Anaesthetic Core Training in Mersey Deanery Elaine Allsop

Anaesthetic Core Training in Mersey Deanery Elaine Allsop Core Training Program Director v Oct 2014

The Mersey Deanery Core Programme: Anaesthesia • 2 year program • CT 1 level in anaesthesia • CT 2 level in anaesthesia + ICM

The Mersey Deanery Core Programme: ACCS - Anaesthesia • • 3 year program: CT 1 level in Acute & Emergency Medicine CT 1 level in Anaesthesia & ICM CT 2 in Anaesthesia

Vacancies 2015 • Anaesthesia CT 1: • ACCS (Anaesthesia) CT 1: 25 posts 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

CT 1 - CT 2 • 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 Rotations formed shortly after appointment to maximize adoption of appointee preferences 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

Royal College of Anaesthetists • • Writes curriculum Sets Primary FRCA exam Organizes the e-portfolio Appoints College Tutors who oversee training in each hospital

Milestones: CT 1 • 3 months: Initial Assessment of Competency in Anaesthesia • Consider Primary FRCA MCQ (March sitting) • CT 1 ARCP at 11 months

Milestones: CT 1 • Competency in Obstetric anaesthesia • ICM training • Primary FRCA (MCQ if not completed in CT 1, SOE and OSCE) • Units of training completed • Certificate of Completion of Basic Level Training. • CT 2 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 • CT 1 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 CT 2 • BASIC 2 follow–on course • 4 -5 sessions in the first half of CT 2

Training: Transport • CT 1 Trainees receive training in patient transport (MOCC course) in preparation for undertaking patient transfers • MOCC: Movement of the Critically Compromised 1 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 Allsop Core Anaesthesia Training Program Director Elaine. Allsop@rlbuht. nhs. uk