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.

Latest news and developments: 

16 May 2016

Accreditation of transferrable competencies from ACCS

The Academy of Medical Royal Colleges Accreditation of Transferable Competences Framework (ATCF) assists trainees in transferring competences achieved in one training programme, where appropriate and valid, to another. This could save time for trainee doctors who decide to change career path after completing a part of one training programme and transfer to a place in another training programme.

ATCF will be available to doctors who have successfully completed at least one year of an ACCS Anaesthetics [Anae], ACCS Emergency Medicine [EM] or ACCS Intensive Care Medicine [ICM] programme. The maximum amount of time that can be credited towards training in CMT is 12 months (comprising 6 months AIM, 3 months EM and 3 months ICM). Approval for the previous experience must be agreed by the relevant CMT training programme director and must be reviewed and confirmed at the first CMT ARCP. The decision as to whether competencies achieved will transfer to the CMT programme will be made on an individual trainee basis. ATCF will apply prospectively for doctors who enter CMT from August 2016 onwards. Further guidance is available in the revised CMT curriculum and on the Academy's website (framework via this link and FAQs via this link).

16 February 2016

Summative DOPS requirement for pleural aspiration

The CMT ARCP decision aid was revised in September 2015. In the procedures section, pleural aspiration for fluid and pneumothorax were combined and categorised as potentially life threatening requiring DOPS summative sign off by two assessors on two separate occasions. It was agreed at the recent meeting of the CMT Advisory Committee that as this change occurred mid-way through the training programme for trainees in their CT2 year, educational supervisors and ARCP panels can accept a formative DOPS as equivalent to a satisfactory summative DOPS if the trainee’s level of independent practice has been rated as competent to perform the procedure unsupervised and deal with complications. Please note this arrangement is for 2016 only.

12 August 2015

New tool for reflective practice 

A new reflective practice form is available in the Reflection section of the ePortfolio and ‘R-cards’ are also available to help trainees to make an instant reflective record. The R-card and guidance on the use of the tools are available to download via the ePortfolio performance and updates page.

 If you have any feedback after using the new tool please let us know at curriculum@jrcptb.org.uk.

Summary of clinical activity and teaching attendance

Trainees are expected to produce a summary of clinical activities and teaching attendance and a form is now available on ePortfolio in the Assessment/Audit and Teaching section.

PDF iconCMT Summary of Clinical Activity and Teaching Attendance August 2015.pdf

20 May 2015

Logbook for recording procedures and clinics

We have launched a logbook to assist CMT trainees in recording their procedures and clinics.  It has been developed with the CMT advisory committee and trainee representatives. The logbook is in the form of an Excel spread sheet which can be used to record procedures and attendance at clinics and then uploaded to the personal library in the ePortfolio.

If you have any feedback after using the logbook please let us know at curriculum@jrcptb.org.uk.

FileTemplate for recording procedures and clinics CMT May 2015.xlsx


10 December 2014

Learning to Make a Difference, an initiative set up by the Royal College of Physicians, London and JRCPTB aimed at CMT trainees, has set up a series of consultant led sessions in Quality Improvement.

Information on Learning to Make a Difference is available on the RCP London website.

Curriculum: 

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 icon2009 Core Medical Training Curriculum (amendments 2013) 100516.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. 

Further to discussion at the CMT Advisory Committee, the ARCP decision aid has been revised and this version dated September 2015 replaces all previous versions.

The changes include:

  • Pleural aspiration for pneumothorax or pleural fluid are listed together as either/or in essential part A
  • Intercostal drain insertion for pneumothorax or fluid are listed together as either/or in essential part B
  • Level of clinical independence required for procedural competencies stipulates where ultrasound guidance is required from another trained professional 
  • Procedures are clearly marked as routine or potentially life threatening - please see latest news section for guidance on summative DOPS for pleural aspiration
  • Guidance is given for rating of competencies, including sampling and group competency level sign off
  • Note that clinic requirements are changing in light of the CMT quality criteria
  • Quality improvement project requirement for a project plan, report and QIPAT

Please note: trainees should continue to record DOPS evidence against the current list of CMT procedures in the ePortfolio until further notice.

PDF iconCore Medical Training ARCP Decision Aid (September 2015).pdf

Forms and guidance: 

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 iconGuidance on Core Medical Trainees acting up as a Medical Registrar.pdf

Guidance for ACCS-AM CT3 trainees

The following guidance has been produced by the SAC for Acute Internal Medicine for trainees in the third year of ACCS Acute Medicine programmes:

PDF icon2014 Guidance for ACCS-AM CT3.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

FileCardiology

FileDermatology

FileEndocrinology

FileGastroenterology

FileGeriatric medicine

FileInfectious diseases

FileNeurology

FilePalliative medicine

FileRenal medicine

FileRespiratory medicine

FileRheumatology