2021 Curriculum learning syllabus: stage 3 special interest areas

Published: 25/02/2021

Regional Anaesthesia

  • Group 2: 3 to 6 months

Learning outcomes

  • Provides a wide variety of regional anaesthetic techniques independently
  • Is capable of leading the delivery of care in this area of anaesthetic practice, to the benefit of both patients and the organisation

 Key capabilities

A

Can independently practice safely a wide range of regional techniques for all upper limb and shoulder surgery under block alone, including the management of continuous nerve catheters for post-operative analgesia

B

Can independently practice safely a wide range of regional techniques for lower limb surgery, including the management of continuous nerve catheters for post-operative analgesia

C

Can independently practice safely a wide range of regional techniques for chest and abdominal wall surgery

D

Ability to independently organise, lead and evaluate the effectiveness and efficiency of an operating list planned under regional anaesthesia alone

E

Supervises and advises colleagues on the suitability and delivery of regional anaesthesia in complex cases

F

Can evaluate the place of regional anaesthesia, and any developments, within the patient perioperative pathway and advise on potential changes in practice

Examples of evidence

Experience and logbook:
  • preoperative clinic based assessment of suitability and preparation for surgery of patients utilising regional anaesthesia
  • a wide range of cases and techniques for awake and asleep surgical procedures.
Supervised Learning Events (SLEs) can be used to demonstrate:
  • understanding and implementing comprehensive consent for regional techniques
  • meticulous attention to wrong site block prevention based on national guidance
  • ability to manage awake, sedated and general anaesthetic patients with a regional anaesthetic component
  • ability to use ultrasound and needle techniques safely for a variety of procedures including nerve catheters
  • ability to provide safe and effective postoperative analgesia through a variety of regional techniques
  • management of regional anaesthesia lists.
Personal Activities and Personal Reflections may include:
  • national and international meetings related to regional anaesthesia
  • presentation at relevant meeting eg abstract or free paper
  • development of guidelines and policies
  • leadership of QI projects related to regional anaesthesia
  • leadership training.
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
  • Regional Anaesthesia
  • Pain