ST3 Urology series, part 4 of 9
How to Build a High-Scoring Urology ST3 Teaching Portfolio
Teaching is one of the most accessible ways to strengthen your Urology ST3 portfolio during Core Surgical Training.
Unlike some portfolio achievements, you don't need to wait for a research project to finish, hope that a paper gets accepted or win a national prize. You can start teaching almost immediately.
If you are strategic, teaching can become a meaningful part of your portfolio while also making you a better doctor and future surgeon.
Here is how to build your teaching portfolio from the ground up.
1Understand what the ST3 framework rewards
Before starting, understand how teaching contributes to the application.
In the 2026 Urology ST3 self-assessment framework, teaching was assessed across two areas: teaching experience and formal medical education qualifications.
Teaching experience could progress from sporadic teaching through regular teaching, faculty involvement and ultimately principal organisation of a relevant course.
Formal educational qualifications were also recognised, with additional points available for qualifications such as Teaching the Trainers, a modular diploma and an MSc in Clinical Education.
The important lesson is:
You don't need a PGCert to have a strong teaching portfolio.
A qualification is one component. Your actual teaching activity matters too.
2Start with regular teaching
If you're starting from scratch, don't immediately worry about organising a major course.
Start with something sustainable.
For example:
Weekly teaching for medical students
Fortnightly teaching for foundation doctors
Monthly teaching for CSTs
Exam preparation sessions
Surgical skills teaching
Urology tutorials
The key is regularity.
There is a major difference between teaching once and establishing an ongoing programme.
If your department doesn't already have a structured programme, consider speaking to the educational supervisor or teaching lead and asking whether you can take responsibility for a series of sessions.
That gives you an opportunity to develop something rather than simply delivering an isolated lecture.
3Make your teaching relevant
Think carefully about who you are teaching and what they need to learn.
A good teaching session isn't simply:
“Here is everything I know about renal stones.”
Instead ask:
“What should the learner be able to do by the end of this session?”
For example:
Foundation doctors:
Recognise and initially manage an obstructed infected system.
Medical students:
Take a focused haematuria history.
Core trainees:
Understand the initial management of acute urinary retention.
Urology trainees:
Approach a patient with a suspected ureteric injury.
Teaching becomes much stronger when it has clearly defined learning objectives.
4Don't just deliver PowerPoints
Medical education is much more than presenting slides.
Experiment with different approaches:
Case-based teaching
Small-group discussion
Simulation
Practical skills
Bedside teaching
OSCE practice
Interactive quizzes
Flipped classroom sessions
If you're teaching surgical trainees, practical and scenario-based teaching can be particularly useful.
For example, rather than giving a 45-minute lecture on ureteric stones, give the learners a clinical scenario and ask them to work through:
This also helps you develop your own ability to explain clinical reasoning clearly.
5Collect feedback from day one
This is one of the easiest things to overlook.
If you're teaching regularly, collect feedback.
You want evidence that demonstrates:
What you taught
Who you taught
When you taught
How many sessions you delivered
What learners thought
What you changed as a result
Even a simple feedback form can be useful.
Ask learners to rate:
Relevance
Organisation
Clarity
Engagement
Overall quality
Then include a free-text question:
“What could be improved?”
The most important part is not simply collecting excellent feedback.
It is acting on it.
If learners tell you that your sessions contain too much content, change your next session.
If they want more cases, add more cases.
Then you can demonstrate educational development rather than simply collecting certificates.
6Build a teaching programme rather than a teaching list
There is an important distinction between:
“I delivered 15 teaching sessions.”
and:
“I identified a gap in the teaching programme, developed a curriculum, delivered monthly sessions and evaluated the programme.”
The second demonstrates much more.
If you are teaching regularly, consider developing:
A curriculum
A timetable
Learning objectives
Teaching materials
Feedback methodology
A method of evaluating the programme
This starts to demonstrate educational leadership as well as teaching experience.
7Look for faculty opportunities
Once you have established yourself as a reliable teacher, look for opportunities to become involved in established courses.
This might include:
Surgical skills courses
Exam preparation courses
Simulation courses
Regional teaching programmes
Undergraduate teaching programmes
Urology trainee teaching
The 2026 Urology ST3 framework recognised relevant faculty roles, so this can represent progression beyond simply delivering occasional teaching.
But don't chase the title alone.
Ask yourself:
What responsibility will I actually have?
Being genuinely involved in designing or delivering a course is much more valuable for your development than simply having your name listed as faculty.
8Consider organising a course
This is where your teaching portfolio can become particularly strong.
If you have developed experience delivering teaching, consider organising a relevant educational course yourself.
This could be:
A Urology revision day
A surgical skills course
An OSCE course
A foundation doctor teaching day
A regional trainee course
However, make sure you understand the ST3 criteria before investing significant time. The 2026 guidance specified particular requirements around what constituted a qualifying course, including minimum educational content/CPD requirements. I managed to score maximum points here by organising an ‘Emergency Urology’ course for foundation doctors - this comprised of organising a few talks by various colleagues and myself presenting on the common and key urological emergencies such as acute scrotal pain, renal colic, acute urinary retention and more.
Don't spend months organising a course only to discover that it doesn't meet the published criteria.
9Think about a formal qualification
Once you have developed an interest in education, you can consider formal qualifications.
Options may include:
Teaching the Trainers / short educational courses
→ Good introduction to educational theory.
PGCert in Medical Education
→ More substantial postgraduate qualification.
PGDip / MSc
→ Greater academic commitment and potentially useful if education becomes a significant career interest.
A PGCert can be particularly attractive if you genuinely enjoy teaching and want to understand educational theory, curriculum design and assessment in greater depth.
10Keep excellent evidence
A fantastic teaching portfolio is much less useful if you can't prove what you did.
Create a dedicated teaching folder from the beginning.
Keep:
- Teaching timetable
- Session plans
- Learning objectives
- Attendance records
- Feedback
- Certificates
- Course programmes
- Faculty confirmation
- Supervisor confirmation
- Educational projects
This becomes particularly important when you eventually need to submit evidence against specific portfolio criteria.
Make the assessor's job easy.
They should be able to open your evidence and immediately understand:
What did you do? When did you do it? What was your role? Who did you teach? And how can I verify it?
Don't teach just for the points
Perhaps the most important message is that a strong teaching portfolio should represent genuine development.
If you start teaching simply because you want two or three additional ST3 points, you may end up delivering repetitive PowerPoints that you don't particularly enjoy.
Instead, think about the bigger picture.
Teaching forces you to:
Organise your thoughts
Understand concepts deeply
Explain complex ideas simply
Adapt to different learners
Give and receive feedback
Develop leadership skills
Communicate clearly
These are exactly the skills you will need as a registrar and consultant.
And there is another benefit.
Teaching makes you better at interviews.
The ability to explain a clinical problem clearly, structure an answer and adapt your communication to the person in front of you is directly transferable to the Urology ST3 interview.

The SmashUrology takeaway
You don't need to organise a national conference or complete an MSc to start building a strong teaching portfolio.
Start small.
- Teach regularly.
- Make it structured.
- Collect feedback.
- Act on that feedback.
- Take on increasing responsibility.
- Build evidence as you go.
And if you discover that you genuinely enjoy medical education, consider taking it further with formal qualifications or educational leadership.