Placement guidance for Internal Medicine

Welcome to the Internal Medicine section of the ACCS Website.

During the two years of the ACCS programme you will spend six months in Internal Medicine. This ideally should all be in a dedicated Acute Medical Unit, but it is recognised that models of care vary across the UK and this may not be possible in all Trusts. If you are not allocated an educational supervisor from your base specialty, please talk to your TPD to change this. During this time trainees should attend local Internal Medicine teaching and education sessions, and regional training (eg IMT teaching) where possible.

Trainees should take part in shifts on the acute medical take so that by the end of ACCS they have seen at least 100 patients with acute medical problems on take. They should also gain some experience of managing patients in the ambulatory setting.

Internal Medicine: Curriculum and assessment requirements for all ACCS trainees

During the Internal Medicine module of ACCS trainees should continue to acquire their clinical and generic Learning Objectives and the other evidence required for their ARCP (eg MSF, record of appraisals).

For the 5 clinical Learning Objectives (LOs 1, 2, 3, 5 and 6) linked to the Internal Medicine section of the Curriculum trainees are expected to achieve the appropriate entrustment requirements (Entrustment level 2b for LO 1 and level 2a for LO 2,3 and 6; please refer to table for level of experience needed for LO 5 – practical procedures) during their Internal Medicine module.

Several different methods of assessment can be used for each Learning Objective as outlined in the Curriculum such as Workplace based assessments (mini-CEX, CbD, ACAT), Multiple Consultant Reports and DOPS (for practical procedures).