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ACCS - Acute Medicine Training

If you have a hankering to work in a dynamic acute speciality, this is the ideal start to your training. Ideally suited to those who plan a career in an acute hospital, it provides a solid base of experience and skills that will be developed further in whichever speciality you choose. You will gain structured experience in the skills needed to rapidly assess and appropriately treat sick patients, and take these skills forward through your training.

This training scheme encompasses the first 3 years of training following FP2 year and comprises of 6-month attachments in Emergency Medicine, Acute Medicine, Anaesthesia and Intensive Care Medicine it leads to a career in one of these specialities. All schemes provide the 6 month attachments for the first 2 years. In the third year, a post is provided according to the chosen specialty.

The 4 hospitals providing ACCS schemes are:

  • UHW, Cardiff (8 posts)
  • Morriston, Swansea (8 posts)
  • Gwent, Newport (8 posts)
  • Bangor (4 posts)
  • Wrexham (4 posts)

You will remain in the same hospital for at least 2 years (usually 3) and therefore will be able to use this to develop your understanding of how care of the sick patient is organised and dealt with throughout the hospital. This will enable you in the future to communicate and understand the difficulties encountered by different areas in dealing with an acutely ill patient.

Application to ACCS is through your chosen base speciality - you cannot apply for ACCS on its own. The specialities offering ACCS as an option in their training programme are Anaesthesia, Medicine and Emergency Medicine (Accident and Emergency Medicine)

If you apply to train as a physician, there are 4 slots available for you to enter ACCS. Following completion of the first 2 years of ACCS you will enter an extra year at ST2 level to allow you to achieve the necessary medicine competencies.

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