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Hud doesn’t matter as long as it doesn’t interfere with your vision, but I find a few modifications particularily useful.
Hud Crosshair and damage numbers http://img130.imageshack.us/img130/128/dmgnums20.png
Large scoreboard time http://img413.imageshack.us/img413/670/sbtimeleft.png
A minimal plain cross is small enough for precicion aiming and helps you with axes orientation. Choose a color that stands out, green or magenta.

Make a script like such to use different viewmodel settings with different classes. I use xslots for most classes, including scout. r_drawviewmodel 0 keeps your view clear and viewmodel_fov 0 removes hitscan bullet trails. Melee is the same for all classes.

alias “xslot1” “slot1; r_drawviewmodel 0; viewmodel_fov 0”
alias “xslot2” “slot2; r_drawviewmodel 0; viewmodel_fov 0”
alias “yslot1” “slot1; r_drawviewmodel 0; viewmodel_fov 54”
alias “yslot2” “slot2; r_drawviewmodel 0; viewmodel_fov 54”
alias “zslot1” “slot1; r_drawviewmodel 1; viewmodel_fov 54”
alias “zslot2” “slot2; r_drawviewmodel 1; viewmodel_fov 54”
alias “melee” “slot3; r_drawviewmodel 1; viewmodel_fov 54”
alias “xslots” “bind e xslot1; bind q xslot2”
alias “zslots” “bind e zslot1; bind q zslot2”

Quoted from freshmeatt

[…]

Hasn’t Fragga made a hud like that a month ago?
http://etf2l.org/forum/general/topic-8148/page-3/?recent=236602#post-236181 , but he didn’t upload it.

well i’d love this

http://clugu.com/tf2mate/

Quoted from Greg

I use m0res hud + numlockeds damage indicators,
default weapon fov (54),
default crosshair,
sensitivity of about 40-45cm per 360,
and a modified version of my css config with some tf2 commands

+1
must be a css thing :O

Quoted from freshmeatt

[…]
it’s cs that wins for scout, in q3 you are either jh or soldier on cpma.

ill take a guess and you meant that cs players are good scouts
q3 are good sollys?

Quoted from freshmeatt

[…]
Ain’t sure if q3 helps with TF2 at all, different game mechanics and stuff. That’s how I see it. My scatgun aim got better by playing cs anyway, not q3.

CS has different game mechanics aswell. ScatterGun is hitscan, so playing a game with hitscan weapons can have an effect on scout aim I guess.

Q3/QL would probably help your reflexes, aim and quick thinking just as much as CS would.

Quoted from Ijantis

[…]

QL will improve your quick thinking and prediction a fuckload more than cs. But for the raw aim on hitscan weps its probably around the same level.

To be fair, if it has to help you with your reflexes, you have to have them developed first. It’s not a miraculous remedy for being bad at TF2. Same thing with cs anyway, but it’s not like cs is a fast game. :D