Health Education England in the East Midlands covers a large geographical area, which includes Derbyshire, Nottinghamshire, Leicestershire and Rutland, Lincolnshire and Northamptonshire. The IM1 and IM2 years are spent rotating through four placements of six months duration in the following specialties: Internal medicine, Emergency Medicine, Anaesthetics and Intensive Care Medicine. These will be in one or more of the sites shown below.

Acute care common stem (internal medicine)

Initial two years (IM1 & IM2)

The acute care common stem (ACCS) rotations are currently based for their first two years on one of the below:

  • Chesterfield Royal Hospital
  • Glenfield Hospital, Leicester
  • Grantham Hospital
  • Kettering General Hospital
  • King’s Mill Hospital, Mansfield
  • Leicester General Hospital
  • Leicester Royal Infirmary
  • Lincoln County Hospital
  • Nottingham City Hospital
  • Pilgrim Hospital, Boston
  • Queen’s Medical Centre, Nottingham
  • Royal Derby Hospital
  • Northampton General Hospital

Third year (IM3)

At the end of the initial two-year period, a third year of medical specialty training is offered to ACCS (internal medicine) trainees, in order to facilitate acquisition of the IMT competences as well as the ACCS competences.

This IM3 year will comprise two 6-month placements focused on preparing you to be a Specialty Registrar and helping you acquire the skills you need to run a take.

Internal Medicine Training

Clicking the following link will take you to our website page: https://www.eastmidlandsdeanery.nhs.uk/page.php?id=1862

Please visit the East Midlands website for further information on our IMT programme including the IM3 year.

The East Midlands are excited to offer an innovative programme for a select number of IMT1 trainees starting in August 2023. Trainees will be able to undertake the ‘Enhance’ programme in Leadership and Social Medicine alongside Internal Medicine Training, receiving specialist training in areas such as health inequalities and public health. The ‘Enhance’ programme will span the 3 years of IMT Stage 1 training, with allocated time dedicated to ‘Enhance’ activities. Trainees will have the unique opportunity to rotate into a four month community placement, whilst also undertaking acute hospital on-calls. They would also be offered immersive experiences with voluntary organisations, to work on projects aimed at making tangible changes for the local community and tackling health inequalities. Time spent in community placements will still count towards IMT Stage 1 training. These programmes will be clearly indicated within the region's preferences when available for selection.

An HEE video detailing potential future opportunities available for trainees undertaking this program is available. If you require further information, please email [email protected]

The clinical experience you will get in the East Midlands is second-to-none. Programmes are structured so that you are exposed to a busy workload while gaining fully from working in nationally and internationally recognised units. And, the region boasts many renowned experts meaning that you will be learning from the very best. We will provide mentoring. The TPD, college tutors and Educational Supervisors are easily accessible providing year-round support with on the job training from committed consultants.

We offer dedicated simulation training, PACES teaching and mock PACES exams to enable you to progress with confidence to your ST4 interviews. If you're interested in research, the region boasts nine Universities including two of the UK's top 25. The University of Nottingham is one of only five UK institutions in medicine rated in the world's top 30 and hosts two nationally-funded biomedical research units. You will have plenty of opportunity for research, PhDs and medical education while the school actively encourages 'out of programme' experiences in both research and teaching.


When you train in the East Midlands you'll benefit from a superb work/life balance. House prices in the region are, on average, 44% lower than the South East and 62% lower than London and a superb road, rail and air network means it's easy to get to other parts of the UK and beyond.

Major cities such as Nottingham, Leicester, Derby and Lincoln have plenty to offer as do the market towns of Northampton, Chesterfield and Kettering. The Peak District and Sherwood Forest are on your doorstep and you'll also enjoy world-class music, art and theatre, Premier League football, superb nightlife, Test cricket and Michelin starred restaurants.