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
Cardiology
Clinical Pharmacology & Therapeutics
Endocrinology & Diabetes Mellitus
Gastroenterology
Genitourinary Medicine
Geriatric Medicine
Infectious Diseases (except when dual with Medical Microbiology or Virology)
Neurology
Palliative Medicine
Renal Medicine
Respiratory Medicine
Rheumatology
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Group 2 specialties
Allergy
Audio vestibular Medicine
Aviation & Space Medicine
Clinical Genetics
Clinical Neurophysiology
Dermatology
Haematology
Immunology
Infectious Diseases (when dual with Medical Microbiology or Virology)
Medical Oncology
Medical Ophthalmology
Nuclear Medicine
Paediatric Cardiology
Pharmaceutical Medicine
Rehabilitation Medicine
Sport and Exercise Medicine
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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.