Acute Internal Medicine (AIM)/Acute Care Jobs
Acute Internal Medicine Physicians provide medical care and facilitate prompt diagnosis, investigation and treatment for patients presenting with immediate and serious medical problems in the hospital, or in out-of-hospital locations and ambulatory settings. They provide emergency and life-saving medical care as well as specialist medical care in some cases. They work within a multidisciplinary acute care team, managing patients with acute medical needs, and helping to connect them to specialist medical care, recovery, follow-up and integrated health services. Acute Internal Medicine Physicians provide clinical oversight and are responsible for the management and organisation of the acute care unit and patient safety. They have undergone Acute Internal Medicine training with the Joint Royal Colleges of Physicians Training Board (JRCPTB), and attained a CCT and specialist registration with the GMC, sometimes undertaking a dual qualification in Acute Internal Medicine and Intensive Care Medicine.
Registrar Level Doctors are those undertaking specialty training posts at ST3 or IMY3 level and above, or non-training posts which require equivalent experience (3+ post foundation years). Similar titles include Senior Clinical Fellow, Trust Grade ST3, or Specialty Trainee/Registrar. Registrars have increased responsibility in providing medical care, attending to and assessing acutely ill patients, and supporting and training Junior Doctors and staff. Registrars continue to develop advanced clinical practice, professionalism and autonomy. Sometimes they will be the most senior doctor on duty, but they continue to receive guidance, training, and support from senior staff. Registrars who want to pursue a career in Acute Internal Medicine, need to complete both a foundation and core training programme (ACCS, BBT or Stage 1 Internal Medicine), and apply for entry into Acute Internal Medicine training with the Joint Royal Colleges of Physicians Training Board (JRCPTB). This is a 72-month training program which leads to specialist registration and can be combined with Intensive Care Medicine. Registrars can apply for training posts in their specialty, or alternatively work in non-training posts, which can lead to SAS (Staff grade/ Associate Specialists/Specialty Doctors) positions and alternative pathways to specialist registration in the future.