Congratulations – you’ve made the first step towards having the best job in the world! 

Recruitment to medical specialties is currently changing, with the new Internal Medicine Curriculum.  More information about this, and how recruitment to Higher Specialty Training programmes such as Respiratory Medicine will happen, can be found here

If you're interested in Respiratory medicine, you also might want to consider attending relevant courses (e.g. thoracic ultrasound, bronchoscopy) and conferences (such as the British Thoracic Society Winter and Summer Meetings) to get more of an insight into the specialty.  More information about the training programme and curriculum can be found on the Joint Royal Colleges of Physicians Training Board (JRCPTB) website. 

Dual CCT in Respiratory Medicine and Intensive Care Medicine

Dual CCT in Respiratory Medicine and Intensive Care Medicine

Respiratory Medicine is one of five specialities with an agreed dual CCT programme with Intensive Care Medicine (the others being Acute Internal Medicine, Anaesthesia, Emergency Medicine and Renal Medicine).  For dual CCTs, trainees may enter either programme first and have the appropriate competencies dual counted for the second CCT; simultaneous entry to both programmes is not currently possible. Trainees will also not be able to apply for Dual CCTs if they are beyond the end of ST5 in their initial specialty of appointment at the time of interview for ICM.  It is also important to note that triple accreditation is not currently permitted by the GMC; this means that trainees will CCT in Respiratory Medicine and Intensive Care Medicine only, with no qualification in General Internal Medicine (GIM).

The training programme currently looks like this:

Dual CCT - CMT route


Dual CCT - ACCS route

For more information, the Faculty of Intensive Care Medicine has an excellent website, and the section regarding Dual CCTs can be found here.  

There are currently seven trainees in the East of England undertaking the dual CCT in Respiratory and Intensive Care Medicine – if you have any questions, please feel free to get in touch!

Training Days

Training days aim to cover the the curricula for respiratory and general medicine developed by the Joint Royal Colleges of Physicians Training Board

Training days take place in a variety of locations around the deanery, which will be emailed in advance. Attendance is compulsory and there is an attendance register. Please sign in as the attendance register is available to the ARCP panel.  The Winter and Summer British Thoracic Society Meetings in December and June replace training days in those months, and there is also a twice yearly East Anglian Thoracic Society meeting which is compulsory. 

If you cannot attend due to on call commitments or annual leave etc, please email either Rachel or Joe at

If you have any suggestions or comments on training days, please email Dr Charlie Haworthwho organises the programme. 


Respiratory Training Days: 2021




13th January 2021 (pm)

Occupational Lung Disease

Virtual - registration details TBC

17th - 19th February 2021

Winter BTS Meeting

QEII Centre (London) and Online

17th - 18th June 2021

Summer BTS Meeting


Attendance at training days is compulsory for EoE respiratory trainees. Please email if you are unable to attend. 


General Internal Medicine Training Days
For information on GIM training days, please click here and select the 'Upcoming Training Days' box.  Please email or to be added to the mailing list. 


For a full list of upcoming training events and study courses aimed at all medical specialties within the region - Please visit the following links:

ARCP Guidance

Eportfolio Access

When starting specialty training, you need to register with the Joint Royal Colleges of Physicians Training Board (JRCPTB) to gain access to the Respiratory Medicine eportfolio. 

ARCP explained

What is ARCP?
ARCP = Annual Review of Competency Progression, and is the process by which we ensure you are offering safe, quality patient care and to assess your progression against standards set down  in the curriculum. 
Majority are held in June/July, with a small number in December/January each year. 

ARCP requirements

1.  Educational Supervisor reports for Respiratory Medicine and General Internal Medicine (GIM).  NB. There is a GIM specific Educational Supervisor's report on ePortfolio. 
2.  Respiratory Medicine & GIM Curriculum sign offs to demonstrate progress
3.  Academic report if in OOPR (Out of Programme for Research)
4.  WPBAs to meet decision aid requirements, linked to the curriculum
5.  Multiple Consultant Reports x6 (on eportfolio) – not including your ES
6.  Firth Calculator (calculation of time spent in GIM)
8.  Form R

Hints and Tips

1.  Create a new ARCP folder each year with appropriate forms/documents for each ARCP year – this makes the panel's job much easier!
2.  Keep logbooks. You are expected to maintain a logbook record of all procedures you perform. Most trainees maintain this on an excel spreadsheet, which needs to be uploaded to your personal library. Record:
  • Bronchoscopy – including frequency of lavage/brushing/biopsy and diagnostic hit rate for biopsies
  • Pleural procedures
  • Thoracic ultrasound- All trainees are required to be level 1 competent by CCT
  • NIV setup
  • Clinical logs: You need to log acute take activity and outpatient activity
Tuesday, 27 August, 2019
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Tuesday, 27 August, 2019