Internal Medicine Training CT3

Applicants must have:

• MBBS or equivalent medical qualification
• Either of the following:
  • MRCP(UK) Part 1 at time of application and MRCP(UK) full diploma by offer dateⁱ
  • Eligibility for the specialist register in general internal medicine by time of applicationⁱⁱ
  • Completion of Irish Basic Specialty Training in medicine and the MRCPI full diploma by offer date

When is this evaluated?ⁱ

• Application form
• Interview/selection centreⁱⁱ
• Pre-employment check

ⁱ  ‘When is this evaluated’ is indicative but may be carried out at any time throughout the selection process.

ⁱⁱ  ‘Selection centre’ refers to a process, not a place. It involves a number of selection activities which may be delivered as part of the assessment process.

Applicants must:

• be eligible for full registration with, and hold a current licence to practiseⁱⁱⁱ from, the GMC at the advertised post start date for the vacancy^iv 
• not be employed on a UK training programme in Internal Medicine Stage 1 Training or ACCS (Internal Medicine)
• have evidence of achievement of core medical capabilities, for the round of application, via one of the following methods: 
• successful completion of one of the following, evidenced by ARCP^v; it is a requirement that the geriatric medicine and critical care curricular requirements of the curriculum were either completed as part of your core programme, or can be confirmed via alternative experience; the recruitment website details how this will be demonstrated.
• Year 2 of UK Internal Medicine Stage 1 Training 
• Year 3 of UK ACCS (Internal Medicine)  
• Year 2 of JRCPTB internationally level 3 accredited equivalent Internal Medicine Stage 1 Training programme^vI
• evidence of achievement of the capabilities required by completion of year 2 of the Internal Medicine Stage 1 curriculum at time of application.  Acceptable evidence is only permitted via the Alternative Certificate to Enter Group 2 Higher Physician Specialty Training^vII
  • It is a requirement that the geriatric medicine and critical care curricular requirements of the curriculum were completed as part of your experience
• be eligible to work in the UK

When is this evaluated?

• Application form
• Interview/selection centre
• Pre-employment check

ⁱⁱⁱ  The GMC introduced the licence to practise in 2009. Any doctor wishing to practise in the UK after this date must be both registered with and hold a licence to practise from the GMC at time of appointment.

^iv  ‘The advertised post start date’ refers to the first date from which posts recruited in a round can commence. This will be specified clearly within the published advertisement for that recruitment round.

^vA successful outcome equates to an ARCP outcome 1 from the penultimate year of the programme. Applicants with an outcome other than a 1 with all capabilities signed off apart from the full MRCP(UK), will be eligible to apply on this basis, subject to the normal rules on completing the MRCP(UK). Applicants with other capabilities not signed  off will need to apply using the relevant alternative certificate

^vi Details of internationally accredited JRCPTB internal medicine training programmes can be found on the JRCPTB website: https://www.jrcptb.org.uk/about-us/international-training/locations  

^vIIThe Alternative Certificate to Enter Group 2 Higher Physician Specialty Training is a document designed by the JRCPTB listing the necessary core capabilities required for progression to ST3, as defined in the internal medicine stage 1 curriculum: https://www.jrcptb.org.uk/internal-medicine.  The certificate is available to download from the Physician Recruitment website: http://www.st3recruitment.org.uk/recruitment-process/am-i-eligible/core-competences. Applicants must ensure the version of the form they are using meets the requirements detailed on the website. 

Applicant is up to date and fit to practise safely.

When is this evaluated?

• Application form
• References

Applicants must have demonstrable skills in written and spoken English, adequate to enable effective communication about medical topics with patients and colleagues, as assessed by the General Medical Council^viii.

When is this evaluated?

• Application form
• Interview/selection centre

^viii  Applicants are advised to visit the GMC website which gives details of evidence accepted for registration.

Applicants must meet professional health requirements (in line with GMC standards/Good Medical Practice).

When is this evaluated?

• Application form
• Pre-employment health screening

Applicants must:

• be able to provide complete details of their employment history
• have evidence that their career progression is consistent with their personal circumstances
• have evidence that their present level of achievement and performance is commensurate with the totality of their period of training
• have sufficient experience^xi working in medical specialties (not including foundation level experience) by the advertised post start date for the vacancy; regardless of your experience pathway, you must have completed the experience requirement for geriatric medicine and critical care ‘Curriculum for Internal Medicine Stage 1' This can be via either:
  • Training completed in: 
    • The first two years of UK Internal Medicine Stage 1 Training  
    • The first three years of UK ACCS (Internal Medicine)   
    • The first two years of an Internal Medicine Stage 1 Training programme or  
  • Have at least 24 months’ experience in medical specialties (of which at least 12 months must include the care of acute medical in-patients).  Experience in certain acute care common stem specialties can be counted towards the 24 months in some circumstances^xii  
• not already hold, nor be eligible to hold, a CCT/CESR in the specialty they are applying for and/or must not currently be eligible for the specialist register for the specialty to which they are applying. 
• applicants must not have previously relinquished or been released / removed from a training programme in this specialty or associated core training programme, except if they have received an ARCP outcome 1 (outcome 6 for associated core training) or under exceptional circumstances^xiv

When is this evaluated?

• Application form
• Interview/selection centre

All sections of application form completed fully according to written guidelines.

When is this evaluated?

• Application form

Essential

Applicants must have:

• MBBS or equivalent medical qualification
• MRCP (UK) Part 1 at time of application

Desirable

• Full MRCP (UK) at the time of application.
• Higher degrees including MSc, PhD or MD (not including intercalated BSc or ‘Honorary’ MA).

When is this evaluated?

• Application form
• Interview/selection centre

Essential

• Evidence that present achievement and performance is commensurate with totality of training.

When is this evaluated?

• Interview/selection centre

Essential

• Evidence of experience in a range of acute medical specialties, with experience of managing patients on unselected medical take during core training or equivalent.

Desirable

• Experience at core level of managing patients with severe acute medical disease by the time of commencement of CT3 training.

When is this evaluated?

• Application form
• Interview/selection centre
• References

Essential

• Demonstrates awareness of the basics of managing acute medical conditions, including emergencies, inpatients and outpatients.
• Appropriate knowledge base, and ability to apply sound clinical judgement to problems.
• Able to work without direct supervision, where appropriate.
• Able to prioritise clinical need.
• Able to maximise safety and minimise risk.

Desirable

• Evidence of skills in the management of acute medical emergencies.
• Evidence of skills in the management of patients not requiring hospital admission.
• Evidence of CT3 level procedural skills relevant to medical patients 

When is this evaluated?

• Application form
• Interview/selection centre
• References

Essential

Research, audit and quality improvement skills

• Demonstrates understanding of research, including awareness of ethical issues.
• Demonstrates understanding of the basic principles of clinical risk management, evidence-based practice, patient safety and clinical quality improvement initiatives.
• Demonstrates knowledge of evidence-informed practice.
• Demonstrates an understanding of clinical governance.

Teaching

• Evidence of teaching experience and/or training in teaching.

Desirable

Research, audit and quality improvement skills

• Demonstrates an understanding of research methodology.
• Evidence of relevant academic and research achievements, and involvement in a formal research project.
• Evidence of relevant academic publications.
• Evidence of involvement in a quality improvement project, formal research project or other activity which:
  • focuses on patient safety and clinical improvement
  • demonstrates an interest in and commitment to the specialty beyond the mandatory curriculum
• Evidence of a portfolio of quality improvement projects, including completed ‘Plan Do Study Act’ cycles and there is evidence of learning of the principles of change management.
• Evidence of exceptional achievement in medicine.

Teaching

• Evidence of involvement in teaching students, postgraduates and other professionals.
• Evidence of participation in a teaching course.

When is this evaluated?

• Application form
• Interview/selection centre
• References

Essential

Communication skills

• Demonstrates clarity in written and spoken communication, and capacity to adapt language to the situation, as appropriate.
• Able to build rapport, listen, persuade and negotiate.

Problem solving and decision making

• Capacity to use logical and lateral thinking to solve problems and make decisions, indicating an analytical and scientific approach.

Empathy and sensitivity

• Capacity to take in others’ perspectives and treat others with understanding; sees patients as people.
• Demonstrates respect for all.

Managing others and team involvement

• Able to work in multi-professional teams and supervise junior medical staff.
• Ability to show leadership, make decisions, organise and motivate other team members for the benefit of patients through, for example, quality improvement projects.
• Capacity to work effectively with others.

Organisation and planning

• Capacity to manage and prioritise time and information effectively.
• Capacity to prioritise own workload and organise ward rounds.
• Evidence of thoroughness (is well prepared, shows self-discipline and commitment, is punctual and meets deadlines).

Vigilance and situational awareness

• Capacity to monitor developing situations and anticipate issues.

Coping with pressure and managing uncertainty

• Capacity to operate under pressure.
• Demonstrates initiative and resilience to cope with changing circumstances.
• Is able to deliver good clinical care in the face of uncertainty.

Values

• Understands, respects and demonstrates the values of the NHS (such as everyone counts; improving lives; commitment to quality of care; respect and dignity; working together for patients; compassion).

Desirable

Management and leadership skills

• Evidence of involvement in management commensurate with experience.
• Demonstrates an understanding of NHS management and resources.
• Evidence of effective multi-disciplinary team working and leadership, supported by multi-source feedback or other workplace-based assessments.
• Evidence of effective leadership in and outside medicine.

IT skills

• Demonstrates information technology skills.

Other

• Evidence of achievement outside medicine.
• Evidence of altruistic behaviour, for example, voluntary work.

When is this evaluated?

• Application form
• Interview/selection centre
• References

Essential

• Demonstrates probity (as outlined by the GMC).

When is this evaluated?

• Application form
• Interview/selection centre
• References

Essential

• Shows initiative, drive and enthusiasm (self-starter, motivated, shows curiosity, initiative).
• Demonstrable interest in, and understanding of, internal medicine.
• Commitment to personal and professional development.
• Evidence of self-reflective practice.

Desirable

• Extracurricular activities and achievements relevant to internal medicine.

When is this evaluated?

• Application form
• Interview/selection centre
• References