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School of Medicine

General (Internal) Medicine

Role Name

Training Programme Director

Dr Russell O'Brien

Head of School of Medicine

Dr Nick Withers

Associate Dean for Recruitment & Selection and Programme Management

Dr Jeremy Langton

School Manager

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GIM is the "specialty" that encompasses the clinical management of the unselected medical take, as well as the inpatient and outpatient care of patients with a broad range of medical conditions spanning multiple other specialties. Whilst it is occasionally offered as a standalone specialty for those pursuing academic careers, it is usually part of dual accreditation with a second medical specialty. This is the norm in the Peninsula, and there are no trainees pursuing GIM accreditation alone. Not all specialties routinely offer dual accreditation, but currently moat "acute" medical specialties do pair up with it. 

GIM is an exciting but demanding part of training. As Specialist Trainees in GIM, you will need to demonstrate that you can manage a team of junior doctors, diagnose and manage a broad range of emergency and chronic conditions safely (and ultimately independently). You will also need to develop generic skills in audit, governance and prescribing etc. Devon and Cornwall are ideal places to learn GIM - there is a good mix of hospitals with specialist and referral centres as well as district general hospitals. Most of the Trusts also have acute physicians who can closely supervise the acute medical take and trainees in GIM. Recently, Trusts have incorporated consensus assessments of all GIM trainees, so that feedback to educational supervisors and trainees can occur all year and independent of the standard work based assessments such as ACATS etc. 

GIM is also undergoing a period of rapid curricular change. The development of acute medicine (AIM) as a specialty has encouraged the development of clearer curricula to define what it and AIM encompass, and what the differences are. This has culminated in the publication of the GIM 2009 curriculum last year. It is similar in style and scope to the other specialty curricula, and finally sets GIM on an equal footing in terms of learning, expectations and assessment. In the past, GIM accreditation was generally assured merely by participation in the medical take, and more recently demonstration of competence of key general practical procedures. Now, evidence confirming competence in GIM must be annually demonstrated as part of the ARCP process. This includes logging of on-call encounters and outpatient/inpatient referrals. 

Reflecting this increased emphasis on GIM, and the need for trainees to show that they are competent, GIM now has its own Specialty Training Committee and Programme Director. Currently, trainees may be on one of three different GIM curricula but all new trainees will be on the 2009 GIM curriculum.  

More information on GIM can be found on the JRCPTB website and details of the current curricular migration can be found below.

GIM New curriculum


Background & Flowchart

For the G(I)M Study Days please click here.