Royal College of Anaesthetists Guide to Core Training
Core Training Curriculum
Core Training Useful Information
The ‘Novice’ Period
The guide contains key documents and a step-by-step guide to help trainees get started on the training programme. It also contains all 82 e-learning sessions specifically written for novice trainees and additional learning resources/guidelines from the Association of Anaesthetists of Great Britain and Ireland (AAGBI), Resuscitation Council and Difficult Airway Society.
College registration and e-Portfolio
All trainees are required to register with the Royal College of Anaesthetists (RCoA) and you can download a registration form from the RCoA website. Once registered, they will have access to the Lifelong Learning Platform, which should be used for all workbase placed assessments (WBPAs) and units of training, and will form the basis of your yearly Annual Review of Competence Progression (ARCP) review.
Initial assessment of competence
The initial assessment of competence (IAC) is the first anaesthesia training milestone for trainees. It signifies they have achieved a basic understanding of anaesthesia and are able to give anaesthetics at a level of supervision commensurate with their skills and the clinical case. It also means they can be added to the on-call rota for anaesthesia.
However, the IAC is not a licence for independent anaesthetic practice. The key point is they are still under the supervision of a named consultant anaesthetist. The IAC is normally achieved within the first three to six months of the anaesthesia programme and the IAC doubles as the required assessments for the basis of anaesthetic practice.
Core Training in Intensive Care and Obstetric Anaesthesia
Intensive Care Medicine
Junior trainees will be required to complete a three-month module in Intensive Care Medicine (ICM) during CT1. This is classed as Basic Training by the Faculty of Intensive Care Medicine. Completion of Unit of Training to be completed on Lifelong Learning Platform ( LLP). Each department in Wessex has a Faculty of Intensive Care Medicine (FICM) tutor who will guide trainees through the process.
Obstetric Anaesthesia Basic Training
Training in Obstetric Anaesthesia starts in CT2. It is an essential requirement to complete the IAC in Obstetric Anaesthesia before trainees can go on-call in Obstetrics. Completion of Core Obstetric training is in 2 parts – first of all completion of Initial Assessment of Competence in Obstetric Anaesthesia (IACOA) and then completion of core training, after which the Completion of Unit of Training (CUT) form on LLP is to be completed.
Core Training – events for your diary
HEE Wessex Induction
This is mandatory one-day event. The morning session is a generic induction into HEE Wessex, which is followed by a more specific School of Anaesthesia programme in the afternoon. This is a great opportunity to meet the people running your training programme and learn more about the first two years of training.
Patient Safety Day
All Core trainees are expected to attend one of the bi-annual Patient Safety Training days. The days cover:
Error and leadership
Human factors and communication
Leadership and professionalism
Speciality specific project planning and design
The days are led by the training leads and the patient safety champions within Health Education England, Working across Wessex. Annually all trainees have the opportunity to present a patient safety project at the regional conference.
BASIC Assessment and Support in Intensive Care
This is a two-day practical course and is aimed at novice doctors in Intensive Care. It is run by ICM consultants within Wessex. The programme comprises lectures and small group skills stations.
Core Competency Simulator Day
Towards the end of your novice period you will be invited to attend the mandatory Novice Simulator Day. This is a practical course aimed at the management of anaesthetic emergencies.
Introduction to Obstetric Anaesthesia
This is a one-day course held at Southampton General Hospital aimed at senior CT1 or CT2 trainees. It is run by members of Wessex Obstetric Anaesthetists and facilitated by consultants from Wessex who have an active interest in obstetric anaesthesia. The course is generally held once per year and provides a practical introduction to help participants gain confidence in the approach to obstetric anaesthesia.
Hospitals on the rotation
Trainees will rotate through a number of hospitals within Wessex during core training. Allocations are usually East/West sides of the region within Wessex.
Primary Fellowship of the Royal College of Anaesthetists (FRCA)
To apply for ST3 training in anaesthesia trainees will need to pass the Primary FRCA examination. Preparation is vitally important and there are a number of resources available to trainees attempting the exam. Guidance and resources are available on the RCoA website.
Both the RCoA and HEE Wessex run revision courses during the year alongside practical Objective Structure Clinical Examination (OSCE) days in the run-up to the exam.