Anonymous #1
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Currently in year 4 of medicine.
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ecolier
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(Original post by Anonymous)
Currently in year 4 of medicine.
Do FY1 and FY2, then apply to Internal Medicine Training, then apply to Gastroenterology ST4.

IMT: https://www.imtrecruitment.org.uk/

ST3 Gastro: https://www.st3recruitment.org.uk/sp...stroenterology (will be ST4 by the time you apply)
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Democracy
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(Original post by Anonymous)
Currently in year 4 of medicine.
IMT and MRCP then apply for gastroenterology specialty training.
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nexttime
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You decide on top, bottom, or both, you pick up the camera and you're on your way.
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Anonymous #1
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Can someone clarify what med reg is? The people who sit in A&E...
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(Original post by Anonymous)
Can someone clarify what med reg is? The people who sit in A&E...
The registrar on call for general medicine specialties. Different hospitals have different set ups but broadly speaking the job is split into running the take (admitting acute patients) and covering the wards. There is increasing amounts of ambulatory care work too.

In larger hospitals some medical specialties have their own dedicated on call team (on site or at home) e.g. cardiology, gastro, renal, etc. In other hospitals the med reg may cover all medical specialties out of hours.
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Anonymous #1
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Oh okay, that makes sense.

How do these people become on-call med reg?
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nexttime
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(Original post by Anonymous)
Oh okay, that makes sense.

How do these people become on-call med reg?
Its compulsory if you are a registrar in the relevant specialities (and in the future, an IMT3). They've recently made it compulsory for more specialities than before.

In the future, in theory at least, that will be all SpRs from: Acute Internal Medicine, Cardiology, Clinical Pharmacology & Therapeutics, Endocrinology & Diabetes Mellitus, Gastroenterology, Genitourinary Medicine, Geriatric Medicine, Infectious Diseases (except when dual with Medical Microbiology or Virology), Neurology, Palliative Medicine, Renal Medicine, Respiratory Medicine and Rheumatology. https://www.jrcptb.org.uk/imt

Its a frequent gap as well, through rota gap or sickness, so you get a fair few locums doing the role as well. Or you can get people to act up - passing PACES is often viewed as the threshold you need to get over to do the job.

Its widely viewed as the worst job in the hospital. That's why they're forcing more people to do it.
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Jckc123
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(Original post by nexttime)
Its compulsory if you are a registrar in the relevant specialities (and in the future, an IMT3). They've recently made it compulsory for more specialities than before.

In the future, in theory at least, that will be all SpRs from: Acute Internal Medicine, Cardiology, Clinical Pharmacology & Therapeutics, Endocrinology & Diabetes Mellitus, Gastroenterology, Genitourinary Medicine, Geriatric Medicine, Infectious Diseases (except when dual with Medical Microbiology or Virology), Neurology, Palliative Medicine, Renal Medicine, Respiratory Medicine and Rheumatology. https://www.jrcptb.org.uk/imt

Its a frequent gap as well, through rota gap or sickness, so you get a fair few locums doing the role as well. Or you can get people to act up - passing PACES is often viewed as the threshold you need to get over to do the job.

Its widely viewed as the worst job in the hospital. That's why they're forcing more people to do it.
Well, at least with the new IMT3 aka junior reg aka rota gap filler. Dghs might actually have 2 regs Oncall now rather than one.
And it might make the med regs life alot more easier.
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nexttime
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(Original post by Jckc123)
Well, at least with the new IMT3 aka junior reg aka rota gap filler. Dghs might actually have 2 regs Oncall now rather than one.
And it might make the med regs life alot more easier.
We'll see!
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Anonymous #1
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Will this new change affect me once I graduate? I am in year 4..
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ecolier
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(Original post by Anonymous)
Will this new change affect me once I graduate? I am in year 4..
Well yes, because CMT had their last intake in 2018/19. The first cohort of IMT doctors started in 2019/20 (i.e. August 2019).

ST3 recruitment is still on track for this year (the last cohort of CMTs are now in their CT2 year, and applying for ST3).

From next year onwards there will be a year when IMT2 doctors will mostly move to IMT3 and only those applying to Group 2 specialties (e.g. Allergy Medicine, Dermatology etc.) will have ST3 recruitment. All other doctors will apply to specialty ST4 recruitment in 2022/23 for Group 1 specialties.

So you're about 4 years too late, if you wanted to do CMT.

For your information:
Group 1 specialties: Acute Internal Medicine, Cardiology, Clinical Pharmacology & Therapeutics, Endocrinology & Diabetes Mellitus, Gastroenterology, Genitourinary Medicine, Geriatric Medicine, Infectious Diseases (except when dual with Medical Microbiology or Virology), Neurology, Palliative Medicine, Renal Medicine, Respiratory Medicine and Rheumatology.

Group 2 specialties: Allergy, Audiovestibular Medicine, Aviation & Space Medicine, Clinical Genetics, Clinical Neurophysiology, Dermatology, Haematology, Immunology, Infectious Diseases (when dual with Medical Microbiology or Virology), Medical Oncology, Medical Ophthalmology, Nuclear Medicine, Paediatric Cardiology, Pharmaceutical Medicine, Rehabilitation Medicine and Sport and Exercise Medicine.
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Anonymous #1
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Sorry maybe I didn't phrase my question properly.

What pathway will I be following? It will be IMT right How many years is IMT? Is this new program set in stone?
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ecolier
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(Original post by Anonymous)
Sorry maybe I didn't phrase my question properly.

What pathway will I be following?
IMT - by the time you'll doing it, it will be well established (hopefully!)

It will be IMT right How many years is IMT?
Depending on the specialty you want to do. For Group 1 specialties (including Gastro) it's 3 years. Then Gastro will be 4 years (at the moment, it may be longer depending on the Gastro training committees - for our specialty they are still thinking whether it should remain at 5 years, hence essentially adding a year of training).

Is this new program set in stone?
Yes.
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(Original post by Anonymous)
Will this new change affect me once I graduate? I am in year 4..
Well gastro regs always had to be med regs.

But yes you will do 3 year IMT rather than 2 year CMT.
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Anonymous #1
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(Original post by nexttime)
Well gastro regs always had to be med regs.

But yes you will do 3 year IMT rather than 2 year CMT.
Why do I never see IMT/CMTs on the ward? Do they have another title?
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ecolier
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(Original post by Anonymous)
Why do I never see IMT/CMTs on the ward? Do they have another title?
Officially they are CMTs / IMTs. Unofficially they are SHOs (senior house officers).

They are mixed with FY2s, GP trainees and others (e.g. MTIs, locums) so you may not know they are CMTs / IMTs.
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Anonymous #1
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(Original post by ecolier)
Officially they are CMTs / IMTs. Unofficially they are SHOs (senior house officers).

They are mixed with FY2s, GP trainees and others (e.g. MTIs, locums) so you may not know they are CMTs / IMTs.
ST1s can also be SHOs right... this is so confusing!
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ecolier
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(Original post by Anonymous)
ST1s can also be SHOs right... this is so confusing!
Yes:

Old term => New term

PRHO (pre-registration house officer) or HO => FY1 doctors <- usually lasts 1 year

SHO (senior house officer) => FY2 doctors, locums (e.g. "FY3, FY4" - these numbers don't officially exist), CMT / IMT 1 and 2 / GPST 1 and 2 / Specialty Training year 1 and 2 doctors <- usually lasts 3 years (FY2+CT/ST1+CT/ST2) unless you take a gap year

Registrar => ST3+ doctors (soon to include IMT3 doctors) <- duration varies
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Anonymous #1
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Thank you!
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