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Scottish Medical Training

Scotland - the home of medical excellence

Speciality: Geriatric Medicine

Programme Description
GMC Reference: NOS/419

Why choose this programme

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 afforded with the city of Aberdeen offering excellent education and a wide range of cultural and leisure activities. The surrounding countryside offers many recreational opportunities (climbing, walking, golf, skiing and surfing to name but a few), which are within easy reach of the city and nearby towns. In studies some of the highest quality of living indices in the UK are found in the North East of Scotland. North East Scotland continues to have a buoyant economy based on the extended economic impact of the oil industry. Transport links are well developed with an excellent rail and airport services.

For further information follow the links:

Tourist information - http://www.aberdeen-grampian.com/ / www.aberdeentoday.co.uk/

AberdeenCity & Shire - www.aberdeencity.gov.uk/ / www.aberdeencityandshire.com/

Local media - Press & Journal - www.pressandjournal.co.uk/

Specialty Information

The North of Scotland Deanery offers an exciting training programme designed to accredit to the required competencies in general internal medicine and geriatric medicine over 5 years. Most trainees enter at the ST3 level , the programme running to an anticipated CCT at the end of year ST7 .The overall structure of the 5 years is for one year to be in intensive general medicine, two years in geriatric medicine and related subspecialties and  the final two years to be shared between geriatric and general  medicine. Most of the period of training will be located in Aberdeen.

 General Internal Medicine

The one year of intensive GIM will often take place in Inverness or Elgin. However there is also a training position in Aberdeen Royal Infirmary which may be for a six month placement, or possibly for the full year.  This one year intensive GIM period will be within the first three years of appointment and will provide much experience in handling unselected takes. Placement in Elgin or Inverness for up to a year is highly valued, due to the excellent training opportunities. Whenever possible trainee preferences are accommodated.

The final two years of lower intensity GIM presently require 24 takes per year, as well as outpatient clinic work. During this period there will continue to be significant training requirements within Geriatric Medicine.

 Geriatric Medicine

Over a two year period there will be exposure to all the keys areas of a proactive and friendly specialist elderly medicine service. This comprises acute and rehabilitation in-patient activity as well experience in clinics, community geriatrics and intermediate care.  During this period there are specific placements in Psychogeriatrics, Palliative care, and Stroke.  There are also less intensive attachments to Orthogeriatrics, Continence services and Hospital Based Complex Care, as well as the opportunity to gain experience in Movement disorders. The acute geriatric medicine service is located in Aberdeen Royal Infirmary.  Rehabilitation services are based at Woodend Hospital for Aberdeen City, and in various community hospitals for Aberdeenshire. 

This training programme provides extensive opportunity to gain experience in the expanding field of Community Geriatrics, with developing links with Primary Care being a focus within the department. Additional subspecialty interests of senior colleagues include an established Parkinson`s disease service and Tilt-table assessments for syncope.

Our training programme provides a comprehensive level of exposure to all areas within the curriculum, and also the opportunity and encouragement to develop relevant special interests within Geriatric Medicine. Rotations between consultant teams are agreed as part of the rota, such that all trainees are able to experience and gain from the variety of consultant practice and subspecialty skills within the department.

There is an exciting programme of departmental and hospital educational meetings / grand rounds / X-ray meetings and supportive library and study facilities. Within the registrars’ weekly clinical routine, taking time away from the ward for study, research and audit/quality improvement is also encouraged. The department has close involvement with the University of Aberdeen, supporting undergraduate teaching at all levels. A registrar specific monthly teaching programme supports the specialty curriculum and the educational requirements of the Specialty Certificate exam, usually taken around ST4 or ST5.

Informal enquiries about our programme are always welcomed and should be directed to the Training Programme Director in the first instance.

Research, audit, teaching and management opportunities

Trainees have specific support and opportunity to demonstrate their research and audit skills, and there is an excellent track record of successful small grants, presentations and publications. With regard to CPD there are dedicated monthly teaching sessions, as well as much other high quality internal and external study leave opportunities within Grampian.  Participating in undergraduate teaching in formal and informal opportunities is encouraged, and the structured feedback offered further develops the trainee's confidence and performance.

There is an exciting programme of departmental and hospital educational meetings / grand rounds / X-ray meetings and supportive library and study facilities. Within the registrars’ weekly clinical routine, taking time away from the ward for study, research and audit/quality improvement is also encouraged. The department has close involvement with the University of Aberdeen, supporting undergraduate teaching at all levels. A registrar specific monthly teaching programme supports the specialty curriculum and the educational requirements of the Specialty Certificate exam, usually taken around ST4 or ST5.

The department has an active multidisciplinary Quality Improvement Group, and trainees are encouraged to be involved.  The QI group has been locally and nationally recognised as model of good practice (finalists for ‘team of the year’ in the NHSG GRAFTAS awards in 2015; and highlighted in Care of Older People in Acute Hospital report 2014). Focus so far has been on Falls, Immobility, Delirium, Person-centred Care, MDT working and Staff experience.

In terms of management opportunities, registrars are routinely involved in the weekly senior staff meeting, where service and management issues are discussed.  Registrar representatives also attend the regular specialty training committee meetings, to provide feedback on the training scheme.  The department also encourages senior trainees to have involvement in additional service planning meetings, for further management experience.

The key markers for success of this programme are that all trainees have completed their training successfully and progressed to excellent consultant appointments. They have universally enjoyed the programme and commend both the Deanery and Department to any future potential applicant. There is, so far, 100% success in passing the Specialty Certificate Exam. In addition all trainees have successfully presented and published and some have progressed to higher postgraduate qualifications.

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

Aberdeen Royal Infirmary Hospitals and Woodend Hospital, Aberdeen

RaigmoreHospital, Inverness

Dr Gray’s hospital, Elgin

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 http://www.gmc-uk.org/education/geriatric_medicine.asp
Programme Administrator: Named Programme Administrator: Zoe Whitehill
Address: NHS Education for Scotland, West of Scotland Region 2 Central Quay 89 Hydepark Street Glasgow G3 8BW
Tel: 0141 223 1489
Email: Zoe.Whitehill@nes.scot.nhs.uk
Programme Director Programme Director Name: Matthew Greig
Address:
Tel:
Email: matthew.greig@nhs.net
Quality of Training Quality Management

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