Anaesthetic Core Training in Mersey Deanery

Elaine Allsop

Core Training Program Director

v Oct 2014

The Mersey Deanery Core Programme:

Anaesthesia

• 2 year program• CT1 level in anaesthesia • CT2 level in anaesthesia + ICM

The Mersey Deanery Core Programme:

ACCS - Anaesthesia

• 3 year program:• CT1 level in Acute & Emergency Medicine • CT1 level in Anaesthesia & ICM • CT2 in Anaesthesia

Vacancies 2015

• Anaesthesia CT1: 25 posts

• ACCS (Anaesthesia) CT1: 4 posts

Mersey Deanery: 9 hospitals

2 “Central”– Aintree University

Hospital – Royal Liverpool and

Broadgreen– (plus secondments to

Liverpool Womens Hospital)

7 “DGH”– Wirral at Arrowe Park– Countess of Chester– Crewe - Leighton– Macclesfield– Southport & Ormskirk– Warrington – Whiston & St. Helens

CT1 - CT2

• One year long attachments.• Every trainee works in two hospitals for one year

each.

• Most rotations: one year in a central hospital and one year in a district hospital.

• Some rotations: two years in district hospitals.• Rotations take account of trainee preferences

Sample rotations

Year 1 Year 2

Example 1 Royal Liverpool Wirral

Example 2 Leighton Royal Liverpool

Example 3 Chester Whiston

Example 4 Aintree Southport

Example 5 Whiston Aintree

Rotations formed shortly after appointment to maximize adoption of appointee preferences

Royal College of Anaesthetists

• Writes curriculum• Sets Primary FRCA exam• Organizes the e-portfolio• Appoints College Tutors who oversee

training in each hospital

Milestones: CT1

• 3 months: Initial Assessment of Competency in Anaesthesia

• Consider Primary FRCA MCQ (March sitting) • CT1 ARCP at 11 months

Milestones: CT1• Competency in Obstetric anaesthesia• ICM training• Primary FRCA (MCQ if not completed in CT1, SOE

and OSCE)• Units of training completed • Certificate of Completion of Basic Level Training.• CT2 ARCP at 22-23 months

Log book

• All cases collected in the Royal College of Anaesthetists logbook

• Summary reports for ARCP

Training: Simulation

• All trainees attend the Centre for Simulation and Patient Safety once a year to practice managing anaesthetic crises.

• “EASE” course • Virtual reality environment• Video assisted de-brief• Team Resource Management principles

Training: Basic Science

• CT1 trainees attend monthly day release teaching at the BASICs course

• Topics in Physiology, Pharmacology, Physics• Second Friday of the month• 4 - 5 sessions of 1 hour each• Homework preparation• MCQ practice

Basic science CT2

• BASIC 2 follow–on course

• 4-5 sessions in the first half of CT2

Training: Transport

• CT1 Trainees receive training in patient transport (MOCC course) in preparation for undertaking patient transfers

• MOCC: Movement of the Critically Compromised1 day course

Other courses

• 3 day basic science course (BPAS)• Basic Obstetric Anaesthesia Day• Regional Airway workshop• Anatomy workshop half-days• Introduction to Critical Care (MICC)

Dates TBC

Direct examination preparation

• Courses on– MCQ– OSCE / orals

• Weekend courses

Take place just before date of exam.

ARCP

• As specified in Gold Guide• Done June – July

(11 months into the year)• Based on e-portfolio• Meeting for feedback and planning

• 2 stage process

E-Portfolio

• Organized by Royal College of Anaesthetists• All WPBA’s done on e-portfolio• Linked to curriculum• Activities, events, certificates, MSF and log

book also added onto eportfolio. • Used at ARCP

Association of Anaesthetists (AAGBI)

• Professional Association• Produces Guidelines• Trainee Section = GAT

• GAT = Group of anaesthetists in Training

• Booklet: Core Survival Guide

Information

For further information contact:Elaine AllsopCore Anaesthesia Training Program Director

Elaine.Allsop@rlbuht.nhs.uk