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ACCS Acute Medicine


ACCS Acute Medicine

ACCS is a 3 year training programme that normally follows Foundation Year 2. It is the only core training programme for trainees wishing to enter higher specialty training in Emergency Medicine and is an alternative core training programme for trainees wishing to enter higher specialty training in General Internal Medicine (GIM), Acute Internal Medicine (AIM), Intensive Care Medicine (ICM) or Anaesthesia.

The first two years are spent rotating through Emergency Medicine (EM), General Internal Medicine, Anaesthetics and Intensive Care Medicine (ICM). The third year is spent providing training that will ensure the trainee meets the minimum requirements for entry into higher specialty training in their parent specialty (EM, GIM/AIM, Anaesthetics and also ICM).

Levels recruiting to

  • CT1

Application process

The Royal College of Physicians is coordinating the national process for recruiting trainees into ACCS Acute Medicine CT1 posts.

Application forms are now available online at:

This is for completion of core training subject to satisfactory progression.

Please note, applications must be received by 13 December 2011 – please see the Royal College of Physicians website for confirmation of the closing date and time.

Late applications will not be considered.

Before applying please read the Medical Specialty Training person specifications to assess your suitability for the post. Complete the application form referring to the ‘Guide to filling in your application form’. It is essential to refer to this guide before submitting your application form. 

In order to assess whether or not you have the requisite competences or equivalent, refer to the competences web page.

In the event of further training opportunities becoming available within this specialty in any of the programmes managed by London Deanery, shortlisted candidates may also be considered for these posts. 

In April 2012 the UK Border Agency will close the Tier 1 (Post Study Work) immigration route.  This route has previously been used by non-UK and non-EEA doctors who have graduated from a UK medical or dental school and have successfully completed their Foundation Programme.

The following advice on when to apply for specialty training will therefore apply for doctors applying for entry to programmes starting after 1 April 2012:

You are eligible to be considered for specialty training (including GP) in both Round 1 and Round 2 if:

  • You are a UK or EEA national
  • You are a non-UK or non-EEA national and your immigration status allows you to work without restriction in the UK.  For example if you have Tier 1 or dependant status, and no restriction against working as a doctor or dentist in training.
  • You are a non-UK or non-EEA national, you graduated from a UK medical or dental school, your immigration status currently entitles you to work in the Foundation Programme and where you would have previously been eligible for Tier 1 (PSW). You will need to apply for Tier 2 sponsorship, but you will be exempt from the Resident Labour Market Test (RLMT) in this instance.

You are eligible to apply for core and specialty training in Round 2 if:

  • You are a non-UK or non-EEA national who has limited leave to remain in the UK and do not fall into one of the above categories.  You will require Tier 2 sponsorship and will be subject to the RLMT.  

Applicants who are subject to the RLMT may only be considered if there is no suitable UK or EEA national candidate for the post.  As the RLMT will not have been satisfied in Round 1 of the recruitment to specialty training, you should consider applying during Round 2 if the RLMT applies to you.

Evidence of immigration status should normally consist of a biometric residence card, date stamped passport, and accompanying letter from the Home Office. Please visit for more information.

Please note that the vacancies advertised may be subject to change prior to interview.

Additional information

Indicative number of posts available


Indicative number of applications*


Indicative number of interview slots**


Please note: this may be subject to change.

* based on 2011 data
** based on estimated number of vacancies

Key dates and information

Applications open: 25 November 2011*

Applications close: 13 December 2011*
Interview dates: From 6 February 2012 to 10 February 2012
Interview venue: Mary Ward House

*please see the Royal College of Physicians website for confirmation of the opening and closing dates and times

Posts commence from: 1 August 2012

The anticipated rotation frequency for this programme is every six months. 

Successful completion of this placement will lead to the achievement of acquiring competencies in ACCS Acute Medicine. 

The expected duration of this programme is 3 years, however the actual duration may depend on the circumstances of the individual.  

Please note that London Deanery has a strict application policy and will not accept applications submitted after the submissions deadline.

The Postgraduate Dean confirms that this placement and / or programme has the required educational and Dean’s approval. The Training Programme is equally open to those who may, either from the outset or subsequently, wish to train flexibly or job share.  Approval must be sought from the Deanery prior to interview and this is subject to availability of suitable training placements. 

Interview process

Document checking: A list of documents required for interview is available on the interview pages of the website.

Length of interview: 30 minutes

Interview structure: A three station interview. Each station will cover different criteria from the person specification and last for 10 minutes.

Preference form: Preference forms will be made available during the recruitment process either online or at the interview.

For further information on the interview please refer to the

Pay scales           

All trainees should be paid monthly at the rates set out in the national terms and conditions of service for hospital medical and dental staff and doctors in public health medicine and the community health service (England and Wales), “the TCS”, as amended from time to time. The payscales are reviewed annually. Part-time posts will be paid pro-rata.

Current rates of pay for junior doctors may be viewed on the NHS Employers website


During the recruitment episode please visit for up-to-date information regarding the recruitment.  You may also find the Frequently Asked Questions helpful in answering your query.

For any queries that cannot be answered by the methods above please contact: Please ensure you refer to the specialty you are enquiring about when emailing the team. Failure to include this information will result in confirmation emails and may delay the enquiry response time.

For further national information please visit the Medical Specialty Training website.


Programmes will be confirmed directly with the candidate by the appointing Deanery should applicants be successful at interview.

London Programmes for ACCS Acute Medicine are available in the programme section of our website

If you are invited for interview and have any specific requirements owing to a disability please inform us as soon as possible by emailing

If you are invited for interview and have any specific requirements for religious reasons please inform us as soon as possible by emailing