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Medicine

Stethoscope on top of laptop

Medicine is a specialty that offers an incredibly diverse range of training opportunities. To make the most of these opportunities we offer a quality assured programme that starts by providing a solid grounding in medicine. This leads to a number of distinct strands designed to provide the training opportunities and direction needed to get the most out of a career in hospital medicine. These are:

  • Internal medicine training (IMT) or acute care common stem (acute medicine) - Medicine in co-operation with the ACCS Lead.
  • Higher training in medicine - Wales offers 22 sub-specialties of medicine.

Each group of trainees is supervised by a Specialty Training Committee (STC).

Working with these committees, we:

  • organise training programmes in accordance with General Medical Council (GMC) requirements
  • recruit and select trainees
  • ensure that there is an appropriate induction to the training programme for all new trainees
  • support the provision and use of the e-portfolio by both trainees and their educational supervisors
  • work with local lead educators (faculty leads, course organisers, college tutors) to ensure that each post in a programme provides high quality experience
  • ensure that regular educational supervision is provided
  • ensure that all educational supervisors have received appropriate training (including teaching skills, appraisal and assessment skills and equality and diversity training) for their role as educators and assessors
  • ensure that trainees have access to well-informed and appropriate careers information, advice and counselling
  • are proactive in the identification of trainees needing additional help or guidance and see that remedial action is taken
  • monitor assessment of training including annual reviews of competency progression (ARCPs) and Penultimate Year
  • assessments (PYAs).

We report to the Medical Dean and we also relate to the Joint Royal Colleges Postgraduate Training Board (JRCPTB) and its Specialty Advisory Committees (SACs), mainly through the Royal College of Physicians of London. The Head of School is Dr Shaun Smale.

NHS ePortfolio

The e-portfolio is available to all trainee physicians (and their supervisors) on internal medicine, acute care common stem (medicine) and all higher training programmes. The JRCPTB expects all IMT, ACCS (medicine) and higher training trainees to use the e-portfolio to record their assessments, appraisal and progress through training.

GMC national trainee survey

In 2016, Wales was rated the highest region across the UK for trainee satisfaction, that’s the top region for all of the UK! We also have two training sites ranked in the top ten, for overall satisfaction ‘green flags’ and no training sites in the bottom ten.

IMT is the primary stage of training for Medicine and the entry point for those trainees who wish to follow a career in the medical specialties such as cardiology, dermatology, gastroenterology, etc. Rotations will give trainees much varied experience of, and exposure to, a range of medical specialties, the workings of differently-sized and structured hospitals and Health Boards; as well as the chance to work with and for a much greater variety of colleagues and patients from different backgrounds and with disparate levels of experience; in addition to the opportunity to become much more involved in medical teaching and training.

We offer our IMT trainees free PACES courses as well as a structured teaching programme, in line with the national curriculum. Trainees also retain the same Educational Supervisor through their three year programme. MRCP Part I is a weekend course with PACES examiners and real patients. The setting is exactly the same as a PACES exam sitting and performance feedback is given to all participants. Bookings are made in advance and catering is provided for the entire weekend. Invitations will be sent out as and when dates are confirmed.

Internal medicine stage one training curriculum

Implementation of the new internal medicine stage one training curriculum

three month blocks of ICU - Dedicated three months blocks of ICU are guaranteed in Wales. The proforma for the three months is available below. All trainees will have three months during IMT Year two.

The internal medicine (IM) stage one curriculum was approved by the GMC on 8 December 2017 and replaced core medical training (CMT) in August 2019. The curriculum, trainee FAQs and implementation guidance are available on the JRCPTB website. Health Education and Improvement Wales (HEIW) is currently working closely with all Health Boards across Wales to ensure we delivery a comprehensive training programme. If you have any queries about this or CMT, please contact the School Manager, Claire Porter.

Guaranteed ITU placements

Working with the IM Leads and our ITU colleagues, we can now confirm guaranteed ITU placements on all rotations (three months) and also six months of geriatrics on all rotations, covering mandated curriculum requirements.

IMT mandated study days

Due to the Covid-19 pandemic, we are working on an 'on-line' version of the study days. More details will follow as soon as is possible.

Further information

For further information in regards to the School of Medicine, please contact Claire Porter or telephone 01443 824247 (direct line).

In this section

Acute medicine

Acute internal medicine remains a relatively new medical specialty having only been formally recognised in 2009.

Audiology (Audiovestibular medicine)

Audiovestibular Medicine is the medical specialty concerned with the diagnosis and management of hearing and balance disorders in adults and children.

Cardiology

Cardiology is generally stereotyped as the most high profile and practical skill based of the medical specialties.

Clinical genetics

Clinical genetics is a specialty that involves the diagnosis and management of genetic disorders affecting individuals and their families.

Clinical immunology

The clinical practice of Immunology, as defined by the World Health Organisation (WHO) encompasses clinical and laboratory activity dealing with the study, diagnosis and management of patients with diseases resulting from disordered immunological mechanisms, and conditions in which immunological manipulations form an important part of therapy.

Clinical neurophysiology

Clinical neurophysiology offers an exciting and varied career within the neurosciences for those interested in combining considerable patient contact with technical skills.

Dermatology

The Wales dermatology programme is split between North and South Wales, with candidates working either in North Wales or South Wales for 4 years.

Diabetes and endocrinology

Endocrinology and diabetes encompasses basic mechanisms of physiology and pharmacology, coupled with the ability to improve quality of life and long-term outcomes through effective disease control and often cure.

Gastroenterology

Gastroenterology is an exciting and expanding medical speciality, following implementation of the national Bowel Screening Programme and due to a rising incidence in liver disease.

General internal medicine

The Training Summary Calculator was designed to enable trainees to calculate their acute and outpatient (or equivalent outpatient) experience in a way that is consistent with the 2009 GIM decision support (revised 2012);

Genitourinary medicine

Genitourinary medicine involves the investigation and management of sexually transmitted infections and HIV. It is mostly outpatient based but does include inpatient care of HIV infection.

Geriatric medicine

Geriatric Medicine is one of the largest specialties in the UK. It offers a stimulating intellectual challenge.

Haematology

Clinical haematology is an intensive, exciting and rewarding speciality that encompasses both clinical and laboratory practice.

Infectious diseases

The specialty of infectious diseases, provides the opportunity of a career ranging from challenging and constantly varied clinical management to intellectually stimulating frontier research into diseases of worldwide importance.

Neurology

Traditionally, neurology had been thought of as an intellectual pursuit, concerned with diagnosis of rare conditions of the nervous system.

Occupational medicine

The aim of the Occupational Health Department is to provide a high quality, efficient and impartial professional advisory service to improve and optimise staff and organisational health.

Oncology

HEIW provides training in both Clinical Oncology (Radiotherapy) and Medical Oncology.

Palliative medicine

Specialty training in palliative medicine in Wales provides a comprehensive training experience for those wishing to pursue a career to Consultant level.

Clinical pharmacology

Training in CPT is defined in the specialty training curriculum, and is usually combined with training as a general physician.

Rehabilitation

Rehabilitation medicine is the specialty that is concerned with the prevention, diagnosis, treatment and rehabilitation management of people with disabling medical conditions.

Renal medicine

Renal medicine is an exciting specialty offering the challenge of looking after both acutely ill patients and those with a chronic disease requiring long term care with the help of a multidisciplinary team.

Respiratory medicine

The beauty of respiratory medicine is its broad scope. There are many different primary pulmonary diseases, and the lung is also involved in many other systemic diseases.

Rheumatology

Rheumatology is one of the specialities within medicine and retains a very strong reliance on sound clinical skills despite considerable advance in the understanding of the molecular basis of rheumatological disease.