This page contains information on the specialty of general internal medicine.

Please note you cannot apply directly to general internal medicine (GIM) at ST4 level. Training in GIM will be done in parallel with training in one of the Group 1 Medical Programmes. To gain access to ST4 training in GIM it is necessary to apply for one of these programmes. Group 1 programmes offer dual accreditation in the specialty and GIM.

The Group 1 programmes which dual accredit with GIM are acute internal medicine, cardiology, clinical pharmacology and therapeutics, endocrinology and diabetes, gastroenterology, geriatric medicine, genitourinary medicine, infectious diseases, neurology, palliative,  renal medicine, respiratory medicine and rheumatology.

The specialty

The current GIM curriculum is designed to provide broad training in the key skills which will be required by consultants taking part in the admission and inpatient management of patients with acute medical problems as well as patients with chronic medical conditions.

The curriculum builds on IMT to allow the trainee to maturate their skills in GIM.

There is a growing demand for high quality GIM skills as the UK population ages and patients develop multiple, complex co-morbidities. Delivering good GIM care will become an increasingly challenging and rewarding part of physician practice.

Medical Care

Find out more about general internal medicine and the services delivered by the specialty on Medical Care – the RCP’s online guide to service design.

Further information