IMY3 stand-alone recruitment - details about the process

We are writing to you with further details about the new IMY3 stand-alone recruitment process. This process is for those who have undertaken, or are currently undertaking, core medical training (CMT) or ACCS acute medicine (ACCS-AM) and wish to return to training at internal medicine year 3 (IMY3) to continue their physicianly training.

By the end of July, the IMT Recruitment website will have a section specifically for the IMY3 process, with more detailed guidance for prospective applicants. We will contact you again when this is published and in the interim below is the key information which can be confirmed at this stage.

Should you have any questions about the process at this stage, we ask that, if possible, you wait until the detailed guidance is published as this may answer many questions. Please see the contacts page of the IMT Recruitment website should you need to contact us.


  • Applications will be open from 1-29 October 2020.
  • Offers will start from late-January.
  • It will be possible to hold an offer until late-April, allowing you to compete for an ST3 programme should you wish to do so.
  • Rotations (hospital and specialty) will be confirmed in early May.
  • Clearing will take place in late-May should there be any posts available at this stage.

There is no interview or assessment process for IMY3 posts, the Allocation of offers section below details how applications will be prioritised.


IMY3 stand-alone posts are only open to those who have undertaken UK CMT or ACCS-AM training. All trainees will be required to upload evidence with their application:

  • Those with an ARCP outcome 6, or a 3 or 4 with only the MRCP(UK) outstanding, will just need to submit final core training ARCP outcome.
  • Those with competences or issues other than MRCP(UK) completion outstanding, will be able to apply, providing that they can obtain a letter from their training region confirming completion of outstanding issues. Please do not contact your training region yet if you are in this category, we will write to those indicating they are in this category on the expression of interest survey when they can make a request.

Regional preferences

On application you will be required to indicate the region in which you wish to undertake IMY3. This will be the only region for which you can be in contention prior to clearing.

Priority will be given to those who undertook their core training in that region and those that have ‘special circumstances’; see the Special circumstances section below for more information about this.

Post availability

Unlike a traditional recruitment process, where posts are declared and applicants apply for those available, regions will be attempting to find as many posts as possible for those that apply. This will be complex as they will need to account for how many of those in year 2 of IMT will be progressing to IMY3.

Regions are using the information you supplied in the expression of interest survey to plan potential post requirements, although it will not be until applications close that they will be able to start actively confirming post numbers.

The data indicates that not all regions will be able to accommodate all who wish to train there and consequently it is planned to publish an indication of post availability prior to opening.

It is anticipated that demand for IMY3 posts will outstrip supply in the first year and consequently it will not be possible to make everyone an offer. This will especially be the case for those wishing to change regions from their core training due to the lower priority they will be given for consideration at the offers stage.

Special circumstances

If you wish to change region and your personal circumstances meet the criteria of the IMY3 special circumstances policy, you will be able to be considered for an offer on an equal basis to those who trained in that region.

The following categories will be considered for special circumstances:

  • Criterion 1 – the applicant is the primary carer for someone who is disabled that lives in their preferred region, as defined by the Equality Act 2010
  • Criterion 2 – the applicant has a medical condition or disability for which ongoing follow up for the condition in the specified location is an absolute requirement

It will be required to load supporting evidence to the application form and details about this, and the criteria in full, will be published to the website.

Allocation of offers

There will be no interview or assessment process and the policy for allocation of offers is that applications will be randomly ranked within their preferred region with offers made in the order of that ranking.

The decision was made by the four UK nations and trainee representatives on the basis that all applicants are seeking to enter IMY3 on an equal footing, as trainees who have gained core medical competence.

The random allocation process will be moderated with external presence to ensure fairness and will be in two stages:

  1. Applicants who trained in the region of application, or who meet the special circumstances policy, will be randomly ranked first.
  2. Other applicants will then be ranked, after all those in the first stage.


Offering of posts will start from late-January. Please note the following key information in relation to this process:

  • It will not be possible to offer to a specific hospital/rotation. Each region will consider whether they can offer more specific detail at that stage, beyond the region of the offer. Where this is the case, applicants to that region will be able to specify, in order of preference, which areas they would consider.
  • On receipt of an offer it will be possible to hold it if you are unsure whether you wish to accept. This is primarily to allow those wishing to compete for a higher medicine programme in the 2021 round to await the outcome of that application.
  • The IMY3 offering process will be linked to higher medicine training applications and so it will not be possible to accept one offer and remain in contention for others.
  • The holding deadline will be the same as for higher medicine programmes, meaning a decision must be made by late-April; the exact date will be confirmed later.
  • If a region is offering multiple preference options, it will be possible to be considered for upgrades, should a preferred area subsequently become available.
  • Allocations to a specific rotation will be completed once offers conclude in late April/start of May.


In May, each region will determine whether they have any additional IMY3 posts to offer. This will be once they have allocated rotations to all those moving from IMY2 to IMY3 and those accepting a stand-alone IMY3 post.

It is not possible to give any indication until that time whether there will be any need for clearing and, if so, in which regions. Should there be the need for clearing, the following will apply:

  • All eligible applicants without an offer, and who have not accepted another offer in the round, can be considered.
  • A subsequent randomised process will be undertaken to give clearing candidates their clearing rank; there will be no prioritisation categories at this stage.
  • At the clearing stage, specific rotation information (hospital and specialty) will be available and clearing applicants will be given opportunity to preference across all regions participating in clearing.
  • Offers will be made in accordance with rank and preferences and there will be no opportunity to hold an offer or opt in for upgrades.

Clearing offers will be completed in late-May.

Alternatives to IMY3

It will be possible to apply for higher medicine at ST4 level from 2022, without undertaking a stand-alone IMY3 post. The Alternative Certificate of Core Competence, which is used for those who wish to apply for higher medicine training without completing CMT/ACCS-AM, is being revised to meet the new stage 1 internal medicine curriculum.

The intention is that this will be confirmed by September 2020 to help prospective applicants to ST4 medicine programmes in 2022 plan their career to ensure they are eligible.

Anyone completing CMT/ACCS-AM who has not completed an IMY3 post will be eligible to apply, provided they can submit an alternative certificate with their application.

Further information

As noted in the introduction to this communication, detailed guidance will be published to the IMT Recruitment process by the end of July.

An email will be sent to all those on the expression of interest mailing list when this information is published.