Sub-Specialty Skills


Trainees wishing to achieve a CCT in Acute Internal Medicine are required to acquire a sub-specialty skill.

This skill is used alongside the Acute Physician’s medical skills, and developed throughout their career and introduces more variety to the role. It enables them to bring something additional to the acute medical service for the benefit of the patient and the department.


It is essential that trainees discuss their options regarding the sub-specialty skill with their STC Chair/TPD to ensure the appropriate training can be delivered.


In the first two years of Acute Medicine Training, trainees will be required to train in ultrasound (towards FAMUS accreditation) alongside a chosen sub-specialty skill. Trainees will be timetabled for 1-day per week (2 sessions) towards this; this time should also be used towards completing a quality improvement project.


In terms of choosing a procedure as a sub-specialty skill, trainees must have ongoing exposure to the procedural skill to maintain continued their competence. It is therefore essential that the trainee takes into consideration the technical or procedural skill that will most likely in demand by the health service once training is completed.


Examples of the procedural skills, qualifications, specialty interests and level of research involvement that a trainee may wish to acquire are detailed in the link at the bottom of this page.


Training opportunities may be after appointment at a competitive interview to another post/specialty (for example, Stroke Medicine or Critical Care) and/or may be part of Out of Programme Experience or Training. 


This list is not intended to be exhaustive and if trainees wish to pursue another specialist skill they should apply to the JRCPTB as early as possible in their training programme for this to be approved.



See the following website for the current list of approved special skills: 


Specialist Skills for Acute Internal Medicine





Page Last Updated 13th July 2021