Health Education England, working across the East of England:

Acute Medicine:

Acute Medicine is a recognised specialty that deals with all medical emergencies. The Royal College of Physicians has recommended that all hospitals have Acute Medicine Units and lead consultants within these units. Image

Health Education East of England (the former Multi-Professional Deanery) has been in the forefront of this development with long established units in the Norfolk and Norwich University Foundation Trust Hospital and Cambridge University Hospitals NHS Foundation Trust (Addenbrooke’s), and many district general hospitals. Although models of care vary, all units manage patients for up to 24 hours, stabilizing critically unwell patients and working in liaison with specialty physicians and primary care. 

As well as their role in Acute Medicine Units, Acute Physicians in the future will take on the role of general physicians, managing short stay units, advising on general medical conditions through-out Trusts and operating ambulatory care clinics

Attractions of the Specialty

Acute Medicine offers an exciting and varied workload with fantastic opportunities for lifelong learning. An academic basis has been established and interest in research into this field is strongly encouraged.

It provides a great opportunity to be involved with and help shape the future of this new specialty. The development of other skills including education, critical care, management, and ultrasound are actively supported.

Consultant expansion is expected and therefore job prospects are excellent.

Training Programme

The training programme is five years leading to the award of dual CCT in Acute Internal Medicine and General Internal Medicine. Trainees wishing to undertake single accreditation in Acute Internal Medicine will usually be able to attain the CCT within 4 years from ST3 level.

Details of essential competencies and qualifications are detailed in the person specification for Acute Medicine at ST3, which is available here.

Hospitals in the East of England Acute Medicine Programme


  Hospital   Location
Norfolk & Norwich University Hospital   Norwich
Addenbrooke’s Hospital   Cambridge
Basildon Hospital   Basildon
Queen Elizabeth Hospital   King's Lynn
James Paget Hospital   Great Yarmouth
Ipswich Hospital   Ipswich
Peterborough Hospital   Peterborough
Hinchingbrooke Hospital   Huntingdon
Lister Hospital   Stevenage
Broomfield (Mid–Essex) Hospital   Chelmsford

The East of England is a large geographical area with three hubs in Norwich, Cambridge and Basildon. Please note that applications are to the Eastern Deanery as a whole. This may mean that you may be allocated to any of the hospitals listed above for at least 1 year of the programme.

Rotation Information

Trainees will usually rotate between posts at 4 or 6 month intervals; however most trainees will undertake at least 12 months in a single hospital to reduce the number of moves during the 4-5 year programme.

Trust / Specialty Information

Norfolk and Norwich University Hospitals NHS Foundation Trust

  • Acute Medical Unit / General Medicine (4 posts)
  • Cardiology Unit (1 posts)

Addenbrooke’s (Cambridge University) Hospital NHS Foundation Trust

  • Respiratory / General Medicine (1 post)
  • Acute Medical Unit / General Medicine (3 post)
  • Critical Care Unit (2 posts)

Basildon Hospital

  • Acute Medicine Unit / General Medicine (1 post)
  • Cardiology / General Medicine (1 post)
  • Respiratory / General Medicine (1 post)

Queen Elizabeth Hospital, Kings Lynn

  • Cardiology / GIM (1 post)
  • Elderly Care Medicine, Stroke / GIM (1 post)
  • Acute Medicine Unit (MAU) / GIM (1 post)
  • Short stay ward, ITU / GIM (1 post)

James Paget Hospital, Great Yarmouth

  • Acute Medical Unit (2 posts)
  • Cardiology / General Medicine (1 post)

Ipswich Hospital

  • Acute Medical Unit (optional Medicine for the Elderly, Respiratory, Endocrinology) (3 posts)

Peterborough Hospital

  • Acute Medical Unit / Renal Medicine (1 post)

Hinchingbrooke Hospital

  • Endocrine / General Medicine (1 post)

The Lister Hospital Stevenage

  • Elderly Care / General Medicine (1 post)
  • Cardiology (1 post)
  • Acute Medicine Unit (2 posts)
  • Critical Care Unit (1 post)

Broomfield (Mid-Essex) Hospital, Chelmsford

  • Acute Medicine Unit / General Medicine (1 post)
  • Respiratory / General Medicine (1 post)
  • Critical Care Unit (1 post)

Trainees will undertake at least 12 months of their programme in an Acute Medical Unit, supervised by one or more consultants specializing in Acute Medicine.

Trainees will spend a minimum of 18 months of their programme in specialties relevant to Acute Medicine, including at least 4 months in each of cardiology, respiratory and elderly care; trainees undertaking dual accreditation in General Internal Medicine will undertake an additional 1 year in general medical posts during their programme.

Trainees will undertake a period of 6 months of training in Critical Care.

Information is available from the JRCPTB website giving detailed guidance on the Acute Medicine ARCP assessment blueprints and curriculum.

Specialty Skills / Interests

The Acute Medicine curriculum requires that all trainees attain an additional skill or qualification in order to attain level-3 competency.

Currently seven trainees are undertaking training in Critical Care, two are doing Stroke Fellowship, two trainees have successfully completed the British School of Echocardiography qualification, and other trainees have completed Certificates and Diplomas in Education and Management. Four are undertaking significant research projects, whilst four trainees are working less than full time, either as a job share or in specific posts.

In the past trainees have been able to acquire skills in ultrasound, diagnostic upper GI endoscopy and echocardiography; however it should be noted that it is not possible for all trainees to undertake training in a practical procedure.

A list of possible specialist skills can be found on the JRCPTB website.



A regional teaching programme in Acute and General (Internal) Medicine is provided in Norwich, Cambridge, Ipswich and Stevenage; trainees are expected to attend these training days, which occur six times a year.

Trainees are also encouraged to attend the biannual Acute Medicine Group in the Eastern Region (AMGER) meetings, Society for Acute Medicine meetings and Regional RCP updates in Medicine.

A list of training dates can be found here.

Further Advice & Useful Links

Further Advice

Dr Rachel Quail Acute Medicine Training Programme Director & Chair 
Dr Fraz Mir Head of School of Medicine 

Please follow this link for the Acute (internal) Medicine 2012 GMC National Training Survey report.

Useful links