2021 Curriculum learning syllabus: stage 3 special interest areas

Published: 25/02/2021

Military Anaesthesia

  • Group 2: 3 to 6 months

Learning outcome

  • Considers the knowledge, skills and behaviours necessary to provide resuscitation, anaesthesia and ongoing care for patients in the deployed military environment

Key capabilities 

A

Plans the management of military trauma including major bleeding

B

Operates and safely uses relevant military clinical equipment

C

Contrasts interoperability and cultural issues between UK Defence Medical Services and multinational partners and intergovernmental agencies

D

Evaluates different medical treatment facilities and their capabilities, considering the knowledge and skills necessary to operate and sustain them

E

Considers the challenges of delivering clinical care, with potential prolonged holding, in a resource limited environment

F

Considers Chemical, Biological, Radiological and Nuclear issues in the context of anaesthesia

G

Compares the structures and responsibilities within the Defence Medical Services, as well as Land, Fleet and Air Commands

H

Considers ethical decisions and clinical governance on military operations

I

Evaluates the roles of anaesthesia within the operational patient care pathway

J

Considers the role of anaesthesia in rehabilitation and anaesthetic considerations specific to the care of veterans

K

Evaluates the impact of Human Factors, Ergonomics and Crew Resource Management on performance during management of military patients in a deployed environment

Examples of evidence

Experience and logbook:
  • a wide range of cases including major trauma, management of haemorrhage and massive blood transfusion, regional anaesthesia (particularly in trauma) and inter-hospital critical care transfers.
Supervised Learning Events (SLEs) can be used to demonstrate:
  • ability to manage the resuscitation and anaesthesia requirements of patients suffering major trauma
  • the management of resuscitation in major haemorrhage including massive blood transfusion
  • ability to use deployed anaesthetic equipment
  • understanding of the operational patient care pathway.
Personal Activities and Personal Reflections may include:
  • national and international meetings related to military anaesthesia
  • presentation at relevant meeting eg abstract or free paper
  • development of guidelines and policies
  • leadership of QI projects related to military anaesthesia
  • leadership training
  • simulation training
  • attending the Military Operational Surgical Team Training (MOSTT) Course, the Defence Anaesthesia Simulation Course (DASC), the Medical Emergency Response Team (MERT) Course and the CBRN Clinical Course
  • deployment on operations and exercises in Land, Air and Maritime Medical Treatment Facilities (MTFs).
Other evidence:
  • satisfactory MSF.

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

  • all generic professional domains of learning
  • Perioperative Medicine and Health Promotion
  • General Anaesthesia
  • Intensive Care