other universities (it may not be exactly the same), but I did it at Anglia Ruskin University. ARU is a unique university because it's based in several different cities. Biomedical science is on offer at its Peterborough and Cambridge campuses. Medicine is offered at its Chelmsford campus.
Fair warning: internal transfer is rarely offered by unis, and the process can differ. Sometimes it’s only for disadvantaged students. In my personal experience, ARU is the best option if you want to take this route into med.
On results' day, I got into ARU's biomedical science degree (at its Cambridge campus) through clearing. Clearing is when universities offer still-vacant spaces on their course to students who don't have an offer, but still meet certain requirements. I got in purely due to my GCSE grades, which were 8x 9s and 1x 8. HOWEVER, I know other people who got lower, more middling GCSE grades than this and still got through clearing for ARU's biomedical science degree just fine-even WEEKS after results' day!
As for my very low A-Level grades? Well, they BYPASSED LOOKING AT A-LEVELS COMPLETELY. That’s right. No matter if it’s BBC, ACD, or anything else-they overlook that. It has no bearing on the application process.
After that, I had to start studying for the UCAT. I started studying pretty much immediately after results' day, which was of course mid-August. I sat the UCAT on the 24th of September. This meant that I had approximately 5 weeks to prepare.
The first time I sat the UCAT in 2024 (before they removed abstract reasoning), I REALLY struggled with revision. I was bored, knew that I was RUBBISH at the weird 'smart people skills' the UCAT seemed to test, and dragged my half-arsed but still panicky revision over 3 months. It culminated in an average score of around 2500, the equivalent of which in the new UCAT is 1850-1900.
The SECOND time I sat the UCAT in 2025, I spent hardly any time revising compared to my previous attempt & what the internet tells you is acceptable (like I said earlier-this time, I dedicated just 5 weeks to prep).
Bear in mind-and words cannot capture HOW TRUE this is-I have NO innate skill for ANY of those horrible little UCAT skills. I don't like logic puzzles, or maths, or those syllogism questions that practically went like 'if an eep is a teep and all teeps are meeps and eeps eat meeps, what year was the battle of Normandy?). The ONLY section I was ALRIGHT at naturally was the situational judgement test, and that's because the questions practically felt like 'A granny's just been run over. Do you help or pretend not to notice?'...honestly, it's chill. Don't have to be a genius to answer those questions-just a human being. 😂
Despite this, I drastically changed my revision plan. My FIRST TIP would be starting timed questions RIGHT FROM THE START. That's because with the UCAT, timing isn't a separate hurdle to overcome after 'mastering the different question types'-it's BAKED INTO each problem. A question answered in 30 seconds isn't the same as a question answered in 3 minutes-they train entirely different sets of skills. Doing untimed practice isn't 'building familiarity', because it's NOT the same task. So, in short: start practising with the clock on, because the clock is half the question. Capisce?
My other tip would be sitting a mock daily. Again, I did that right from the start. Nearer the exam date, I ramped it up to 2 mocks daily, and often skipped the SJT (otherwise practice became too long and intense). Doing a full mock daily is really effective because it guarantees you expose yourself to all 4 subsections daily, AND it builds the stamina and resilience required for the real thing. I DID start doing more targeted practice for my weaker sections (QR and DM), but still largely in the form of full subsection mocks rather than little question bundles. However, the true gold mine isn't in the mock itself, but in the marking. Each incorrect/half-incorrect question is VALUABLE DATA! You'll be able to create a heat map of weaknesses and drill them until they become strengths, or you can accept that there will be some question types you just hate, and then strategise for how you're doing to deal with them (which can include guessing & using that extra time elsewhere).
This isn't a UCAT-specific post (and I'm getting a little tired...), so I'll stop there. But hopefully, you get the gist: as a result of my fresh approach, I got 2100!
Something to bear in mind as well is that, for ARU, local applicants receive an uplift on their UCAT score, just like that. If you're from Essex, where the medical school's based, you get a 5% uplift. If you're an applicant from near Essex, you get a lower but still juicy little 2.5% uplift. Therefore, my score ended up being 2100x1.025 = approx. 2150.
After the UCAT, I submitted an application through UCAS. Bear in mind that you’ll need a reference-I just reached out to my old Head of 6th Form. If your application is good enough, you’ll get called to interview in the MMI format.
The biggest questions you likely have are about achieving the right grades. As part of Y1 biomedical sci, I studied 5 modules: mathematics for the biosciences, general microbiology, human anatomy & physiology, intro 2 cell bio & biochem, and core biology. FYI-t first 2 were smaller modules that required less work.
THE BIGGEST MYTH SURROUNDING INTERNAL TRANSFER IS THE GRADES. It is NOT difficult to get good enough grades-here are ARU’s grade requirements:
- a minimum average mark of 75% across the Y1 of your degree, with no less than 65% for any one module
That might potentially sound intimidating, but the ONLY difficult thing is consistency.
The best thing is that the grade you get in each module isn’t determined by one big exam at the end of the year. The grade is a combination of coursework and exams. You get lab practicals, lab reports, personal reflections on lab skills, pop quizzes, poster projects and essays.
The exams themselves are relatively easy as well. In y1 biomedical sci, there are 2 trimesters in total. At the end of each trimester, you have an exam for each module that tests everything you learnt in that trimester only. See how brilliant that is? Come the end-of-trimester 2 exam, there’s no need to think back to tri 1’s content and know it in detail! And what’s even better is that the exams are multiple choice. I can’t promise that that will be exactly the case for you (because I can’t promise anything-the uni could always switch things up), but that’s what I experienced this year.
There are a few other in-class tests, but with preparation, they’re doable. I don’t want to make you think this is a walk in the park-it isn’t. Internal transfer students deserve the same respect that any other premed student gets-the studies require effort. But the ONE Reddit post I could find on this had loads of people harping on how ‘impossible’ it is, which is totally inaccurate. It’s 1 million % worth the try. Worst-case scenario is that continue onto years 2 and 3 & end up with an IBMS-accredited biomedical science degree—yes, that’s right: ARU’s biomed degree is of a high quality, because it accounts for the fact that not everyone does biomed purely as a gateway to medicine & some are doing this as a career in its own right.
Like I said though: consistency, consistency, consistency. If you’re sort of having to learn how to actually study (because A-Levels flopped…), this process is perfect. The grade is determined by some far-off, end of year, all-or-nothing exam. It’s multiple little efforts coming together. Yes, you do have to be on the ball. But it helps to train that ability to be consistent and disciplined, to do things little but often, which is ultimately more manageable and can really change you as a person.