Trainees can apply to enter IM stage 1 training following completion of the foundation programme. Following IM stage 1, further training in IM stage 2 and a specialty will be required to achieve a CCT in internal medicine and specialty training (Group 1 specialties). However, a number of specialties (Group 2 specialties), who do not provide acute unselected care as consultants, will recruit trainees who have completed IM year 1 and year 2 if curriculum requirements are met.
Medical specialties have been split into 2 different groups which follow 2 different training pathways – Group 1 (dual training with Internal Medicine) and Group 2 (single CCT)
Group 1 specialties
Acute Internal Medicine
Clinical Pharmacology & Therapeutics
Endocrinology & Diabetes Mellitus
Infectious Diseases (except when dual with Medical Microbiology or Virology)
Group 2 specialties
Audio vestibular Medicine
Aviation & Space Medicine
Infectious Diseases (when dual with Medical Microbiology or Virology)
Sport and Exercise Medicine
There are two key progression points during IM stage 1 training. The first critical progression point will be from IM2 to IM3 as the trainees ‘step up’ to become the medical registrar, and it is vital that the trainee has demonstrated ability to do so. The second point will be at the end of IM stage 1 when the trainee must be signed off for all parts of the curriculum and have full MRCP(UK) diploma in order to complete the stage of training.