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Scottish Medical Training

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Speciality: Trauma and Orthopaedic Surgery

Programme Description
GMC Reference: ESO/495

Trauma and Orthopaedics training in the East of Scotland Deanery is led by Programme Director Mr Donald Campbell, who is an examiner for the JCIE FRCS T&O exam. The East of Scotland Deanery is based at Ninewells Hospital and Medical School, a level 2 trauma centre. Our Deanery Trauma and Orthopaedic training has posts in NHS Tayside; Ninewells Hospital and Medical School, Perth Royal Infirmary, Stracathro Hospital in Brechin and two trainees are allocated every year for the excellent rotation in NHS Highland based in Raigmore Hospital Inverness with the 11 Consultants covering sub specialty interests. There are outreach clinics in Perthshire, Angus (Tayside) and the Highlands (Inverness rotation post).

The Tayside Region has a complement of 21 consultants, all with sub specialist interest development. These include lower limb arthroplasty and revision arthroplasty, knee soft tissue reconstruction, foot and ankle, limb deformity/reconstruction, spine, paediatrics orthopaedics, and upper limb surgery. The upper limb component is augmented by an attachment with the plastic surgery department with separate hands on call for this 6 month to achieve the required exposure to flexor tendon repair and hand soft tissue trauma. We only have 15 national training numbered posts which allow more personal and informal support for the trainee and an excellent logbook numbers of operative cases.

The JCST Higher Surgical Orthopaedic Training programme commences at ST3 level and is a 6 year programme. Entry level may be at the ST1 level progressing through to ST2 initially, at which point MRCS entry exams must be passed before commencing Higher Surgical training from ST3 to ST8 on the run-through programme. The ARCP process will be supplemented by an additional interim ARCP roughly 6 months before this. A satisfactory outcome is mandatory at the ARCP to progress through to the next year of training. The JCIE exam will be sat at ST7 year of the Training Programme (once a satisfactory ARCP at ST6 is achieved).

Trainees will be involved and present at a daily Trauma Meetings which are always supervised by at least one Consultant. This comprises a discussion of all the Trauma Cases admitted during the 24 hours before and the cases which are to be operated during the day. The postgraduate teaching programme runs on Friday afternoons and varies from Semester to Semester but includes Journal Club, MDT Radiology meeting run by Consultant radiologists with an MSK interest. There are specific teaching activities from leading consultants, visiting professors and lecturers and will include Registrar peer teaching also.

In addition to this, each Registrar will have on average half a day free in their working programme dedicated to research and audit. They will be expected to submit a unique piece of research or audit annually to the TORC (Tayside Orthopaedic Research Club) meeting. To support this research activity there is an outstanding research facility on site in Ninewells Hospital in the University run IMAR  (Institute for Motion and Research Analysis) headed by Prof Abboud www.orthopaedics.dundee.ac.uk. There are options to do further degrees such as M.D. or Ph.D. or Fellowships and Higher degrees in Medical Education available and get involved with undergraduate Medical School work if interested.

Where is the training delivered?
This programme involves placements in some or all of these Health Boards and hospitals:

Ninewells Hospital, Dundee, Perth Royal Infirmary, Raigmore Hospital, Inverness, Stracathro Hospital, Angus

Ninewells Hospital, Dundee
Perth Royal Infirmary, Perth
Raigmore Hospital, Inverness
Stracathro Hospital, Brechin

Contacts and Useful Links
Programme Type Deanery based or National: Deanery
Administration office East of Scotland
Lead Dean / Director Professor Clare McKenzie
Responsible Associate Postgraduate Dean or Assistant Director (GP) Dr Russell Duncan
Specialty or Sub-specialty Specialty or Sub-specialty: Specialty
Date of GMC recent approval August 2010
Associated Royal College - Faculty
Joint Committee on Surgical Training (web site)
Curriculum and Associated Assessment System http://www.gmc-uk.org/education/trauma_and_orthopaedic_surgery.asp
Programme Administrator: Named Programme Administrator: Fiona Fourie
Address: NHS Education for Scotland, 102 West Port, Edinburgh, EH3 9DN
Tel:
Email: fiona.fourie@nes.scot.nhs.uk
Programme Director Programme Director Name: Mr Simon Johnson
Address: Mr Simon Johnson NHS Education for Scotland, East Region of the Scotland Deanery Postgraduate Office, Level 8, Ninewells Hospital & Medical School, Dundee DD1 9SY
Tel:
Email: simonm.johnson@nhs.net
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