Acute Medicine
Acute Medicine in Wales
It is now generally accepted that there is a need for senior medical presence supervising acute medical takes within an Acute Medical Unit environment (AMU). This has resulted in a massive expansion of Consultant Acute Physicians and also the development of Acute Medicine training programmes.
Until August 2009 Acute Medicine was regarded as a sub-specialty of General Internal Medicine (GIM) with a CCT in GIM (Acute Medicine), however since that date Acute Medicine is now recognised as a specialty in it’s own right and with it’s own CCT.
A new curriculum has been designed to enable Registrars (StRs) on completion of CCT to apply for Acute Medicine Consultant posts armed with level 3 competencies for the delivery of high quality medical care to acutely ill patients and also the managerial skills required to run AMUs.
At the inaugural Specialist Advisory Committee (SAC) it was agreed that Acute Medicine training rotations should be for a period of no less than 4 years in order to obtain a CCT in Acute Medicine but that dual accreditation with GIM could be achieved with a further year spent in GIM. Also the Specialist exam (KBA) is likely to be coming ‘on-line’ within the next year. Entry to Acute Medicine training programmes could be either through ACCS or CMT but that MRCP (1) would be a minimum requirement (until July 2011). From Entry from August 2011 Full MRCP will be required.
In Wales we currently have 8 training posts and in line with the SAC recommendations the posts are of 4 years duration with the option of a fifth for dual accreditation. The posts are a mixture of AMU, GIM, ambulatory care, tertiary cardiology and intensive care medicine with 1 year rotations between the participating hospitals. Opportunities for Special Skills training already exist for echocardiography and participating trainees will be encouraged to achieve BSE. Further opportunities in Medical Management, toxicology and Medical Education are currently being explored with the Wales Deanery.
Dr Mike Webberley Acute Medicine STC Chair & Training Programme Director
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