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 and will be an indicative four years duration. 

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: 

The 2021 ACCS curriculum is available on the ACCS website via this link. Resources to support implementation of the curriculum are also available on the ACCS website here.

The previous ACCS curriculum and associated guidance can also be found on the ACCS website

ARCP Decision Aids: 

The following guidance has been developed with Stephanie Hill, ACCS-AM CT3 in Yorkshire and Humber for trainees who are currently in their CT3 year. From August 2021 trainees will transfer to the ACCS-IM curriculum and use the IMT ARCP decision aid. 

ACCS-AM CT3 guidance for 2021 ARCP

File ARCP Checklist for ACCS-AM CT3 2021.docx

Guidance for ACCS CT1 and CT2 ARCPs during the Covid-19 pandemic:

PDF icon ICACCST Advice ARCP 2021 re COVID-19 Update

PDF icon ACCS ARCP 2021 Decision Tables

PDF icon ACCS ARCP 2021 Checklist CT1 - ST1

PDF icon ACCS ARCP 2021 Checklist CT2 - ST2

Forms and guidance: 

Resources to support implementation of the 2021 ACCS curriculum are also available on the ACCS website here.

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