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Scottish Medical Training

Scotland - the home of medical excellence

Speciality: General Surgery

Programme Description
GMC Reference: WOS/466

1 a. What particular specialty learning opportunities does this program provide e.g. sub-specialty exposure, especially those which are not available elsewhere?
Training is available in General Surgery. Sub-specialty interests in Oesophagogastric, Pancreatic, Biliary, Colorectal, Breast, Transplant and Vascular Surgery are facilitated. There may also be training opportunities in Paediatric and Oncoplastic Surgery.

b. How do trainees access these opportunities?
Trainees have annual interviews to discuss their career plans and training requirements. Thereafter the Programme Director matches these needs with the available opportunities across 14 hospitals in the West of Scotland.

2 a. What opportunities are there for research, audit and teaching?
Clinical research and audit are encouraged and facilitated throughout training. The Training Programme has close ties with Glasgow University’s Academic Department of Surgery. Trainees may apply to go “out of programme” for a period of full time research to obtain a higher degree.

b. How do trainees access these opportunities?
Local research and audit is best discussed with the Educational Supervisor, ideally before the post commences. Out of programme research time requires the Programme Director’s support and the Dean’s approval once the trainee has secured a funded post in a reputable unit.

3 a. How are rotations on hospital sites organised?
The programme Director asks trainees to submit their preferred choices for their August post around January each year. A trainee’s chance of getting their first choice is improved if they visit that unit and obtain the support of the consultants. Levels 6, 7 and 8 are allocated to sub-specialty interest posts.

b. Which hospitals are involved?
See the Recognised Programme Locations and Environments section on page 1. A new hospital will soon replace Stirling Royal and Falkirk and District Royal. Some sub-specialties are limited to certain hospitals e.g. Transplant Surgery is based at the Western Infirmary.

c. What degree of choice is there for trainees?
Trainees are free to choose their sub-specialty. The Programme Director is available for guidance. Post choice is described in 3a above.

4. What teaching (e.g. day-release or exam preparation) or learning opportunities (e.g. e-learning, OOPE), are unique to this post or a key feature in the West?
Trainees are entitled to funded study leave for course, exams and national specialty meetings. A monthly half-day teaching programme is run in Glasgow. Many hospitals have their own regular educational meetings.

5. What can trainees expect of their trainers in this post?

Through the ISCP website, trainees and trainers establish a Learning Agreement at the start of each post.

6. What are key markers of success? (e.g. exam pass rates. MD, PhD, papers)

Successful progression is based upon a satisfactory ISCP portfolio leading to annual progression to the next level through the ARCP process. Progression from Level 2 to Level 3 requires the MRCS examination. Completion of training requires the FRCS (Gen) examination.


Programme Descriptor submitted in 2009-2010

The West of Scotland general surgical training programme is able to offer excellent training opportunities in general surgery and its subspecialties in 14 hospitals in Greater Glasgow and Clyde, Forth Valley, Dumfries, Ayrshire and Arran and Lanarkshire. Training units provide a variety of district general services and tertiary referral exposure. The initial two years of the programme cover basic training in elective and emergency general surgery. The final 3 years are individually tailored to take into account the trainee's future career plans and provide opportunities for sub-specialty training. Current specialty options include breast, vascular, upper gastrointestinal, colorectal and transplant surgery. Trainees may apply to the Postgraduate Dean for time out of programme for a period of research or fellowships in other centres.

There are four general surgery training programmes in Scotland providing geographically clustered placements to minimise trainee relocation whilst providing a comprehensive training package for all trainees.

The training programme extends over eight levels of General Surgery as described in the ISCP curriculum. It is expected that each level will take one year to complete. Trainees may apply for recruitment at the appropriate Specialty Registrar level dependent on qualification, experience and available posts. Entry to level 3 is provisional upon the MRCS examination being passed. Provision is made to accommodate less-than-full-time trainees.

Progress is monitored through work place assessments, educational supervisors’ reports and ARCPs. Completion of training and attainment of CCT requires successful completion of the Intercollegiate Specialty Examination.

 

Research, audit, teaching and management opportunities

The initial two years of the programme cover basic training in elective andemergency general surgery. The final 3 years are individually tailored to take into account the trainee's future career plans and provide opportunities for sub-specialty training.

Current specialty options include breast, vascular, upper gastrointestinal, colorectal and transplant surgery. Trainees may apply to the Postgraduate Dean for time out of programme for a period of research or fellowships in other centres.

There are four general surgery training programmes in Scotland providing geographically clustered placements to minimise trainee relocation whilst providing a comprehensive training package for all trainees.

The training programme extends over eight levels of General Surgery as described in the ISCP curriculum. It is expected that each level will take one year to complete. Trainees may apply for recruitment at the appropriate Specialty Registrar level dependent on qualification, experience and available posts. Entry to level 3 is provisional upon the MRCS examination being passed. Provision is made to accommodate less-than-full-time trainees.

Progress is monitored through work place assessments, educational supervisors' reports and ARCPs. Completion of training and attainment of CCT requires successful completion of the Intercollegiate Specialty Examination.

For further programme information please go to the Programme Information Profile on the NHS Education for Scotland Website.

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

University Hospital Ayr, University Hospital Crosshouse, Kilmarnock, Ayrshire, Dumfries and Galloway Royal Infirmary, Gartnavel General, Glasgow, Glasgow Royal Infirmary, University Hospital Hairmyres, East Kilbride, South Lanarkshire, Inverclyde Royal Hospital, Greenock, University Hospital Monklands, Airdrie, Royal Alexandra Hospital, Paisley , The Queen Elizabeth University Hospital Glasgow , Stobhill Hospital, Glasgow, New Victoria Hospital, Glasgow, Western Infirmary, Glasgow, University Hospital Wishaw, Falkirk and District Royal Infrmary, Stirling Royal Infirmary, Stirling

West of Scotland – placements in Glasgow hospitals, Stirling and Lanarkshire: Ayr Hospital, Ayr
Crosshouse Hospital, Kilmarnock
Dumfries & Galloway Royal Infirmary, Dumfries
Falkirk & District Royal Infirmary, Falkirk
Gartnavel General Hospital, Glasgow
Glasgow Royal Infirmary, Glasgow
Hairmyres Hospital, Glasgow
Wishaw General Hospital
Inverclyde Royal Hospital , Greenock
Monklands Hospital, Lanarkshire
Royal Alexandra Hospital, Glasgow
Southern General Hospital, Glasgow
Stirling Royal Infirmary, Stirling
Stobhill Hospital, Glasgow
Victoria Infirmary, Glasgow
Western Infirmary, Glasgow

 

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) Mr Dominique Byrne
Specialty or Sub-specialty Specialty or Sub-specialty: Specialty
Date of GMC recent approval January 2008
Associated Royal College - Faculty
Joint Committee on Surgical Training (web site)
Curriculum and Associated Assessment System
Programme Administrator: Named Programme Administrator: Jackie Aitken
Address: NHS Education for Scotland, 102 West Port, Edinburgh, EH3 9DN
Tel: 0131 656 3475
Email: Jackie.Aitken@nes.scot.nhs.uk
Programme Director Programme Director Name: Mr Christopher Wilson
Address: Western Infirmary, Glasgow
Tel:
Email: Christopher.Wilson@ggc.scot.nhs.uk
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