Evaluation of training programmes mapped to the new internal medicine curriculum

Abstract

In preparation for the internal medicine training (IMT) programme introduced in 2019, the core medical training (CMT) programme in London was made 'IMT-ready' in 2018 by creating new rotations that reflected the compulsory requirements of the first 2 years of the IMT curriculum, including provision of the requisite number of critical care placements. Core medical trainees completed posts within the 'IMT-ready' programme between August 2018 and August 2019, during which time the trainee experience was evaluated. A total of 497 responses were received. Of these, 96% of trainees were on an 'acute unselected take' on-call rota, 79% were able to attend outpatient clinics, 80% had the opportunity to practise procedural skills and 88% had the opportunity to apply palliative care skills. Clear areas for improvement were identified that predominantly focused on the need to optimise trainee attendance of outpatient clinics and the number of patients seen during an acute take. With respect to future career intentions, only 63% of trainees planned on applying to a group 1 (with general medicine) higher medical specialty. Thematic analysis of trainees in critical care placements highlighted an appreciation of the level of senior support, feeling well integrated into the team, a positive experience of induction and excellent opportunities for performing procedures.

‘A Unique opportunity to test things out’: a qualitative study of broad-based training in Scotland

“…The review led to structural reforms in postgraduate training across both medical and surgical specialties. In the case of medicine, for example, a new 3-year Internal Medicine Training (IMT) curriculum was introduced, with an emphasis on more generalist, generic skills in those first 3 years 2. The review also recognised the inflexibility of postgraduate training, which can make it difficult for trainees to change specialties or take time out of a training programme.…”

“…In the case of medicine, for example, a new 3-year Internal Medicine Training (IMT) curriculum was introduced, with an emphasis on more generalist, generic skills in those first 3 years. 2 The review also recognised the inflexibility of postgraduate training, which can make it difficult for trainees to change specialties or take time out of a training programme. It was noted that this was a contributory factor in the decision by many early year trainees not to enter specialty training straight after their 2-year postgraduate Foundation programme.…”

Challenges to the Uk Medical Education during the Covid-19 Pandemic

“…This new process aims to assess 'capabilities in practice' (CIPs) with less emphasis on multiple independent competences being observed and more focus on overall actual practice leading to accredited physicians who are 'IMT ready', able to progress to higher specialist training programmes. 3 There is also a planned change from August 2021 in the general surgery curriculum with a new outcome-based training programme with individual progression based on the achievement of outcomes collectively described as the 'capabilities of a day-1 consultant in general surgery with a special interest'. 4 Assessments will be based on progression through the 'complex integrated skills' in areas described as capabilities in practice in a similar way to that proposed by the JRCPTB.…”

Pandemic times: Learning well in a time of COVID-19

“…Birns and colleagues have summarised their work implementing the internal medical training (IMT) curriculum to make programmes 'IMT ready' and the impact of these changes on trainees. 2 Hallewell et al describe the implementation of the supported return to training (SuppoRTT) programme, created to support all trainees who have taken a break from clinical work. 3 This is never more relevant than for those doctors who have been recalled urgently to clinical work from out-of-programme activity and utilising the structures put in place by this initiative delivered by Health Education England across its regions.…”