In most cases you do not 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 physician specialties and access to ST4 training is gained by applying for one of these specialty 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 medicine, renal medicine, respiratory medicine and rheumatology.

However, there are two additional routes to training in GIM: single accredited GIM, and single accredited GIM with stroke medicine sub-specialisation.

Single-accredited GIM recruitment

A programme for single accreditation in general internal medicine is available. Currently, recruitment covers most, but not all, regions in England; alrthough this may expand over time so please check the post numbers area of this page before the start of each round. The other tabs in this area of the website relate to the application and interview process for single accredited GIM.


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.


Further information

General / application queries

For general queries relating to areas such as eligibility criteria, making an application or the Oriel system, please contact the Physician Specialty Recruitment Office.

Below are the contact details for the lead region for GIM:

Recruitment
Postal address East Midlands 
Westbridge Place
1 Westbridge Close
Leicester
LE3 5DR
General enquiries [email protected]
Fitness to practise - confidential [email protected]
Website https://www.eastmidlandsdeanery.nhs.uk/

Group 1 specialty

This is a Group 1 specialty and requires completion of the internal medicine training (IMT) stage 1 programme or equivalent; all programmes in the specialty will dual specialise with general internal medicine.

Therefore, this specialty uses the standard HST eligibility criteria for Group 1 specialties and does not accept candidates from any alternative training routes. Please visit the am I eligible? section of this website for further information.

Commitment to specialty

The specialty will be assessing your commitment to specialty as part of the shortlisting process. Please visit the application scoring page for more information about how this is assessed and scored.

This specialty does not require you to load documentary evidence to demonstrate your commitment; this will be assessed via your application form.

This specialty will be participating in round 2 of 2024.

Indicative post numbers

Indicative vacancy numbers are available in the table below, broken down by region and divided between substantive national training number (NTN) and locum appointment for training (LAT) posts. In many cases these will be presented as a range (e.g. 1-4) as it is not always possible for regions to know at this stage how many vacancies there will be.

It is the intention that indicative post numbers for all regions will be published prior to the application opening date, although this cannot be guaranteed. Please note that this table is not likely to be updated subsequent to indicative numbers and actual numbers will be confirmed when programme preferences are opened later in the round.

Numbers subject to change

Please be aware that it is not uncommon for vacancy numbers to change as the round progresses.

More commonly, post vacancy numbers can increase as the round goes on (and confirmation of posts becomes available); but it is also possible that numbers can reduce as well. In the past, post numbers have risen an average of 20-40% from the start to the finish of the round but this can vary greatly for individual specialty/region combinations.

It is possible that regions which do not have a post at the start of the round may declare one after applications have closed. Whilst we try and minimise instances of this, it is not always possible to predict vacancies so even if there appears not to be a vacancy in your preferred specialty/region combination, you may wish to consider applying in case one becomes available during the round; you can check with the region concerned if you wish to check on the likelihood of a post arising.

Generally, once a region enter a post into a round they would always have at least one post available and would only withdraw it in exceptional circumstances.

Round 2 Interview dates & posts

Region NTN posts LAT postsEvidence upload date(s)Interview date(s)
HE East Midlands TBC

N/A

16/8/24 - 23/8/24

15, 16 October 2024

Kent, Surrey and Sussex TBC

N/A

HE South West

Peninsula

TBC

N/A

HE Wessex TBC N/A
HE West Midlands TBC N/A

Round 1 Interview dates & posts

Region NTN posts LAT posts Evidence upload date(s) Interview date(s)
 East Midlands   5

N/A

20/12/23 - 08/01/24

19, 20 March 2024

Kent, Surrey and Sussex 0 - 13

N/A

East of England 0 - 2

 South West 0 - 1

N/A

 Wessex 4 - 6 N/A
 West Midlands 0 - 1 N/A

Interview content

The interview be split across two separate stations with a separate pair of interviewers scoring you on the areas within their station. There will be four questions, ranging between 6-10 minutes in length. You will be marked on these questions and your communication skills, giving five scored areas in total. The headings below show the question areas and in which station they will be covered, along with information about what will be assessed.

Each station will last 16 minutes, so, including the time between stations, the interview will be approximately 40-45 minutes.

Please note that this is subject to change and will be confirmed by the date of interview.

Scoring framework

The score of 1-5 an interviewer will award you for each assessment area is judged in relation to how well you perform against an expected level. Below is the framework used to award scores at interview, as well as interpretation of what these scores represent:

  

  

  

Mark

  

  

  
  

  

  

 Rating

  

  

  
  

  

  

Assessment

  

  

  

1

poor

not considered appointable

2

area for concern

performed below the level expected from a core level trainee applying to the specialty;
possibly unappointable, subject to discussion and performance in other areas

3

satisfactory

performed at the level expected of a core level trainee applying to the specialty;
the candidate is suitable for a higher specialty training post

4

good

above average ability;
the candidate is suitable for a higher specialty training post

5

excellent

highly performing trainee;
the candidate is suitable for a higher specialty training post

As shown in the table, for each of the question areas at interview, 3/5 is considered a satisfactory score; and reflects the level of performance that would be expected of a trainee ready to progress to a specialty training programme.

Should your performance go above and beyond this expected level, interviewers can award marks of 4/5 or 5/5 as appropriate.

Conversely, should your interview performance not reach the expected level, then interviewers can award marks of 1/5 or 2/5, as reflects their level of concern over your performance.


Appointability

Raw interview score (RIS)

The RIS is the sum of all ten scores awarded to you during your interview, but before any weighting is applied.

As each individual score will be between 1 and 5, your RIS will be between 10 and 50.

Appointability requirements

To be classed as 'appointable', you must meet all three criteria below:

  • none of your ten interview scores can be 1/5
  • no more than two of your ten interview scores can be 2/5
  • your RIS must be 30 or above.

If you meet all three requirements, your application will be assessed as appointable, and can progress to be considered for post offers.

However, if you fail to meet any of these requirements, your application must then be assessed as not appointable, and it will progress no further in that round.


Total score

After interview, a weighting is applied to the scores in each area, as well as your application score.

These scores are then combined to give your total score which determines your ranking, which will in turn be used to inform how offers are made. The weighting of different sections, as well as the method by which your total score is established, is detailed in the table accessible through the link below:

 

    

 

  

    

 Interviewer  1

  

    

 Interviewer  2

  

    

Weighting

  

    

Max  score

  

Station 1 - Question 1

Clinical scenario

/ 5

/ 5

2.0

20

Communication mark

/ 5

/ 5

1

10

Station 1 - Question 2

Suitability and commitment

/ 5

/ 5

2.0

20

Station 2 - Question 1

Ethical scenario

/ 5

/ 5

1.5

15

Station 2 - Question 2

Medical registrar suitability

/ 5 / 5 1.5 15

Raw interview score

/ 50

Interview score (w weighting)

/ 80

 Application score

/ 50

0.4

/ 20

 Total score

/ 100

 

As part of the process of applying to HST, you may wish to gain an idea of how recruitment progressed in previous years for the various specialties participating in the nationally-coordinated recruitment.

As the standalone GIM programme was a pilot in 2022, we only have data for one round of recruitment. 

  • Competition ratios - application numbers submitted to each specialty, along with the number of NTN and LAT posts available in each. It is worth noting that posts are subject to change throughout the round (increasing on average between 20-40%), and post numbers for this data are taken at the end of the round.

  • Shortlist scores - the scores awarded to all submitted applications, including average scores and distribution nationally.

  • Total scores - the total score awarded to all candidates who completed the full recruitment process for a specialty (application and interview), including some analysis of scores.

  • Post fill rates - the number of posts filled by region. 

We have published information for all specialties participating in our process that year; consequently not all specialties will have data in all cases.