Core Psychiatry Training in South East Scotland
These Locum Appointment for Training posts are recognised training posts on the South East of
Scotland Core Psychiatric training scheme. As such, any person appointed as a LAT on the scheme
will have access to all the training opportunities described below for the 6 month time limit of the
post. The posts which are advertised are:
1) General Adult Psychiatry at St John’s Hospital with Dr Mowatt
2) General Adult Psychiatry at Stratheden Hospital with Dr Dasgupta
3) General Adult Psychiatry/Rehabilitation Psychiatry with Dr Brown/Dr Clunie
4) Child and Family Psychiatry in North Edinburgh with Dr MacTaggart
5) Old Age Psychiatry at Queen Margaret Hospital with Dr Thomas
The South East of Scotland Deanery covers a wide geographical area and placements are available
within the following Health Board Regions: * Lothian (including East, Mid and West Lothian) *
Borders * Fife.
Core training takes place over 3 years in order to reach competencies to apply for Advanced
Training.
During Core Training, trainees will normally undertake six 6 month posts, although longer (12
month) placements are arranged for General Adult Psychiatry posts. It would be expected that
trainees would work in two or more hospital bases during Core training to gain a breadth of
experience. Normally the first year will be spent in one hospital, with rotation to other hospitals in
the second and third years of training based on the educational needs of the trainee.
Trainees will spend a minimum of 12 months each in General Adult Psychiatry, 6 months in Old Age
Psychiatry and a further 6 months in subspecialty placement (Child or Learning Disability
Psychiatry). Remaining placements may include Addictions, Forensic, Liaison, Psychotherapy, or
Rehabilitation Psychiatry, depending on the trainee's requirements.
Trainees are expected to participate in the half day Psychiatry Curriculum Course at the Royal
Edinburgh Hospital in preparation for their Royal College examinations, to undertake audit (or
research) projects and to contribute to local teaching. Teaching sessions for trainees, including
journal club presentations, take place on Wednesday mornings.
Trainees are also expected to attend the Psychotherapy Foundation Course, which takes place on
Friday mornings. There is also a Special Lecture Series, which takes place on Wednesday afternoons
during term time.
Research, audit, teaching and management opportunities
South East Scotland offers a diverse and rewarding training in Core Psychiatry, with access to a large
range of specialties during the three year scheme, and supervision by an enthusiastic group of
trainers. There is also excellent academic support for trainees, and several trainees have recently
progressed to academic career streams towards the
end of their core years. South East Scotland also has very high pass rates for
both the three MRCPsych written papers and the CASC clinical exam.
Since August 2014 we have been able to create a brand new core training post which has 4 dedicated
sessions for research. This point is well supported by the local academic department, and the aim is
for this arrangement to lead to the production of a piece of published research.
Where is the training delivered?
This programme involves placements in some or all of these Health Boards and hospitals:
Herdmanflat Hospital, Haddington, Midlothian Community Hospital, Bonnyrigg, Queen Margaret
Hospital, Dunfermline, Royal Hospital for Sick Children, Edinburgh, Royal Edinburgh Hospital,
Royal Infirmary of Edinburgh, St Johns Hospital, Livingston, Stratheden Hospital, Whyteman’s Brae
Hospital, Kirkcaldy, Huntleyburn House, Melrose.
Contacts and Useful Links
Deanery sponsoring
South-East of Scotland
programme
Postgraduate Dean
Professor William Reid
Responsible Associate GP Director
Deanery based or National: Deanery
Programme Type
Specialty or Sub-specialty: Specialty
Date of GMC recent
October 2015
approval
Associated Royal
Royal College of Psychiatrists (web site)
College - Faculty
Curriculum and
Associated Assessment
System
Name: Terry Brown
Address: NHS Education for Scotland, 1st Floor, 102 West Port,
Deanery Administrative
Edinburgh, EH3 9DN
Contacts
Tel: 0131 656 3498
Email: [email protected]
Name: Dr Norman Nuttall
Email: [email protected]
Programme Director
Address: Dr Norman Nuttall c/o Secretary: Stacey Knox –
[email protected] Royal Edinburgh Hospital
Morningside Terrace Edinburgh EH10 5HF
Quality of Training
Post No: 1
Specialty:
General Adult Psychiatry
Location:
St. John’s Hospital
Clinical Supervisor(s):
Dr. Amal Al Sayegh & Dr Louise Mowatt
Educational Supervision to be provided by: Dr Amal Al Sayegh/Dr Mowatt
Description of Post
An excellent opportunity to gain general adult psychiatry experience in inpatient, outpatient
and home treatment teams with continuity of supervision. Inpatient work will be under the
supervision of Dr Louise Mowatt which will involve cover for patients from the Broxburn,
Craigshill and Armadale areas of West Lothian. Outpatient work will be under the
supervision of Dr Amal Al Sayegh with 2 afternoon teaching clinics a week. On-call
commitments will entail experience in regional and specialist units unlikely to be provided
elsewhere in the region including perinatal psychiatry and eating disorders. On-call
experience will also include Liaison Psychiatry and A&E. There is the chance for joint
assessments with our home treatment team. There are a wide range of opportunities for audit
and small research projects to help bolster the trainee’s non-clinical aspect of portfolios as
well as involvement in our established quality improvement programme. If the trainee is
interested in developing teaching skills, this can be accommodated upon request. First and
Second Year trainees will be expected to attend the weekly Psychiatry Curriculum Course
teaching on Wednesday mornings. They will also be able to attend regular psychiatry journal
club on a Tuesday afternoon and the monthly hospital-wide case conference meetings.
Psychotherapy case based discussion groups will be held on Friday mornings.
Core Objectives
Trainees will be expected to demonstrate achievement of the 19 competencies set out in the
2013 Competency Based Curriculum for Core Specialist Training in Psychiatry (see appendix
for list of Learning Outcomes). Achievement of these competencies will be demonstrated by
use of Work Place Based assessments and supervisor overview.
Range of Experience Available
1) General adult inpatients
2) General adult outpatients
3) Liaison Psychiatry (A&E and General Hospital)
4) Home treatment
5) Intensive Psychiatric Care Unit
6) Regional Units (Mother & Baby Unit, Eating Disorders Unit)
WEEKLY TIMETABLE
Regular Weekly Educational Supervision is a Mandatory Requirement from the Royal College
a.m.
MONDAY
9am - MDT handover meeting,
ward 17
p.m.
2pm - Ward round, ward 17
1pm - Journal club lecture theatre
TUESDAY
4pm – Supervision
WEDNESDAY
10am – Curriculum Delivery
Course (first and second year
trainees)
THURSDAY
FRIDAY
2pm - Outpatient clinic
2pm - Outpatient clinic
9am -10.30am – Psychotherapy
Case Based Discussion Group
teaching (first year trainees)
On Call Commitment:
Long days (5-9pm): 1 in 9
Weekend days (9am-9pm): 1 in 9
Nights (9pm-9am): stretch of 3 or 4 nights
Other Rota Commitments:
Cross cover for trainees on leave / study leave
3pm - Junior supervision group Dr
Murray
Post No: 2
Specialty:
General Adult Psychiatry
Location:
Stratheden Hospital
Clinical Supervisor(s):
Dr. Dasgupta
Educational Supervision to be provided by: Dr Dasgupta
Description of Post
This is a post in General Adult Psychiatry based at Stratheden Hospital and providing
services to two busy GP practices in Glenrothes (North Glen Medical Practice and Markinch
Health Centre). The duties include both outpatient and inpatient work. The doctor would be a
member of multidisciplinary team and would work closely with other health professionals
when managing patients. The doctor would be expected to participate in a day time
Stratheden Hospital duty rota with other junior doctors covering for emergencies on site.
There would also be cross cover between junior doctors in Glenrothes sector. The doctor
would be expected to join a Fife-wide out of hours duty rota. First and Second Year trainees
will be expected to attend the weekly Psychiatry Curriculum Course teaching on Wednesday
mornings. They will also be able to attend regular journal club and case conference meetings.
Psychotherapy case based discussion groups will be held on Friday mornings.
Core Objectives
Trainees will be expected to demonstrate achievement of the 19 competencies set out in the
2013 Competency Based Curriculum for Core Specialist Training in Psychiatry (see appendix
for list of Learning Outcomes). Achievement of these competencies will be demonstrated by
use of Work Place Based assessments and supervisor overview.
Range of Experience Available
1) Assessment of patients with a range of psychiatric conditions in variety of settings and
opportunity to become proficient in psychiatric history taking, mental state examination
and case presentations.
2) Experience in the treatment of the common psychiatric conditions.
3) Participating in multidisciplinary discussions about management of mental health
conditions and becoming a fully functioning member of the multidisciplinary team.
4) Experience in risk assessment including assessment of risk of self-injurious and
dangerous behaviour.
5) Experience in the use of Mental Health Act.
6) Participating in medical students teaching, and participating in audit.
7) Administering ECT treatment.
WEEKLY TIMETABLE
Regular Weekly Educational Supervision is a Mandatory Requirement from the Royal College
a.m.
p.m.
9.30am - Kardex Meeting (Lomond
Ward)
1pm – 2pm Educational
Supervision (Medical Offices,
Stratheden Hospital)
Inpatients reviews
Admin
9.30am Postgraduate Regional
Teaching (various locations in Fife)
Flexible clinical time
MONDAY
TUESDAY
9am – Journal Club
Flexible clinical time
WEDNESDAY
10am – Curriculum Delivery
Course (first and second year
trainees)
9am-2pm Outpatient Clinic (North
Glen Medical Practice or Markinch
Health Centre)
THURSDAY
FRIDAY
Inpatient reviews
9am -10.30am – Psychotherapy
Case Based Discussion Group
teaching (first year trainees)
12.00-2pm Ward |Meeting
Inpatient work including admin
On Call Commitment: A Fife-wide out of hours rota- mixture of shift system and on call
Other Rota Commitments: Cross cover for trainees on leave / study leave
Post No: 3
Specialty:
General Adult/Rehabilitation psychiatry
Location:
Inchkeith House Clinic/Royal Edinburgh Hospital
Clinical Supervisor(s):
Dr. Rachel Brown/ Fiona Clunie
Educational Supervision to be provided by: Dr Fiona Clunie and Dr Rachel Brown
Description of Post
This is a half-time post in rehabilitation psychiatry is based at the REH. We cover inpatient
rehabilitation for Edinburgh, Mid and East Lothian. Duties will be on 2 wards – Albany and
Craiglea. The work includes preparing reviews, monitoring response to treatment, assessing
mental states, assessing and monitoring rehabilitation needs, developing rehabilitation plans
as part of a multidisciplinary team. The m.d.t. consists of nursing, occupational therapy,
psychology, care managers. We also liaise with MHOs and supported accommodation
projects.
Core Objectives
Trainees will be expected to demonstrate achievement of the 18 competencies set out in the
2010 Competency Based Curriculum for Core Specialist Training in Psychiatry (see appendix
for list of Learning Outcomes). Achievement of these competencies will be demonstrated by
use of Work Place Based assessments and supervisor overview.
Range of Experience Available
Trainees will develop skills in the following:
Assessment of long term severe mental illness including treatment resistance
Medication reviews
Casenote reviews
Management strategies for treatment resistance – medication and psychosocial
Development of goals and rehabilitation plans
Longer term perspectives of care
Acute and longer term management of disturbed behaviour
Discharge planning for people with complex care needs
WEEKLY TIMETABLE
Regular Weekly Educational Supervision is a Mandatory Requirement from the Royal College
a.m.
p.m.
12.30 – 1.30 clinical supervision
MONDAY
Inchkeith House/ REH – alternative
weeks
Follow up Clinic Inchkeith House
9-10 PCLT Allocation Meeting
10-11 PCLT team meeting
TUESDAY
Follow up appts/admin
New Patient clinic supervised by Dr
Brown/staff grade if in post
MRCPsych teaching
Clinical work – REH
Craiglea ward round 10.30am
2 – 4pm Craiglea reviews or ward
work
Albany ward round and review
Follow Up Clinic / urgent
appointments – Inchkeith house
WEDNESDAY
THURSDAY
FRIDAY
On Call Commitment:
Edinburgh Out of Hours rota
Other Rota Commitments:
Cross cover for trainees on leave / study leave
Post No: 4
Specialty: Child and Adolescent Mental Health Service
Location: CAMHS, Young People’s Unit, Tipperlin Road
Educational Supervisors: Dr Fiona Forbes/Dr Fiona Mactaggart (Consultant Child and Adolescent
Psychiatrists)
Description of Post
Full-time post attached to North Sector. Working in Child and Adolescent Psychiatry as part
of a multi-disciplinary team covering North Edinburgh. The work is mainly out-patient based
with involvement in assessing and making formulations regarding a wide range of child and
adolescent mental health difficulties. Links are based in North Edinburgh community clinics
(Craigroyston, Pennywell Gardens and the Young People’s Unit, Tipperlinn Road). A
training programme for SHOs (there are five posts within Lothian wide CAMHS) will run
weekly for the first half of the attachment.
Core Objectives
The core objectives would be to gain knowledge and an experience of:
1.
2.
3.
4.
5.
6.
7.
Normal child and adolescent development.
A wide range of child and adolescent psychiatric disorders.
Assessment of children and young people individually and in a family context.
Basic family assessment.
A range of treatments including psychotherapy, other therapies and family work.
The impact of childhood and adolescent experience on later adult functioning.
The range of statutory and non-statutory agencies involved in helping children, young
people and their families.
8. To experience a systemic approach to understanding the psycho social context.
Range of Experience Available
1. Working as part of a multi-disciplinary team including joint working.
2. Out-patient consultation with patients and families both supervised and un-supervised
by Consultant.
3. Observation of assessments by non-medical team members.
4. The opportunity for working in the day programme including involvement in group
therapy.
5. Emergency consultations including deliberate self-harm.
6. Participation in community consultation clinics.
7. Liaison with Education, Social Work, Community Child Health and other agencies
including experience of Child Protection.
WEEKLY TIMETABLE
Regular Weekly Supervision is a Mandatory Requirement from the Royal College
a.m.
MONDAY
Clinic (including new patients
jointly with Consultant)
p.m.
1.00 – 2.00 Supervision
Clinic
TUESDAY
SHO Training/In-house Training
Opportunity to observe ADOS
WEDNESDAY
THURSDAY
Team Meeting
FRIDAY
Clinic
Clinic
On Call Commitment:
Please note that on-call duties may be on any of the on-call rotas operated by each Division
and although an attempt will be made to accommodate individual doctors requests, this
will depend on service need.
Post No: 5
Specialty:
Old Age Psychiatry
Location:
Queen Margaret Hospital, Dunfermline
Clinical Supervisor(s):
Dr Gareth Thomas
Educational Supervision to be provided by: Dr Gareth Thomas
Description of Post
Daily responsibilities include providing junior medical cover for the following wards:
 Ward 1: Acute Psychogeriatric ward
 Ward 3: “Continuing Care” ward
 Forthview Day Hospital
In addition to this, the trainee provides psychiatric liaison to “Medicine for the Elderly”
wards within Queen Margaret’s Hospital and may do home visits. This is done together with
or under supervision from Dr Thomas.
There is an ECT rota at Queen Margaret’s and each trainee does around one morning session
every 2 weeks together with a Consultant.
First and Second Year trainees will be expected to attend the weekly Psychiatry Curriculum
Course teaching on Wednesday mornings. They will also be able to attend regular journal
club and case conference meetings. Psychotherapy case based discussion groups will be held
on Friday mornings.
Core Objectives
Trainees will be expected to demonstrate achievement of the 19 competencies set out in the
2013 Competency Based Curriculum for Core Specialist Training in Psychiatry (see appendix
for list of Learning Outcomes). Achievement of these competencies will be demonstrated by
use of Work Place Based assessments and supervisor overview.
Range of Experience Available
1) Assessment and management of common mental health problems in people over 65.
2) Managing acute and chronic physical health problems and their interaction with mental
health.
4) Experience in various settings: in-patient, hospital liaison, day hospital and home visits.
5) Regular ECT Experience.
6) Varied on-call experience in all psychiatric specialties.
WEEKLY TIMETABLE
Regular Weekly Educational Supervision is a Mandatory Requirement from the Royal College
a.m.
p.m.
MONDAY
TUESDAY
9am – Journal Club
WEDNESDAY
10am – Curriculum Delivery
Course (first and second year
trainees)
11am – Ward Round (ward 1)
THURSDAY
FRIDAY
9am -10.30am – Psychotherapy
Case Based Discussion Group
teaching (first year trainees)
11am – Ward Round (ward 3)
On Call Commitment:
Within Hours (9-5 Monday – Friday):
Each trainee at Queen Margaret Hospital does 2-3 half day sessions per week. This involves
providing emergency cover to all psychiatric wards in the hospital and assessing people that have
been brought by the police as a “Place of Safety” or whose presentation makes it necessary to
involve a doctor. This would be under the supervision of the on-call Consultant.
Out of Hours:
The trainee is part of the Fife on-calI rota and covers various hospitals and units including CAMHS,
General Adult, Old Age Psychiatry, IPCU, A&E and medical ward in the Victoria Hospital,
Kirkcaldy. This is together with the ‘Unscheduled Care and Assessment Team’ under supervision
form the on-call SpR or Consultant.
Other Rota Commitments:
Cross cover for trainees on leave / study leave