Its aim is to improve patient care by delivering a modernised and focused career structure for doctors through a major reform of postgraduate medical education. Modernising Medical Careers (MMC) was introduced in 2007. The initial introduction of MMC was extremely challenging, particularly the selection process.In Scotland, MMC was renamed Scottish Medical Training in 2009. Details of this scheme are available from the Scottish Medical Training website.What is Scottish Medical Training?New curriculumSince 2007, Specialist Trainees (STs) have been appointed in Scotland to ‘run through’ training programmes. However it is anticipated that from August 2011 there will be decoupling of core surgical training (CT 1/2) from specialist general surgical training (ST3-8). Specialist training is delivered in a focused and structured way to the new curriculum which has been produced by the Intercollegiate Surgical Curriculum Programme (ISCP).Further information is available on their website.Surgical Curriculum Project (ISCP)This curriculum has been approved by the Postgraduate Medical Education and Training Board (PMETB) and standardized assessments are used to assess the competencies set out in the specialty curriculum.ProgressionCareer progression is based on the acquisition of competencies.After successful completion of run through specialist training, trainees are awarded a Certificate of Completion of Training (CCT) and will then be eligible to apply for a consultant post. This article was published on 2024-02-06