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Scottish Medical Training

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Speciality: Haematology

Programme Description
GMC Reference: SES/424

Why choose this programme

The South East Scotland haematology training programme offers comprehensive training in all aspects of clinical and
laboratory haematology. The programme consists of a series of rotating attachments at approximately six month
intervals between the Western General Hospital in Edinburgh (3 Specialist Registrars attached at any one time), the
Royal Infirmary of Edinburgh (2 attachments), the Royal Hospital for Sick Children in Edinburgh (1 attachment), St
John's Hospital, Livingston (1 attachment) and the Fife Hospitals (1 attachment). There are also attachments to the
Edinburgh and South East Scotland Blood Transfusion Centre, for training in Transfusion Medicine.

The training timetable follows closely the training curriculum for Higher Specialist Training in Haematology. Thus, in
brief, during the first two years, after a period of induction, a broad general experience in haematology is acquired
under supervision and in the remaining years, the trainee will acquire greater independence with some scope for
pursuing specialisation, particularly towards the end of training. There is a compulsory half day educational afternoon
once a month in addition to site specific training.


The Royal Infirmary is the Regional Haemophilia and Thrombosis Centre and provides clinical and laboratory
services to the Royal Infirmary which supports a large Obstetric and cardiothoracic practise as well supra-regional
services such as Liver transplantation. There are beds for admissions from the Haemophilia and Thrombosis Centre.
The Laboratory is comprehensive and provides regional facilities for Coagulation including molecular biology and
Haemoglobinopathy screening.

The Western General is the main site for the investigation and management of Haematological malignancies and has
a 25 bed unit which includes an autologous and allogeneic transplant facility. The Laboratory is comprehensive and
provides Regional facilities for Immunophenotyping and molecular diagnostics. There is an externally funded
research programme in stem cell biology and leukaemia/lymphoma, which is integrated with the clinical service.

St John's and Fife provide exposure to District General Hospital setting. In St John’s ambulatory care, out-patient
and laboratory facilities are available whereas haematology in-patients are admitted to the Western General Hospital.
The Laboratory is comprehensive and includes a Blood Transfusion Service. The Fife Hospitals provide broad
experience in Clinical and Laboratory haematology, including in-patient, out-patient and day case care.

Royal Hospital for Sick Children provides laboratory and clinical service for the hospital and the Neonatal Unit of the
Royal Infirmary. The department also provides a regional service for children with leukaemia, lymphoma and solid
tumours.

The Regional Transfusion Service is the principal collection and distribution facility for blood components within South
East Scotland. It includes an immunology laboratory service with a tissue typing facility for transplantation. In addition
to its regional activities, it provides blood banking facilities for the RIE and RHSC and operates a unit for peripheral
blood stem cell harvesting.

Overall the training programme offers a very good comprehensive training in a stimulating environment and has an
extremely good record within the MRCPath examinations.

Research, audit, teaching and management opportunities

The South East training programme offers comprehensive training in all aspects of clinical and laboratory haematology. The programme consists of a series of rotating attachments at approximately six month intervals between the Western General Hospital in Edinburgh (3 Specialist Registrars attached at any one time), the Royal Infirmary of Edinburgh (2 attachments), the Royal Hospital for Sick Children in Edinburgh (1 attachment), St John’s Hospital, Livingston (1 attachment) and the Fife Hospitals (1 attachment). There are also attachments to the Edinburgh and South East Scotland Blood Transfusion Centre, for training in Transfusion Medicine.

The training timetable follows closely the training curriculum for Higher Specialist Training in Haematology. Thus, in brief, during the first two years, after a period of induction, a broad general experience in haematology is acquired under supervision and in the remaining years, the trainee will acquire greater independence with some scope for pursuing specialisation, particularly towards the end of training. There is compulsory half day educational afternoon once a month in addition to site specific training.

The Royal Infirmary is the Regional Haemophilia and Thrombosis Centre and provides clinical and laboratory services to the Royal Infirmary which supports a large Obstetric and cardiothoracic practise as well supra-regional services such as Liver transplantation. There are beds for admissions from the Haemophilia and Thrombosis Centre. The Laboratory is comprehensive and provides regional facilities for Coagulation including molecular biology and Haemoglobinopathy screening.

The Western General is the main site for the investigation and management of Heamatological malignancies and has a 25 bed unit which includes an autologous and allogeneic transplant facility. The Laboratory is comprehensive and provides Regional facilities for Immunophenotyping and molecular diagnostics. There is an externally funded research programme in stem cell biology and leukaemia/lymphoma, which is integrated with the clinical service.

St John's and Fife provide exposure to District General Hospital setting. In St John's ambulatory care, out-patient and laboratory facilities are available whereas haematology in-patients are admitted to the Western General Hospital. The Laboratory is comprehensive and includes a Blood Transfusion Service. The Fife Hospitals provide broad experience in Clinical and Laboratory haematology, including in-patient, out-patient and day case care.

Royal Hospital for Sick Children provides laboratory and clinical service for the hospital and the Neonatal Unit of the Royal Infirmary. The department also provides a regional service for children with leukaemia, lymphoma and solid tumours.

The Regional Transfusion Service is the principal collection and distribution facility for blood components within South East Scotland. It includes an immunology laboratory service with a tissue typing facility for transplantation. In addition to its regional activities, it provides blood banking facilities for the RIE and RHSC and operates a unit for peripheral blood stem cell harvesting.

Overall the training programme offers a very good comprehensive training in a stimulating environment and has an extremely good record within the MRCPath examinations.

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

Royal Dundee Liff Hospital, The Royal Hospital for Children Glasgow, Stirling Royal Infirmary, Stirling, Blairgowrie Community Hospital, Perth, Wedderburn House, Dundee

Western General Hospital, Edinburgh
Royal Infirmary Edinburgh, Edinburgh
Royal Hospital Hospital for Sick Children, Edinburgh
St John’s Hospital, Livingstone
Borders General Hospital, Melrose
Fife Hospitals Group, Fife
South East Scotland Regional Transfusion Centre (SNBTS) at Royal Infirmary Edinburgh

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 D Farquhar
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/postgraduate/haematology.asp
Programme Administrator: Named Programme Administrator: Christine Ferguson
Address: NHS Education for Scotland, 2 Central Quay, 89 Hydepark Street, Glasgow G3 8BW
Tel: 0141 223 1528
Email: Christine.Ferguson@nes.scot.nhs.uk
Programme Director Programme Director Name: Dr Fiona Scott
Address:
Tel:
Email: Fiona.scott@nhslothian.scot.nhs.uk
Quality of Training Quality Management

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