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Acute Care Common Stem

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ACCS is a three year training programme that normally follows Foundation Year two. It is the only Core training programme for trainees wishing to enter Higher specialty training in Emergency Medicine and is an alternative Core training programme for trainees wishing to enter Higher specialty training in Anaesthesia and any of the Specialties listed on the JRCPTB website.

The first two years are spent rotating through Emergency Medicine (EM), Acute Internal Medicine, Anaesthetics and Intensive Care Medicine (ICM). The third year is spent in training that will ensure the trainee meets the minimum requirements for entry into Higher specialty training in their parent specialty (EM, JRCPTB Specialty, Anaesthetics and also ICM).


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Wessex has been recently voted the UKs number one training site for ACCS (having been second placed in 2015) Our training and exam pass rates are excellent and our trainees feel well supported by their trainers.



The components of training in ACCS are

  •  One year Emergency Medicine + Acute Internal Medicine (six months each)
  • One year Anaesthesia + Intensive Care Medicine (six months each)


Aims of ACCS

The aim of ACCS training is to produce multi-competent junior doctors able to recognise and manage the sick patient and who have the complementary specialty training required for Higher specialty training in Emergency Medicine, JRCPTB specialty, Anaesthesia and Intensive Care Medicine.

Many of our trainees stay on in Wessex to undertake one of our excellent higher speciality training programmes and then stay to live and work in the region.

For the most up to date information regarding ACCS please visit the Intercollegiate Committee for Acute Care Common Stem Training (ICACCST) website.

ACCS Training Rotations in Wessex

You will spend your first two years in one hospital rotating between the four ACCS specialties.

We provide training in the following Trusts:


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