About the specialty: 

Allergy embraces a variety of medical and surgical specialities, including paediatrics and dietetics, and the training is unique and varied. Allergic diseases affect millions, and there is ample opportunity to provide tangible and effective help to sufferers, both through active intervention (drugs, immunotherapy) and allergen avoidance.

The training programme is based around a central core of general allergy clinics which should provide experience of a wide range of problems, including; food allergy, drug allergy and the management of anaphylaxis. Trainees are taught how to manage an allergen immunotherapy clinic. Alongside this, there are attachments to dermatology (for training in eczema, urticaria and contact dermatitis), ENT (evaluation and management of the upper respiratory tract), respiratory medicine (asthma, extrinsic allergic alveolitis and occupational lung disease), paediatrics (milestones, infant food allergy and substitute formulas, infant rhinitis, eczema and asthma) and immunology (vasculitis, immunoglobulin deficiency). In addition, the trainee will spend time in a diagnostic laboratory, becoming acquainted with the indications, methods and limitations of relevant diagnostic tests such as RAST.

Entry into Allergy training is possible following successful completion of both a foundation programme and a core training programme. There are two core training programmes for Allergy training:

  • Internal Medical Training (IMT) - two years
  • Acute Care Common Stem - Internal Medicine (ACCS-IM) - three years
Latest news and developments: 

Two new training pathways have been developed for Allergy and Immunology:

  • Allergy and Clinical Immunology (ACI)
  • Allergy, Clinical and Laboratory Immunology (ACLI)

These pathways will be implemented in August 2021, subject to GMC approval of the new curricula. The specialties will continue to be referred to as Allergy (ACI) and Immunology (ACLI) until the specialty name changes have been aprpoved by the Department of Health.  Doctors in training will need to transfer to the new curricula in August 2021 unless in their final two years of training - this is to allow for the development of a new examination which will be available from 2023. Further information including the curriculum and transition guidance will be published on this page.


The new curriculum for Allergy and Clinical Immunology will be implemented in August 2021, subject to GMC approval. The draft curriculum is available below. 

PDF icon Allergy and Clinical Immunology (ACI) 2021 curriculum DRAFT 060820

The curriculum for each specialty defines the process of training and the competencies needed for the award of a certificate of completion of training (CCT). The curriculum includes the assessment system for measuring trainees’ progress comprising workplace based assessment and knowledge based assessment.

PDF icon 2010 Allergy

Previous versions of the curriculum are no longer available online but copies can be requested from

ARCP Decision Aids: 

ARCP Decision Aids define the targets that have to be achieved for a satisfactory ARCP outcome at the end  of each training year for core medical training (CMT) and higher medical training specialties. Trainees and trainers should refer to the latest ARCP decision aids published on this website. 

ARCP decision aids were revised to reflect the changes to the system for assessment and review from August 2014 and replaced all previous versions.

PDF icon 2010 Allergy ARCP Decision Aid (revised 2014)

Forms and guidance: 

2017 National Trainee Survey report

The following reports are based on the results of the 2017 National Trainee Survey. For copies of older reports email

PDF icon 2017 Allergy NTS Generic Indicators.pdf

PDF icon 2017 Allergy NTS Specialty Specific Questions.pdf