If you are looking to apply to CT1-level programmes in internal medicine training (IMT) and/or acute care common stem: internal medicine (ACCS-IM), this website contains detailed information to help you. This covers recruitment for all UK training programmes in these specialties.
The recruitment process section of the website is the home to the majority of information to help you navigate a recruitment round, including: dates & posts, eligibility criteria, planning your application, applying, interviews and offers.
In addition to the website, we produce an 'Applicants' Guide' which overviews how the process works and is a good introduction for those new to specialty recruitment; this is available to download from the document library.
It is advisable to visit the medical recruitment website in order to view the relevant person specification and guidance prior to applying.
You may also wish to view data from previous years, including competition ratios.
2027 recruitment
There is only one round of recruitment planned for programmes starting from August 2027. Applications open at 10am on Thursday 22 October and close at 4pm on Thursday 19 November 2026.
The dates & posts page of the website has the full timetable. Dates can be subject to change, a news item will be published for any substantial changes.
Whilst the vast majority of IMT programmes will start in August 2027, they can start as late as April 2028; the programme start date will be clear when select your programme preferences .
Major changes and points to note
There are some major changes to the process for 2027 recruitment:
- Medical Training (Prioritisation) Act: The Act comes into force for both the shortlisting and offers stages of 2027 recruitment. Details of the criteria to be given priority status will not be published on this website and can be found on the Medical Training Recruitment website.
- Shortlisting: In 2026, there were five points available in shortlisting for applicants who only applied to the joint IMT/ACCS-Internal Medicine (ACCS-IM) vacancy in Round 1 of national recruitment. In response to the introduction of prioritisation, it has been decided to remove this score from shortlisting, which will be comprised entirely from self-assessment across the scored domains.
- Separate Scotland vacancy: The separate Scotland vacancy, which was initiated in 2026, will be continuing. This means there will be two vacancies for IMT/ACCS-IM: one for England, Northern Ireland and Wales and a separate one for all programmes in Scotland. Applications will only be considered for one vacancy so applicants should ensure that they only apply to their preferred one. The planning your application section of the website has more details about how this will be managed. Most of the information on this website is applicable to both vacancies, guidance for anything specific to the Scotland vacancy will be available on the Scottish Medical Training website.