Enrolling

The JRCPTB's online enrolment system for trainees wishing to enrol at ST1 level through to ST3 is now live. 

Core Medical Training (CMT)

This relates to trainees in the first common period of Specialty Training between Selection out of Foundation Training Year 2 and Allocation into ST3. It is a generic spread of the discipline of medicine and the first step in run-through training. 

CMT Programmes are designed to deliver core training in General Internal Medicine (Acute Medicine). During the programme you will continue to acquire generic competencies by following the Generic Curriculum for Medical Specialties, which provides a sound professional, moral and legal framework for practice, as described by the GMC’s Good Medical Practice. Hereafter General Internal Medicine (Acute Medicine) will be referred to as GIM (Acute).You should emerge from the programme prepared to continue specialist training in one of the medical specialties.   The features of the training programme are:
 
Trainee led – You will drive the learning environment. This e-portfolio is designed to encourage a learner-centred approach, with the support of Supervisors. In the e-portfolio you will find tools that help identify your educational needs, set learning goals and plan how they are to be achieved.
 
Competency Based – The curricula outline competencies that you are to achieve by the end of the programme. The curricula go hand in hand with this e-portfolio as it defines the standards required for good practice and formal assessment. You need to read the curriculum so you know what needs to be covered, and to what standard.
 
Continuation of Good Medical Practice – Whilst the Foundation Programme delivers doctors well-grounded in Good Medical Practice, these concepts need expanding and honing throughout your further medical career. The Generic Curriculum for Medical Specialties runs in tandem with the GIM (Acute) Curriculum. It is again based on Good Medical Practice, but emphasises important generic competencies necessary for practice as a physician.
 
Supervision - Each trainee will have someone responsible for supervising their education for each clinical post and some responsible for their education for the duration of the programme. Within the e-portfolio these people are referred to as the Supervisor and the Tutor. Terminology and exact responsibilities vary around the country and within your deanery they may be referred to variously as Clinical Supervisor, Educational Supervisor, College Tutor, Programme Director etc.

Appraisal meetings with Supervisor – An appraisal is a meeting with your supervisor to support you in developing your learning plan and reflective learning. You will find tools in the portfolio that help to plan for appraisals with your supervisors.
 
Workplace-based Assessment – Appraisal and assessment are very different and should not be confused. Regular workplace-based assessments will be conducted during your training, as they were for the Foundation Programme.

 Acute Care Common Stem (ACCS)

This is parallel training with Core Medical Training and will give you a combined insight into the four areas of Acute Medicine, Emergency Medicine, Anaesthetics and Intensive Care Medicine

Please note: to specialise in Emergency Medicine at ST3 level, it is compulsory that ACCS ST1 and ST2 is completed. 

Fixed-term specialist training appointments (FTSTAs)

 It is anticipated that FTSTA posts will be appointed for one year at a time

You can continue to compete for entry to run-through at the appropriate level from your FTSTA when appropriate opportunities arise.

MMC has a page dedicated to it. The link is: http://www.mmc.nhs.uk/pages/FT

For advice on the run through process, please see Candidate Pre-Application Advice

Curricula

Announcement of new curricula for physicians in years ST1 and ST2

The first editions of two new curricula have been implemented since 1st August 2007:

• General Internal Medicine (Acute Medicine) Competence Level 1
• Generic Curriculum for the Medical Specialties

The curricula define the competences that trainees must acquire in the initial part of physician’s training.

The Core Curriculum and Appraisal Record for SHOs in General (Internal) Medicine (4th edn) will become obsolete.

Trainees who enrol from 1st August 2007 will automatically follow the new curricula which are available here:

General Internal Medicine (Acute Medicine) Competence Level 1 (pdf ,680k) and the Generic Curriculum for Medical Specialties May 2007 (pdf, 266k) 

For further information please contact the Joint Royal Colleges of Physicians Training Board, CMT Department on 020 7935 1174 or email web@jrcptb.org.uk

Assessment

Assessment strategies for all specialities have been submitted to PMETB and we have received conditional approval for the Core Medical Training element of assessment. In future RITA will be replaced by a similar process known as “Annual Review of Comptence Progression” (ARCP). A “CMT ARCP Decision Aid” is available to download, giving a summary of what is required of CMT trainees at their 8, 16 and 23 month ARCPs.

e-portfolio 

From 2007 trainees on Core Medical Training (CMT) and Acute Care Common Stem (ACCS) programmes will be expected to use the JRCPTB e-portfolio. This web-based portfolio will provide a record of progress through training and the acquisition of competencies, based on the relevant curricula. The e-portfolio includes facilities for direct recording of workplace based assessments, records of appraisal and ARCP outcomes. 

For more information, see the e-portfolio pages.