Core medical training and acute care common stem (medicine)

About the specialty: 

Core Medical Training (CMT)

Core Medical Training forms the first stage of specialty training for most doctors training in physicianly specialties and will prepare trainees for participating in the acute medical take at a senior level and managing patients with acute and chronic medical problems in outpatient and inpatient settings. The approved curriculum for CMT is a sub-set of the curricula for General Internal Medicine (GIM) and Acute Internal Medicine (AIM) and is a spiral curriculum as topics are revisited with increasing levels of difficulty, new learning is related to previous learning and the competence of the trainee increases.Trainees must complete CMT and acquire the full MRCP(UK) Diploma in order to enter specialty training at ST3.

Acute Care Common Stem (ACCS) - Acute Medicine

The training pathway of acute care common stem - Acute Medicine (ACCS-AM) offers an alternative route into physicianly training for trainees who are interested in careers in the acute aspects of medical care. The three-year programme provides experience of acute medicine, critical care, anaesthetics and emergency medicine. Information on ACCS training, including how to apply, can be found on the ACCS website and CT1 recruitment website.


The purpose of this curriculum is to define the process of training and the competencies needed for the successful completion of Core Medical Training. The ACCS curriculum can be found on the ACCS website.

PDF icon 2009 Core Medical Training (amended 2013).pdf

ARCP Decision Aids: 

The ARCP decision aid defines the targets that have to be achieved for a satisfactory ARCP outcome at the end of each training year for trainees in CMT and in the CT3 year of an ACCS-AM programme.

Guidance has been developed to support ARCPs during the Covid-19 pandemic. Please see the documents below and the COVID-19 hub.

PDF icon Joint Position Statement for Acute Care Common Stem (ACCS) training programme - Initial Assessment of Competence (IAC)

PDF icon ARCP outcomes for trainees completing CMT ACCS-AM BBT 2020

PDF icon ICACCST Advice ARCP 2020

PDF icon ACCS ARCP 2020 Checklist CT1 - ST1

PDF icon ACCS ARCP 2020 Checklist CT2 - ST2

PDF icon CMT ARCP Decision Aid (August 2017)

Forms and guidance: 

Logbook for recording procedures and clinics

The template below can be used to record clinic activity and teaching attendance and total numbers can then be used to populate the CMT summary of clinical activity and teaching attendance on the ePortfolio. The logbook can be uploaded to the personal library in the ePortfolio. 

File Template for recording procedures and clinics CMT August 2017.xlsx

Guidance for ACCS-AM CT3 trainees

The guidance below has been produced by the SAC for Acute Internal Medicine for trainees in the third year of ACCS Acute Medicine programmes. The document has been updated to note the revised ARCP decision aid for CMT and to provide guidance on clinic numbers.

PDF icon 2017 Guidance for ACCS-AM CT3.pdf

Clarification regarding DOPS assessment of procedures

The CMT and GIM advisory committees have produced the following guidance on interpretation of DOPS sign off.

PDF icon Clarification regarding DOPS assessments of procedures July 2017.pdf

Guidance on Core Medical Trainees acting up as Medical Registrar

JRCPTB has produced this guidance on acting up for Core Medical Trainees.  Schools of Medicine may choose to adapt them for local use.

PDF icon Guidance on Core Medical Trainees acting up as a Medical Registrar.pdf

Specialty placement checklists

The following checklists can be used to record which of the top and other important presentations are explored during a specialty placement. The checklists can be helpful when reviewing trainee’s progress and adding ratings for top and other important competencies at group level. The checklists are available in MS Word format so they can be edited and uploaded to the ePortfolio. The overall mapping document is available here: Mapping of presentations in CMT and AIM to specialties.pdf

 Checklists for CMT and AIM specialty placements