Acute internal medicine



Curriculum - Acute internal medicine training

JRCPTB Specialty Overview and Recruitment -

Society for Acute Medicine -




Training Programme Director

Dr Peter Ng, 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 Karen Short, Joint TPD Acute Medicine


Whitson Hospital
St. Helens and Knowsley NHS Trust
Warrington Road
L35 5DR

Telephone: 0151 426 1600 (main switchboard)


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

This is a 4 year training programme (ST4-ST7) leading to the award of a dual CCT in Acute General Medicine and General Internal Medicine.  There is also the opportunity to triple accredit in Stroke or Intensive Care Medicine.



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.



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 months in the essential specialities of intensive care medicine, cardiology, respiratory and care of the elderly medicine but there are also placements in gastroenterology and diabetes. 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.

You will receive protected time for training in Point of Care Ultrasound through FAMUS accreditation and to develop a Specialist Skill.  There will also be opportunities for additional experience such as Fellowships including in-programme and out of programme activities.



There is a 3 year rolling monthly teaching programme covering the Acute Medicine curriculum. There is also a virtual 10 half day teaching programme for General Internal Medicine held jointly with the North West region.  Trainees are encouraged to attend the Society for Acute Medicine conferences at least annually.




North Western


Training Programme Director

Dr Tania Syed 


Manchester Royal Infirmary      
Oxford Road
M13 9WL



Acute Internal Medicine was legally recognized as a specialty in August 2009.  The aim of our 4-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.


Postgraduate doctor/s in training 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 doctor/s  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.

Doctor/s 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 doctor/s in training from either an ACCS or CMT background.



The programme is based in the following Hospitals in the Northwest Deanery:


General Description of Rotation

The rotation is 5 months and placements can be 4 or 6 months.  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.  Doctor/s  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 doctor/s in training to complete a special skill and we encourage trainees to develop their own personal interest, wherever possible.  Previous doctor/s  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 doctor/s in training 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 doctor/s wishing to take a higher research degree we are not able to offer academic training.  However, our doctor/s 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 doctor/s to develop skills in teaching and medical education.

Acute Internal Medicine