General (internal) Medicine

Dual Accreditation

The 1st year is undertaken in a DGH with the Trainee resident for at least 4 days per month for acute unselected medical intake. It is essential that the Trainee is responsible for the continued care of general medical patients (not less than 10 inpatients) and should undertake at least one outpatient clinic per week, which must include a proportion of general medical patients and the ward follow-up clinic. At the end of the year the Trainee will have completed 3 years G(I)M. (In some circumstances this year of General Medicine could come later in the programme). The remainder of HST is completed in the chosen specialty, normally 4 years.

If the Trainee is not involved in the care of patients admitted to a CCU or ITU/HDU, a 4-6 week secondment to such units must be arranged. This dual training period normally takes place in 2 years towards the end of HST but can be spread over the entire period providing the requirements for G(I)M training as indicated in the curriculum document are met.

Up to one year may be in suitable posts in Geriatric Medicine where an age-related admission policy applies. Such posts must provide experience of acute medical ‘take’ of patients unselected other than by age. Units where acute G(I)M and Geriatric Medicine are integrated are fully acceptable for G(I)M training. In certain circumstances up to one year of G(I)M training may be in an approved post in Nephrology or Cardiology. It is expected that the Trainee would be responsible for the emergency care of at least 30 patients per month. Trainees must acquire practical skills, which may be needed at any time in the management of medical emergencies, including interpretation of the electrocardiogram, basic and advanced cardiac life support, temporary cardiac pacing, placement of central venous lines, cardioversion, pleural aspiration of gas or fluid, insertion of intercostal drains and lumbar puncture. Periods of full-time research will not be permitted to count towards the requirements for G(I)M though they can do so in the other specialty.


Courses

Essential
GIM Training Days

To view the list of other available courses click here


Contact Information

Name and Position Contact Information
Tham, Dr T
Training Programme Director / Specialty Adviser 
Ulster Hospital
Email: tony.tham@setrust.hscni.net

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