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Scottish Medical Training

Scotland - the home of medical excellence

Speciality: Cardiology

Programme Description
GMC Reference: SES/SRT/394

Cardiology training is provided in both secondary and tertiary care environments. District General hospitals; Borders General Hospital and Victoria Hospital Kirkaldy. Edinburgh Teaching Hospitals; Royal Infirmary (Edinburgh Heart Centre) and Western General. Trainees will usually spend their first year in a district general hospital and the remainder of their training will be based in Edinburgh predominantly at the Royal Infirmary.

The ST3 year will have a focus on general medicine with some exposure to cardiology. From ST4 onwards, trainees will be based in Edinburgh and will receive supervised training in practical cardiac procedures, in-patient management at a middle grade level and outpatient clinics. Trainees are strongly encouraged to gain BSE accreditation. From ST6 onwards you will receive more focussed subspecialty training in coronary intervention, invasive electrophysiology, heart failure and pacing or imaging

Coronary Intervention:

All elective and emergency cardiac procedures are performed at the Royal Infirmary (RIE). The interventional cardiologists in Edinburgh have an international reputation and provide a 24-h primary PCI service, rotablation, PCI of chronic occlusions, IVUS and OCT. Radial access is the preferred route. 

Structural Heart Disease:

RIE is the biggest Scottish centre for structural heart interventions, being the location of the Scottish Transcatheter Aortic Valve Implantation (TAVI) service and also implanting many closure devices for ASD, PFO, LA appendage and para-prosthetic valvular leaks. We regularly perform balloon aortic and mitral valvuloplasty

Pacing and Electrophysiology:

We are a major device implanting centre with a single site volume of more than 750 devices per year between pacemakers, ICD and CRT. We perform approximately 400 therapeutic electrophysiology procedures annually including a large number of AF ablations and a growing number of ischaemic VT ablations.

Imaging:

Imaging facilities include cardiac MR, cardiac CT including CT angiography, cardiac PET, transthoracic and transoesophageal 2D and 3D echo and intracardiac ultrasound. There are weekly echo meetings at both the Western General and RIE, and a TAVI MDT meeting weekly.

 

 

 

Research, audit, teaching and management opportunities

Education/training:

Apart from weekly echo and TAVI meetings, there is a registrar-led PCI educational meeting and a monthly SpR evening meeting. Trainees are encouraged to attend the training days at the Royal College of Physicians in Edinburgh and the Scottish Cardiac Society and BCS Speciality Trainee training days.

Clinical Research:

We have very strong links with the British Heart Foundation/University of Edinburgh Centre for Cardiovascular Science at the University. This is one of only 6 BHF Centres or Research Excellence in the UK, and one of only 3 BHF Centres for Regenerative Medicine. Trainees are encouraged to enrol in a clinical PhD programme aligned to the strengths of the department: acute coronary syndromes, heart failure, cardiac biomarkers, advanced imaging, experimental medicine and the cardiovascular consequences of air pollution.

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



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 Clive Goddard
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/cardiology.asp
Programme Administrator: Named Programme Administrator: Sally Alho
Address: NHS Education for Scotland, 2 Central Quay, 89 Hydepark Street, Glasgow G3 8BW
Tel: 0141 223 1578
Email: Sally.Alho@nes.scot.nhs.uk
Programme Director Programme Director Name: Dr Anne Scott
Address:
Tel:
Email: anne.scott@ed.ac.uk
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