Geriatric Medicine

About the specialty: 

Geriatric Medicine is one of the largest specialties in the UK. It offers a stimulating intellectual challenge as illness may present in unusual ways in older people, they frequently have multiple pathologies that interact and they  particularly prone to adverse drug reactions. It requires a generalist approach while also developing a subspecialty interest. This can range from stroke to Parkinson's Disease, falls and fracture prevention, diabetes or cardiovascular disease. It also offers the chance to work both in community and hospital settings. Research is generating an ever-expanding evidence base for the management of many conditions in old age and the National Service Framework for Older People has laid out some challenging targets for health care provision.

The most effective geriatrician is an excellent general physician with good communication skills, who is able to work well in a team with other disciplines and can empathise with older people. Most people are attracted by the holistic way that the specialty takes on acute investigation and management together with subsequent rehabilitation and discharge planning, all tailored to each individual's needs.

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

  • Core Medical Training (CMT)
  • Acute Care Common Stem - Acute Medicine (ACCS-AM)
Latest news and developments: 

A new curriculum which will deliver dual training in Geriatric Medicine and Internal Medicine will be implemented in August 2022, subject to GMC approval. Trainees already in training in 2022 will need to transfer to the new curriculum unless in ther final year of training. Further information including the curriculum and guidance will be published on this page in 2021.


A new curriculum for Geriatric Medicine will be implemented in 2022, subject to GMC approval. Please see the draft curriculum below.

Geriatric Medicine DRAFT Curriculum

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.

Information on the Specialty Certificate Examination (SCE) in Geriatric Medicine can be found on the MRCP(UK) website

PDF icon 2010 Geriatric Medicine Curriculum (AMENDMENTS 2016).pdf

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

ARCP Decision Aids: 

The ARCP decision aid for each specialty defines the targets that have to be achieved for a satisfactory ARCP outcome at the end of each training year.  The decision aid has been updated to reflect the 2016 curriculum changes and replaces previsous versions 

PDF icon 2010 Geriatric Medicine ARCP Decision Aid (October 2016).pdf

Forms and guidance: 

2017 National Trainee Survey Reports

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

PDF icon 2017 NTS Geriatric Medicine Generic Indicators.pdf

PDF icon 2017 NTS Geriatric Medicine Specialty Specific Questions.pdf

CESR checklist
PDF icon Geriatric medicine CESR checklist