Introduction

Core medical training rotations are based in one or two trusts. Some posts have 2 year rotations ( in UHB and NBT) Most of the other rotations are between two trusts. The current pairings are in North Bristol/ Gloucestershire, UHB/ Weston; UHB/Taunton, UHB/ Yeovil and Bath/ Swindon.The posts in these rotations are all appropriate to training in acute and general medicine together with some opportunities to gain experience in some of the specialties. Most involve a total of 6 x 4 month attachments but a few include some 6 month blocks( e.g. critical care medicine) .Successful candidates at interview were asked to rank their choice of trusts. The actual rotations were allocated by the Royal College Tutor in each Trust level based on the ranking after interview.

Please note that some minor changes have to be made from time to time to our rotations. The information given by the RCP Tutors in the following individual descriptions of their rotations must not therefore be regarded as “set in stone”.

The RCP tutor monitors the progress of all trainees in their trust with the help of consultants acting as educational supervisors. New trainees will meet them at their induction day and be allocated their educational supervisor. Practices vary but in most trusts you will have the same educational supervisor for at least a year. They will meet with you and supervise your e-portfolio with you but it is your responsibility to make appointments with them to do this. We will also run a deanery induction.

Principles of Core Training

Core Medical Training (CMT) occupies the Specialty Training years 1&2 (ST1-2) and aims to take trainees who have completed the Foundation Programme (or have equivalent experience and qualifications) and train them in acute medicine and the medical specialties as outlined in the CMT curriculum. All trainees who have entered Core medical training after August 2009, should have passed MRCP PACES by the end of the CMT2 year to complete their core training.

Any current Foundation Trainee who is contemplating applying to CMT, is strongly advised to try and pass MRCP1 before completing the F2 year. Since 2008, the regulations for MRCP have been modified by Royal Colleges of Physicians so that the written MRCP2 and PACES examinations can be taken simultaneously (in contrast to the former system where it was necessary to pass the written examination before being allowed to take the PACES exam). Obtaining the membership by the end of core training is one of the ways you can evidence that you have the academic and clinical ability for Higher specialist training in a medical sub-speciality.

All our rotations have been designed to provide a similar broad high quality experience of the postgraduate core medical training curriculum, whether in our district general or tertiary referral hospitals; which in addition are all academies for undergraduate education. Moreover, we have started a scheme of study days for our CMT trainees which particularly focus on updates from consultants with special interests in their fields that are important for core training.

For more information on Assessment requirements for CMT please visit Assessment & Appraisal

Enrolling with the JRCPTBAll trainees need to enrol with the JRCPTB.

CMT trainees with full MRCP leaving CMT programme early to take up LAT posts

There have been several requests from senior core medicine trainees, who have been successful in completing full MRCP, to be allowed to leave core training early to take up a LAT post in a specialty that they hope to pursue in their higher specialty training.

While this is clearly an attractive opportunity for trainees, the Heads of School have decided, as have the other Heads of Schools of Medicine around the country, that trainees should complete the full 2 years of CMT; irrespective of competencies achieved to date. Doing a LAT is not in our opinion an equivalent training to count as completion of CMT because the level of supervision and work patterns are different.

It is also important to appreciate that a satisfactory final ACRP decision cannot be granted in advance unless the whole ARCP committee sits specifically for the individual trainee who wants to leave early and this is not practicable. If a trainee goes to a LAT post prior to ARCP they are therefore taking a risk that they might not be approved as having fulfilled all the necessary competencies when the committee sits at its normal times.

The Heads of School are however quite happy for CMT trainees with MRCP to do short locums (i.e. for a few days) at ST3 level (for example due to illness) and this would be considered to be useful experience.