Having looked into this matter recently with a view to exploring a career
in "acute medicine" I think I can comment. The JCHMT and SAC have no firm
view on this matter, neither does the Royal College of Physicians, save to
say if you want to be an "Acute Physician" then you need a CCST in General
(Internal) Medicine. However a few Consultants have been appointed to acute
medical posts who only retain a CCST in A&E - The Society of Acute Medicine
advises that for A&E CCST holders a further period of Higher Specialist
Training in GIM is advisable and "may be recognised towards a CCST at a
later date."
It seems that 4 years of A&E Higher Specialist Training, during which time
at least 30% of the workload must be "acute medicine" (rather than trauma,
paeds, psychosocial, etc.) cannot yet be accredited towards a CCST in GIM.
This must be more acute medicine than the GIM trainees get exposed to
bearing in mind clinics, ward rounds, etc!
I am fortunate enough to possess MRCP(UK) as my entry qualification into
A&E, which gives me some weight with the physicians, but my Higher
Specialist Training is the same as the rest of us in A&E.
Marten C. Howes MRCP(UK)
Specialist Registrar
Accident and Emergency Medicine
Royal Lancaster Infirmary
Lancashire
LA1 4RP
http://website.lineone.net/~mcglone/
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