Scottish Graduate Entry Medicine (ScotGEM) MBChB 2021 entry
ScotGEM is designed to develop doctors interested in a career as a generalist practitioner within NHS Scotland. ScotGEM offers a unique and innovative four-year graduate entry medical programme tailored to meet the contemporary and future needs of the NHS in Scotland and focuses on rural medicine and healthcare improvement.
The programme will capitalise on the existing strengths of medical teaching in the universities of St Andrews and Dundee in collaboration with NHS Fife, NHS Tayside, NHS Highland, NHS Dumfries and Galloway and the University of the Highlands and Islands. This exciting partnership enables the development of a truly distinctive programme.
First and second year will be led by the University of St Andrews, with third and fourth year led by the University of Dundee. In first year, students will be based at the University of St Andrews and within Fife. From second year onwards, components of the programme will include periods of living and studying in rural areas of the Highlands and Dumfries and Galloway. You must be prepared to live and study in this context.
Bachelor of Medicine, Bachelor of Surgery (MBChB)
Four years full time
- Start date: 6 September 2021
- End date: 27 June 2025
Information about all programmes from previous years of entry can be found in the archive.
Number of places
55How to apply
This programme is only open to applicants who are classed as Home or RUK (rest of UK) for fee purposes. Those who are classed as overseas for fee purposes are not eligible to apply for this course. See the fees status policy for more information.
Applicants to the ScotGEM programme must meet a number of entry requirements, including both academic and non-academic conditions.
If you gained your qualifications outside of the UK, please email the admissions team at firstname.lastname@example.org to ensure that they meet the entry requirements.
The universities of St Andrews and Dundee have both been awarded a Gold Award in the Teaching Excellence Framework (TEF).
In 2020, the University of St Andrews as a whole was ranked in the World’s Top 100 universities by the international league table, QS World Rankings.
Dundee’s School of Medicine is ranked sixth in the UK for Medicine in the Complete University Guide 2020.
In order to graduate in the MBChB ScotGEM programme, you must complete specified modules across the four years at the universities of St Andrews and Dundee. ScotGEM will address all core MBChB requirements as stipulated by the General Medical Council (see outcomes for graduates).
You will be based at the University of St Andrews and NHS Fife, where your learning will be focused around 30 one-week-long patient scenarios using an approach known as case-based learning. For example, a case of sore throat might lead into examination of the throat and neck, related anatomy, microbiology, pharmacology and related public health issues.
The complexity and challenge of the cases builds as you and your peers become more effective learners. Case-related clinical and communication skills will be introduced alongside topics such as biochemistry, pharmacology and anatomy.
Semester 1 will use cases that focus on foundational medical sciences; this knowledge will subsequently underpin more challenging scenarios.
Semester 2 concentrates on the body systems where examination skills can be learnt in conjunction with the relevant regional anatomy.
During this year, for one day a week, you will be engaged in small-group, work-based learning supported by a dedicated team of GP teachers or ‘generalist clinical mentors’ in a local general practice. This will include regular clinical experience and patient contact from the outset.
Agents of Change projects will include a voluntary sector placement and prescribing improvement project.
This year introduces a further 20 patient scenarios structured around the lifecycle.
Teaching in Year 2 is delivered across three regions, enabling placements in Fife, Inverness, and Dumfries. Teaching will take place simultaneously across the three regions.
You must be prepared to live and study away from St Andrews for between 12 to 24 weeks during Year 2. The location of your study will be based on regional quota and student preference, if possible.
Student accommodation will be provided for placements outside Fife.
You will continue to work for one day each week with a generalist clinical mentor in the GP setting and spend an additional half a day in a specialist clinical environment. Year 2 closes by providing experience of unscheduled care (GP, emergency department, ambulance, etc) and project work related to Agents of Change.
In Year 3, you will undertake a 'longitudinal integrated clerkship' (LIC) where you will join a general practice over the course of a year rather than taking part in ‘traditional’ clinical rotations. This apprenticeship-style educational model allows you to follow patients through their illness journeys.
Approximately half of your week is spent consulting with patients, the remainder studying the conditions you have encountered or following your patients into the secondary care setting. This approach works especially well for graduate learners and has been shown to develop more patient-centred doctors with improved decision-making skills.
Agents of Change activities run in parallel with your clinical learning during this period.
LIC placements will be available in all four partner health board areas, but the majority will be in rural areas and weighted towards Highland and Dumfries and Galloway. You must be prepared to live and study away from Fife and Tayside.
As a competent generalist student, you will now be immersed in the hospital environment and prepare yourself for work as a junior doctor. You will complete two month-long foundation apprenticeships and other hospital-based clinical attachments in final preparation for practice as a Foundation Year 1 doctor.
You may choose clinical areas of particular interest which you can experience in greater depth. You will also arrange an eight-week clinical elective period which can take place anywhere in the world and will be focused on your own objectives.
You will also conduct a healthcare improvement project in a hospital setting.