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Internal Medicine

About the specialty

Internal Medicine Training (IMT) forms the first stage of specialty training for most doctors training in physicianly specialties, and will prepare trainees for participating in the acute medical take at a senior level and managing patients with acute and chronic medical problems in outpatient and inpatient settings. The curriculum for IMT stage 1 was approved by the GMC in December 2017 and IMT replaced Core Medicial Training (CMT) from August 2019. Trainees must complete IMT and acquire the full MRCP(UK) Diploma in order to enter specialty training at ST4 from 2022. Some specialties (group 2 specialties) will recruit trainees who have completed two years of IMT and the MRCP(UK). 

IMT is a three year programme which will prepare doctors to become a medical registrar and provide them with the skills needed to manage patients presenting with a wide range of general medical symptoms and conditions. Experience in intensive care medicine, geriatric medicine and outpatients will be mandated and trainees will receive simulation training throughout the programme. Holistic decisions on progress will be made for the fourteen high level capabilities in practice (CiPs) using the professional judgement of appropriately trained, expert assessors. 

Internal Medicine stage 2 training replaces current General Internal Medicine (GIM) training from August 2022.

Please see the forms and guidance section below for resources to support implementation of the curriculum.  Related FAQs can be accessed via the links section

For information on the Acute Care Common Stem - Internal Medicine (ACCS-IM) programme please see the ACCS webpage.


The purpose of the curriculum is to define the process of training and the capabilities needed for the successful completion of Internal Medicine.

 Internal Medicine Stage 1 Training curriculum

Internal Medicine stage 2 training replaced General Internal Medicine training as of August 2022. The new curriculum appears below

Internal Medicine (Stage 2) 2022 curriculum

ARCP Decision Aids

The ARCP decision aid defines the targets that have to be achieved for a satisfactory ARCP outcome at the end of each training year. 

IMT ARCP Decision Aid 2019 curriculum (updated Sept 2023)

The IMCMTAC has issued guidance for the summer 2023 ARCPs to ensure consistency following strike action.

The Internal Medicine Core Medical Training Advisory Committee (IMCMTAC) recommends using the structured checklist below to support the interim review of competency process in IMT. You should complete the checklist with your educational supervisor in December, although there will be some local variation in timing. Support is available from your local College Tutor and Training Programme Director. The checklist is available on the ePortfolio.

The following document provides guidance on the requirements for the IM Stage 2 curriculum. 

General Internal Medicine (IM Stage 2) ARCP Decision Aid 2022

Forms and guidance

Accelerated training in Internal Medicine Stage 1 (IMS1)

JRCPTB has published updated guidance to help ARCP panels to facilitate acceleration in training when this is desired by the trainee and supported by the education supervisor. This guidance is available here.

IMT Supervision in an HDU

JRCPTB has issued guidance for IMT Clinical Supervisors in an HDU 

IMT recruitment webinar 

On Tuesday 7 November 2022, JRCPTB hosted an interactive and informative webinar providing information and guidance on Internal Medicine Training and the recruitment and application process. This webinar is relevant for trainees applying this year and considering an application in future years. The team of dedicated experts and trainees will lead you through: 

  • An introduction to IMT 
  • An overview of the recruitment process 
  • The trainee experience: 

1.  Experience of IMT 

2.  The application form 

3.  The virtual interview 

  • Q&A

The slide set below provides information about the internal medicine stage 1 curriculum including the training requirements, capabilities in practice and the programme of assessment.

The rough guide to IMT provides guidance on the practical aspects of implementing the new curriculum including transition guidance for trainees who have completed CMT or ACCS-AM.

Rough guide to Internal Medicine Training - May 2020


Self Development Time

JRCPTB has issued guidance for SDT during IM Stage 1


Please see the guidance below for trainees who have completed CMT or ACCS-AM and are entering a stand alone IMY3 post and require a gap analysis

Gap analysis guidance for IMY3 stand alone posts

The document below provides guidance on the proposed IMY3 preferencing process for IM stage 1 trainees.


Calculating acute take/outpatient experience and recording procedures

The following template can be used to calculate acute take experience and record outpatient clinics and procedures undertaken in IMT. The totals calculated should be used to populate the IMT summary of clinical activity and teaching form on the ePortfolio.

Outpatient experience


Educational Supervisor reports

An example of a good ES report for a trainee completing IMY2 is given below

The following form can be used by ARCP panels to give feedback to Educational Supervisors



We have provided a template welcome letter for new IMT trainees for schools of medicine to use locally. The induction checklist can be used as an aide memoire by educational supervisors to prepare for and carry out an induction meeting. 



This video gives you a brief overview on how to navigate the ePortfolio.


The document below explains the changes we have made to support the new curriculum. 



IMT work schedule

The work schedules for IMT below have been developed with NHS Employers. The schedules are designed to help employers plan and deliver clinical services alongside training programmes in a way that is safe for both doctors and patients. Work schedules are a contractual requirement in England and are not required by the devolved nations at present but are considered as good practice.