Applications are invited for 2 posts starting May and November 2022 for the Head and Neck anaesthesia fellowship posts at NPH
Friday 4th June 2021
Announcing the Imperial Novice Course - February/March 2021 please contact info@imperialnovice.com for details
Freely available to all Imperial School of Anaesthesia Trainees
Consultant led course - intense viva preparation including exam technique
The Marsden have a slot open for their airway research fellowship from Aug 2021. They will be considering any applications that arrive by/on the 4th December and plan to interview on the 18th December. The application is through the Marsden website fellowship pages (and not NHS jobs).
Please apply now for Fellowship posts in 2021/2022
Register to attend this Online event
12 month post involving 50% education and 50% clinical work. Develop and deliver educational opportunities for anaesthetic trainees including simulation training. Funding available to undertake a PG Cert in Education.
2 six month posts starting Feb '21 and Feb '22
Core level training last two years and will involve you rotating between different hospitals within the Imperial School to fulfil the requirements of the core level curriculum, whilst working towards the primary FRCA examination.
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.
It has been announced that the Deans will only be extending training for a maximum of 1 year throughout the whole period of training (CT1-ST7 as per Gold Guide).
They have suggested that Core trainees should relinquish their number at the end of the 2 years (3 for ACCS) so that they can utilise the whole extension period later if appropriate.
For this reason we are forewarning our Core trainees (who have not completed their Core training &/or Primary FRCA), that they will have to apply for a trust grade post at the end of their Core training time rather than obtain an extension with their training number. If you are concerned that this may affect you, please let Michelle Hayes, your TPD or Terri Stewart know asap.
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CT1/ACCS Registration form - RCoA
The Basic Level Curriculum is broken down into 5 parts:
During your first year you will complete between 9 and 12 months of Anaesthesia, depending on whether your 3 month ICM placement is delivered in CT1 or CT2.
At the start of CT1 as a "novice" anaesthetist, you will attend the Imperial Novice Course and complete workplace based assessments required for completion of the Initial Assessment of Competency (IAC), which is usually obtained within the first three months of training. There are a minimum of 19 assessments that you will need to have completed - 5 A-CEX, 6 DOPS and 8 CBDs. Unlike other sections of the curriculum, for your IAC you must complete all of these and each of the assessments in this section must be done as a single assessment, i.e. you cannot cover 2 CBDs with one discussion, which means you will have to do 19 individual assessments. However, you do not need to wait until the 3 months are almost up before completing assessments as several of the DOPS are achievable even at a very early stage.
Once you have completed your assessments an IAC certificate must be issued by your supervisor, completed with official hospital stamp and uploaded to the e-Portfolio (under the “Add evidence” section of the “Library” tab). Following this you can begin to anaesthetise ASA 1-2 patients for uncomplicated procedures under indirect supervision. Although the IAC is the minimum requirement for on-call duties, some hospitals may feel that their on-call workload and levels of supervision are such that they may require you to be more experienced before allowing you to do so.
You will then continue to gain experience and assessments towards the 8 units of training contained under the Introduction to Anaesthesia curriculum (normally within the first 6 - 9 months of training).
By your CT1 ARCP, you should have completed your IAC and have all units of training for the Introduction to Anaesthesia curriculum completed. Depending on the structure of your training programme and your placments, you may also have been signed off for intensive care medicine and the initial assessment of competence in obstetric anaesthesia. You must also complete one Multisource Feedback (MSF) and one ALMAT from the Core Anaesthesia section. Please remember to commence your MSF via the ePorfolio in time to ensure completion before your ARCP (see separate guidance here).
For the Core Anaesthesia curriculum there are 17 Units of Training that you will need to complete, including Obstetrics and ICM. See the /uploads/files/training/blueprint_core.pdfCore Level Blueprint for more details. All codes for Critical Incidents are compulsory though it is expected that many of these will be covered in the Novice Course.
Remember that not all hospitals within the Imperial School are able to deliver every unit of training. For example there is no trauma or obstetrics at Central Middlesex and no paediatrics or obstetrics at Charing Cross. If you are likely to rotate to one or more of these hospitals in your second year then plan ahead so that you do not find yourself unable to complete one or more units of training.
By the end of your ARCP in CT2 (ACCS CT2b) all sections of the Core Anaesthesia curriculum must be completed and you must have successfully passed all part of the primary FRCA. You will need to do another MSF in your second year and also another ALMAT. Only then will you be issued with a Basic Level Training Certificate at your ARCP, which must then be uploaded to your ePortfolio
If you do get the opportunity then your obstetrics competencies can be started or even completed during CT1. Most core trainees will, however, gain experience of obstetric anaesthesia during CT2.
Obstetric Anaesthesia training requires you to attend a minimum number of 20 sessions, so keep a careful record of what you have done in addition to your logbook. There are compulsory assessments for this section stipulated by the RCoA.
One sticking point has been the lack of opportunity to perform a GA section in some hospitals. The School feels that it is reasonable to complete this DOPS using a simulated patient if you are not able to complete this in reality.
Once you have completed the minimum number of assessments and covered the core clinical learning outcomes stipulated in the curriculum, an Initial Assessment of Competency in Obstetric Anaesthesia certificate must be issued by your supervisor/college tutor, completed with official hospital stamp and uploaded to the ePortfolio.
Your programme will contain a 3 month block of Intensive Care Medicine at some point within your 2 years. During the placement, the minimum requirements are 1 DOPS, 1 ICM-CEX and 1 CBD and 1 ACAT. See the CCT in Anaesthesia Annex F for the full curriculum for ICM training and the FICM website for further information. All trainees must complete an MSF during their ICM block although this will count for the training year and you will not be required to do an MSF in your anaesthetic posts..
Please note that if you are an ACCS trainee then you will not have a second ICM placement as part of your core anaesthetic training, and all comptences should be completed within your six month ACCS ICM placement.
If you are planning to apply for the CCT in intensive care medicine (either as a single or dual CCT) then further information is available on the ICM page.
The primary FRCA examination includes a written, OSCE and oral examination. Please refer to the RCoA website for details of dates and the application process. Remember to plan and start revision and courses early as all parts of the exam must be completed before you may apply to ST3 posts, and this may otherwise prevent you from progressing.
A guide to the Primary FRCA written by ISA trainee Zara Edwards can be found here.
