Before the trend to specialisation, although many consultant physicians developed an expertise in their chosen areas, most practiced general internal medicine and dealt with a wide range of medical problems. These included patients admitted as emergencies, patients with multiple disorders, patients referred to outpatient clinics for investigation and diagnosis, and patients referred by specialist services - as outpatients or urgent inpatient referrals.
The GIM curriculum defines the process of training and the competencies needed for the award of a CCT in general internal medicine. The GIM curriculum equips trainees in speciality training programs with the competencies needed to allow participation at a senior level on the acute medical take, and to provide advice on the investigation and management of inpatients and outpatients with acute and chronic medical problems.
It is expected that most trainees following the GIM curriculum to CCT will be doing so in parallel with training in another medical specialty. Physicians trained to a CCT in GIM must be prepared to accept continued responsibility for patients beyond the acute phase, although the majority of their inpatients will be within their own speciality, often triaged from a medical assessment unit. The curriculum reflects the contexts in which GIM is performed, i.e. the admitting unit, inpatient wards and outpatients. This curriculum also emphasises the skills and competencies which will be expected to be acquired in the acute, inpatient and outpatient settings and how these will be assessed as trainees progress through the syllabus.
Entry to general internal medicine
Entry into general 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 general internal medicine;
2009 GIM Curriculum
In 2009, the JRCPTB reinstated the system for the award of dual certificates of completion of training (CCTs) in general internal medicine (GIM) and acute medical specialties. The JRCPTB announced the curriculum for general internal medicine in 2009. This curriculum replaced the GIM (Acute) medicine (2007) curriculum to allow trainees once again to achieve CCTs in their specialty and general internal medicine.
2012 updates to the 2009 GIM curriculum
The 2009 general internal medicine (GIM) curriculum was revised with effect from August 2012 onwards. All trainees who are following the 2009 GIM curriculum will be expected to adopt the changes below on a prospective basis.
A list of frequently asked questions is available here.
The ARCP decision aid for the GIM curriculum sets out the evidence required to demonstrate satisfactory progress against the curriculum requirements for each stage of training. Trainees on dual CCT programmes should also refer to the relevant specialty ARCP decision aid.
The following calculator was put together to allow trainees to calculate their acute medical take and outpatient (or outpatient-equivalent) experience in a manner consistent with the 2009 GIM decision aid (revised 2012); that will be used at ARCPs and PYAs. The general internal medicine SAC recommends this to trainees and assessors as an easy means of providing information that is required to inform these assessments, although its use is not mandatory.
Previous versions of curriculum
For previous versions of the curriculum please contact us at firstname.lastname@example.org.
This page was last updated 6 August 2014
Current members of the General Internal Medicine Specialist Advisory Committee. Please contact the Committee Manager
for further details.