Rehabilitation Medicine involves the care of patients with complex disabilities including patients with traumatic brain injuries, progressive neurological conditions, and limb abnormalities, as well as stroke patients.
The Royal Society of Medicine offers a range of events for different medical specialties, including Rehabilitation Medicine – see a full list on our Events page>>
Entry Route into Rehabilitation Medicine
Applicants must have completed the two-year Foundation Programme. They can then apply for entry into Rehabilitation Medicine through one of the following core training pathways:
If trainees chose the CMT or ACCS pathways they should have the full membership of the Royal College of Physicians before applying for higher speciality training. Surgical, Psychiatric, and General Practice trainess should have full membership of the relevant Royal College.
Job Progression as a Rehabilitation Medicine Specialist
Higher speciality training starts at ST3 and takes four years. Trainees can complete a dual training programme in Rehabilitation Medicine and either Neurology or Rheumatology to gain two CCTs. Trainees can also undertake a subspeciality training programme in stroke medicine. They should indicate their interest in stroke training before their final year, so the first year of stroke training can then be integrated into their main speciality training. In order to reach the level of consultant, a second year of advanced training in Stroke Medicine is necessary.
Trainees can apply for consultant positions six months before obtaining their CCT, and there are opportunities to work in management as a clinical lead, or a clinical or medical director. There are also formal opportunities to become involved in the education and training of junior doctors by working as
- a director of medical education overseeing postgraduate medical training,
- a training programme director responsible for the education of trainee doctors in the local region, or
- an associate dean responsible for managing the training programme.
Academic Rehabilitation Medicine Roles
Trainees interested in an academic career can apply for an academic clinical fellowship. Alternatively, trainees can continue the ST clinical training programme after ST4 level.
Competition for Rehabilitation Medicine Posts
In 2017, the competition ratio at ST3 was 1.6 in the first round, with 34 applications for 21 NTN posts, with 32% of applicants applying for Rehabilitation Medicine only. In the second round, the competition ratio was 0.6, with 12 applications for 20 NTN posts.
In December 2017, there were
- 147 consultants,
- 12 associate specialists,
- 29 speciality doctors,
- 61 speciality registrars,
- 10 core trainees,
- 32 F2 trainees, and
- 24 F1 trainees.
Salaries in Rehabilitation Medicine
The starting salary for junior doctors in England ranges from £26,614 to £46,208, and from £37,923 to £87,521 for speciality doctors. Consultants can expect to earn between £76,761 and £103,490. There are additional supplements for on-call work, antisocial hours, and other commitments and situations. For additional information, please check our page on pay scales.
A Day in the Life of a Rehabilitation Medicine Specialist
Work patterns vary in Rehabilitation Medicine. Consultants may focus on one or two areas of work – for example, managing patients with spinal cord injuries, or the rehabilitation of patients with amputations and other musculoskeletal disabilities. Daily work may include wards rounds, attendance at multidisciplinary team meetings, case conferences, outpatient clinics, out-reach assessments on acute wards, home visits, and reviews of patients in nursing homes. Consultants working in hospital-based settings are, in general, required to participate in on-call rotas, whilst consultants working in community or non-acute settings may have standard working hours.