The Internal Medicine (IM) stage 1 curriculum was approved by the GMC on 8 December 2017 and will replace Core Medical Training (CMT) from August 2019. Internal Medicine Training (IMT) will form the first three years of post-foundation training and, for the main specialties supporting acute hospital care, an indicative 12 months of further internal medicine training will be integrated flexibly with specialty training in a dual programme.
Further information will be added in due course.
Curriculum - Core Medical Training
Mersey
Welcome to Core Medical Training
Training Programme Directors
Dr Nadine Carroll
Royal Liverpool and Broadgreen NHS Trust
Dr Rob Egdell
East Cheshire NHS Trust
Overview
This section provides a brief overview of CMT detailing entry requirements, what training a trainee can expect and how long they are expected to train for before entering a speciality.
Training
This section provides detailed information about the training that a core medical trainee can expect including assessment information and a list of institutions they may be working with.
Help and Support
This section details the help and support the trainee can expect from School of Medicine and the Programme Director.
There are two Programme Directors for Core Medical Training (CMT) covering the Cheshire & Mersey zone of HEENW. Our role is to ensure that the training you are given in all core medical specialties is of high quality and well-coordinated. Each year you will each be trained by a number of Consultant Physicians skilled not only in their own fields but also in supporting education for medical trainees. You will also discover that you receive very valuable training from non-consultant grade doctors, senior trainees and senior nursing staff during your placements.
You may well have dealings with both Training Programme Directors during your time in CMT, but each hospital Trust will be covered primarily by one of us and this person should be your first point of contact if you need our input with anything.
In all your posts you will have both clinical supervisors and educational supervisors. The latter will meet with you regularly for appraisal and supervision of training although we rely on you to instigate the meetings. We expect a high level of commitment from you in your role as adult learners taking responsibility to ensure that you progress with your training at a satisfactory rate.
Apart from ourselves and those you will work closely with in your Trusts there is a further supportive network of medical educationalists who can help you if necessary including the College Tutors and Directors of Medical Education in each of your Trusts.
The Mersey CMT programme offers excellent training which will provide the breadth and depth of medical expertise you require before embarking on more specialised training, provided you use your opportunities wisely.
Good luck!
CMT Induction Booklet
CMT Induction Booklet - can be viewed here
CMT Teaching Programme
Morning sessions will run from 9.30am-12.30pm with registration 9-9.30am. Unless stated afternoon sessions will run from 2-5pm with registration 1.30-2pm.
| Chester |
Friday 21 September 2018 1.30 – 4.30pm |
Medico-Legal |
| Arrowe Park |
Thursday 11 October 2018 9.30 – 12.30pm |
Stroke Diabetes Foot Disease Gastroenterology |
| Crewe |
Wednesday 31 October 2018 2 – 5pm |
QI |
| Southport |
Thursday 29 November 2018 2 - 5pm |
Resilience and Lifelong Learning |
| Aintree |
Tuesday 4 December 2018 9.30 - 12noon |
Acute Medicine (Please note this is being held in Broadgreen Hospital Lecture Theatre) |
| Warrington |
Tuesday 5 March 2019 1 - 4pm |
Medical Problems in Pregnancy |
| Aintree |
Tuesday 26 March 2019 2 - 3pm 3 - 4pm 4 - 5pm |
Early Arthritis Inflammatory spondylarthritis / ankylosing spondylitis Management of Rare Inflammatory Diseases |
| RLUH |
April TBC |
|
| QI Showcase |
Wednesday 1 May 2019 2-5pm |
QI at Salford Royal Hospital |
| Whiston |
Wednesday 16 May 2019 2 - 5pm |
Palliative Care |
| LHCH |
June TBC |
Medical Statistics & Cardiology or Respiratory |
| WCNN |
Wednesday 3 July 2019 1.30 - 4.30 |
Neurology |
August
Post PACES Trainees will also benefit from the Broadgreen Acute/General Medicine Programme (SpR GIM Programme) (Contact Dr Sid McNulty).
All Trainees should attend their local Trust Education sessions (Contact College Tutor).
Royal College of Physicians – Mersey Regional Office
Teach-ins
The Mersey RCP office runs a monthly teach-in programme at the Liverpool Medical Institution on the first Tuesday of the month (excluding January and August). Attendees can book a place online at www.rcplondon.ac.uk from 2 weeks before the teach-in. Registration is from 6 – 6.30 pm. The teach-in starts at 6.30pm and closes at 8.30 pm. There is no charge to attend.
Each teach-in focuses on a different medical specialty and aims to provide an update on advances in clinical practice for doctors in training.
September 2018:
Friday 7 – New Consultants Forum – https://www.rcplondon.ac.uk/events/new-consultants-forum-liverpool-1
Tuesday 11 – Gastroenterology teach-in – https://www.rcplondon.ac.uk/events/teach-gastroenterology-liverpool
Wednesday 12 – Respiratory spotlight – https://www.rcplondon.ac.uk/events/respiratory-spotlight-north-western-region
October 2018:
Tuesday 2 – Dermatology teach-in – https://www.rcplondon.ac.uk/events/teach-dermatology-liverpool
Wednesday 17 – Acute Medicine Conference – https://www.rcplondon.ac.uk/events/acute-medicine-conference-liverpool-0
Friday 19 – Mock PACES – Whiston – email registers of interest to mersey@rcplondon.ac.uk for more information
Wednesday 31 – Careers evening for Foundation Year Doctors – email register of interest to northwestern@rcplondon.ac.uk
November 2018:
Tuesday 6 – Maternity medicine teach-in – https://www.rcplondon.ac.uk/events/teach-maternity-medicine-liverpool-0
Wednesday 7 – Geriatric spotlight – email northwestern@rcplondon.ac.uk to register interest and for more information
Tuesday 20 – Careers evening for Core medical trainees – email mersey@rcplondon.ac.uk to register interest and for more information
December 2018:
Tuesday 4 – Update in medicine – Bolton – https://www.rcplondon.ac.uk/events/update-medicine-bolton
Tuesday 11 – Cardiology teach-in - https://www.rcplondon.ac.uk/events/teach-cardiology-liverpool
Contact Mersey@rcplondon.ac.uk for more information.
Mock PACES examination
The Mersey RCP office runs 1 or 2 Mock PACES examinations each diet. The cost to take part is £100.00 per candidate.
The aim is to test candidates’ ability to demonstrate in a clinical setting the knowledge, skills and attitudes appropriate for a physician who is eligible to take PACES and is completing Core Medical Training.
The mock PACES examination consists of five clinical stations moving round each station at regular timed intervals until they have completed the cycle. Run in accordance with MRCP(UK) regulations to give real-life experience of examination conditions, it will provide candidates with an opportunity to reflect on their strengths and weaknesses under the pressure of close observation and to identify common and repeated simple mistakes which can be easily corrected.
Previous attendees to the mock PACES examinations have found them very useful in their exam preparations.
The dates are yet to be confirmed but those that are interested can send an email to Mersey@rcplondon.ac.uk and they will keep you updated on dates.
RCP Updates in Medicine
The Mersey RCP office runs a Regional Update in Medicine and an Acute Medicine Update each year. These are 1 day conferences attracting 5 CPD points.
The programme is relevant to doctors in training.
https://www.rcplondon.ac.uk/events/mersey-region-acute-medicine-update
Contact Mersey@rcplondon.ac.uk for more information.
Courses and Events
View forthcoming course relating to the RCP - Mersey Region.
Educational Activity Guidance
Trainees acquire skills and information from many activities including attendance at organised educational events where core training is delivered. Attendance at these events is essential, but it is recognised that annual and study leave will prevent trainees form attending 100% of such events. There are also several programmes or opportunities for trainees to attend, some of which will have more relevance for those who are more junior or conversely further on in their career (e.g. post-PACES). The target of attending 70% of organised teaching has proved too inflexible for trainees.
Please download the Summary of Trainee Education Form.
Core/Mandatory Courses and Meetings
For Core Medical Training the courses/training identified in the table below are recommended.
The ALS course is mandatory to ensure you are always up to date.
We need you to attend 70% of the Regional CMT Teaching and poor attendance can result in a poor outcome at the ARCP. For details look under ‘Mandatory CMT Training Programme’.
The other courses identified are largely related to obtaining the MRCP exam. Look under ‘Courses and events’ for details.
Each Trust will have its own study leave rules and funding limits. You should arrange your study leave with those guidelines in mind.
General (Internal) Medicine (CT1+2/ST1+2)
| Year of Training | Description of Event | Frequency | Comments |
|---|---|---|---|
| To avoid expiry | ALS | To keep up to date | - |
| Every Year | CMT monthly Regional Teaching | x10/year (must attend at least 70%) | - |
| Depending on progress towards MRCP | MRCP part 1 course | - | Desirable |
| MRCP part 2 course | - | Desirable | Desirable |
| PACES course | - | Desirable | Desirable |
| Ongoing | LMI Evening teaching Sessions | Monthly |
Desirable (can count towards annual teaching requirements in CMT) |
| CMT2/ST2 | Teaching Course | Once | Desirable |
| Ongoing | RCP Regional Update in Medicine Meeting | Annually |
Desirable (can count towards annual teaching requirements in CMT) |
Further information
For further information about Study leave, visit the Study Leave section.
North Western
Training Programme Directors
South Cumbria and Lancshire Sector
Dr Simon Howell
Royal Preston Hospital
North Sector
Dr Andrew Robinson
Salford Royal Hospitals NHS Foundation Trust
South Sector
Dr Pippa Newton
University Hospital of South Manchester
Overview of Programme
The CMT programme builds on the traditional excellence of SHO training in medicine in the North West region, including the larger training programmes previously centred at Hope Hospital, Manchester Royal Infirmary, North Manchester General Hospital, Royal Preston Hospital and Wythenshawe Hospital.
The training programme is run in three zones (Lancashire and Cumbria Zone; Greater Manchester North & West Zone; and Greater Manchester Central, South & East Zone) to afford proximity of placement hospitals for all trainees.
The two-year CMT programme delivers training based upon the JRCPTB CMT curriculum, with the majority of posts involving both district general hospital and teaching hospital placements.
There is a wide range of training paths affording experience in the main medical specialties. These training paths also afford the possibility of individual focus with choice suiting differing career specialty plans.
General Description of Rotation
The three programme zones, while providing the same high standards, each offer differing flavours of training. There are four trusts with seven sites in Lancashire and Cumbria; four trusts and seven sites in Greater Manchester North & West; and six trusts and sites in Central Manchester South & East.
Successful applicants are asked to express a preference between the different training tracks, to suit individual interests and career plans. Allocation to tracks is on the basis of expressed preference and interview score.
Each zone has 24 training paths, involving six four-month placements. These placements will involve at least one year in the main medical sub-specialties (geriatric medicine [care of the elderly], chest medicine, endocrinology/diabetes, gastroenterology, and cardiology).
Each path will provide 16-20 months of acute medical experience, with at least eight months of unselected acute medical 'take'. The majority of trainees will be based in one site for each year of the programme.
Each training path will allow a sub-specialist training focus for at least one four-month placement. This will be either cardiology, haematology, intensive care, liver unit, neurology, oncology, renal medicine, rheumatology, specialist chest medicine, infectious diseases, or palliative medicine.
Educational Opportunities
CMT curriculum-based protected teaching programmes are in place for CT1 and CT2 trainees, building on the mature individual trust and multi-trust teaching programmes already in place. Skills Training Days are provided separately for CT1 and CT2 level trainees.
There is an active and successful NW regional Royal College of Physicians programme of education, including teach-ins and training days.
Clinical skills teaching and simulation sessions are integral part of the regional educational programme. There are well established PACES teaching within individual sectors.
Research/Audit/Teaching
The Manchester medical school has recently undergone significant expansion, incorporating the use of problem-based learning. Junior hospital doctors, particularly in medicine, form an important group of the trainers at undergraduate level.
The University runs a regular programme of teaching the teachers, which CMT trainees are encouraged to attend. All trusts have an actively supported programme of audit; CMT trainees are expected to undertake audit and are actively supported to do so.
Research is also supported, with presentation of research at national and international meetings and publications of research achieved regularly by trainees in the trusts in the regional programme.