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Scottish Medical Training

Scotland - the home of medical excellence

Speciality: Internal Medicine Training (IMT)

Programme Description
GMC Reference: NOS/431

Why choose this programme

The two year Core Medical Training programme is split into six posts of four months each rotating to most major medical specialties.  The rotations are designed to provide a broad range of core medical knowledge and skills in line with the new curriculum.  These rotations provide greater exposure to General Medicine during the first year of training with the aim of preparing trainees for MRCP examination.  During the second year posts have more specialty exposure to help them make their choice of higher specialty training. Each medical specialty provides its local educational supervision and teaching programme with the deanery providing central teaching to core medical trainees that blueprints the curriculum. Practical skills (simulator) and MRCP PACES training is provided.

Rotations are themed to address different training needs and most incorporate experience of district general, remote and teaching hospitals. Some rotations are based exclusively in Aberdeen and others are based mostly in beautiful

Inverness. The deanery is leading in the Acute Medicine (Remote and Rural) programme in Scotland and provides an opportunity to consider this option for interested trainees.

Aberdeen is a historic city with many architectural splendors.  The use of its sparkling local granite has earned Aberdeen the name of the Granite City.  Recognised as the prosperous oil capital of Europe, Aberdeen nevertheless retains its old-fashioned charm and character making it an attractive place in which to live.  The potential for leisure facilities are outstanding with skiing, hill walking, and golf to name a few, with easy road access to the countryside to visit historical castles or just enjoy the beautiful scenery.  Aberdeen enjoys excellent communication services with other British and European cities – e.g. flying time to London is just over an hour with regular daily flights, road and rail links to all points north and south are excellent.

Trainees appointed to these core medical training programmes would be expected to follow the CMT curriculum and obtain MRCP exam by the end of training. Opportunities and training in Quality Improvement are offered to all trainees. Research is encouraged and can be facilitated through existing strong links with the University of Aberdeen, but is not essential.

Note the NES (North) CMT programme has been rated top in the UK in the GMC trainee survey for overall trainee satisfaction in 2010 and 2012 (2nd in 2011), with particular praise for the quality of the clinical experience offered to trainees.

The normal entry point for the programme will be at CT1.  Additional entry points may be available at CT2 depending on experience.

 

Research, audit, teaching and management opportunities

The programme in the North provides a superb and varied grounding in the main internal medical specialities, with unparalleled opportunities for exposure to remote and rural medicine. Rotations are themed to address different training needs and incorporate experience of district general, remote and teaching hospitals, though some rotations are based solely in Aberdeen.  The deanery is leading in the Acute Medicine (Remote and Rural Medicine) programme in Scotland and provides an opportunity to consider this option.

There is ample opportunity for audit within CMT, with audit training provided as part of the teaching programme. The teaching programme consists ofmonthly Consultant-led tutorials designed to cover the curriculum and provide practical and up-to-the-minute advice on handling common medical presentations. There is separate MRCP (written) and PACES teaching available. Additionally, most clinical departments have their own educational meetings and there is a weekly Grand Round. Involvement with research is not expected but is strongly encouraged.

Rotations are divided into 6 attachments, each of 4-months duration to different medical specialties. These rotations provide greater exposure to Acute/General Medicine during the first year of training with the aim of preparing trainees for MRCP examination.  During the second year, posts have more specialty exposure to help them make their choice of higher specialty training. They are based in large teaching hospitals in either Aberdeen or Inverness, with many rotations including a 4-month attachment to a more rural hospital setting (e.g. Stornaway, Shetland or Elgin) - these have proven very popular with our trainees, who have found this experience most educational.

Appropriate use of study leave is actively encouraged. There are a number of locally-run courses (e.g. IMPACT) and use of the study leave budget is encouraged to allow attendance at these or other non-local courses.

All trainers realise our Core Medical Trainees form the main pool from which our future registrars and consultant colleagues will be recruited. We are keen to train and retain the best junior doctors to provide the best possible service to the people in the North of Scotland. All trainees have a trained Educational Supervisor and there is easy access to deanery officials if required.  Our trainees have an exceptionally high success rate in procuring their preferred higher specialty posts on completion of CMT.

The 2010 GMC survey showed overall trainee satisfaction for Core Medical Trainees in the North of Scotland deanery was the highest of any CMT programme in the UK, and we were a close 2nd in 2011.

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

Aberdeen Royal Infirmary, Gilbert Bain Hospital, Lerwick, Raigmore Hospital, Inverness, Western Isles Hospital, Stornoway, Dr Grays Hospital, Elgin, Woodend Hospital, Aberdeen

Aberdeen Royal Infirmary

WoodendHospital

Dr Gray`s Hospital in Elgin

RaigmoreHospitalInverness

Western Isles hospital, Stornoway

GilbertBainHospital, Lerwick

Contacts and Useful Links
Deanery sponsoring programme North of Scotland
Postgraduate Dean Professor Ronald MacVicar
Responsible Associate - GP Director
Programme Type Deanery based or National: Deanery
Specialty or Sub-specialty: Specialty
Date of GMC recent approval August 2010
Associated Royal College - Faculty
Joint Royal Colleges of Physicians Training Board (web site)
Curriculum and Associated Assessment System http://www.gmc-uk.org/education/general_internal_medicine.asp
Deanery Administrative Contacts Name: Larissa Spindler
Address: NHS Education, Forest Grove House, Aberdeen
Tel: 01224 805133
Email: larissa.spindler@nes.scot.nhs.uk
Programme Director Name: Dr Callum Duncan
Email: callum.duncan@nhs.net
Address: Dr Callum Duncan, Neurology Consultant Aberdeen Royal Infirmary, Aberdeen AB24 2ZN
Quality of Training GMC Trainee Survey Information (2011)

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