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Scottish Medical Training

Scotland - the home of medical excellence

Speciality: Acute Care Common Stem - Anaesthetics (ACCS-Anaesthetics)

Programme Description
GMC Reference: SES/402

The programme duration is three years in total with the first two years covering generic ACCS training with the final year being focussed on the trainee's chosen specialty.


In ACCS, years one and two will consist of 6 month placements in each of the four specialties, Acute Medicine, Anaesthesia, Emergency Medicine and Intensive Care Medicine.  After this, trainees enter specialty training in their chosen specialty for a further year.

In all three ACCS specialties, trainees become eligible to progress to intermediate training after the third year.  In Scotland, applications are made through a parent specialty (AM, EM or Anaesthesia) with appointments made by that specialty.  The chosen specialty for the third year of training is therefore determined from the outset.  Subject to satisfactory performance in the first two years of Core Training, progress to year three is automatic.


Clinical placements in the first two years may be at any of the hospitals in Lothian or Fife with a balance between central and peripheral attachments being achieved in each of the individual rotations.  In most cases, placements are for six months in each of the four specialties.

Although all ACCS training is largely equivalent, opportunities to move between the specialties after year two are limited require competitive application through the appointments process to switch specialities.

Research, audit, teaching and management opportunities

Core Training in ACCS in South East Scotland is particularly suited to doctors entering directly from Foundation training.  It provides experience of working in a variety of types of hospital, in and around a major city, across a range of specialties dealing with acute illness.  Requirements for complimentary specialty training in Acute Medicine are met for those who are considering training in Intensive Care Medicine via the Anaesthesia route.

Where is the training delivered?
Training is delivered across:

Forth Valley Royal Hospital - FVRH, Royal Hospital for Children and Young People, 50 Little France Crescent, Edinburgh, EH16 4SF, Royal Infirmary of Edinburgh, St Johns Hospital, Livingston, Victoria Hospital, Kirkcaldy, Western General Hospital, Edinburgh, Borders General Hospital, Melrose

Royal Infirmary of Edinburgh (Acute Medicine, Emergency Medicine, Anaesthesia and Intensive Care Medicine)

Western General Hospital, Edinburgh (Acute Medicine, Anaesthesia and Intensive Care Medicine)

St. John's Hospital, Livingston (Acute Medicine, Anaesthesia and Intensive Care Medicine)

Victoria Hospital, Kirkcaldy (Acute Medicine)

Royal Hospital for Sick Children, Edinburgh (Year 3 Emergency Medicine)

Borders General Hospital, Melrose  (Year 3 Anaesthesia)

Stirling Royal Infirmary (Year 3 Anaesthesia)



Contacts and Useful Links
Programme Type Deanery based or National: Deanery
Administration office South-East of Scotland
Lead Dean / Director
Responsible Associate Postgraduate Dean or Assistant Director (GP) Mr Alastair Murray
Specialty or Sub-specialty Specialty or Sub-specialty: Specialty
Date of GMC recent approval May 2010
Associated Royal College - Faculty
Royal College of Anaesthetists,College of Emergency Medicine,Joint Royal Colleges of Physicians Training Board (web site)
Curriculum and Associated Assessment System
Programme Administrator: Named Programme Administrator: Mrs Margaret McDove
Address: NHS Education for Scotland Glasgow, G3 8BW
Programme Director Programme Director Name: Dr Linzi Peacock
Address: Royal Infirmary of Edinburgh
Quality of Training Quality Management

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