CT 1/2 Basic Training

 

 

The minimum training time as a CT1/2 is 21 months in anaesthesia and 3 months in Intensive Care Medicine (ICM). The ICM component should be delivered in a 3 month block which must include on-call commitments. 

 

The basic level of training is divided into three distinct parts:

 

  • Initial Assessment of Competence (IAC)

  • The Basis of Anaesthetic Practice (normally three to six months)

  • Basic anaesthesia, including three months ICM (normally 18 to 21 months)

 

To complete these, you are required to gain an Initial Assessment of Competency (IAC) (normally completed within the first three months). 

 

To achieve this you are required to complete the following number of workplace based assessments:

 

  • 5 Anaesthesia Clinical Evaluation Exercise (ACEX)

  • 8 Case Based Discussion (CBD)

  • 6 Direct Observation of Procedural Skills (DOPS)

 

The workplace based assessments are prescriptive and can be found on page 94 of the CCT in Anaesthetics document - Annex B – Basic Level Training – on the Royal College of Anaesthetists website.

 

This is the pre-requisite for doing any anaesthetic practice unsupervised, and should be completed by the third month of your anaesthetic training. If this initial assessment is not achieved by 6 months, it “…will call into question your suitability for a career in anaesthesia.”

 

Those trainees without their IAC by six months of training should be reviewed by their College Tutor and, if required, referred to the School / Deanery.

 

On completion of the IAC, the Initial Assessment of Competency Certificate should be downloaded from the College website, and a signed copy uploaded to your e-portfolio.

 

Introduction to anaesthesia (normally 3 to 6 months)

 

  • Preoperative assessment

  • Premedication

  • Induction of general anaesthesia

  • Intra-operative care

  • Post-operative and recovery room care

  • Perioperative management of emergency patients

  • Management of respiratory and cardiac arrest in adults and children

  • Control of infection

 

This is usually completed within 3 to 6 months and has eight separate units of training, which must be signed off separately and are distinct from the Initial Assessment of Competency (IAC).

 

A Completion of Unit of Training form is required for each of the Basis of Anaesthetic Practice Units of Training (listed above), and is available on your e-portfolio.

 

NB. For ACCS trainees undertaking their six months in anaesthesia as a CT2, the Initial Assessment of Competence (IAC) and Basis of Anaesthesia Practice is a minimum requirement.

 

Core Anaesthesia

 

  • 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

 

A Completion of Unit of Training form is required for each of the Core Anaesthesia units of training (listed above), and is available on your e-portfolio.

 

* This unit of training (intensive care medicine) is to be completed in a three month block as described above.

 

** For this unit of training (obstetrics) you are required to complete an Initial Assessment of Competency in Obstetric Anaesthesia. This consists of a minimum of 20 directly supervised obstetric anaesthesia sessions taken within a 4 month period. The workplace based assessments for this module are prescriptive and can be found on page 95 of the CCT in Anaesthetics document - Annex B – Basic Level Training – on the Royal College of Anaesthetists website.  All trainees must have passed this to successfully enter ST3, but would normally not undertake the assessment until their CT2 year.

 

On completion of the obstetrics module, the Initial Assessment of Competence in Obstetric Anaesthesia Certificate should be downloaded from the College website, and a signed copy uploaded to your e-portfolio.

 

 

What the School would consider ESSENTIAL for trainees by the end of their CT1 year and in preparation for ARCP:

 

  • Introduction to Anaesthesia (Novice Course)

 

-   Certificate

 

  • Initial Assessment of Competency (IAC)

     

-   Minimum number of workplace based assessments

-   Initial Assessment of Competency Certificate

 

  • Basis of Anaesthetic Practice

 

-   Minimum number of workplace based assessments

-   Completion of Unit of Training form for each unit of training

 

  • Anaesthetics Critical Incident Course

 

-   Certificate

 

 

  • MSF (to be completed on e-portfolio)

 

  • Audit

 

  • Interim Progress Report (IPR) - if relevant - one form to be completed at the end of each placement/ hospital /  module.

 

  • Educational Supervisor’s Structured Report (ESSR) - to be completed once at the end of year to inform ARCP panel.

 

 

 

What the School would consider ESSENTIAL for trainees by the end of their CT2 year and be eligible for an ST3 post:

 

  • Basic Anaesthesia

 

-   Minimum number of workplace based assessments

-   Completion of Unit of Training form for each unit of training

 

 

  • Initial Assessment of Competence in Obstetric Anaesthesia (if not already done in CT1)

     

-   Minimum number of workplace based assessments

-   Completion of Unit of Training form

-   Initial Assessment of Competence in Obstetric Anaesthesia Certificate

 

  • Obstetric Anaesthetics Training in Simulator (OATS) Course

     

-   Certificate

 

  • Completion of Primary Fellowship of the Royal College of Anaesthetists (FRCA)

 

-   Confirmation letter

 

  • MSF (to be completed on e-portfolio)

 

  • Audit

 

  • Interim Progress Report (IPR) - if relevant - one form to be completed at the end of each placement/ hospital / module.

 

  • Educational Supervisor’s Structured Report (ESSR) - to be completed once at the end of year to inform ARCP panel.

 

  • Core Level Training Certificate

 

What the School would consider DESIRABLE for trainees by the end of their CT2 year:

 

  • to have completed Advance Life Support (ALS) Course

 

  • to have completed a Research Methodology Course

 

  • to have presented a talk to their Anaesthetics Department

 

  • to present a poster at a meeting

 

 

Please click here to view the BLSA checklist for the requirements to achieve Basic Competencies in Anaesthesia

 

 

 

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