Most medical roles have a mixture of ward work and clinic-based medicine and in most cases a generalist attitude is required as you will be working with patients who have more than one medical problem.
There are two routes into the medical specialites:
- core medical training (CMT)
- acute care common Stem (ACCS)
CMT follows foundation training. During CMT trainees complete a curriculum and an e-portfolio which focus on the basic levels of General Internal Medicine (GIM) (Acute). In order to progress towards a Certificate of Completion of Training (CCT), different competencies must be met. These encompass good medical practice, symptom competencies (including emergency and common presentations), system specific competencies, investigation competencies and procedural competencies. Assessment of competence is documented through workplace-based assessments and the MRCP(UK) which is a mandatory requirement to enter specialty training at ST3. A full breakdown of what is involved can be found on the Joint Royal Colleges of Physicians Training Board website.