Stage learning outcome
- Provides safe and effective general anaesthesia with distant supervision for ASA 1 - 3 patients undergoing non-complex elective and emergency surgery within all settings
Key capability A
| A |
Explains the specific factors in providing safe anaesthetic care for patients at extremes of age, including neonates, children and older people with frailty, and implements these in practice |
Examples of evidence
- SLEs throughout stage of training in a range of surgical specialties including paediatrics.
Personal activities and reflections:
Suggested supervision level
Cross links with other domains and capabilities
- Perioperative Medicine and Health Promotion
- General Anaesthesia
Key capability B
| B |
Provides appropriate anaesthesia care for patients undergoing day case surgery in all settings |
Examples of evidence
- SLEs throughout stage of training in a range of surgical specialties.
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
- Regional anaesthesia
- Pain
Key capability C
| C |
Describes the principles of intra-operative haemostasis and manages major haemorrhage |
Examples of evidence
- SLEs throughout stage of training in a range of surgical specialties including out of hours work, trauma.
Personal activities and reflections:
- mandatory training: blood transfusion.
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
- Resuscitation and Transfer
Key capabilities D to F
| D |
Provides safe care for ASA 1-3 adult patients with multiple injuries from arrival in hospital to post-operative care and seeks help appropriately |
| E |
Describes the anaesthetic-related problems associated with trauma including burns, poisoning, electrical injuries, and drowning |
| F |
Applies physiological & pharmacological principles to reduce the risk of secondary brain injury in patients presenting with a severe head injury |
Examples of evidence
- SLEs throughout stage of training including out of hours work and experience in major trauma centre and neurosurgery.
Personal activities and reflections:
- Simulation training: trauma resuscitation.
Suggested supervision level
- 2b - supervisor within hospital for queries, able to provide prompt direction/assistance.
Cross links with other domains and capabilities
- Resuscitation and Transfer
Key capability G
| G |
Recognises, mitigates against risks and manages complications relating to patient positioning during surgery, including reference to the obese patient |
Examples of evidence
- SLEs throughout stage of training in a range of surgical specialties including obstetrics and bariatric surgery.
Personal activities and reflections:
- courses and e-Learning: anaesthesia for the obese patient.
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
- Safety and Quality Improvement
Key capability H
| H |
Applies a sound understanding of anatomy, physiology, biochemistry, pharmacology, physics and clinical measurement to anaesthetic practice |
Examples of evidence
- SLEs throughout stage of training in a range of surgical specialties.
Personal activities and reflections:
Suggested supervision level
Cross links with other domains and capabilities
- Perioperative Medicine and Health Promotion
- Regional Anaesthesia
Key capabilities I & J
| I |
Formulates and delivers a safe airway strategy for patients with known or potential difficult airways |
| J |
Manages non-complex shared airway surgery |
Examples of evidence
- SLEs throughout stage of training in a range of surgical specialties including ENT and maxillo-facial surgery.
Personal activities and reflections:
- simulation: airway management.
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
Key capabilities Y to AD
| Y |
Demonstrates management of the ‘cannot intubate cannot oxygenate’ scenario (including emergency front of neck airway) in simulation, and describes current difficult airway guidelines |
| Z |
Describes and implements measures to prevent unrecognised oesophageal intubation |
| AA |
Uses supraglottic airway devices safely and appropriately |
| AB |
Intubates using direct laryngoscopy safely and appropriately |
| AC |
Intubates using video laryngoscopy safely and appropriately |
| AD |
Manages low-risk extubation safely |
Examples of Evidence
- SLEs throughout stage of training in a range of surgical specialties including ENT and Maxillo-facial surgery.
Personal Activities and Personal Reflections may include:
- simulation: airway management.
Suggested supervision level
- 4 – should be able to manage independently with no supervisor involvement (although should inform consultant supervisor as appropriate to local protocols.
Cross links with other domains and capabilities
Key capabilities AE to AH
| AE |
Uses high flow nasal oxygenation for per-oxygenation safely and appropriately |
| AF |
Intubates using flexible bronchoscopy |
| AG |
Manages at-risk extubation safely |
| AH |
Intubates through a supraglottic airway device either in a patient or in simulation |
Examples of Evidence
- SLEs throughout stage of training in a range of surgical specialties including ENT and Maxillo-facial surgery.
Personal Activities and Personal Reflections may include:
- simulation: airway management.
Suggested supervision level
- 2b - supervisor within hospital for queries, able to provide prompt direction/assistance.
Cross links with other domains and capabilities
Key capability AI
| AI |
Describes intubation in the awake patient |
Examples of Evidence
- SLEs throughout stage of training in a range of surgical specialties including ENT and Maxillo-facial surgery.
Personal Activities and Personal Reflections may include:
- simulation: 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
Key capability K
| K |
Explains the problems associated with laparoscopic, endoscopic and open procedures, including those with major blood loss, and provides safe general anaesthesia for these procedures for ASA 1 to 3 adult patients |
Examples of evidence
- SLEs throughout stage of training in a range of surgical specialties.
Personal activities and reflections:
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
- General Anaesthesia
Key capability L
| L |
Provides safe general anaesthesia for diagnostic and therapeutic procedures in the non-theatre environment but within the hospital setting for ASA 1-3 adult patients, recognising when this is inappropriate |
Examples of evidence
- SLEs throughout stage of training. Case examples could come from radiology, ECT, cardioversion, Emergency Department.
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
- General Anaesthesia
- Resuscitation and Transfer
Neuro anaesthesia: key capabilities M & N
| M |
Applies relevant anatomical, physiological and pharmacological principles to neurosurgical patients |
| N |
Provides safe anaesthetic care to ASA 1-3 adults for simple elective and emergency intracranial, spinal and neuroradiology procedures |
Examples of evidence
- SLEs from experience in neurosurgery.
Personal activities and reflections:
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
Cardiothoracic anaesthesia: key capabilities O to R
| O |
Applies basic science and clinical anaesthetic principles to patients undergoing cardiac and thoracic surgery |
| P |
Describes the principles of anaesthesia for on and off bypass cardiac and thoracic surgery |
| Q |
Provides safe anaesthetic care to ASA 1–3 adults undergoing elective cardiac revascularisation, valvular surgery and cardiology procedures under direct supervision |
| R |
Demonstrates safe anaesthetic care for adults requiring non-complex thoracic procedures under direct supervision, including one lung ventilation |
Examples of evidence
- SLEs from experience in cardiac and thoracic surgery.
Personal activities and reflections:
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
Key capability S
| S |
Explains the anaesthetic implications of ophthalmic surgery, in particular the penetrating eye injury and the presence of intraocular gas |
Examples of evidence
- SLEs from experience in ophthalmic surgery and trauma.
Personal activities and reflections:
- e-Learning: ophthalmic anaesthesia.
Suggested supervision level
Cross links with other domains and capabilities
- General Anaesthesia
- Regional Anaesthesia
Obstetric anaesthesia: key capability T
| T |
Provides safe anaesthetic care for elective and emergency obstetric patients including those with co-morbidities and obstetric complications |
Examples of evidence
- SLEs throughout stage of training in obstetrics including out of hours work and experience in pre-operative assessment clinics.
Personal activities and reflections:
- attendance at obstetric anaesthesia clinics
- simulation training: obstetric emergencies.
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
- General Anaesthesia
- Regional Anaesthesia
- Resuscitation and Transfer
Paediatric anaesthesia: key capabilities U to W
| U |
Provides safe general anaesthesia for ASA 1-3 children undergoing non-complex elective and emergency surgery aged 1- 5 years with direct supervision, and 5 years and above with distant supervision |
| V |
Explains the principles of anaesthetic care for children of all ages with complex medical problems and/or requiring complex surgical procedures |
| W |
Explains the principles of the general anaesthetic care of neonates |
Examples of evidence
- SLEs throughout stage of training in paediatric anaesthesia including out of hours work and experience in pre-operative assessment clinics.
Personal activities and reflections:
- simulation or other courses: paediatric anaesthesia.
Suggested supervision level
for ASA 1-3 children aged 1-5:
- 2a - supervisor in theatre suite, available to guide aspects of activity through monitoring at regular intervals
for children 5 years and above:
- 2b - supervisor within hospital for queries, able to provide prompt direction/assistance.
Cross links with other domains and capabilities
- Perioperative Medicine and Health Promotion
Key capability X
| X |
Uses total intravenous anaesthesia safely in all areas of clinical anaesthetic practice |
Examples of evidence
- SLEs from appropriate surgical specialties.
Suggested supervision level
- 2b - supervisor within hospital for queries, able to provide prompt direction/assistance.
Cross links with other domains and capabilities
