Training and development (GIM)

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.

Download full image of General Internal Medicine pathway

The specialty is well suited to flexible training and working patterns. A significant proportion of trainees are training less than full time.

The approved postgraduate training programme for general internal medicine is available from the GMC.

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

Training consists of four to six placements in medical specialties which must include direct involvement in the acute medical take. Trainees record their workplace based assessments in an e-portfolio which they continue to use in specialty training.

Trainees can enter specialty training in GIM at ST3 level. Training takes a minimum of three years (ST3-5).

Applicants for specialty training at ST3 should hold the full MRCP (UK). Not all applicants who meet the required standard to continue will necessarily be offered a post due to the level of competition.

Trainees who wish to achieve a CCT in both GIM and another specialty must have applied for and successfully entered a training programme which was advertised openly as a dual training programme. On successfully completing the training programme and evidencing the competencies in the relevant GMC approved curricula, the trainee will achieve two CCTs, one in GIM and one in another medical specialty.

The JRCPTB has detailed information on general internal medicine.

Detailed entry requirements and all essential and desirable criteria are listed in the person specification 2017 for general internal medicine 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, local education and training boards (LETBs) or the GMC.

Getting in tips

It is important to develop your practical skills and interest in general 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. 

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