2021 Curriculum learning syllabus: stage 1

Published: 04/02/2021

General Anaesthesia

Stage learning outcome

  • Provides safe and effective general anaesthesia with distant supervision for patients undergoing non-complex elective and emergency surgery within a general hospital setting

 

Key capabilities A to D

A

Conducts comprehensive pre-anaesthetic and pre-operative checks

B

Safely manages induction and maintenance of anaesthesia by inhalational and intravenous techniques, extubation and emergence from anaesthesia

C

Plans recovery care, and manages recovery from anaesthesia utilising safe discharge criteria

D

Diagnoses and manages common peri-operative complications

 Examples of evidence

  • EPAs 1 and 2
  • SLEs throughout stage of training across range of surgical specialties
  • simulation training: critical incidents.

Suggested supervision level

  • 2b - supervisor within hospital for queries, able to provide prompt direction/assistance.

Cross links with other domains and capabilities

  • Team Working
  • Perioperative Medicine and Health Promotion

 

Key capability E

E

Recognises anaesthetic critical incidents and explains their causes and management

Examples of evidence

  • EPA 2
  • SLEs throughout stage of training across range of surgical specialties
  • simulation training: critical incidents.

Suggested supervision level

  • 2b - supervisor within hospital for queries, able to provide prompt direction/assistance.

Cross links with other domains and capabilities

  • Team Working
  • Safety and Quality Improvement

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Key capabilities F & G

F

Demonstrates knowledge of standard equipment used in anaesthetic practice with an understanding of relevant underpinning physics and clinical measurement involved.

G

Demonstrates knowledge of anatomy, physiology, biochemistry and pharmacology relevant to anaesthetic practice

 Examples of evidence

  • EPAs 1, 2, 3, and 4
  • SLEs throughout stage of training across range of surgical specialties
  • Primary FRCA.

Suggested supervision level

  • not applicable.

Cross links with other domains and capabilities

  • Education and Training

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Key capabilities H to J

H

Provides safe general anaesthesia with distant supervision for ASA 1- 3 adults undergoing non-complex elective and emergency surgery within the general theatre setting
I Describes the specific needs of the obese, frail and elderly patient undergoing general anaesthesia

J

Manages intra-operative fluid balance appropriately

 Examples of evidence

  • EPAs 1, 2, and 4
  • SLEs throughout stage of training across range of surgical specialties.

Suggested supervision level

  • 2b - supervisor within hospital for queries, able to provide prompt direction/assistance.

Cross links with other domains and capabilities

  • Perioperative Medicine and Health Promotion

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Key capabilities K & L

K

Can identify patients with difficult airways, demonstrates management of the ‘cannot intubate cannot oxygenate’ scenario in simulation, and describes difficult airway guidelines
L Recognises the challenges associated with shared airway surgery

Examples of evidence

  • EPAs 1, 2, 3 and 4
  • SLEs throughout stage of training across range of surgical specialties including ENT, Head & Neck
  • simulation training: airway management.

Suggested supervision level

  • 2a - supervisor in theatre suite, available to guide aspects of activity through monitoring at regular intervals.

Cross links with other domains and capabilities

  • Perioperative Medicine and Health Promotion

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Key capability M

M

Provides safe anaesthesia for diagnostic or therapeutic procedures in the non-theatre environment for ASA 1- 2 adults with local supervision

Examples of evidence

  • SLEs throughout stage of training across range of surgical specialties.  
  • experience in different settings such as: radiology, CT, MRI, ECT, Emergency Department.

Suggested supervision level

  • 2a - supervisor in theatre suite, available to guide aspects of activity through monitoring at regular intervals.

Cross links with other domains and capabilities

  • Resuscitation and Transfer
  • Intensive Care

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Key capability N

N

Explains the principles of anaesthetic care for patients presenting with major trauma

Examples of evidence

  • SLEs throughout stage of training across relevant surgical specialties
  • emergency resuscitation in the Emergency Department setting
  • simulation training: trauma resuscitation.

Suggested supervision level

  • 1 - direct supervisor involvement, physically present in theatre throughout

Cross links with other domains and capabilities

  • Intensive Care

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Paediatric anaesthesia: key capabilities O & P

O

Explains the principles of paediatric anaesthesia taking into account the anatomical, physiological, psychological and pharmacological differences from adults and their implications for safe anaesthetic practice

P

Provides safe general anaesthesia for ASA 1- 2 children 5 years and over with local supervision and 10 years with distant supervision undergoing non-complex elective and emergency surgery.

Examples of evidence

  • SLEs throughout stage of training across relevant paediatric cases.

Suggested supervision levels

ASA 1-2 children aged 5-10:

  • 2a - supervisor in theatre suite, available to guide aspects of activity through monitoring at regular intervals

ASA 1-2 children aged over 10:

  • 2b - supervisor within hospital for queries, able to provide prompt direction/assistance.

Cross links with other domains and capabilities

  • Perioperative Medicine and Health Promotion

 

Obstetric anaesthesia: key capabilities Q &R

Q

Explains the anaesthetic implications of pregnancy, and undertakes safe general anaesthesia for ASA 1- 3 obstetric patients

R

Performs immediate resuscitation and care for patients with acute obstetric emergencies under distant supervision, recognising when additional help is required

Examples of evidence

  • EPAs 3 and 4

  • SLEs throughout stage of training across relevant obstetric cases.

Suggested supervision level

  • 3 - supervisor on call from home for queries able to provide directions via phone or non-immediate attendance.

Cross links with other domains and capabilities

  • Perioperative Medicine and Health Promotion

 

Key capability S

S

Describes the principles of total intravenous anaesthesia and uses it safely in clinical practice for non-complex cases

Examples of evidence

  • SLEs throughout stage of training across range of surgical specialties.

Suggested supervision levels

  • 2a - supervisor in theatre suite, available to guide aspects of activity through monitoring at regular intervals.

Cross links with other domains and capabilities

  • Procedural Sedation