Acute care common stem (medicine)

About the specialty: 

Acute Care Common Stem (ACCS) - Internal Medicine

The training pathway of Acute Care Common Stem - Internal Medicine (ACCS-IM) offers an alternative route into physicianly training for trainees who are interested in careers in the acute aspects of medical care. ACCS-IM replaces the previous programme ACCS-Acute Medicine from August 2021. 

The ACCS curriculum describes the learning outcomes for the indicative two-year period of training in which doctors rotate through specialty placements in Emergency Medicine, Internal Medicine, Anaesthetics and Intensive Care Medicine. Trainees on the ACCS-IM pathway will then undertake two years of  Internal Medicine stage 1 training (IMY2 and IMY3) and complete the MRCP(UK) examination in order to exit the ACCS training programme and progress into higher training. Trainees will be eligible to apply for all group 1 JRCPTB specialties following completition of the ACCS-IM programme. Trainees wishing to enter a group 2 (non acute) specialty can do so after three years of ACCS-IM (ie IMY2). 

Information on ACCS training, including how to apply, can be found on the ACCS website and IMT recruitment website.

Latest news and developments: 

Current ACCS-AM trainees

Current ACCS-AM trainees who do not enter higher specialty training in 2021 will be able to transfer to the new ACCS-IM programme in August 2021 and complete IMY3 in order to be eligible to apply for ST4 recruitment in group 1 specialties in 2022. Guidance for ACCS-AM trainees in their CT3 year is available in the ARCP and guidance sections below. 

Curriculum Q&A sessions

Q&A sessions to discuss the new ACCS curriculum launch will be held on the dates below. The events will be held on Zoom, and the invitation is open to all trainees/trainers. You can join these events by clicking on the links below when they start.

08 April 2021, 6:00pm

Join the event here: https://us02web.zoom.us/j/86132066186?pwd=S0NnM3pxeElIajlaZFFmb2tIcXRzQT09

Meeting ID: 861 3206 6186, passcode: 409944

06 May 2021, 11:00am

Join the event here: https://us02web.zoom.us/j/89741338082?pwd=emdaT0hNMDUxN3FPbE9sdDl5ZDl3UT09

Meeting ID: 897 4133 8082, passcode: 306153

08 July 2021, 6:00pm

Join the event here: https://us02web.zoom.us/j/87132018047?pwd=SXFidDJoTXRGKzIvZmxqWEJhbm5lUT09

Meeting ID: 871 3201 8047, passcode: 003304

Curriculum: 

The new and previous ACCS curricula and associated guidance can be found on the ACCS website

ARCP Decision Aids: 

The following guidance and ARCP decision aid is for ACCS-AM trainees in CT3 2020-2021. From August 2021 trainees will transfer to the ACCS-IM curriculum and use the IMT ARCP decision aid for their IMY2 and IMY3 training. 

PDF icon ACCS-AM CT3 guidance and ARCP decision aid 2020

Guidance has been developed to support ARCPs during the Covid-19 pandemic

PDF icon ICACCST Advice ARCP 2021 re COVID-19 Update

PDF icon ACCS ARCP 2021 Decision Tables FINAL

PDF icon ACCS ARCP 2021 Checklist CT1 - ST1 FINAL

PDF icon ACCS ARCP 2021 Checklist CT1 - ST1 FINAL

Forms and guidance: 

There are FAQs relating to ACCS and IMT available here. Please also see the Internal Medicine Training (IMT) page for guidance relating to the IM Stage 1 curriculum including the Rough Guide. 

The following guidance was developed with Stephanie Hill, ACCS-AM CT3 in Yorkshire and Humber for trainees who are currently in their CT3 year

PDF icon ACCS-AM CT3 guidance and ARCP decision aid 2020