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. Please note that 'ACCS: internal medicine' is the updated name for 'ACCS: acute medicine' from August 2022.    

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 criteriaplanning your application, applyinginterviews 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 MDRS website in order to view the relevant person specification and download the applicant handbook prior to applying.

You may also wish to view data from previous years, including competition ratios.

Internal medicine training

Internal medicine training replaced core medical training from August 2019. You can read more about the programme and the changes in medical specialty training on the JRCPTB website.

2022 recruitment

At present only one round of recruitment can be confirmed for programmes starting in August 2022:

  • Round 1 opens for applications at 10am on Thursday 1 November and closes at 4pm on Wednesday 1 December 2021.
  • Round 2  - a decision on whether a second round will be needed will be made in December, after applications for round 1 closes. The dates & posts page contains the main dates for the round, shoud it go ahead.  

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.

Stand-alone IMY3 Recruitment

Information about the recruitment process for 2022 stand-alone year 3 IMT posts has been updated. This is only open to those who have trained in a core medical training or ACCS acute medicine programme in the UK. 

Go to the dedicated IMY3 recruitment section of the website for details.

Latest news


Our FAQs section has the answers to many common queries but if you cannot find an answer to your question our online enquiries helpdesk can be contacted with any queries relating to the IMT recruitment process. We aim to respond to all queries within three working days, although more urgent enquiries can usually expect a reply within a shorter time frame.

Any important announcements will be added to this website and noted in the news section.

Physician Specialty Recruitment Office

IMT Recruitment is managed and coordinated on behalf of the four UK nations by the Physician Specialty Recruitment Office (PSRO) based at Health Education England. The recruitment process is governed in coordination with the Royal College of Physicians of London, also working closely with the Joint Royal Colleges of Physicians Training Board (JRCPTB).

Best wishes, and good luck with your application.

Physician Specialty Recruitment Office