2021 Curriculum learning syllabus: stage 2

Stage learning outcome

• Performs a wider range of regional anaesthetic technique

Supporting resources: Joint RA-UK/RCoA guidance for trainers on achieving regional anaesthesia outcomes: RCoA 2021 curriculum

Key capability A

A	Performs ultrasound-guided brachial plexus blocks

Examples of evidence

• SLEs for appropriate cases (DOPS).

Personal activities and reflections:

• use of part-task simulator
• simulation or other courses: use of ultrasound, regional anaesthesia.

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 capabilities B & C

B	Performs ultrasound-guided fascial plane blocks for the chest or abdominal wall
C	Demonstrates how to achieve an optimal ultrasound image and recognises common ultrasound artefacts

Examples of evidence

• SLEs for appropriate cases (DOPS).

Personal activities and reflections:

• use of part-task simulator
• simulation or other courses: use of ultrasound, regional anaesthesia.

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 D

D	Describes ophthalmic blocks for patients undergoing awake ophthalmic surgery

Examples of evidence

• SLEs for appropriate cases.

Personal activities and reflections:

• e-Learning: ophthalmic regional anaesthesia

Suggested supervision level

• not applicable.

Cross links with other domains and capabilities

• General Anaesthesia

 

Key capabilities E & F

E	Involves the patient in planning and understanding potential complications of regional anaesthesia
F	Assesses when a regional technique is not appropriate

Examples of evidence

• SLEs throughout stage of training in a range of surgical specialties including obstetrics and experience in pre-operative assessment clinics.

Personal activities and reflections:

• attendance at pre-operative and obstetric anaesthesia clinics.

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 G

G	Manages inadequate block in the awake patient and in recovery if used as an adjunct to general anaesthesia

Examples of evidence

• SLEs throughout stage of training in a range of surgical specialties including obstetrics.

Personal activities and reflections:

• pain rounds, post-natal follow up.

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
• Pain

 

Key capability H

H	Describes the longer term management of complications of regional anaesthesia

Examples of evidence

• SLEs throughout stage of training in a range of surgical specialties including obstetrics.

Personal activities and reflections:

• courses and e-Learning: complications of regional anaesthesia, scientific meetings on regional anaesthesia.

Suggested supervision level

• not applicable.

Cross links with other domains and capabilities

 

Key capability I

I	Discusses the use of regional anaesthesia in the presence of abnormalities of coagulation

Examples of evidence

• SLEs throughout stage of training in a range of surgical specialties including obstetrics.

Personal activities and reflections:

• review of local and national guidelines for regional anaesthesia in patients on anticoagulant drugs.

Suggested supervision level

• not applicable.

Cross links with other domains and capabilities

• Safety and Quality Improvement
• Perioperative Medicine and Health Promotion