Internal Medicine

About the specialty: 

Internal Medicine Training (IMT) forms the first stage of specialty training for most doctors training in physicianly specialties and will prepare trainees for participating in the acute medical take at a senior level and managing patients with acute and chronic medical problems in outpatient and inpatient settings. The curriculum for IMT stage 1 was approved by the GMC in December 2017 and replaces Core Medicial Training (CMT) from August 2019. Trainees must complete IMT and acquire the full MRCP(UK) Diploma in order to enter specialty training at ST4 from 2022. Some specialties (group 2 specialties) will recruit trainees who have completed two years of IMT and completed MRCP(UK) at ST3 level. 

IMT is a three year programme which will prepare doctors to become a medical registrar and provide them with the skills needed to manage patients presenting with a wide range of general medical symptoms and conditions. Experience in intensive care medicine, geriatric medicine and outpatients will be mandated and trainees will receive simulation training throughout the programme. Holistic decisions on progress will be made for the fourteen high level capabilities in practice (CiPs) using the professional judgement of appropriately trained, expert assessors. This represents a significant move away from the much criticised ‘tick box’ approach of the CMT curriculum.

Please see the forms and guidance section below for resources to support implementation of the curriculum.  Related FAQs can be accessed via the links section

Curriculum: 

The purpose of this curriculum is to define the process of training and the competencies needed for the successful completion of Internal Medicine Training

 Curriculum for Internal Medicine Stage 1 Training

ARCP Decision Aids: 

The ARCP decision aid defines the targets that have to be achieved for a satisfactory ARCP outcome at the end of each training year for trainees in IMT and for trainees completing the ACCS-IM programme. 

PDF icon IMT ARCP Decision Aid 2019.pdf

Forms and guidance: 

Information and guidance

The slide set below provides information about the internal medicine stage 1 curriculum including the training requirements, capabilities in practice and the programme of assessment. The rough guide to IMT provides guidance on the practical aspects of implementing the new curriculum including transition guidance for trainees who have completed CMT or ACCS-AM.

PDF icon IMT stage 1 curriculum information.pdf

PDF icon Rough guide to IMT June 2019

Calculating acute take/outpatient experience and recording procedures

The following template can be used to calculate acute take experience and record outpatient clinics and procedures undertaken in IMT. The totals calculated should be used to populate the IMT summary of clinical activity and teaching form on the ePortfolio.

File IMT acute take calculator and log of clinics and procedures 2019

Induction

We have provided a template welcome letter for new IMT trainees for schools of medicine to use locally. The induction checklist can be used as an aide memoire by educational supervisors to prepare for and carry out an induction meeting. 

File IMT Trainee Welcome Letter.docx

File Induction Checklist

ePortfolio

This video gives you a brief overview on how to navigate the ePortfolio.

The document below explains the changes we have made to support the new curriculum. 

PDF icon ePortfolio for IMT.pdf

IMY3 preferencing

The document below provides guidance on the proposed IMY3 preferencing process.

PDF icon IMT Stage 1 programme preferences guidance

IMT work schedule

In conjunction with NHS Employers we have introduced the new work schedule for IMT. The schedule is designed to help employers plan and deliver clinical services alongside training programmes in a way that is safe for both doctors and patients. Work schedules are a contractual requirement in England and are not required by the devolved nations at present but are considered as good practice.

File Work schedule for internal medicine stage 1