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Scottish Medical Training

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Speciality: Acute Internal Medicine

Programme Description
GMC Reference: EOS/400

Acute Internal Medicine achieved specialty status in August 2009. This specialty has been designed for physicians who wish to take a lead role in an Acute Medical Unit. The newly defined curriculum specifies that trainees undertake a four year programme during which they should gain experience in cardiology, respiratory medicine and medicine for the elderly in addition to experience in critical care, experience in management of an acute medical unit and extensive experience in the acute medical take. In addition to this clinical experience the trainee would be expected to develop expertise in a skill relevant to the practice of medicine at the front door.

This may include medical education, echocardiography, endoscopy, or a number of other skills specified in the curriculum. If the trainee is anticipating a career looking after patients beyond the first 72 hours after admission then they should be encouraged to pursue a dual CCT in both Acute Internal Medicine and General Internal Medicine. This dual CCT programme would last for five years.

Entry to the Acute Internal Medicine programme may be either through a core medical training programme or an acute care common stem programme with satisfactory progress assured by work place based assessment and satisfactory ARCPs.

Research, audit, teaching and management opportunities

The East of Scotland rotation is based in Ninewells Hospital and Medical School, Dundee. The first year is usually spent in Perth Royal Infirmary, 20 miles away but with excellent road links. The subsequent three years are usually in Ninewells. Experience is gained in the Acute Medical Unit in Ninewells which has a Medical Assessment Unit, Short Stay Medical Ward, Medical HDU and Ambulatory Assessment service.

Supervision is provided by 5 enthusiastic Consultants in Acute Medicine who have special interests in echocardiography, endoscopy, nephrology and acute geriatric assessment. They are supported by a Nurse Consultant, Specialty doctors, ACCS trainee, CMT doctors, 9 Foundation doctors on shifts and a multidisciplinary team of nurses, therapists and pharmacists. The rotation includes dedicated experience in Cardiology, Infectious Diseases, Intensive Care and Acute Geriatric Assessment.

There are weekly departmental educational meetings and a monthly regional training session. Experience in audit and research is encouraged throughout the programme and indeed the former is mandated within the training programme. The University has an excellent reputation for medical education and there are opportunities to gain recognised qualifications in this area.


Where is the training delivered?
Training is delivered across:

Forth Valley Royal Hospital - FVRH, Ninewells Hospital, Dundee, Perth Royal Infirmary, Royal Infirmary of Edinburgh

Ninewells Hospital and Medical School, Dundee

Perth Royal Infirmary

Forth Valley Royal Hospital - Critical Care

Edinburgh Royal Infirmary - Toxicology

Contacts and Useful Links
Programme Type Deanery based or National: Deanery
Administration office East of Scotland
Lead Dean / Director Professor Alastair McLellan
Responsible Associate Postgraduate Dean or Assistant Director (GP) Professor Graham Leese
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
Programme Administrator: Named Programme Administrator: Zoe Park
Address: NHS Education for Scotland 2 Central Quay 89 Hydepark Street Glasgow G3 8BW
Programme Director Programme Director Name: Dr Alistair Douglas
Address: Dr Alistair Douglas Training Programme Director Acute Medicine Department Ninewells Hospital DUNDEE DD1 9SY
Quality of Training Quality Management

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