Scottish Medical Training

GMC Reference: EOS4053-2

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 pertinent to Paediatrics.

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 as training will be offered in seven health board areas  (with 2 posts in each of the HB areas). 

Trainees will be allocated an Educational Supervisor and Clinical 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.

 

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.”

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 pertinent to Paediatrics.

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, as training will be offered in seven health board areas. 

Trainees will be allocated an Educational Supervisor/Clinical 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.

 

Where is training delivered?

Region	CMT	Paediatrics	Psychiatry	GP
West - Greater Glasgow & Clyde	Queen Elizabeth Hospital Glasgow	Royal Hospital for Children	Queen Elizabeth Hospital Glasgow	Various approved GP practices Glasgow
West - Lanarkshire	Hairmyers Hospital, East Kilbride	Wishaw Hospital	Hairmyers Hospital, East Kilbride	Various approved GP practices
West - Dumfries & Galloway	Dumfries & Galloway Royal Infirmary	Dumfries & Galloway Royal Infirmary	Midpark Hospital, Dumfries	Various approved GP practices
West - Ayrshire & Arran	Crosshouse Hospital	Crosshouse Hospital	Woodland View, Irvine	Various approved GP practices
East - Tayside	Ninewells Hospital or Perth Royal Infirmary	Ninewells Hospital	Carseview, Ninewells	Various approved GP practices
North - Highlands	Raigmore, Inverness	Raigmore, Inverness	New Craigs Hospital, Inverness	Various approved GP practices
North - Grampian	Dr Grays, Elgin and Aberdeen Royal Infirmary	TBC	Dr Grays, Elgin and Royal Cornhill Hospital, Aberdeen	Various approved GP practices

BBT programme will be offered in seven separate health board regions in Scotland: West, East and North regions of the Scotland Deanery within NHS Greater Glasgow & Clyde,  NHS Lanarkshire, NHS Dumfries & Galloway, NHS Ayrshire & Arran, NHS Highland, NHS Grampian 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. 

Within the WEST REGION there are rotations in; Glasgow, Lanarkshire, Dumfries & Galloway and Ayrshire & Arran.

Queen Elizabeth University Hospital Glasgow

The new Queen Elizabeth University Hospital Glasgow is one of the largest acute hospitals in the UK and home to major specialist services such as renal medicine, transplantation and vascular surgery, with state-of-the-art Critical Care, Theatre and Diagnostic Services.

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 Hairmyers 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 Hairmyers.  Each site has a range of specialist services supporting the acute in patient services.  There is an Medical Education Training centre with a wide range of clinical skills and immersive simulation facilities at Kirklands Hosptial (Bothwell), the Medical Education department is increasingly supporting in situ simulation and clinical skills training on the 3 acute sites.

University Hospital Crosshouse

University Hospital Crosshouse is a large district general hospital providing medical and surgical services on an inpatient, day case and outpatient basis.  It is the main Accident and Emergency service for East and North Ayrshire.  Inpatient paediatrics, the Ayrshire Maternity Unit, the National Cochlear Implant Service, and the main Laboratories for Ayrshire are on the Crosshouse site.

Woodland View Hospital, Irvine

Mental health and learning disability services

Midpark Hospital

The majority of NHS Ayrshire and Arran’s inpatient mental health services, including the Intensive Psychiatric Care Unit, are provided at the newly built Woodland View facility in Irvine.  

Midpark Hospital opened in 2012 and is the main psychiatric centre within Dumfries & Galloway. Modern, safe and secure, the hospital has 85 beds and provides exposure to rural psychiatric medicine and a full cohort of specialties including Intensive Psychiatric Care Unit, Addiction and Old Age Psychiatry.  The unit has received recognition for high quality undergraduate and foundation training.

Trainees are provided with free, modern, comfortable accommodation.

Dumfries & Galloway Royal Infirmary

Dumfries & Galloway Royal Infirmary is Scotland's newest hospital and opened in December 2017.  Serving a population of 150,000, DGRI is a large and busy district general hospital with modern, safe, state of the art facilities, and provides specialist care for Dumfries & Galloway. 

As a teaching hospital, DGRI hosts students from Glasgow, Edinburgh, Dundee & St Andrews Universities, and is recognised for providing high quality undergraduate and postgraduate training.

NHS Dumfries & Galloway will be one of a few centres hosting ScotGEM medical students from August 2019.

Trainees are provided with free, modern, comfortable accommodation.

Within the NORTH REGION there are rotations in Highland and Grampian Regions

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 assocation with Stirling, UHI and Robert Gordon universities.

NHS Grampian

Aberdeen is an ideal place to live and work with good links to city and countryside life, excellent schools and good transport links.

Aberdeen Royal Infirmary and the Royal Aberdeen Childrens Hospital

Aberdeen Royal Infirmary (ARI) is the largest hospital in NHS Grampian. It sits within the Forresterhill Site which is one of the largest hospital sites in Europe. The site houses the main ARI building as well as the Royal Aberdeen Hospital for Sick Children and the Maternity hospital which is due to be rebuilt in the next 5 years.

Aberdeen is the main tertiary hospital site for the North East of Scotland and houses a wide range of specialities. It is a teaching hospital hosting both Medical and Physician Associate students from the University of Aberdeen and Nursing students from Robert Gordons University.

With the clinical skills centre for the medical school and the NES offices co-located there is easy access to excellent teaching and learning facilities including some of the most up to date patient simulators.

Royal Cornhill Hospital

Located less than 1 mile from Aberdeen Royal Infirmary, the Royal Cornhill Hospital is the main centre in the North East of Scotland for the care and treatment of people with mental health problems. It is also the main training centre for medical and nursing staff who work in mental health. The hospital provides in-patient, outpatient and day patient care as well as a liaison service for ARI

Dr Grays Hospital, Elgin, Morayshire

Elgin is situated 60miles West of Aberdeen and 35miles East of Inverness. It is a small but vibrant town with a high standard of living. It has excellent sport and leisure facilities and is within easy reach of some of the most beautiful scenery in the world. 

Dr Grays is a small District General Hospital with an excellent reputation for teaching and training. It offers truly unselected take in Medicine, surgery and paediatrics. In-patient services are provided in the following specialties:

• geriatric assessment
• gynaecology
• medicine
• obstetrics
• ophthalmology
• orthopaedics
• paediatrics
• surgery

A full range of services are also provided including anaesthetics, dietetics, laboratories, occupational therapy, pharmacy, physiotherapy and x-ray.

General Practice

A wide variety of general practice experience can be offered from busy inner city Practices in Aberdeen to remote and rural practices in Morayshire and Aberdeenshire. There is also the opportunity for Out of hours work with the GMED service in both Aberdeen and Elgin.

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 of 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 Internal Medicine training and Broad based (Medicine) training.  The hospital is well integrated with a small number of supportive Physicians. 

 

 

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.

 

Training is delivered across:

Aberdeen Royal Infirmary, University Hospital Crosshouse, Kilmarnock, Ayrshire, Dumfries and Galloway Royal Infirmary, University Hospital Hairmyres, East Kilbride, South Lanarkshire, New Craigs Hospital, Inverness, Ninewells Hospital, Dundee, Perth Royal Infirmary, Raigmore Hospital, Inverness, Royal Cornhill Hospital, Aberdeen, The Royal Hospital for Children Glasgow, The Queen Elizabeth University Hospital Glasgow , University Hospital Wishaw, Dr Grays Hospital, Elgin, Woodland View Hospital, Irvine, Midpark Hospital, Dumfries

Where is training delivered?

The BBT programme is offered in 7 health board areas in Scotland: NHS Greater Glasgow & Clyde, NHS Highland, NHS Lanarkshire, NHS Dumfries & Galloway, NHS Ayrshire & Arran, NHS Grampian hospitals and NHS Tayside.  Trainees are based in the same locality, for both hospital and GP practice, for the whole 2-year training period. Trainees can 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

This large teaching hospital is in the north-east of the city centre in Glasgow. It is home to major specialist services.

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.

Leverndale Hospital

Leverndale is one of the major Psychiatry teaching hospitals in GGC and hosts the Mother and Baby unit.  

Wishaw Hospital, Monklands 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 are based at Wishaw General Hospital. Psychiatry has services on all 3 sites.  Medicine for this program is based at Monklands Hospital.  Each site has a range of specialist services supporting acute inpatient services.  

Dumfries & Galloway Royal Infirmary

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

Midpark Hospital

This is the Psychiatry hospital for Dumfries & Galloway, based near DGRI.

University Hospital Crosshouse

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

Woodland View

This new Psychiatric unit in Irvine is 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. There are remote and rural opportunities in North Region.

Raigmore Hospital

Raigmore Hospital is located in Inverness. It serves patients from the local area as well as 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 universities.

New Craigs Hospital

New Craigs is a psychiatric hospital located in Inverness.  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.  It has a range of postgraduate trainees, F2, GPStR, Core and senior trainees.  The hospital also supports education for a wide range of other healthcare professionals in association with Stirling, UHI and Robert Gordon universities.

Dr Gray’s Hospital, Elgin

This rurally based Grampian hospital offers training in Medicine and Psychiatry.

Other Grampian Hospitals

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

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.  Some Psychiatry posts will be in Stracathro Hospital in Old Age Psychiatry. All of these departments have clinical links to the community providing additional opportunity for training.

Within Tayside there are a variety of General Practice 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. 

ROTATIONS(the following are examples, and posts can vary)

Region	CMT	Paediatrics	Psychiatry	GP
West GGC	Glasgow Royal Infirmary	Royal Hospital for Children	Leverndale Hospital	Various approved GP practices Glasgow
West LHB	Monklands Hospital	Wishaw Hospital	Hairmyres Hospital	Various approved GP practices
West D&G	DGRI	DGRI	Midpark Hospital	Various approved GP practices
West	Crosshouse Hospital	Crosshouse Hospital	Woodland View Hospital	Various approved GP practices
East	Ninewells Hospital or Perth Royal Infirmary	Ninewells Hospital	Stracathro Hospital	Various approved GP practices
North	Raigmore	Raigmore	New Craigs Hospital	Various approved GP practices
North	Gray's Hospital, Elgin	ARI	Gray's Hospital	Various approved GP practices

Programme Type	Deanery based or National: National
Administration office	South-East of Scotland
Lead Dean / Director	Professor Clare McKenzie,Dr Nitin Gambhir
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	September 2024
Associated Royal College - Faculty	Joint Royal Colleges of Physicians Training Board,Royal College of Paediatrics and Child Health,Royal College of Psychiatrists (web site)
Curriculum and Associated Assessment System	http://www.aomrc.org.uk/wp-content/uploads/2016/05/Cirriculum_Broad_Based_Training_1112.pdf
Programme Administrator:	Named Programme Administrator: Claire Beharrie Address: NHS Education for Scotland Westport 102 West Port Edinburgh EH3 9DN Tel: Email: claire.beharrie@nhs.scot
Programme Director	Programme Director Name: Dr Allan MacDonald Address: Tel: Email: allan.macdonald@nhs.scot
Quality of Training	Quality Management