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Scottish Medical Training

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Speciality: Acute Internal Medicine

Programme Description
GMC Reference: SES/2104

In the South East of Scotland the start of the Acute Internal Medicine programme consists of experience in an Acute Medical Unit in one of a number of hospitals including Borders General Hospital, Melrose, St. John's Hospital, Livingston, Western General Hospital, Edinburgh or the Royal Infirmary of Edinburgh. Subsequent experience in the prescribed medical specialties can also be obtained in these hospitals whereas experience in critical care is confined to the WGH, VHK and RIE hospitals.

Opportunities for development of specific skills is available in each of the sites and advice is available from each of the educational supervisors or the training programme director about which is most appropriate and suitable to the trainees abilities. In the final year of training all trainees will be attached to an Acute Medical Unit where there are dedicated acute physicians in the unit.

Experience in audit and research is encouraged throughout the programme and indeed the former is mandated within the training programme.



Research, audit, teaching and management opportunities

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 Medicine programme may be either through a Core Medical Training (CMT)Programme or an Acute Care Common Stem (ACCS) Programme with satisfactory progress assured by work place based assessment and satisfactory ARCPs. Acquisition of the MRCP diploma is mandatory for entry into a ST3 post.

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

Royal Infirmary of Edinburgh
Western General Hospital, Edinburgh
St. John's Hospital, Livingston
Victoria Hospital, Kirkcaldy
Borders General Hospital, Melrose

Contacts and Useful Links
Programme Type Deanery based or National: Deanery
Administration office South-East of Scotland
Lead Dean / Director Professor Adam Hill
Responsible Associate Postgraduate Dean or Assistant Director (GP) Dr Clive Goddard
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, West of Scotland Region 2 Central Quay 89 Hydepark Street 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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