Brief ‘definition’ of specialty
A creative specialty, nurturing a wide generalist interest across therapeutics, toxicology, clinical research, medical education and drug regulation.
Overview training programme
Commonly, a five-year post gaining dual accreditation in CPT and General Internal Medicine (GIM), though it is a flexible specialty well-suited to dual accrediting with others. Two years are dedicated to each core specialty, with one final year aimed towards completing an advanced specialty module. Module options include: toxicology, hypertension, clinical trials research and research.
Exam requirements
Entry requirements to apply for CPT training include completion of the MRCP. As is increasingly the case in other specialties, an exit exam may be introduced in the last year of training before Certificate of Completion of Training (CCT) in CPT.
Other requirements
Completion of CPT specialty training curriculum. Sub-specialty areas have their own examinations/requirements.
Opportunities/expectations for out of programme/research
Due to the flexibility of the training programme, CPT is well-suited for taking time out of programme (OOP). It is anticipated that in pursuing the advanced research module, trainees would consider using this as the first stage in undertaking a postgraduate research degree. By the time they achieve a CCT, almost all trainees will also have an advanced degree.
A day in the life of a CPT Registrar
The day is varied, exciting and creative. In addition to the GIM responsibilities, one of the main advantages of CPT is the autonomy with which you can direct your training to suit your interests. Examples of activities in CPT include
- Clinical: Areas of interest include clinical toxicology, from self-poisoning to biochemical terrorism, cardiovascular risk including hypertension, stroke disease
- Research: Learn about setting up and running clinical trials and developing skills in bench to bedside translational research
- Teaching: Many CPT trainees take on responsibilities in under- and postgraduate teaching
- Medicine regulation: Training in CPT provides the opportunity to develop an interest in the regulation of medicines and prescribing through drug and therapeutics committees, regional prescribing groups and the National Institute for Health and Clinical Excellence (NICE)
Pros and Cons of working in this specialty
Pros
- Self-driven, creative, flexible training with excellent exposure to clinical, research, teaching and governance
Cons
- Due to the autonomous nature of training, there is no clear career path (although most people in the specialty think this is an advantage)
Tips for success in applying for this specialty
- Be enthusiastic about general medicine, teaching and research and maintain a broad interest