The Acute Medicine Training Programme


The West Midlands Acute Internal Medicine Training Programme is approved for AMU based training over a period of 4 years.

Throughout the duration of the training programme, trainees will be rotated through a variety of Acute Medical Units and also be placed in the mandatory curriculum placements (Cardiology / Respiratory / Geriatrics Medicine and Critical Care).

All placements will be delivered in blocks of at least three months; trainees will rotate on an annual basis, undertake one of the mandatory placements each year.

All trainees will receive a structured timetable, which will include a weekly session to develop their sub-specialty skill and achieve FAMUS accreditation. A further session will be timetabled to undertake a Quality Improvement Project. Trainees in the West Midlands are encouraged to work collaboratively to complete region-wide projects.


Trainees will remain on the general medicine on call ‘medical registrar’ rota throughout their training.


There will be the opportunity to ‘act up’ as a consultant in the final three months of training provided trainees have achieved their curriculum competencies and with the approval of the Training Programme Director.



Mandatory Training Requirements for AIM Trainees


  • All AIM trainees must complete an audit each year and complete at least one Quality Improvement Project (QIP) during their training programme
  • All trainees must meet the requisite curriculum competencies as per the ARCP decision aid
  • Advanced Life Support (ALS Provider) certification must be up to date throughout training
  • Specialty Certificate Examination in AIM (preferably completed by the end of ST5)
  • 100 hours of external AIM teaching throughout the programme
  • Attendance at 70% of regional acute medicine training days
  • Evidence of teaching others *


* Not on 2009 curriculum but felt to be necessary local minimum standards and likely to be necessary to meet common competencies. 


The Acute Internal Medicine curriculum is available for trainees to access on the JRCPTB website.


The following hospitals are involved in Acute Medicine Training in the West Midlands. Different hospitals provide different training opportunities. Trainees are asked to rank their preferred hospital placement each year and the rotations based on these requests.  


Hospital Trust

Number of Trainees


Sandwell & West Birmingham Hospitals NHS Trust


2 - Sandwell Hospital

3 - City Hospital


University Hospitals Birmingham NHS Foundation Trust


3 - Queen Elizabeth Hospital

3 - Heartlands Hospital

3 - Good Hope Hospital


Walsall Hospitals NHS Trust


3 - Walsall Manor Hospital


Royal Wolverhampton Hospitals NHS Trust


3 - New Cross Hospital


Dudley Group of Hospitals NHS Trust


2 - Russell’s Hall Hospital


University Hospital North Midlands NHS Trust


4 - Royal Stoke University Hospital


University Hospitals of Coventry and Warwickshire NHS Trust


3 - University Hospital Coventry


Worcester Acute Hospitals NHS Trust


3 - Worcester Acute Hospital


South Warwickshire NHS Foundation Trust


3 - Warwick Hospital


This numbers are subject to change with the introduction of the Shape of Training reforms and ‘IMT3’ trainees.





Page Last Updated 13th July 2021