Development of a new Internal Medicine curriculum
July 2017: Submission to the General Medical Council (GMC)
The new Internal Medicine (IM) stage 1 curriculum has now been submitted to the GMC for approval. A wide consultation was carried out including the circulation of a survey and workshops with Heads of School, the CMT Advisory Committee, trainee representatives and patients and feedback led to changes incorporated into the final draft.
The three Physician college’s trainee’s committees have been actively involved in the development of the curriculum and provided representative feedback from all stages of training including medical student observers, Foundation doctors observers, CMT and Acute Care Common Stem (ACCS).
The curriculum will be considered by the GMC’s curriculum advisory group (CAG) in September and an approval decision is expected in October 2017.
April 2017: Update on curriculum development
How will this model help to deliver exceptionally trained general physicians with diverse specialist skills to manage the changing needs of our population?
- Simulation training will offer time and a safe learning environment for all stages of trainees to learn new skills
- Increased exposure to outpatients in a set period of training aims to help trainees focus on this area of learning and reduce inter-hospital variability
- Experience in HDU/ITU will also enable trainees to be exposed to these different areas at an earlier stage
- Training in geriatrics will help equip doctors with the skills required to treat our ageing multi-morbid population
- The third year will focus on a ‘step-up’ role in Acute Medicine as the Medical Registrar which will allow trainees to learn to lead the acute take in a supportive environment.
July 2016: Interview with Professor David Black, JRCPTB Medical Director
October 2015: Response to the Shape of Training mapping exercise
- We support the need to restructure aspects of the training of physicians to support the management of acute medical emergencies, chronic disease management, comorbidities, complexity and the needs of an ageing society. In doing so we also recognise an opportunity to begin the process of service and education transformation but we are not seeking to alter the current length of physician training.
- We recognise that there are many ways to better support the acute medical take and acute care, both within the hospital and the community. These are specialty dependent, but with an expectation that specialties will have knowledge of the acute take, contribute to the care of acutely unwell patients, and have the skills to do that.
- Changes for training in all specialties will be aligned with the General Medical Council changes to Generic Professional Capabilities and a new approach to assessment.
- The curricula will allow simpler and more regular updating to accommodate the needs of patients and new innovations in treatment. In particular we want maximum flexibility in the early years to permit more pluri-potential training and for later training to ensure appropriate development and maintenance of skills and competencies.