There are 27 different pathways within medicine, covering a wide variety of options such as allergy, dermatologyinfectious diseases, neurology, and sport and exercise medicine.

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.

Training pathway

There are two routes into the medical specialites:

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.  

ACCS is an alternative training programme and entry route to specialty training. It provides an overview of acute internal medicine, emergency medicine, anaesthetics and intensive care medicine.

CMT/ACCS are one of the entry routes into the intensive care medicine, and occupational medicine ST3 pathways. In addition, CMT/ACCS is the entry route into haematology (at ST3).

Look at the person specifications which list eligibility criteria for CMT and ACCS, and entry into ST3. They include the personal, academic and clinical criteria on which recruitment is based.

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