Specialist Training in South East Scotland

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Specialist Training in South East Scotland

• Maria Corretge
• ST5 Reg

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Edinburgh, The Lothians and Fife

• Two healthboards
• Training takes place in Teaching hospitals (WGH,
  RIE), Day hospitals and Geriatric Rehabilitation
  hospitals (RVH, Lib, Roodlands Day Hospital) and
  District General Hospitals (SJH, Borders General,
  QMH).
• SpR 12 (two part time, one acting up, two on mat
  leave)
• ST 10 (three pregnant)
• Only 3 male registrars

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Structure of Training

• It used to start with GIM for two years at a
  district hospital, then combine Rehabilitation
  and Acute Geriatric Medicine and Stroke for the
  following 3 years with 6 more months of acute
  medicine.
• Now mix and match Some ST start with
  Rehabilitation/others GIM.

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What to squeeze in those 5 years

• 2 years of General Internal Medicine
• Secondments to CCU (1 month), ITU/HDU (2 months)
• Continence module, osteoporosis, orthopaedic
  rehab
• Stroke (2 to 6 months)
• Old Age Psychiatry (1 to 2 months)
• Experience in all fields of curriculum for
  Geriatric Medicine
• One systematic review and publication, one
  presentation at Regional or National level

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And for the ST as well

• Evidence of competence level 2 for top 20 medical
  presentations (to qualify for GIM dual
  accreditation )
• KBA Geriatric Medicine
• Support from Posts Educational Supervisor,
  Personal Tutor and Academic Research Tutor.

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Teaching

• SpR/ST training days 5 days a year, coordinated
  by consultant and lead by SpR. Guest speakers and
  ourselves.
• Attendance to Glasgows EBM day
• GIM teaching 6 days a year organised by RCP
  Edinburgh
• BGS/SBGS attendance encouraged at least once a
  year
• Research, Communication and Management course
  attendance (x1 each at least)
• Sporadic difficulties of trainees in getting
  study leave/ funding

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Appraisal and Assessment

• General feeling of appraisal being too frequent,
  time consuming and paper loaded
• Mixed feelings with regards e portfolio
• Compulsory ARCP attendance with evidence
  submitted at least once a year
• Discontent about assessment and amount of
  paperwork needing completion/submission, no
  discontent about training!