Nuclear Medicine is the specialty responsible for the administration of unsealed radioactive substances to patients for the purposes of diagnosis, therapy or research. Nuclear medicine trainees will be expected to combine their skills as a physician with that of a physiological imager to solve diagnostic problems. They will provide a unique insight into the pathophysiology of disease and where appropriate offer a radionuclide therapeutic option for treatment. Trainees will require appropriate instruction in the clinical, scientific and legal aspects of the specialty.
Specialists in Nuclear Medicine have ultimate responsibility for Nuclear Medicine services and must hold the appropriate certificate from Health Ministers to administer radioactive substances.
Entry into Nuclear Medicine training is possible following successful completion of both a foundation programme and a core training programme. There are two core training programmes for Nuclear Medicine training:
- Core Medical Training (CMT)
- Acute Care Common Stem - Acute Medicine (ACCS-AM)
New training programme from August 2015
In the last 10 years there have been significant developments in hybrid imaging which combines functional imaging using radionuclides and radiological anatomic imaging. Technology now allows machines to be built which combine functional imaging using radionuclides and radiological anatomic imaging - these machines include SPECT/CT, PET/CT and PET/MR. The 2010 Nuclear Medicine curriculum was reviewed and rewritten in 2014 to ensure that Nuclear Medicine trainees would be equipped with the skills required to confidently interpret hybrid imaging studies, to review and interpret diagnostic imaging studies such as CT and MRI in patients undergoing radionuclide studies, and to present and discuss a broad range of imaging studies within multidisciplinary meetings.
Trainees entering Nuclear Medicine training from August 2015 will undertake core level Clinical Radiology training and complete FRCR during the first three years of training. In the latter three years trainees will undertake higher Nuclear Medicine training and complete the Diploma in Nuclear Medicine.
Please refer to the relevant sections below for the 2014 curriculum, ARCP decision aid and guidance.
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.
Trainees starting in programme in August 2015, and those transferring from earlier versions of the curriculum, will use the Nuclear Medicine curriculum approved by the GMC in 2014. The 2014 curriculum was updated in October 2016 with administrative changes to clarify the route to registration in Clinical Radiology. Trainees who are not transferring to the new curriculum should continue to use the 2010 curriculum.
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 2010 curriculum should refer to the 2010 ARCP decision aid and trainees on the 2014 curriculum should use the 2014 ARCP decision aid. The 2014 decision aid was updated in October 2016 with a minor administrative change.
Guidance for trainees on 2014 curriculum
The document below has been updated to include detail of the ARCP process and routes to specialist registration.