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Scottish Medical Training

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Speciality: Acute Care Common Stem - Internal Medicine Training (ACCS- IMT)

Programme Description
GMC Reference: SES/402

The ACCS Rotation in the South East Region of Scotland Deanery is a four-year programme where trainees gain experience and competencies in all four acute care specialties: Emergency Medicine, Acute Internal Medicine, Anaesthetics and Intensive care Medicine then spend more time in medical specialties and go on to complete an IMY3 year as their final year.

Trainees are appointed to one of the 3 base specialities (Acute Internal Medicine, Anaesthetics or Emergency Medicine) and subject to satisfactory acquirement of competencies, will progress through their respective training programmes.

The ACCS programme in Sputh East of Scotland comprises of 6 months acute internal Medicine, 6 months emergency medicine, 6th month intensive care medicine and 6 months of anaesthetics for the first 2 years. The next year sees trainees move onto the IMT curriculum and complete 3 4 month posts in medical specialities such as gastroenterology, renal, respiratory, infectious diseases, diabetes and endocrinology or care of the elderly. The 4th year is essentially an IMY3 year seen as an early and supported introduction to being the 'med reg', usually at a district general hospital. THis placement would include care of the elderly if not completed in your 3rd year to allow application to higher speciality training.

Experience is gained in a number of different hospitals and units to maximize the trainees’ exposure to different resource-based services and clinicians.

Rotations in acute medicine, anaesthetics and emergency medicine tend to be based at St John's Hospital, Livingston and the Royal Infirmary of Edinburgh. Intensive care medicine is often based at the Western General Hospital, Edinburgh, but these are subject to change and we would aim to accommodate preferences where able for good reasons. The other hospitals that are included in this rotation include Borders General Hospital in Melrose and Victoria Hospital, Kirkcaldy.

Research, audit, teaching and management opportunities

The emergency medicine, anaesthetics, ICM and acute medicine teams in the various hospitals all have strong research and quality improvement teams and welcome trainees to become involved. There are opportunities to become involved in management through the trainee/management fora and also to sit on the training committee for ACCS or the south east trainees committee. The South East programme has pioneered a 'bootcamp' to enable trainees (particularly years 1 and 2) to gain mastery at procedures such as lumbar puncture and chest drain insertion in a safe, simulated environment. There are also regular training days in ACCS as well as the opportunity to join the IMT training days including the 'registrar ready' boot camp. National ACCS-IM training days have also started.

Where is the training delivered?
Training is delivered across:

Royal Infirmary of Edinburgh, St Johns Hospital, Livingston, Victoria Hospital, Kirkcaldy, Western General Hospital, Edinburgh, Borders General Hospital, Melrose

Contacts and Useful Links
Programme Type Deanery based or National: Deanery
Administration office West of Scotland
Lead Dean / Director Professor Adam Hill
Responsible Associate Postgraduate Dean or Assistant Director (GP) Dr Graeme McAlpine
Specialty or Sub-specialty Specialty or Sub-specialty: Specialty
Date of GMC recent approval January 2014
Associated Royal College - Faculty
Joint Royal Colleges of Physicians Training Board (web site)
Curriculum and Associated Assessment System
Programme Administrator: Named Programme Administrator: Margaret McDove
Address: NHS Education for Scotland GLASGOW G3 8BW
Programme Director Programme Director Name: Dr Claire Gordon
Address: Royal infirmary of Edinburgh
Quality of Training Quality Management

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