LAUSR

In the United Kingdom, training for doctors specialising in general internal medicine (GIM) has been re-structured. The internal medicine training (IMT) programme replaced and lengthened core medical training (CMT), from 2 to 3 years. The intention is that trainees gain a further year of supervised experience before sub-specialism. From August 2021, the novel role of the “internal medicine trainee year 3 (IMT3) Doctor” has existed. As before, trainees rotate through varying medical specialities alongside on-call and out-of-hours GIM commitments. Hospital service provision demand has meant that many rotating IMT3 Doctors are still being expected to perform in less well-supervised specialist roles but are newly under the guise of still being trainees. This has created unique challenges from a learning and practice point of view.