Shape of Training: Delivering Palliative Medicine training during Internal Medicine
The new Internal Medicine (IM) curriculum goes live in August 2019 (and in shadow form in some regions from August 2018), replacing what we know as Core Medical Training. It has been developed to meet the requirements set out by the Shape of Training Review i.e. to produce doctors with the generic professional and specialty specific capabilities to manage patients presenting with a wide range of general medical symptoms and conditions. Palliative and end of life care is included as one of eight ‘Capabilities in Practice – CiPs’; these are the high level outcomes of the curriculum against which trainees will be assessed. This means that all doctors doing internal medicine will need to demonstrate acquisition of palliative care knowledge and skills during their IM training.
The Palliative Medicine Specialty Advisory Committee (SAC) and APM have produced a paper that outlines the changes with the new IM curriculum and the potential opportunities for enhanced palliative care experience and training for all doctors doing IM. As outlined in the paper, implementation of the IM curriculum will vary regionally so doctors are encouraged to liaise with their local Specialty Training Committees, trusts and Deaneries to consider how the new curriculum can be delivered.
The palliative medicine curriculum will not go live until 2022.