General Internal Medicine

Before the trend to specialisation, although many consultant physicians developed an expertise in their chosen areas, most practiced general internal medicine and dealt with a wide range of medical problems. These included patients admitted as emergencies, patients with multiple disorders, patients referred to outpatient clinics for investigation and diagnosis, and patients referred by specialist services - as outpatients or urgent inpatient referrals.

The demands of admitting and managing acutely ill medical patients have spawned a sub-specialty within General Medicine.  Acute Medicine has been established to improve the quality and safety of care for people who are acutely ill. It is defined in the RCP's report Acute Medicine - Making it Work for Patients as: 'That part of general (internal) medicine concerned with the immediate and early specialist management of adult patients with a wide range of medical conditions who present in hospital as emergencies.'

April 2010

Can I Dual Accredit with General Internal Medicine?

To find out whether you can dual accredit with GIM in your parent specialty please click here to view college guidance. Please take time to read the JRCPT pages at this link

Dual Specialty Opt-Out Process

If you are currently Dual Accrediting with General Internal Medicine, you can 'Opt-Out' of the dual accreditation and continue your training with a single accreditation.

If you would like to know more how the process works please click here to view the process map.

Click here to download the Opt-Out application form. 

If you have any further questions please email

Dual Accreditation ARCP's

Annual Review of Competence Progression (ARCP) is a review of your progress during your time on the training programme. As a dual accrediting trainee you will have two ARCP's, one for each specialty. For General Internal Medicine (GIM) you may have a 'non-GIM' year, in which case a non-assessment form will be completed to cover the period of training.

Your ARCP for GIM may occur on the same day as your parent specialty's ARCP or it may happen on a different day. You will be notified of the date twelve weeks in advance and the letter you recieve will also provide you with an anticipated outcome.

The ARCP decision aid link and Firth Calculator link are useful when planning and preparing for your ARCP. 

For more general information on ARCP's please click here.


Penultimate Year Assessment (PYA) is an assesment mandated by the Royal College, it involves your Training Programme Director and an External Representative who will set targets for your final year. It often occurs on the day of your ARCP. This is the responsibility of your Training Programme Director to arrange. 

For more information on PYA's click here.

Useful Contacts

Programme Support Team based in Sheffield cover the whole Yorkshire and the Humber region will be able to help with general queries relating to rotations, ARCP's and opting out. You can contact us at 

Training Programme Directors (TPDs)

Location Role Name Email Address
East TPD Mo Aye
East TPD Sega Pathmanathan
East & West TPD Sathish Kallankara
West TPD Joe Hogg
South TPD Mohsen El Kossi
South TPD Imran Aslam
Yorkshire & the Humber Deputy Head of School Sunil Bhandari

Head of School for GIM is Peter Hammond.

The Deputy Dean for all Medicine specialties is Jon Hossain.