Training Programme Director for Internal Medicine Training – Dr Carolyn Mackinlay – based at Great Western Hospital
Head of School of Medicine: Dr Ananthakrishnan Raghuram
Associate Dean for Medicine: Dr Geoff Wright
Education programme Manager: Louise Peckham
Education programme coordinator: Faye Price
Health Education South West Severn supervises all postgraduate medical specialist training in the region.
Information about the specialty
Internal Medicine Training is a new programme, replacing Core Medical Training as of August 2019. This originally a two-year programme took the place of Specialty Training Years 1 and 2, with Internal Medicine Year 3 being introduced as of August 2021. This means that where Trainees would previously have had to complete MRCP(UK) before applying to Specialty Training Year 3, the new 3 year programme means that MRCP(UK) must be completed before applying to Specialty Training Year 4, as of August 2022.
Internal Medicine Year 1 will be the first step for doctors wishing to train in a physician specialty, following the successful completion of the Foundation programme, creating a solid foundation of professional and generic clinical capabilities.
Trainees will be mandated to gain experience in Intensive Care Medicine, Geriatric Medicine and dealing with outpatients.
For further information regarding specialties, please view the preference page.
What is Internal Medicine Training?
IMT is a 3-year programme preparing doctors to become a medical registrar and providing them with the skills needed to manage patients presenting with a wide range of general medical symptoms and conditions. It is designed to form the first 3 years of post-foundation training and to equip trainees to enter medical specialty training and then to practice at consultant level in both their specialty and internal medicine.
The curriculum builds on the best of Core Medical Training, which IMT replaces, and enhances trainee experience by offering further opportunities in outpatients, geriatric medicine and intensive care medicine. It was developed with input from consultants and trainees involved in teaching and training across the UK along with input from service representatives and lay representatives.
Progress will be charted on an electronic portfolio with support from clinical and educational supervisors and the Trust College Tutor. ARCP (annual review of competence and progression) will be based on trainee progress in each of fourteen high level capabilities in practice, using the professional judgement of trained expert assessors. This is a change from the previously perceived ‘tick box’ approach of previous curricula and a positive development.
All rotations consist of 6 x 4-month rotations with the third year consisting of 2 x 6-month rotations. IMT3 will consist of 2 x 6-month placements in specialties primarily included in the acute take where the trainee can function as the “medical registrar”. Our IMT programmes incorporate acute and non- acute specialties to give trainees a broad variety of training and experiences.
The first two years of training will be based in the same Trust. Where possible the allocated IMT 3 year will be in the same site as the IMT 1&2 year. Allocation of IMT3 posts will try to ensure as many trainees as possible get their first choice but will also be based on the needs of the individual trainee and the needs for service provision across the region. The Training Programme Director (TPD) for IMT will lead the allocation process. Selection process for ST4 higher specialty training will not take into account the specialties undertaken in IMT3.
A minimum of 10 weeks ICM training must be provided by each trust as part of the IMT curriculum. Rotations are in four-month blocks so the trusts in the programme have created their own version of the ICM module within the four-month placement.
Training Opportunities in South West Severn
Trainees within Severn will have the chance to rotate through numerous different hospitals during their time as an Internal Medicine Trainee. The rotation is formulated by linking Trusts together. Information on the Trusts and the specialties available within the trust can be found here.
Trainees can apply to enter IM stage 1 training following completion of the foundation programme. Following IM stage 1, further training in IM stage 2 and a specialty will be required to achieve a CCT in internal medicine and specialty training (Group 1 specialties). However, a number of specialties (Group 2 specialties), who do not provide acute unselected care as consultants, will recruit trainees who have completed IM year 1 and year 2 if curriculum requirements are met.
Medical specialties have been split into 2 different groups which follow 2 different training pathways – Group 1 (dual training with Internal Medicine) and Group 2 (single CCT)
Group 1 specialties
Acute Internal Medicine
Clinical Pharmacology & Therapeutics
Endocrinology & Diabetes Mellitus
Infectious Diseases (except when dual with Medical Microbiology or Virology)
Group 2 specialties
Audio vestibular Medicine
Aviation & Space Medicine
Infectious Diseases (when dual with Medical Microbiology or Virology)
Sport and Exercise Medicine
There are two key progression points during IM stage 1 training. The first critical progression point will be from IM2 to IM3 as the trainees ‘step up’ to become the medical registrar, and it is vital that the trainee has demonstrated ability to do so. The second point will be at the end of IM stage 1 when the trainee must be signed off for all parts of the curriculum and have full MRCP(UK) diploma in order to complete the stage of training.
The South West is known to be a beautiful area to live and work in, with easy links to a variety of cities and towns.
The Training Hospitals
Annual Assessment Information
Trainees will be assessed annually through the process of an Annual Review of Competency Progression (ARCP) as well as interim reviews during the year. Trainees will also have high level capabilities in practice (CiPs) assessed throughout their training.