Overview
- Details
Outline of StR Training Programme in Acute Medicine and G(I)M
This is a 5 year training programme (ST3-ST7) leading to the award of a dual CCT in Acute General Medicine and General Internal Medicine. Trainees wishing to undertake single accreditation in Acute Internal Medicine will usually be able to attain the CCT within 4 years from ST3 level.
Location
The programme is based in the following Hospitals in the Mersey Deanery
- Countess of Chester, Liverpool Road, Chester, CW2 1UL
- Leighton Hospital, Middlewich Road, Crewe, CW1 4QJ
- Macclesfield DGH, Victoria Rd, Macclesfield, SK10 3BL
- Royal Liverpool University Hospital, Prescott St, Liverpool, L7 8XP
- Southport Hospital, Southport, PR8 6PN
- University Hospital Aintree, Longmoor Lane, Aintree, L9 7AL
- Warrington Hospital, Lovely Lane, Warrington, WA5 1QG
- Whiston Hospital, Warrington Rd, Prescott, L35 5DR
- Wirral University Teaching Hospital, Arrowe Park Hospital, Upton, Wirral, CH49 5PE
The training programme is based on placements in 4 or 6 month blocks. The rotations are determined on an annual basis taking into account all trainees requirements. Placements will require all trainees to rotate between the Teaching Hospitals and District General Hospitals during their training.
Trust and Speciality Placement information
| Countess of Chester Hospital | Acute Medical Unit | 1 post 6/12 |
| Leighton Hospital, Crewe | Cardiology | 1 post 6/12 |
| Macclesfield DGH, Macclesfield | Acute Medical Unit | 1 post 4/12 |
| Respiratory | 1 post 4/12 | |
| Royal Liverpool University Hospital | Acute Medical Unit | 2 posts 6/12 |
| ICU | 1 post 6/12 | |
| Respiratory | 1 post 4/12 | |
| Southport Hospital | Acute Medical Unit | 1 post 6/12 |
| Cardiology | 1 post 6/12 | |
| University Hospital Aintree | Acute Medical Unit | 2 posts 6/12 |
| ICU | 2 posts 6/12 | |
| Warrington Hospital | Acute Medical Unit | 1 post 6/12 |
| Cardiology | 1 post 6/12 | |
| Whiston Hospital | Acute Medical Unit | 1 post 6/12 |
| Cardiology | 1 post 6/12 | |
| ICU | 1 post 6/12 | |
| Wirral University Teaching Hospital | Acute Medical Unit | 1 post 6/12 |
| ICU | 1 post 6/12 | |
| Care of Elderly | 2 posts 4/12 | |
| Gastroenterology | 1 post 4/12 | |
| Emergency Medicine | 1 post 4/12 | |
| Diabetes | 1 post 4/12 |
The 6 month posts rotate within the same hospital each year as far as possible. The 4 month posts rotate between Arrowe Park Hospital, The Royal Liverpool University Hospital and Macclesfield Hospital.
Curriculum
Trainees will spend at least 18 months in an Acute Medical Unit supervised by one or more consultants appointed as acute physicians. Trainees will spend at least 4/12 in the essential specialities of intensive care medicine, cardiology, respiratory and care of the elderly medicine. Placements in gastroenterology, diabetes and emergency medicine form part of the rotation. All these placements (except intensive care and acute medicine) also provide training leading to accreditation in General Internal Medicine.
Opportunities exist in some acute medical unit placements to gain clinic experience in neurology, rheumatology and renal medicine.
Opportunities exist on an annual basis to undertake 6 months out of programme training (OOPT) in anaesthesia and 1 year intensive care medicine placement within the AIM/GIM programme enabling training to be gained in intensive care medicine to intermediate level.
There are opportunities to receive training in general medical ultrasound and echocardiography. These opportunities are not guaranteed. Previous trainees have gained a postgraduate certificate in medical ultrasound and BSE echocardiography certification. All trainees are encouraged to gain additional training in medical education as an alternative to a practical skill.
More information regarding the curriculum for Acute Medicine can be found on the JRCPTB website.
Teaching
There is a 3 year rolling monthly teaching programme covering the Acute Medicine curriculum. There is also a bimonthly teaching programme for General Internal Medicine. In addition there are regular teaching days/evenings at the Liverpool Medical Institute. Trainees are encouraged to attend SAMUK meetings at least annually.
