As a result of drivers for change such as the Shape of Training review, a new model of physician training was developed to meet future healthcare needs of patients.
Internal Medicine Training (IMT) stage 1 forms the first three years of post-foundation training, replacing Core Medical Training (CMT). For the main specialties supporting acute medical care - identified as group 1 specialties - an indicative 12 months of further Internal Medicine (IM stage 2) will be integrated flexibly with specialty training in a dual training programme. This model enhances training in internal medicine to prepare doctors for the challenge of managing acutely unwell medical patients, who may also have complex presentations based around chronic disease and comorbidities.
New curricula for group 1 specialties include generic, specialty and clinical internal medicine learning outcomes known as capabilities in practice (CiPs). Applicants via the CESR route will need to demonstrate all capabilities as described in the curriculum. By demonstrating these capabilities a successful applicant will be awarded an additional CESR in internal medicine.
The JRCPTB and the GMC has agreed a transition policy for CESR applicants to reflect the significance of the changes to the curricula for many of the physician curricula. This will allow applicants to apply against the previous curriculum for a transition period beyond publication of the new curricula. The transition period considers the notice CESR applicants will be given of the new curricula requirements and the significance of the curricular changes. This will range from two to three years following publication of the curricula, depending on the degree of change to the specialty curriculum. The previous curriculum will be retired on the deadline date.
For more information on the transition periods and deadlines for each specialty click here.