Acute Care Common Stem (ACCS)

ACCS Training

ACCS is a broad training programme that gives doctors the skills to recognise and manage acutely unwell patients.  

It is the main core training route for Emergency Medicine (EM) and can also be used as an route into Anaesthetics, ICM and other JRCPTB‑listed medical specialties.

Pathway

  • Years 1–2: Four 6‑month rotations in Emergency Medicine, Internal Medicine, Anaesthetics, and Intensive Care Medicine.

  • Years 3–4: Training continues in your chosen specialty.

  • Emergency Medicine lasts 3 years total; Anaesthetics, ICM, and IM continue into a fourth year.

Learn more

Recruitment to ACCS

Recruitment for ACCS is handled by each parent specialty, therefore the parent specialty should be chosen before applying. For details regarding the rules governing ACCS recruitment please consult the appropriate parent specialty webpages:

Anaesthetics
Internal Medicine
Emergency Medicine