Initial assessment of Competence (IAC)

Format - paper IAC certificate uploaded to Lifelong Learning; online IAC certificate via Lifelong Learning

Associated WBAs: 

5 x ACEX

8 x CBD

6 x DOPS

 

Units of Training and WBAs 

Completion of Unit of Training (CUT) Forms

Format - Lifelong Learning

The Basis of Anaesthetic Practice part of the curriculum should be completed during CT1. This requires 8 units of training signed off in:

  • Pre-operative assessment

  • Premedication

  • Induction of general anaesthesia

  • Intra-operative care

  • Post-operative and recovery room care

  • Management of respiratory and cardiac arrest

  • Control of infection

  • Introduction to anaesthesia for emergency surgery

  • Each of these units of training need 1 x DOPS, 1 x A-CEX and 1 x CBD, although the same WBA can be allocated to multiple units where appropriate, including WBAs performed as part of the IAC.

 

Basic Anaesthesia

Over the course of core training (CT1, CT2), a total of 16 CUT forms are needed in:

  • Airway management

  • Critical incidents

  • Day surgery

  • General, urological and gynaecological surgery

  • Head, neck, maxillo-facial and dental surgery

  • Intensive care medicine

  • Non-theatre

  • Obstetrics

  • Orthopaedic surgery

  • Paediatrics (including Child Protection)

  • Pain medicine

  • Perioperative Medicine

  • Regional

  • Sedation

  • Transfer medicine

  • Trauma and stabilisation

As per CCT in Anaesthetics - Annex B, each of these units of training requires 1 x DOPS, 1 x A-CEX and 1 x CBD.

General, urological and gynaecological surgery also requires 1 x ALMAT in addition.

 

Intensive Care Medicine

Intensive care medicine requires WBAs as determined by your ICM module supervisor.

CCT in Anaesthetics - Annex F states that for ARCP, trainees should submit:

  • WBAs

  • Evidence of number of procedures performed

  • Evidence to demonstrate that the unit can provide and trainee has been exposed to a suitable variety of experience, including details of patients trainee has played a significant part in managing (similar to anaesthetic logbook data)

  • Information from unit data collection (eg ICNARC)

  • Evidence of attendance at at least 1 Morbidity and Mortality meeting and 1 journal club.

  • A satisfactory educational supervisor/faculty tutors report

 

Educational Supervisor's Structured Report (ESSR)

Format - Lifelong Learning

One per year, immediately prior to ARCP

 

Multi-Source Feedback

Format - Lifelong Learning

A minimum of 8 responders is currently required. A minimum of 12 responders will be required from February 2020. Higher numbers are helpful. 

Frequency - Minimum of one per calendar year

At Core Level Training the MSF process needs to be carried out in both the Anaesthetic and Intensive Care settings. In practical terms over the two year programme this will require you to do a minimum of three MSFs. The timing of these is under your control.

 

CV

Please include a cover page in your up-to-date CV highlighting the following:

  1. Training grade

  2. Placement

  3. New items since your last ARCP including:

    • Clinical Governance/Quality Improvement Summary

    • CPD Summary

Format - eportfolio/Lifelong Learning uploaded to the 'My Details' tab so that it can be accessed via your ESSR

 

You should have actively participated and contributed to at least one of the following per year:

  • Audit with recognisable standards (eg. audit recipe book)

  • Re-audit to close the audit loop

  • Contribution to development of new clinical guideline

  • Contribution to quality assurance/improvement programme

  • Major review of clinical effectiveness/outcomes in a local Trust

 

Logbook Summary

Format - Lifelong Learning

From 1st August 2018 all new CT1, ST3 and ST5 trainees must use the RCoA logbook integrated within the Lifelong Learning Platform

 

Training Certificates

Initial Assessment of Competence as above

 

Research

Applicable for Academic Clinical Fellows (ACF).

Format - Academic Progress Report uploaded to eportfolio/Lifelong Learning

 

Reflective Practice

Format - Lifelong Learning 

Reflective practice is a key part of CPD and revalidation. If you have been involved in any conduct, capability or Serious Incident/Significant Event requiring investigation or named in any complaint, then the panel requires evidence that you have discussed it with your Educational Supervisor and reflected on the outcome.  From Feb 2019 either of the following items will be accepted as evidence of reflective practice: 

  • A record of reflective practice in the Educational Supervisor’s Structured Report.

  • Evidence of reflective practice writing, which should include an overall reflection of your previous 12 month period of training. 

Please see the GMC/Academy of Medical Royal Colleges guidance 

Revalidation

Format - Form R and Whole Scope of Practice forms uploaded to Lifelong Learning.

 

Personal Development Plan

Format - Lifelong Learning