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 IMT replaced 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
The purpose of this curriculum is to define the process of training and the competencies needed for the successful completion of Internal Medicine stage 1 training.
Internal Medicine stage 2 training will replace General Internal Medicine training from August 2022. The draft curriculum appears below
Covid-19 ARCP guidance for 2021
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. Guidance and an ARCP checklist have been produced for 2021 in light of the impact of the pandemic. Please slso see the Covid-19 page for additional guidance on ARCPs and trainee progression.
ARCP decision aid
Interim ARCP checklists
The Internal Medicine Core Medical Training Advisory Committee (IMCMTAC) recommends using structured checklists to support the interim review of competency process in IMT. You should complete the checklist with your educational supervisor in December, although there will be some local variation in timing. Support is available from your local College Tutor and Training Programme Director.
Information and guidance
Information and guidance on ST3 and IMY3 recruitment in 2021 are available via this link.
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.
Guidance for completing IMT in less than 36 months
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.
Educational Supervisor reports
An example of a good ES report for a trainee completing IMY2 is given below
The following form can be used by ARCP panels to give feedback to Educational Supervisors
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.
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.
Please see the guidance below for trainees who have completed CMT or ACCS-AM and are entering a stand alone IMY3 post
The document below provides guidance on the proposed IMY3 preferencing process for IM stage 1 trainees.
IMT work schedule
The work schedules for IMT below have been developed with NHS Employers. The schedules are 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.