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General internal medicine

General (internal) medicine (GIM) curriculum information

The Training Summary Calculator (Excel, 82Kb) was designed to enable trainees to calculate their acute and outpatient (or equivalent outpatient) experience in a way that is compatible with the 2009 GIM decision-making support (revised 2012); which will be used in annual reviews of increased eligibility (ARCP) and PYA.

The internal medicine Specialty Advisory Committee (SAC) recommends this to trainees and assessors as an easy way to obtain information required to conduct these assessments. Once completed, the calculator must be signed by your educational supervisor (ES) and kept under the 'Personal Library' in your E-Portfolio (use a separate folder entitled Training Summary.

The 2009 General Internal Medicine (GIM) curriculum was revised and came into effect in August 2012. All employees following the 2009 GIM curriculum will be expected to adopt the changes below.

Further information is available from the Royal College of Physicians Joint Training Committee (JRCPTB) - GIM .


  • Dr Biju Mohamed - Chair of STC - Cardiff and Vale University Health Board
  • Dr John Butler - Training Program Director - Cardiff and Vale University Health Board

GIM ARCP final / approval

Your final approval to apply for your GIM Training Completion Certificate (CCT) will require the Chair of STC (Dr Biju Mohamed) or the TPD (Dr John Butler) to review the targets outlined in your PYA GIM. We will also need to ensure that your e-portfolio is up to date and that you have met your final year WPBA targets.

It has come to our attention that many trainees leave very late before the final approval process begins. Also, we often find defects that need to be corrected that can delay your CCT. The date of the CCT for GIM will be the same as your specialty and so careful planning and attention will be required to ensure the process is completed on time for your dual CCT to be granted.

For this reason, we would recommend the following for your GIM exit ARCP:

  1. 1. Trainees should strive to contact Rhian Bartle three months prior to approval, and ideally have completed their ACE recommendations with a completed e-portfolio. At that time either Dr Mohamed or Dr Butler will review your e-portfolio and make recommendations / approvals as appropriate. We will then endeavor to approve the e-portfolios at least 6 weeks in advance which would allow you sufficient time to complete the CCT process with JRCPTB
  2. JRCPTB - Completion of training contains more information on this process.
  3. Trainees must ensure that they have a GIM ES report that explains how and when all mandatory and recommended PYA targets were met before making contact. Reasonable mitigating factors / factors must be recorded for any recommended targets not met in the documented ES report.
  4. To avoid delays and to facilitate the GIM ES report and the Exit ARCP, trainees are advised to have a separate folder entitled 'GIM Exit ARCP' in their library with the appropriate targets and evidence with completion dates.
  5. Please note that when the external assessor recommends a QIP or audit, we will enforce that. You cannot conduct audit or QIP in your own sub-specialty with GIM bias.
  6. Finally, you should make sure that your GIM e-portfolio is self-certified and that your ES is approved to CCT level in all competencies. I would expect some evidence - WPBA / Reflection / courses against all competencies.
  7. We can usually approve the e-portfolio remotely, but if it is difficult to get the required information from the portfolio, a meeting will need to be arranged between the trainee and the Chair / TPD, and this is likely to cause delays. the process

Please contact Rhian Bartle at the Wales Office of Education and Health Improvement (HIW) or one of us if you need further advice or clarification.

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