Intended for healthcare professionals


Developing your career as a physician in general internal medicine

BMJ 2019; 367 doi: (Published 08 November 2019) Cite this as: BMJ 2019;367:l6254
  1. Jacqui Wise
  1. London, UK

A career in general internal medicine is varied, challenging, and rewarding. Doctors in the specialty manage a wide range of acute and long term medical conditions and symptoms. They are experts in diagnostic reasoning, dealing with uncertainty, and managing comorbidities. A career in general internal medicine also offers opportunities to subspecialise or to combine clinical work with academic research or a non-clinical role.


After completing the examinations for membership of the Royal College of Physicians, doctors move into specialty training which can take a further three to six years. Nearly all training in general internal medicine is done in parallel with another specialty, such as acute internal medicine, cardiology, clinical pharmacology and therapeutics, endocrinology and diabetes, gastroenterology, geriatric medicine, infectious diseases, renal medicine, respiratory medicine, or rheumatology.

To gain access to specialty training in general internal medicine it is necessary to apply for one of these …

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