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Review of Basic Medical Education in Scotland

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Review of Basic Medical Education in Scotland

Summary of recommendations

1) Additional medical student numbers

  • The Scottish Executive makes it possible for SHEFC to fund an additional 100 places per annum in Scottish medical schools at the full rate applied to all such places; but that SHEFC and the universities jointly agree mechanisms by which these places be specifically restricted 1) to schemes and courses that increase the diversity of Scottish medical students, including but not limited to access schemes, foundation year course(s) and accelerated four-year course(s) for graduate entrants, and 2) to students likely to be committed in the long term to the Scottish NHS. ( Paragraph 75)

  • The Scottish Executive makes it possible for SHEFC to fund one or more Scottish medical school(s) to enable them to provide clinical education for St Andrews' students under arrangements for amalgamation or partnership agreed by the universities in question and by SHEFC. ( Paragraph 75)

  • Implementation of the additional funded student places be phased, with a first phase providing 50 new places per annum, and up to 50 places for the clinical education of St Andrews' students and kept under review over the next two-three years in the light of the development of workforce planning information; and that student numbers in the Scottish medical schools (as increased by our recommendations) be further addressed thereafter in the light of that work. ( Paragraph 77)

  • The Scottish Executive and SHEFC take special account of the position of medical education in their review of the effects on Scottish higher education of changes in the funding regime in England. ( Paragraph 81)

  • Additional funding be provided to the universities to cover the additional costs of establishing and maintaining schemes and courses that increase the numbers and diversity of Scottish medical students and the Enterprise, Transport and Lifelong Learning Department & the Health Department jointly consider whether these funds are a proper charge on the higher education or the health workforce budgets. ( Paragraph 82)


2) Admission to the Scottish medical schools

  • The Scottish medical schools establish a single body to ensure and enable greater diversity of students, to review the relationships between secondary and further education in Scotland and entry to medical school, to lead the development of new selection instruments, and to integrate the processing of applications while leaving the final decision to individual schools. ( Paragraph 96)

  • The Scottish medical schools individually and collectively seek to increase the proportion of applicants and entrants domiciled in Scotland. ( Paragraph 75)


3) Collaboration between the Scottish medical schools

  • The universities establish a Board for Medical Education in Scotland, responsible to them for:

  • Strategic overview of collaboration between the medical schools

  • Setting and monitoring the objectives of subsidiary bodies responsible for collaboration in individual areas, including inter alia admissions, medical education, clinical skills training, and research

  • Collaboration and interaction with other organisations with a stake in medical education, including the Scottish Executive Health and Enterprise, Transport and Lifelong Learning Departments and NHS Scotland (including NHS Education for Scotland)

  • Promoting Scottish basic medical education as an entity. ( Paragraph 115)

  • The universities create a single Scottish Centre for Basic Medical Education, to lead development and facilitate and encourage collaboration in curriculum and assessment matters and new uses of technology, and to form a base for enhanced research in medical education, including research into and development of the admission process. ( Paragraph 102)

  • The universities seek to create more specialist medical education posts. ( Paragraph 102)

  • The universities and NHSScotland work collaboratively to ensure the most efficient and effective use of Clinical Skills Centres. ( Paragraph 105)

  • The universities collaboratively develop structured relationships for the provision of clinical education in networks centred on each medical school and including the principal 'teaching hospital(s)', District General Hospitals (DGHs), primary care settings and if possible other community medicine settings. ( Paragraph 107)

  • The universities establish structured relationships to support collaboration between medical schools and those responsible for education of other groups of health professionals. ( Paragraph 120)


4) Other action by NHSScotland and the Health Department

  • Health Department/NHSScotland workforce planning arrangements develop their work on the demand for, and supply of, doctors and on doctors career patterns. ( Paragraph 89)

  • These workforce planning arrangements work in conjunction with the universities, SHEFC, ETLLD, and UCAS to secure systematic information on application and entry to and graduation from medical schools. ( Paragraph 89)

  • NHSScotland radically change ACT funding so that it is transparent and follows students. ( Paragraph 111)

  • NHSScotland ensure that full weight is given to medical education issues in consultant and GP contracts and in staff management arrangements for university and NHS staff working in those areas. ( Paragraph 121)

  • The Health Department establishes a review of the links between undergraduate medical education and the undergraduate education of other health professionals. ( Paragraph 120)

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Page updated: Friday, June 17, 2005