Acute internal medicine



Curriculum - Acute internal medicine trainning

JRCPTB Specialty Overview and Recruitment -

Society for Acute Medicine -






Training Programme Director

Dr Joe Abbott, Joint TPD Acute Medicine


Liverpool University Hospitals NHS Foundation Trust
Royal Liverpool University Hospital
Prescot Street
L7 8XP

Telephone: 0151 706 2000 (main switchboard)


Dr Holly Metcalfe, Joint TPD Acute Medicine


Liverpool University Hospitals NHS Foundation Trust
Royal Liverpool University Hospital
Prescot Street
L7 8XP

Telephone: 0151 706 2000 (main switchboard)


Outline of Training Programme in Acute Medicine and G(I)M

This is a 5 year training programme (ST3-ST7) leading to the award of a dual CCT in Acute General Medicine and General Internal Medicine. Trainees wishing to undertake single accreditation in Acute Internal Medicine will usually be able to attain the CCT within 4 years from ST3 level.



The programme is based in the following Hospitals in the Mersey Deanery


The training programme is based on placements in 4 or 6 month blocks. The rotations are determined on an annual basis taking into account all trainees requirements. Placements will require all trainees to rotate between the Teaching Hospitals and District General Hospitals during their training.


The 6 month posts rotate within the same hospital each year as far as possible. The 4 month posts rotate between Arrowe Park Hospital, The Royal Liverpool University Hospital and Macclesfield Hospital.



Trainees will spend at least 18 months in an Acute Medical Unit supervised by one or more consultants appointed as acute physicians. Trainees will spend at least 4/12 in the essential specialities of intensive care medicine, cardiology, respiratory and care of the elderly medicine. Placements in gastroenterology, diabetes and emergency medicine form part of the rotation. All these placements (except intensive care and acute medicine) also provide training leading to accreditation in General Internal Medicine.


Opportunities exist in some acute medical unit placements to gain clinic experience in neurology, rheumatology and renal medicine.


Opportunities exist on an annual basis to undertake 6 months out of programme training (OOPT) in anaesthesia and 1 year intensive care medicine placement within the AIM/GIM programme enabling training to be gained in intensive care medicine to intermediate level.


There are opportunities to receive training in general medical ultrasound and echocardiography. These opportunities are not guaranteed. Previous trainees have gained a postgraduate certificate in medical ultrasound and BSE echocardiography certification. All trainees are encouraged to gain additional training in medical education as an alternative to a practical skill.



There is a 3 year rolling monthly teaching programme covering the Acute Medicine curriculum. There is also a bimonthly teaching programme for General Internal Medicine. In addition there are regular teaching days/evenings at the Liverpool Medical Institute. Trainees are encouraged to attend SAMUK meetings at least annually.




North Western


Training Programme Director

Dr Tania Syed 

Lancashire Teaching Hospitals NHS Foundation Trust
Chorley and South Ribble Hospital
Preston Road




Acute Internal Medicine was legally recognized as a specialty in August 2009.  The aim of our 5-year programme is to train physicians to be capable of managing an Acute Medical Unit (AMU) both clinically and in terms of service delivery and development.


Trainees in Health Education England - North West have been able to achieve dual accreditation in A(I)M and G(I)M since April 2014.  This affords our trainees the opportunity to become truly rounded physicians.


Both specialties are of equal importance and are complimentary to each other.  They have separate curriculums, however there is obviously overlap.


Trainees who opt for dual accreditation will have an ARCP in both specialties and these may be held at different times. 


Our programme maps well to the AIM curriculum and is suitable for trainees from either an ACCS or CMT background.


General Description of Rotation

Our rotation is over 5-years with 6-month posts.  These include: Cardiology, Respiratory, Intensive Care, High Dependency at the Christie Hospital, Gastroenterology and a mixture of teaching hospital and district general hospital AMU posts.


Educational Opportunities

We run a successful AIM teaching programme.  Trainees are also encouraged to attend the regional GIM study days.  We value teaching days, not simply for their educational content but also to afford trainees the opportunity to meet and train with their peers.  The AIM curriculum requires trainees to complete a special skill and we encourage trainees to develop their own personal interest, wherever possible.  Previous trainees have completed or are completing an MSc in medical education and management.  The diploma in toxicology has also proven popular.  We are now in a position to facilitate training in echocardiography and upper gastrointestinal endoscopy.  Some trainees have successfully acquired places on a programme for dual accreditation in Intensive Care Medicine whilst others are undertaking a fellowship year in Stroke Medicine.



Acute medicine is not an established academic specialty and whilst we would support trainees wishing to take a higher research degree we are not able to offer academic training.  However, our trainees have a good track record of presenting at the meetings of the Society for Acute Medicine.  As a relatively new specialty, and coupled to the nature of our service delivery, there are excellent opportunities to undertake service development work or high quality audit.  With approximately a third of our posts being based in teaching hospitals there are ample opportunities for trainees to develop skills in teaching and medical education.

Acute Internal Medicine