A society or royal college essay prize is not a university essay with a cash prize on the end. The organiser's page is the assignment. Open it before you plan a paragraph.
A university essay asks you to open, give evidence, and close. A prize also sets the question, defines what counts in the word limit, says where your name may appear, and sometimes bans generative AI. Those rules are not shared across colleges and societies. Copy one draft from prize to prize and you can fail the terms before a marker reads the argument.
If you do not have a brief yet, find the competition before you draft. Then write to that page, and open it again before you submit. Terms change. Prizology lists the competitions. We do not run them, and we do not mark them.
The Bottom Line: Write to that prize's brief, not to a generic 1,500-word essay. Check who may enter, whether references count, whether the file must be anonymous, and whether generative AI is banned. Then answer the question they set.
Read the brief before you outline
Write these down before you plan a paragraph. A model essay from another prize will not give you them.
| On the page | Write this down |
|---|---|
| Who may enter | Student, foundation doctor, or trainee. Geography and any membership rule. |
| The question | A set title, or an open topic that still has required parts. |
| The cap | The number, and every item the page says is left out of it. |
| Your name | Cover sheet, email only, top of the file, or nowhere in the document. |
| The file | Word, PDF, or both. Font and spacing if they name them. |
| Prior work | Unpublished only, or barred if you already entered it elsewhere. |
| Tools | An AI ban, a plagiarism check, or silence. |
| The prize itself | Whether they may make no award if nothing meets the standard. |
Student, foundation doctor, and trainee are not interchangeable. A prize run by a college can still be closed to medical students, or limited to one region, or require membership. If you are outside the line, stop. Do not draft it "in case."
Lock the word count using their definition
Write the cap, and the list of what it excludes, at the top of the draft before you write a sentence.
There is no standard medical-essay length. A short set-question piece and a long open essay are different jobs. Do not start from 1,500 words because that number appears on a careers page.
Organisers also count the cap differently. One page leaves references and the bibliography out. Another counts in-text citations and leaves the reference list out. Another leaves citations out, then counts the words in a figure caption. A caption can push a cut draft back over the limit. Read the exclusion list on the page you are entering, then use that definition in your word processor, not the default total.
Put the word count on the file when they ask for it. Some want it on the first page. Some want it at the end. If the page only states the cap, still calculate it their way before you submit.
Do not park a result the argument needs in an appendix. Markers are often not expected to read one. If the point matters, it has to fit inside the cap.
Answer the question in the first paragraph
The first paragraph should meet the title they set. On a short cap, background that does not answer the title is what you cut.
A set question is usually narrow: one example, one outcome, one project. A survey of the specialty does not answer that, even if the page says the theme is open to interpretation. Stay on the thing they named.
An open topic can still have required parts. The page may demand a clinical example, the effect on the patient and the people around them, and a pass through the literature. Leave a required part out and you have missed the brief, even if the prose is clean.
Use their marking notes only for that prize. If a society says it marks whether the argument answers the question, plus clarity and use of evidence, write to that list. Do not export it to the next college. Most organisers do not publish a shared mark scheme.
A stock opening, three body sections, and a conclusion is a university habit. It is a poor fit when the cap is short. Many prizes also publish the winner or read it out. Write so a stranger can follow the point in print.
Use a case or a project only when the brief asks
Put a patient in the draft when the question asks for one. Leave the case out when the question asks for a finished project.
Some briefs want an example from practice. Others want a quality improvement project that has already been run, not an opinion piece on the specialty. If they name a method, such as one completed cycle of Plan, Do, Study, Act, an essay that only discusses the idea does not meet the line.
Suggested headings are a guide unless the page says they are required. Research pieces often allow Background, Methods, Results, and Discussion. Quality improvement pieces often have their own headings. Use the set that matches the work you did. Do not force a case-report shape onto a project, or a project shape onto a set essay title.
If the work has to be your own, say what you did and what other people did. If it has to be unpublished, do not enter a paper you have already sent to a journal or to another competition. The page will say which of those rules applies.
Put your name only where the rules put it
Some prizes reject a file that names you. Others want your name and medical school on the first line. Read that instruction before you export.
The split is common, and it is not a house style you can guess:
- Name on a cover sheet, and every other page free of personal details.
- Name, email, and institution in the submission email only. The essay file must not identify you or your medical school.
- No identifying details anywhere in the document.
- Name, year, and medical school at the top, because that organiser does not anonymise.
When the file is anonymised, the first page may still need a line on your role, who else contributed, whether the work has been presented before, the word count, and the number of tables or figures. That is part of the essay, not a breach of anonymity, if the page asks for it.
File type is part of the same instruction. One organiser wants Word. Another accepts Word or PDF. Font, size, and line spacing count when they are specified. A PDF sent to a Word-only prize is an invalid entry, however good the argument is.
Treat AI, plagiarism, and prior publication as eligibility
A banned tool, or an essay you have already submitted elsewhere, gets the entry rejected. That is an eligibility rule, not a comment on your sentences.
Some terms prohibit generative AI, including tools such as ChatGPT, from generating, assisting with, or substantially modifying any part of the entry. Silence on another page is not the same rule. If the terms do not mention AI, do not add a ban they did not publish, and do not assume the tool is allowed. Read the current page or PDF.
Plagiarism checks are common even when AI is not mentioned. The essay has to be your work, supported by references where the brief asks for literature. One person, one entry, is also common. If they run two categories, check whether you may enter both.
Prior publication is separate again. "Unpublished" can mean not in a journal, or not already entered in another essay prize. Quote their sentence, not a general definition.
Export the file they named, then confirm the page again
Stop when the file matches the page you are submitting to.
Check these before you attach it:
- You are eligible this year, including geography, stage, and any membership rule.
- The title on the file matches the title they set, when they set one.
- The word count uses their exclusion list, and that number is printed where they asked.
- References follow the style they named. If they name none, pick one standard style and apply it consistently. Do not copy another prize's reference cap or citation style.
- Your name is only where that prize allows it.
- You have not used a tool the terms ban, and the essay is unpublished if they require that.
- You have made only the number of entries they allow.
- The file type, font, and spacing are the ones they accept.
Then open the organiser page from the listing and read it again. Dates and eligibility change. If a card and the source disagree, the source wins. That is the same rule as how we keep listings current.
When you are choosing the next essay, browse essay competitions, open the official page, and draft to that page. Shortlist the essay first, then write.
Frequently asked questions
Do references count toward the word limit?
Only if that prize says they do. Some exclude references and the bibliography. Some count in-text citations and exclude the reference list. Some exclude citations and still count figure captions. Use the definition on the page you are entering.
Should you include a patient case?
Include one when the question or the rules require an example from practice. If the brief asks for a project you have already run, write the project. A case does not substitute for that.
Can you use ChatGPT?
Only if the current terms allow it. Some prizes ban generative AI for the essay itself, including help with drafting. If the page is silent, do not assume a ban and do not assume permission.
Does a society essay prize count for specialty applications?
It depends on the pathway and the recruitment year. This guide does not score prizes. Read the current self-assessment or portfolio document for the specialty you are applying to before you claim points.

