Metabolic Medicine (sub-specialty)

About the specialty: 

Metabolic Medicine is a sub-specialty which can be defined as a group of overlapping areas of clinical practice with common dependence on detailed understanding of basic biochemistry and metabolism.  It therefore falls within the areas of expertise of both the physician and chemical pathologist. 

Metabolic Medicine sub-specialty training with General Internal Medicine is likely to be chosen by individuals with specific academic interests or those who wish to work with patients with inherited metabolic diseases. New drug treatments and better nutritional products for these individually rare conditions have resulted in improvements and changes to these individuals' prognosis. This developing field is very rewarding to work in and rapidly changing.
Trainees in Chemical Pathology (CP) can also gain sub-specialty accreditation in Metabolic Medicine, and develop competencies to lead predominantly outpatient clinics in one or more of the clinical modalities of Metabolic Medicine. They would also be closely involved in laboratory work and usually lead the service. They would ensure the quality of laboratory results and guide clinicians to maximize the clinical benefits of laboratory tests in diagnosis, prognosis and monitoring.  

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

  • Core Medical Training (CMT)
  • Acute Care Common Stem - Acute Medicine (ACCS-AM)

The award of Certificate of Completion of Training (CCT) is in either GIM or CP and will require evidence of satisfactory completion of the GIM or CP curriculum. Trainees will receive sub-specialty recognition of Metabolic Medicine on the specialist register.


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.

PDF icon 2010 Metabolic Medicine.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 Royal College of Pathologists has produced guidance for trainees in Chemical Pathology, including those in subspecialty Metabolic Medicine training, to support ARCPs during the Covid-19 pandemic.

PDF icon Chemical Pathology ARCP Guidance May20

PDF icon 2010 Metabolic Medicine ARCP Decision Aid (revised 2014).pdf