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Acute Internal Medicine (AIM) and sub-specialty of Acute Medicine


Acute Internal Medicine (AIM)

The specialty of acute internal medicine (AIM) reflects the on-going change in clinical practice in hospitals where there is an increasing need for physicians dedicated to providing prompt, high quality and effective management of patients who present with acute medical illness. This is essential to improve patient care and outcomes, and recognises the increasing number of patients with complex medical problems and associated acute exacerbations. Effective acute multiprofessional pathways and processes are critical to the delivery of best care. Trainees in Acute Internal medicine will therefore acquire competencies relevant to:

  • the prompt practical management of acute presentation of medical illness,
  • the management of medical patients in an in-patient setting,
  • the development of new patient pathways to maximise safe, effective care in the community where feasible,
  • the provision of leadership skills within an acute medical unit,
  • the development of multi-professional systems to promote optimal patient care,
  • the care of patients requiring more intensive levels of care than would be generally managed in a medical ward. These competencies are generally acquired from experience within a critical care unit. 

Entry to acute internal medicine

Entry into acute internal medicine training is possible following successful completion of both a Foundation Programme and a core training programme.

Core training programmes

There are two core training programmes in acute internal medicine;

Curriculum and Assessment

AIM curriculum and ARCP decision aids

The purpose of this curriculum is to define the process of training and the competencies needed for the successful completion of AIM training.

The current 2009 (amendments 2012) AIM curriculum
The revised ARCP Decision Aid for August 2014

If you have any queries or problems regarding the curriculum or require a previous version of the curriculum please email

2012 updates to the 2009 AIM curriculum

The 2009 acute internal medicine (AIM) curriculum was revised with effect from August 2012 onwards. All trainees who are following the 2009 AIM curriculum will be expected to adopt the changes below on a prospective basis.


Specialty Certificate Examination in Acute Internal Medicine

The Specialty Certificate Examination (SCE) in Acute Internal Medicine is delivered once a year. Further information can be found via the link below:


Specialty placement checklists - new for August 2014

The top presentations and other important presentations have been mapped to specialties to provide guidance for trainees and supervisors. Checklists have been produced for the specialty placements in CMT and AIM where trainees are likely to encounter five or more presentations. The mapping document and checklists can be used as to help identify educational objectives and inform the personal development plan. The checklists can be used to record which presentations were explored during the placement and supervisors can comment on what went well, any areas which need further development and agree an action plan with the trainee. The checklists can be helpful when reviewing trainee’s progress and adding ratings for top and other important competencies at group level.

The checklists are available in Word format so they can be edited and uploaded to the ePortfolio - please follow the links in the table below. The overall mapping document is available here

 Checklists for CMT and AIM specialty placements

Cardiology Dermatology
Endocrinology & Diabetes Mellitus Gastroenterology
Geriatric Medicine Infectious Diseases
Neurology Palliative Medicine
Renal Medicine Respiratory Medicine


2009 AIM curriculum

The 2009 AIM curriculum differs from the GIM (Acute) Medicine (2007) version in that it defines the need to demonstrate maturation of the trainee's competencies through the duration of training. In the relevant core training programmes (CMT or ACCS) the trainee is expected to be able to recognise and diagnose the common medical conditions. In subsequent training in AIM, the trainee builds on these core competencies, as they acquire skills in the treatment and management of complex acute medical problems in the in-patient setting and also acquire advanced practical skills that are directly relevant to the practice of Acute Medicine. There is an emphasis on the understanding of the application and complications of pharmacological agents in patients with multi-system disease, patient safety and prevention of acute illness and the management of acute complications in patients who are already in the hospital as well as patients presenting in an unscheduled manner. These advancing medical skills are enhanced by the acquisition of skills within a critical care environment promoting better management of the severely ill patient.

Furthermore, the specific management, organisational and leadership competencies for the Acute Physician are defined, including the need to review patient pathways and to develop different management strategies for acute medical problems including the development and implementation of ambulatory care protocols.

This new curriculum is underpinned by the definition of core competencies that should be required of all doctors regardless of specialty. All competence acquisition will be subject to assessment and review of satisfactory progress as defined in the ARCP decision aid within the curriculum.  


Previous versions of the curriculum

For previous versions of the curriculum please contact us at


 Page last updated 5 August 2014


PTB Training Level
Expand/Collapse PTB Document TypeAssessment Blueprints and ARCP Decision Aids ‎(1)
2009 AIM ARCP decision aid (revised 2014) .pdf2009 AIM ARCP decision aid (revised 2014) 478 KB07/08/2014 14:52ST3+
Expand/Collapse PTB Document TypeCurriculum ‎(4)
2007 CMT + ACCS(M) Acute Medicine Level 1 Curriculum.pdf2007 CMT + ACCS(M) Acute Medicine Level 1 Curriculum459 KB05/02/2010 16:03ACCS (Medicine); FTSTA; ST1; ST2
2007 General Internal Medicine (Acute) Levels 1,2 + 3 Curriculum.pdf2007 General Internal Medicine (Acute) Levels 1,2 + 3 Curriculum507 KB05/02/2010 16:03ST3+
2009 (AUC) AIM curriculum (amendments 2012).pdf2009 (AUC) AIM curriculum (amendments 2012)2052 KB24/06/2014 13:54ST3+
AIM+GIM Sample Logbook.xlsAIM+GIM Sample Logbook134 KB26/05/2010 10:29ST3+
Expand/Collapse PTB Document TypeForm ‎(2)
AIM ARCP Transfer Proforma.docAIM ARCP Transfer Proforma108 KB26/05/2010 10:52ST3+; ST2
Request to transfer AIM application form 2010.docRequest to transfer AIM application form 201062 KB26/05/2010 10:04ST2; ST3+
Expand/Collapse PTB Document TypeGuideline ‎(2)
Conversion to AIM curriculum flowchart V0 3.pdfConversion to AIM curriculum flowchart V0 319 KB26/05/2010 10:27ST2; ST3+
Process of transfer to 2009 AIM curriculum.pdfProcess of transfer to 2009 AIM curriculum53 KB26/05/2010 10:24ST2; ST3+
Expand/Collapse PTB Document TypeNotice ‎(1)
GIM and Acute Med status  01 02 09.pdfGIM and Acute Med status 01 02 0912 KB05/02/2010 16:03SpR; ST3+

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