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: 

The curriculum has been reviewed and revisions were approved by the GMC in September 2016. Please see the curriculum and ARCP decision aid sections for the latest versions and information on the changes can be found in the forms and guidance section below.

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 icon2010 Geriatric Medicine Curriculum (amendments 2016).pdf

Previous versions of the curriculum are no longer available online but copies can be requested from curriculum@jrcptb.org.uk.

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 icon2010 Geriatric Medicine ARCP Decision Aid (October 2016).pdf

Forms and guidance: 

2016 curriculum changes

The guidance below provides details of the 2016 changes to the Geriatric Medicine curriculum

PDF iconGuidance on implementation of 2016 amendments to Geriatric Medicine curriculum.pdf