Programme Descriptor

Broad Based Training (BBT) is an exciting two-year, structured core training programme providing six-month placements in each of Internal Medicine Training, General Practice, Paediatrics and Psychiatry.

In each post, trainees will get the opportunity to experience aspects of one of the other three specialties involved in the programme for 10% of the allocated post time. For example, whilst undertaking a post in Paediatrics trainees will be released from their rotation for 10% of the time to gain experience of managing Psychiatric conditions.

BBT trainees will then be given direct access to CT/ST2 level training in one of the four specialities involved in BBT without the need for further competitive recruitment/interview assuming satisfactory progression and completion of the programme. 

While this will be a national training programme within Scotland, trainees will be able to preference from seven training localities. 

Trainees will be allocated an Educational Supervisor for each six-month post who will be available to support and advise throughout the programme. Additional support is provided through the Scotland Deanery if required.

Why opt for a Broad Based Training programme (BBT)

It is appreciated that not all trainees have made a definitive career decision by the end of foundation training.  BBT allows trainees who are not certain about the specialty route they wish to take time to experience a range of different specialties before making that important decision. This is a GMC approved training program with time recognised for training. On successfully completing BBT, trainees can enter one of the four BBT specialties without a further interview as their skills and training are recognised by the four colleges. 

This programme is designed to equip trainees to be broad based practitioners with the skills to be able to work beyond traditional specialty boundaries to provide excellent, patient focused care for patients with complex, multifactorial healthcare needs. Trainees who have completed BBT report as being aware of holistic healthcare needs and demonstrate good leadership skills.

Research, Audit, teaching and management opportunities

BBT trainees will have access to both a formal BBT teaching programme covering the breadth of the programme as well as the ability to participate in local specialty specific teaching during each of the placements. Trainees will be encouraged to develop skills in the areas of quality management and teaching to further their own personal development. Trainees will be encouraged to undertake audit and/or research as appropriate.

Why Scotland?

Scotland is a beautiful place to live and work within. It has varied geography and offers diverse interests for individuals and families, from a thriving city life to outdoor activities. It has good road and rail networks making it easy to travel around. The quality of life in Scotland is excellent with easy access to vibrant cities and beautiful countryside for sport and leisure.

Professor Stewart Irvine, Medical Director of NES said: "Scotland has a proud medical heritage and offers world-class medical education and training through our five medical schools and our NHS postgraduate medical training programmes. Our aim is to provide excellence in health and care for the people of Scotland through high quality education, training and development.”

Where is training delivered?

BBT programme will be offered in four separate health board regions in Scotland: NHS Greater Glasgow & Clyde, NHS Highland, NHS Lanarkshire, NHS Dumfries & Galloway, NHS Ayrshire & Arran, NHS Grampian hospitals and NHS Tayside. This will allow trainees to be based in the same locality, for both hospital and GP practice, for the whole 2-year training period. Trainees will be able to preference their training locality at the time of application.  

 

WEST REGION

Within the West Region there are four rotations, one in Glasgow, one in Lanarkshire, one in Dumfries & Galloway and one in Ayrshire & Arran.

Glasgow Royal Infirmary

Glasgow Royal Infirmary is a large teaching hospital located to the east of Glasgow's city centre. It is the main inpatient hospital for the north and east of Greater Glasgow and Clyde's area. It offers a number of medical specialties, critical care and is home to the Canniesburn Plastic Surgery and Burns Unit.

Royal Hospital For Children

The hospital provides many specialist services to the West of Scotland and the wider population of Scotland in addition to the full range of secondary care services to people of Greater Glasgow and Clyde. Specialist services include cardiology and cardiac surgery, renal and bone marrow transplantation. For several of these services, the children’s hospital is recognised as the sole provider in Scotland.

Wishaw Hospital and Hairmyres Hospital

There are three district general hospitals in the Board area, Wishaw General Hospital, Hairmyres (East Kilbride) and Monklands (Airdrie) - each has an Emergency Medicine unit, Acute Medicine and Surgery units. In patient Paediatrics and Neonatal Services is based at Wishaw General Hospital, Psychiatry has services on all 3 sites. Medicine for this program is likely to be based at Hairmyres.  Each site has a range of specialist services supporting the acute in-patient services. There is a Medical Education Training centre with a wide range of clinical skills and immersive simulation facilities at Kirklands Hospital (Bothwell), the Medical Education department is increasingly supporting in situ simulation and clinical skills training on the 3 acute sites.

Dumfries & Galloway Royal Infirmary

There is a new hospital in Dumfries (DGRI), with all modern facilities and offers broad training in many specialities.

Midpark

This is the new Psychiatry hospital for Dumfries & Galloway, based near DGRI offers training is Psychiatry for all trainees.

University Hospital Crosshouse

This is a large hospital in Ayrshire with active departments in Paediatrics and Medicine as well as many other specialities.

Woodland View

This new Psychiatric unit in Irvine will be the base for Psychiatric training in BBT and other trainees based in Ayrshire & Arran.

 

NORTH REGION

Within the North Region there are two rotations, one in Highland and one in Grampian.

Raigmore Hospital

Raigmore Hospital is located in Inverness, Scotland. It serves patients from the local area as well providing specialist services to patients from across the large geographical area of NHS Highland. It is a teaching hospital, hosting medical student clinical placements from the Universities of Aberdeen, Dundee and St Andrews. The hospital also supports education of a wide range of other healthcare professionals in association with Stirling, UHI and Robert Gordon's universities.

New Craigs Hospital

New Craigs is a psychiatric hospital located in Inverness, Scotland. It provides in-patient mental health services to patients from across the large geographical area of NHS Highland. It is a teaching hospital, hosting medical student clinical placements from Universities of Aberdeen and Dundee. We have a range of postgraduate trainees, F2, GPStR, Core and senior trainees. The hospital also supports education of a wide range of other healthcare professionals in association with Stirling, UHI and Robert Gordon universities.

Aberdeen Royal Infirmary

Training will also be offered at Aberdeen Royal Infirmary (ARI) for Internal Medicine, which is the major regional centre for the North of Scotland. 

Other Grampian Hospitals

Paediatrics training is delivered at Royal Aberdeen Children's Hospital and Psychiatry training may also be offered at the Royal Cornhill Hospital in Aberdeen. 

 

EAST REGION

Within the East Region there is one rotation in Tayside.

Ninewells Hospital

Ninewells Hospital is a University Teaching Hospital located on the western edge of Dundee. It acts as a secondary and a tertiary referral centre for a range of specialties. There is an active Paediatric unit and Psychiatric unit on site, as well as a busy Acute Medicine department linked to all the major medical sub-specialities. All these departments have clinical links to community, providing additional opportunity for training. There are opportunities to become involved in research, audit, teaching and quality improvement work. There are close working relationships with the University of Dundee.

Within Tayside there are a variety of General Practices. This includes General Practice in inner city deprived areas, to commuter areas to remote and rural placements. There is a strong and longstanding background of training in General Practice across the region.

Perth Royal Infirmary

Perth Royal Infirmary is a medium sized District General Hospital with a busy General Medicine unit that provides excellent training for Core Medical training and Broad based (Medicine) training. The hospital is well integrated with a small number of supportive Physicians. 

Stracathro Hospital 

This hospital offers the opportunity to undertake old age psychiatry. 

ROTATIONS (the following are indicative)

Region	CMT	Paediatrics	Psychiatry	GP
West	Queen Elizabeth Hospital Glasgow	Royal Hospital for Children	Queen Elizabeth Hospital Glasgow	Various approved GP practices Glasgow
West	Hairmyers Hospital	Wishaw Hospital	Hairmyres Hospital	Various approved GP practices
West	DGRI	DGRI	Midpark	Various approved GP practices
West	Crosshouse Hospital	Crosshouse Hospital	Woodland View, Irvine	Various approved GP practices
East	Ninewells Hospital or Perth Royal Infirmary	Ninewells Hospital	Carseview, Ninewells or Stracathro	Various approved GP practices
North	Raigmore	Raigmore	New Craigs Hospital	Various approved GP practices
North	Gray's Hospital, Elgin ARI	ARI	Gray's Hospital, Elgin Royal Cornhill	Various approved GP practices

Contacts

Lead Dean Director - Dr Nitin Gambhir

Associate Postgraduate Dean - Dr Allan MacDonald - allan.macdonald@nhs.scot

Training Programme Director - Dr Neil Shepherd - neil.shepherd@nhs.scot

Deanery Administrative Contact - Clare Beharrie - claire.beharrie@nhs.scot