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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 three year Internal Medical Training programme is split into 6 posts of 4 months each over the first 2 years and 2 posts of 6 months in year 3.  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. All trainees undertake 4 months in acute medicine and 4 months in medicine for the elderly in year 1 and 4 months in critical care (either HDU or ICU) coupled with clinic time in year 2. There remaining 3 jobs in the first 2 years provide experience in a range of medical specialities. There is a selection process for year 3 posts in year 2. Some trainees may complete after year 2 to apply for group 2 medical specialities. All trainees will have the opportunity to progress to year 3 and those applying to group 1 specialities need to complete year 3. The ethos of year 3 is acting up as a registrar in a supervised environment. This will include 6 months undertaking acute unselected take and 6 months in a speciality.

Each medical specialty provides its local educational supervision and teaching programme. The curriculum is provided in a series of national training days where you will get the opportunity to meet with your counterparts across Scotland. In the first half of year one you will attend a simulation boot camp covering procedural and non-procedural skills. Further regional simulation training will be provided regionally throughout years 2 and 3. There is an inexpensive MRCP PACES course 2-3 times per year timed to coincide with the PACES examinations. Career and progression guidance will be provided throughout.

Rotations are themed to address different training needs and most incorporate experience of district general, remote and teaching hospitals. Twelve rotations are based in Aberdeen (a large teaching hospital). Three of these rotations include the Gilbert Bain Hospital in Shetland (remote and rural). Five are based in Inverness (a large DGH) and rotate through Dr Grays Hospital in Elgin (a small DGH) and Western Isle (remote and rural). 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 splendours.  The use of its sparkling local granite has earned Aberdeen the name of the Granite City.  Recognised as the prosperous energy 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.

Inverness is the capital of the highlands of Scotland. It is well located with access to the remote beauty of the west coast including the Hebride islands and the far north with its Flow Country a proposed world UNESCO site. Famous for Nessy and Loch Ness, big wild glens and rare wildlife  the highlands make an ideal location for those who love to enjoy and explore the outdoors. In previous years junior doctors have taken full advantage of this sea kayaking with whales, ice climbing in the cairngorm national park and swimming in waterfalls to name a few of the many adventures that attract the outdoor minded. The airport is small but well connected within the UK.

Shetland- where Scotland meets Scandinavia and the North Sea meets the Atlantic Ocean. Shetland is an archipelago of some 100 islands, 15 of which are inhabited.  Shetland’s Jigsaw coastline is an amazing 1,697miles long. The scenery carved from complex geology includes some of Britain’s highest cliffs, hundreds of sea caves, wide-open sandy bays and beaches. A past rich in Viking heritage results in a strong Norse culture that remains on the Islands to this day. Long winter nights are brightened by spectacular fire festivals and the northerly latitude results in summers with 19 hours of sunshine per day. Junior doctors take full advantage of the rugged outdoor life – sea swimming, coasteering, and hillwalking to name but a few activities on offer.

Elgin is situated between Aberdeen and Inverness on the Moray coast. It is a hidden gem with wonderful beaches and forests to the north and the Spey to the south with the world’s largest concentration of whiskey distilleries. The Spey river has many beautiful river walks and lovely cycle routes. The hospital is beautiful mix of the old and new sitting to the west of Elgin.

The Western Isles are a group of Islands called the Outer Hebrides mainly connected by ferries or causeways.  The largest of these are Lewis and Harris in the north. They are famed for the emerald seas and large white beaches. Luskentyre is often rated as one of the world’s finest beaches. The area is steeped in history with Iron Age forts (Brochs) visible at many sites. The capital is Stornaway in the north with a vibrant culture and traditional music scene.

Trainees appointed to these internal medical training programmes would be expected to follow the IMT curriculum and obtain MRCP exam by the end of year 2 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.

The NES CMT programme has been rated joint top in the UK in the GMC trainee survey for overall trainee satisfaction in 2019.

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 quality improvement within IMT, with QIP training provided as part of the teaching programme. 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.

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 Internal 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 IMT.

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
Programme Type Deanery based or National: Deanery
Administration office West of Scotland
Lead Dean / Director Professor Alastair McLellan
Responsible Associate Postgraduate Dean or Assistant Director (GP) Dr Marion Slater
Specialty or Sub-specialty 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
Programme Administrator: Named Programme Administrator: Karen Cairnduff
Address: NHS Education for Scotland, Third Floor, 2 Central Quay, 89 Hydepark Street, Glasgow, G3 8BW
Tel: 0141 223 1421
Email: Karen.Cairnduff@nes.scot.nhs.uk
Programme Director Programme Director Name: Dr Callum Duncan and Dr William Rutherford
Address: Dr Callum Duncan, Aberdeen Royal Infirmary, Aberdeen AB24 2ZN Dr William Rutherford, Raigmore Hospital, Inverness IV2 3UJ william.rutherford1@nhs.net
Tel:
Email: callum.duncan@nhs.net
Quality of Training Quality Management

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