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 Selection into ST3. It is a generic spread of the discipline of medicine and the first step in specialty training.
CMT programmes are designed to deliver core training in General Internal Medicine by acquisition of knowledge and skills as assessed by the work place based assessments and the MRCP. Programmes are usually for two years and are broad based consisting of four to six placements in medical specialties. These placements over the two years must include direct involvement in the acute medical take. Trainees completing core training will have a solid platform of GIM from which they can continue into Specialty Training. Completion of CMT will be required before entry into Specialty training at ST3.
The features of the CMT and GIM training programmes are:
Trainee led - the ePortfolio is designed to encourage a learner centred approach with the support of Educational Supervisors. The ePortfolio contains tools to identify educational needs, enables the setting of learning goals, reflective learning and personal development.
Competency based – the curricula outline competences that trainees must reach by the end of the programme. The curriculum is directly linked to the ePortfolio as it defines standards required for good medical practice and formal assessments including the MRCP for CMT.
Continuation of Good Medical practice – building on Foundation training the curriculum contains important emphasis on generic competences necessary for practice as a physician.
Supervision – each trainee has a series of people with clearly defined roles and responsibilities overseeing their training including Clinical Supervisor, Educational Supervisor, College Tutor, CMT Programme Director, and Head of School.
Appraisal meetings with Supervisor – regular appraisal meetings and review of competence progression are set out in the ePortfolio.
Workplace-based assessments – regular workplace-based assessments are conducted throughout training building on those used in the Foundation programme with annual an ARCP. These include the Acute Care Assessment Tool (ACAT), Case Based Discussion (CbD), mini-Clinical Evaluation Exercise (mini-CEX) and multisource feedback (MSF) with additional new assessment methods to assess Audit (AA) and Teaching (TO).
MRCP examination – the various parts of the MRCP (UK) have been mapped to the curriculum for CMT and this provides a knowledge base assessment for both CMT and GIM.
Entrants to specialist training in General Internal Medicine must have successfully completed Core Medical Training or Acute Care Common Stem training.
This is a minimum three-year programme that builds on a trainee’s ability to provide acute medical care in the hospital setting. Competences are symptom based, and so concentrate on the provision of appropriate medical care in the acute and inpatient and outpatient settings.
Upon successful attainment of these competencies, the trainee will be recommended to PMETB for a CCT by Joint Royal Colleges of Physicians Training Board.
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.
Curricula
Announcement of new curricula for physicians in years ST1 and ST2
The new curriculum for CMT , embedded in the new GIM curriculum, was implemented in August 2009:
The curriculum defines the competences that trainees must acquire in the initial part of physician’s training.
- Trainees who entered CMT training in 2008 will continue to use the 2007 curriculum until they have completed CMT training. These trainees will not be required to complete MRCP by the end of CMT.
- Trainees who enter CMT training in 2009 will automatically start using the 2009 CMT curriculum which is embedded in the 2009 GIM curriculum.
- Trainees exiting CMT in 2009 will automatically start specialty training using the 2009 GIM curriculum or the curriculum for their chosen specialty.
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. Assessments will be regularly reviewed in a process known as “Annual Review of Comptence Progression” (ARCP). See page 58 of the 2008 Gold Guide for further details. A “CMT ARCP Decision Aid” is available on page 181 of the 2009 GIM curriculum, giving a summary of what is required of CMT trainees at their 8, 16 and 23 month ARCPs.
JRCPTB ePortfolio
Trainees on Core Medical Training (CMT) and Acute Care Common Stem (ACCS) programmes use the JRCPTB ePortfolio. This web-based portfolio provides a record of progress through training and the acquisition of competencies, based on the relevant curricula. The ePortfolio includes facilities for direct recording of workplace based assessments, records of appraisal and ARCP outcomes.
For more information, see the ePortfolio pages.