Core Surgical Training in Scotland

Core Surgical Training (CST) programmes have been established in Scotland from August 2011. There are two core surgical training programmes - one in the West of Scotland (administered by the West of Scotland deanery) and one in the East of Scotland (administered by the South East Scotland deanery).

The Core Surgery Training Programme

The surgical specialties contributing to CST in Scotland are General Surgery, Urology, ENT, Plastic Surgery, Paediatric Surgery, Cardiothoracic Surgery and Oral Maxillo-Facial Surgery (OMFS).

Unlike CST programmes in the other devolved nations, Trauma & Orthopaedics is not part of CST in Scotland as this specialty remains a run through training programme for 2012.

Those applicants wanting to do T&O in Scotland should apply directly for the T&O run through programme.There are 2 T&O posts in the West of Scotland Core Programme for those who might want to do 6 months T&O training in addition to their specialty training. It is anticipated that these posts may be of interest to those looking for a career in Plastic surgery, or Remote and rural surgery etc.

In 2012, two year appointments will be made at CT1 level .There will be no appointments at CT2 level. Successful candidates appointed to a two year CT1 post will rotate through four 6 month placements.

There are a number of themed rotations for those interested in a career in Cardiothoracic surgery, Plastic surgery, ENT, Paediatric surgery and Remote and Rural Surgery. Trainees wanting a career in General Surgery will be given at least 2 6 month attachments in General Surgery

Trainees progress will be monitored regularly and completion of the programme depend upon satisfactory outcomes at the annual review (ARCP)

East of Scotland Programme

The East of Scotland programme covers a wide geographical area and posts are available in Edinburgh, Fife, Perth, Dundee, Aberdeen, Inverness, Elgin, FortWilliam and Stornaway.

Rotations will normally be organised so that the 4 posts are within a reasonable commuting distance of each other (the exception are the remote and rural posts for which separate arrangements are in place).

There are 14 hospitals in 6 NHS Trusts providing Core Training in the East of Scotland – 3 Major Teaching hospitals, 2 specialist children’s hospitals and a range of District General Hospitals both in populated and remote areas.

NHS Lothian

Royal Infirmary of Edinburgh

51, Little France Crescent

Old Dalkieth Road

EH16 4SA

A major acute teaching hospital with over 900 beds providing a full range of services for SE Scotland. Specialist services include cardiac surgery, kidney, liver, pancreas and bone marrow transplants. It is home to the Scottish Liver Transplant Unit.

Core posts: Cardiac surgery, Vascular surgery

Western GeneralHospital

Crewe Road South

EH4 2XU

A 570 bed general hospital providing a comprehensive range of general and specialist services. It holds the regional centres for cancer care, clinical neurosciences and the Regional Infectious Diseases Unit.

Core posts: Colorectal surgery, Breast surgery,Urology

RoyalHospital for Sick Children

9 Sciennes Road

EH9 1LF

This hospital affectionately known locally as “ the Sick Kids” has been providing a comprehensive range of dedicated childrens services for 150 years. Plans are in place for a new hospital adjacent to the Royal Infirmary.

Core posts: Paediatric surgery

St John’s Hospital Livingston

A Modern teaching hospital providing a wide range of services including the regional centre for ENT surgery, Plastic surgery and Burns treatment. It opened a Short Stay Elective Surgery unit in 2011 which treats over 3000 patients per year.

Core posts: ENT, Plastics

BordersGeneralHospital

A DistrictGeneralHospital situated in the heart of the Borders just outside Melrose.

Provides an excellent exposure to elective and emergency general surgery.

Core posts: General Surgery

NHS Fife

QueenMargaretHospitalDunfermline

From Jan 2012 will be a dedicated diagnostic and treatment centre providing a wide range of day surgery, endoscopy and outpatient consultations.

VictoriaHospital Kirkcaldy

Opening January 2012 a brand new hospital providing a comprehensive inpatient service for the patients of Fife.

There is a new Theatre Suite and Critical Care Unit providing facilities for general surgery, vascular surgery, urology, trauma and orthopaedics,ENT, Maxillo-facial surgery, obstetrics and gynaecology.

Core posts: General surgery

NHS Tayside

Perth Royal Infirmary

A 260 bed DGH providing a wide range of services for the people of Perth and the surrounding area. A good range of elective General Surgery with links to Ninewells hospital in Dundee for the emergency cover.

Core posts: General surgery.

NinewellsHospitalDundee

A Major Teaching hospital on the outskirts of Dundee. With over 900 beds it provides a comprehensive range of services.

Internationally renowned for its contribution to the development of Laparoscopic surgery in the UK. It is also a leading centre for cancer management, medical genetics and the development of robotic surgery.

Core posts: General surgery, Plastics, ENT, Urology

NHS Grampian

Aberdeen Royal Infirmary

A large Teaching hospital with over 900 beds providing a comprehensive range of treatments to a population of 600.000.All surgical specialties except transplantation.

Core posts: General surgery – upper GI/HPB/Colorectal/Vascular, Urology, Cardiothoracic surgery, Plastic surgery and ENT. Also ICU.

RoyalAberdeenChildrensHospital

A new hospital opened in 2004 linked to the Royal Infirmary site, providing a full range of childrens services for NHS Grampian, Highland,Orkney and Shetland.

Core posts: Paediatric surgery

Dr Gray’s Hospital, Elgin

A small DGH originally built in 1807 but recently extensively upgraded providing general surgical services to the local population. Situated in a picturesque spot and an ideal place to learn elective general surgery.

Core post: General surgery

NHS Western Isles

WesternIslesHospital

Stornaway, Isle of Lewis

A 200 bed small DGH opened in 1992. It provides general surgical and orthopaedic services to the local population. There are no specialist registrars in surgery so the core trainee has 1:1 training with the Consultant.

An excellent opportunity to learn basic general surgery and get an experience of remote and rural medicine.

Core posts: General surgery

NHS Highland

RaigmoreHospital,Inverness

A DGH which provides a wide range of services for Highland and the Western Isles.

Set in a beautiful location in Inverness with an excellent teaching centre on site.

Core posts: ENT

BelfordHospital, FortWilliam

A small DGH situated in beautiful countryside close to the foot of Ben Nevis.

Excellent exposure to elective general surgery and significant trauma experience because of its location close to the mountains. Great posting for those interested in remote and rural Surgery.

Core post: General surgery

Teaching

There is a monthly teaching day for all core trainees that rotates between Edinburgh and Aberdeen. Additional technical and non-technical modules are under development but this year will included wet-lab sessions, laparoscopic training and anatomy teaching.

Highland Boot Camp

A residential 4 day course aimed at Core trainees has been developed in Inverness. Set in stunning countryside this course focuses mainly on non-technical skills but combines that with excellent wet lab facilities. Outdoor activities are included with plenty of time to appreciate the local scenery.

For details of the available rotations please visit the surgical recruitment site on the KSS Deanery website.