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Scottish Medical Training

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Speciality: Gastro-enterology

Programme Description
GMC Reference: NOS/414

Why choose this programme.

The North of Scotland training program offers comprehensive training in all aspects of Gastroenterology and Hepatology with the exception of management of patients in the immediate period after liver transplant. The rotation normally consists of 4 years based in the Gastroenterology unit at Aberdeen Royal Infirmary and a further year in Raigmore Hospital in Inverness or Dr Gray’s Hospital, Elgin where the main focus is General Internal Medicine (GIM) with some Gastroenterology training.

The Gastroenterology unit at ARI is the main GI referral centre for Grampian and surrounding regions. The unit consists of a modern 29-bedded ward, a 4-bedded GI Bleeding Unit within the Medical High Dependency Unit, and endoscopy unit with 3 suites and a GI physiology lab.

Over 6000 endoscopic procedures are performed per year and trainees are exposed to a full range of endoscopic services provided comprising ERCP including SpyGlass, endoscopic ultrasound, oesophageal and intestinal stenting, endoscopic management of upper and lower gastrointestinal bleeding, PEG and PEJ tub insertion, argon plasma coagulation and oesophageal band ligation.

Trainees will obtain extensive experience in the management of upper and lower gastrointestinal bleeding when attached to the Bleeding Unit, where there are twice daily consultant-led ward rounds.

All trainees will have at least 6 month attachments with the various sub-specialty teams:

• The liver team where they will become familiar with the in-patient management of the patients with decompensated liver disease in addition to being exposed to general liver out-patient clinics and specialist hepatitis B and C, autoimmune hepatitis and cirrhosis clinics.

• The Inflammatory Bowel Disease team will provide comprehensive training in the management of inflammatory bowel disease ranging from stable out patients to complex individual management issues including biological therapies, timing of surgery, nutrition and pregnancy. This is achieved by a coordinated combination of dedicated outpatient clinics, endoscopy lists and in-patient care to maximize training opportunities.

• The nutrition service where the trainee will obtain experience of the comprehensive service for enteral and parenteral feeding modalities available. There is the opportunity to be involved in the in-patient management of patients with eating disorders in an allied specialist unit.

• GI physiology with the lab performing a full range of breath testing services in addition to pH monitoring, manometry, Bravo studies, and capsule endoscopy.

Trainees will have the opportunity to be involved in the ongoing research within the unit, with close links to the on-site Department of Gastroenterology, University of Aberdeen.

There are excellent integrated surgical, interventional radiology, dietetics and pharmacy services. Trainees will be expected to attend the multi-disciplinary meetings when attached to the appropriate teams.

The North of Scotland covers a large geographical area and offers a wide range of urban and rural life choices. A high quality of life is afford with the cities of Aberdeen and Inverness offering a wide range of cultural and leisure activities.

The surrounding countryside offers many recreational opportunities (climbing, walking, golf, skiing, surfing, sailing to name but a few), which are within easy reach of the main urban centres. There are especially good air links from Aberdeen Airport.

Research, audit, teaching and management opportunities

The North of Scotland training program offers comprehensive training in all aspects of Gastroenterology and Hepatology with the exception of management of patients in the immediate period after liver transplant. The rotation normally consists of 4 years based in the Gastroenterology unit at Aberdeen Royal Infirmary and a further year in Raigmore Hospital in Inverness where the main focus is General Internal Medicine (GIM) with some Gastroenterology training.

 

Over 6000 endoscopic procedures are performed per year and trainees are exposed to a full range of endoscopic services provided comprising ERCP including SpyGlass, endoscopic ultrasound, oesophageal and intestinal stenting, endoscopic management of upper and lower gastrointestinal bleeding, PEG and PEJ tub insertion, argon plasma coagulation and oesophageal band ligation.

Trainees will obtain extensive experience in the management of upper and lower gastrointestinal bleeding when attached to the Bleeding Unit where there are twice daily consultant-led ward rounds.

All trainees will have at least 6 month attachments with the various sub-specialty teams:

• The liver team where they will become familiar with the in-patient management of the patients with decompensated liver disease in addition to being exposed to general liver out-patient clinics and specialist hepatitis B and C, autoimmune hepatitis and cirrhosis clinics.

• The Inflammatory Bowel Disease team will provide comprehensive training in the management of inflammatory bowel disease ranging from stable out patients to complex individual management issues including biological therapies, timing of surgery, nutrition and pregnancy. This is achieved by a coordinated combination of dedicated outpatient clinics, endoscopy lists and in-patient care to maximize training opportunities.

• The nutrition service where the trainee will obtain experience of the comprehensive service for enteral and parenteral feeding modalities available. There is the opportunity to be involved in the in-patient management of patients with eating disorders in an allied specialist unit.

• GI physiology with the lab performing a full range of breath testing services in addition to pH monitoring, manometry, Bravo studies, and capsule endoscopy.

Trainees will have the opportunity to be involved in the ongoing research within the unit and encourages in developing their own ideas.

There are excellent integrated surgical, interventional radiology, dietetics and pharmacy services Trainees will be expected to attend the multi-disciplinary meetings when attached to the appropriate teams.

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

Aberdeen Royal Infirmary, Raigmore Hospital, Inverness, Dr Grays Hospital, Elgin

 

NHS Grampian

Aberdeen Royal Infirmary, Aberdeen

Dr Gray’s Hospital, Elgin

NES Highland

Raigmore Hospital, Inverness

 

Contacts and Useful Links
Programme Type Deanery based or National: Deanery
Administration office North 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 https://www.gmc-uk.org/education/standards-guidance-and-curricula/curricula/gastroenterology-curriculum
Programme Administrator: Named Programme Administrator: Kathleen Forsyth
Address: NHS Education for Scotland 2 Central Quay 89 Hydepark Street Glasgow G3 8BW
Tel: 0141 223 1415
Email: Kathleen.Forsyth@nes.scot.nhs.uk
Programme Director Programme Director Name: Dr Malcolm Smith
Address: Gastroenterology Dept Aberdeen Royal Infirmary Foresterhill Road Aberdeen AB24 2ZN
Tel:
Email: msmith6@nhs.net
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