Training and development (AIM)

This page provides useful information on the training and development for this specialty and also has tips for people at all stages of their training including medical school.

The approved postgraduate training programme for AIM is available from the GMC.

The full training programmes for AIM lasts a minimum of six years for single CCT and seven years for dual CCT. Selection takes place before entry to ST1 (after the foundation programme) and again before entry to specialty training ST3 in AIM. A significant proportion of the trainees in AIM are training less than full time.

You will need to complete core training after your two-year foundation programme. Core training has a choice of two pathways:

The consensus among acute specialists is that both pathways are equally valid but that those doing ACCS usually gain more critical care exposure early in training.

Entry at ST3 level requires full membership of the Royal College of Physicians (MRCP).

At ST3, many trainees will choose to dual CCT with General Internal Medicine which increases the training time by approximately one year. Trainees should seek advice from their Training Programme Director about whether they should seek a single or dual CCT.

The development of specialist skills is a mandatory part of training in the specialty. Some trainees will choose to learn a practical procedure such as echocardiography, while others will gain qualifications in management, leadership or education, and some will become involved in medical research. The requirement to develop an additional skill or qualification is a key element of the new curriculum.

The JRCPTB has detailed information on Acute Internal Medicine.

Detailed entry requirements and all essential and desirable criteria are listed in the person specification 2017 for acute internal medicine (ACCS) CT1 or ST3.  

All 2017 person specifications can be found on the NHS specialty training website. Please note that these documents are updated every year in the autumn before the recruitment round opens.

This information is correct at the time of writing. Full and accurate details of training pathways are available from medical royal colleges or the GMC.

Getting in tips

It is important to develop your practical skills and interest in acute internal medicine as early as you can. This will also give you valuable experience to add to your CV.

Whether you're a medical student, foundation trainee or doing your core specialty training, there's information below to help you. 

Make a comment or report a problem with this page

Help us improve Health Careers