This page contains information on the specialty of general internal medicine.

Please note you cannot apply directly to general internal medicine (GIM) at ST3 level. Nearly all training in GIM will be done in parallel with another medical specialty. To gain access to ST3 training in GIM it is necessary to apply for one of these specialties. Most programmes within these specialties will offer dual accreditation to both that specialty and GIM with additional training time to fully specialise in both specialties.

Specialties which have the ability to dual with GIM are acute internal medicine, cardiology, clinical pharmacology and therapeutics, endocrinology and diabetes, gastroenterology, geriatric medicine, infectious diseases, renal medicine, respiratory medicine and rheumatology.

The specialty

Currently there are more than 3,000 STRs in dual CCT training with GIM and an acute medical specialty. There are one or two training programmes which provide training in 'pure' GIM.

The GIM 2009 curriculum is designed to provide broad training in the key skills which will be required by consultants taking part in the admission and inpatient management of patients with acute medical problems.

There is a particular emphasis on ensuring STRs have sufficient experience and competencies to manage in patients and out patients with complex general medical problems.

The curriculum builds on IMT to allow the trainee to maturate their skills in GIM.

There is a growing demand for high quality GIM skills as superspecialisation develops.

Medical Care

Find out more about general internal medicine and the services delivered by the specialty on Medical Care – the RCP’s online guide to service design.

Further information