Immunology encompasses clinical and laboratory activity dealing with the study, diagnosis and management of patients with diseases resulting from disordered immunological mechanisms, and conditions in which immunological manipulations form an important part of therapy. In the UK Immunologists provide combined clinical and laboratory services for patients with immunodeficiency, autoimmune disease, systemic vasculitis and allergy.
The clinical work of Immunologists is largely out-patient based and involves primary immunodeficiency, allergy, autoimmune rheumatic disease and systemic vasculitis (jointly with Rheumatologists), joint paediatric clinics for children with immunodeficiency and allergy and immunoglobulin infusion clinics for patients with antibody deficiency. On the laboratory front, Immunologists are responsible for directing diagnostic immunology services and perform a wide range of duties including clinical liaison, interpretation and validation of results, quality assurance and assay development.
Immunologists encounter a variety of clinical problems and have the opportunity to solve difficult diagnostic problems in patients with undefined immunodeficiencies or complex multi-system disease and the specialty is closely linked to cutting edge science and new immunomodulatory therapies.
Entry into Immunology training is possible following successful completion of both a foundation programme and a core training programme. There are three core training programmes for Immunology training:
- Core Medical Training (CMT)
- Acute Care Common Stem - Acute Medicine (ACCS-AM)
- Paediatric level 1
The GMC approved a new curriculum for Immunology in November 2015. The 2015 curriculum has integrated the laboratory competencies previously contained in the Laboratory Training Manual and introduced a single grading of competencies across all domains. Further to this, an administrative change was made to the curriculum to address an error in the mapping of the FRCPath to syllabus sections. Please see the forms and guidance section for guidance on implementation of the 2015 changes.
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. Please refer to the Royal College of Pathologists’ website for information about FRCPath including guidance for candidates.
The 2015 curriculum applies for all doctors starting in training from August 2015 and those transferring to the new curriculum. The version below includes administrative changes approved by the GMC in September 2016.
Trainees not transferring to the new curriculum should continue to use the 2010 curriculum. Please see the implementation of the new curriculum guidance for further information.
Previous versions of the curriculum are no longer available online but copies can be requested from firstname.lastname@example.org.
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.
Trainees on the 2015 curriculum should refer to the 2015 ARCP decision aid and those remaining on the 2010 curriculum should use the 2010 version.
The following document provides guidance on implementation of the 2015 curriculum