ACCS Training

In addition to the requirements for core anaesthesia, ACCS anaesthesia trainees complete a further year in acute and emergency medicine

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ACCS training lasts three years; the first two years comprise four posts in acute medicine, emergency medicine, anaesthesia and intensive care medicine. The third year is spent in your parent speciality - ACCS (Anaesthesia) trainees complete a year of anaesthetics, in order to complete basic level training and obtain the primary FRCA.

This page provides information on the specific requirements for core training. Please ensure you read and fully understand the requirements below and read the separate pages on the ePortfolio for help with completing workplace based assessments and units of training and the ARCP for the requirements for your annual appraisal.

If you cannot find the information you need on this page, click here to contact your trainee rep and here to get contact details of your training programme director.

Updates 

ACCS Website 

ACCS - Life Long Learning Platform Update - 1st March 2019 

Training In Detail

ACCS Anaesthetics CT1 - Acute Medicine and Emergency Medicine

Your first year will be spent in Emergency Medicine and Acute Medicine.  During this time your main focus should be on the specialty that you are doing rather than Anaesthetics.  However, it is advised that you start working towards your primary FRCA exam before your second year.  You will not be allowed to apply for ST3 (registrar) posts until you have passed both parts (MCQ and SOE-OSCE) of this exam.

You should use the ACCS Record Book which is designed to give trainee and trainers a central document where all required competencies and clinical procedures can be recorded. This is a very useful document to follow and the EM and AM Clinical Supervisor Reports can be done using this paperwork. The ACCS CT1 ARCP Checklist document also summarises all the documents required for your CT1 ARCP.

Each hospital has a College Tutor for Anaesthetics, details for them can be found on the hospitals page of the website. You should make yourself known to them when starting in ACCS or if you change hospital. You will be allocated a Clinical Supervisor for each 6 month attachment (by the host department).  They will be responsible for your ‘educational supervision’ during your placement in for example emergency medicine.

You should also have an overall ‘Educational Supervisor’ for the two years.  You should ask the college tutor in your anaesthetic department if they could allocate you one. Please note that for the anaesthetic e-portfolio the term ‘educational supervisor’ refers to you 6/12 placement clinical supervisor and not your overall educational supervisor or training programme director.

Finally, contact details for the EM and AM posts can be a bit enigmatic. In previous years we have found that the previous year's trainee is often the best contact so if you do find you are struggling then contact either Terri Stewart (School Office Manager) or Philip Peel (Training Programme Director CT1-2/ACCS) and they will try to help out.

Useful Tips for completing Assessments

Summative Assessments i.e. All 6 Major Presentations and the 6 EM recommended Acute Presentations must be completed by Consultants

It is also worth noting that in addition to the requirements of the ARCP documents there is a minimum number of WPBA required for each block see below, so keep an eye on this when completing assessments

 

       CBD

Mini-Cex

DOPS

ACAT

Emergency Medicine

3

     4

    5

    1

Acute Medicine

3

     3

    5

    3

Some trainees have uploaded these paper assessments to their anaesthetic eportfolio account afterwards, but this is currently not mandatory.

ACCS Anaesthetics CT2a - Intensive Care Medicine and Anaesthetics

When you start your ICM and Anaesthetic rotations WpBAs are now completed on the RCOA e-portfolioAll WBPAs should be completed online; paper forms are available on the RCOA website and can be uploaded to the e-Portfolio in exceptional circumstances. .

Intensive Care Medicine

Generally as part of ACCS you will complete 6 months of intensive care medicine during your second year. This may be before or after your 6 months of anaesthetics.

During your 6 months of ICM you must do all the ACCS requirements (as specified in the ACCS CT2 ARCP Checklist 2010 Curriculum and ACCS ARCP Record Book). By successfully completing the first two years of ACCS training, you will have automatically completed the RCOA BASIC ICM UOT. Your educational Supervisor at the end of CT2a can therefore sign this off. There is therefore no need to duplicate assessments.

The minimum assessment requirements are 13 compulsory practical procedures during ICU comprising of 6 DOPS, 3 Mini-CEX, 4 CBDs and 1 ACAT) during your ITU rotation. The ACCS ARCP Record book specifies the 11 compulsory practical procedure assessments to be done in ICM with suggestions of type of assessments to use to complete them. The remaining 2 practical procedures can be chosen from the list in the ARCP record book or any other procedures in ICU.

During your ICM rotation you also must do your annual multi source feedback (MSF). You can complete a second MSF during your anaesthetics rotation that year but this is not essential.

The ICM Structured Training Report found in the ACCS ARCP Record Book can be used for your end of placement supervisor report and uploaded to the eportfolio.

Anaesthetics

Please see the Core Training page for detailed information on the anaesthetic component of ACCS training.

In essence, by the end of ACCS CT2a you are expected to have achieved your Initial Assessment of Competency and have each of the 8 Units of Training within the Introduction to Anaesthesia curriculum signed off as well as completed 1 ALMAT. For your ACCS CT2a Sign off you will also be expected to have completed all 6 Major Presentations, 38 Acute Presentations, all practical procedures in the ACCS Record Book as well as making progress toward achieving level 2 of all the common competences. This is summarized in the ACCS CT2 ARCP Checklist

ACCS Anaesthetics CT2b

The ACCS Anaesthetics CT2b year is equivalent to the Core Anaesthetics CT2 year. See the Core Training page for information and the required assessments needed during this year

Training Programme Directors 

Anaesthetics Dr Phil Peel

Emergency Medicine Dr Abosede (GB) Ajayi

Acute Medicine Dr Nidhi Vaid

ICM Dr Parind Patel

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