2021 Curriculum learning syllabus: stage 3

Published: 23/02/2021

General Anaesthesia

Stage learning outcome

  • Provides safe and effective general anaesthesia independently for all patients undergoing non-specialist procedures and for patients within defined areas of a special interest

 

Key capabilities A to C

A

Provides general anaesthesia for all patients undergoing elective and emergency surgery in general settings including maternity units for common complex surgical procedures

B

Demonstrates the decision making and organisational skills required to manage operating sessions independently ensuring that the care delivered to patients is safe, effective and efficient

C

Applies understanding of co-morbidities in patients requiring general anaesthesia and delivers management strategies to offer individualised care

Examples of evidence

  • SLEs throughout stage of training including special interest areas and out of hours experience:
    • CBDs and ALMATs from a range of surgical specialties.
Personal activities and reflections:
  • courses and e-Learning: scientific meetings related to special interest area.

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

  • Professional Behaviours and Communication
  • Team Working
  • Perioperative Medicine and Health Promotion
  • areas of special interest

 

Key capability D

D

Provides safe anaesthetic care for multiply injured patients, from arrival in hospital through definitive treatment, and understands and applies the principles of management for complex situations such as severe burns or poisoning

Examples of evidence

  • SLEs: experience may be gained at major trauma centres, burns units.
Personal activities and reflections:
  • courses and e-Learning: trauma 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

  • Resuscitation and Transfer
  • Intensive Care

 

Key capability E

E

Contributes to departmental expertise in one or more defined areas of special interest

Examples of evidence

  • SLEs from experience in special interest areas
  • this may include A-QIPAT for relevant projects.
Personal activities and reflections:
  • teaching delivered
  • quality improvement project in area of special interest
  • development of local guidelines
  • departmental presentations.

Suggested supervision level

  • not applicable.

Cross links with other domains and capabilities

  • Safety and Quality Improvement
  • Education and Training
  • Research and Managing Data
  • areas of special interest

 

Key capabilities F & G

F

Manages patients with complex airway disorders in most situations including independent fibre-optic intubation and can recognise when additional assistance is necessary

G

Can manage the anaesthetic challenges of patients needing complex shared airway surgery

Examples of evidence

  • SLEs including experience in ENT and maxillo-facial surgery.
Personal activities and reflections:
  • courses and e-Learning: airway management, scientific meeting on difficult airway management.

Suggested supervision level

Cross links with other domains and capabilities

  • Perioperative Medicine and Health Improvement

 

Key capability H

H

Provides safe anaesthesia for diagnostic or therapeutic procedures outside of the theatre environment including remote sites

Examples of evidence

  • SLEs from experience such as ECT, radiology, interventional cardiology, interventional neuroradiology.

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

  • Perioperative Medicine and Health Promotion

 

Key capability I

I

Provides safe anaesthetic care for the critically ill patient who needs to return to theatre from the intensive care unit

Examples of evidence

  • SLEs from experience such as neurosurgery, cardiac surgery, trauma, general surgery.

Personal activities and reflections:

  • courses and e-Learning: relevant scientific meetings.

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

  • Intensive Care

 

Key capability J

J

Provides safe and effective perioperative anaesthetic care to all high risk surgical patients with significant co-morbidities and the potential for massive haemorrhage

Examples of evidence

  • SLEs from experience such as neurosurgery, cardiac surgery, trauma, general surgery and obstetrics.
Personal activities and reflections:
  • courses and e-Learning: blood transfusion, trauma 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

  • General Anaesthesia
  • Intensive Care

 

Key capability K

K

Manages the anaesthetic implications of previous neurosurgery and/or intracranial pathology in patients presenting for co-incidental surgery

Examples of evidence

  • SLEs from experience such as neurosurgery.
Personal activities and reflections:
  • neuro anaesthesia scientific meeting.

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
  • Intensive Care

 

Key capability L

L

Manages the anaesthetic implications of congenital or acquired heart disease in patients presenting for co-incidental surgery including referral to a specialist centre when appropriate

Examples of evidence

  • SLEs from experience in cardiac surgery.
Personal activities and reflections:
  • courses and e-Learning: adult congenital heart disease.

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
  • Intensive Care

 

Obstetric anaesthesia: key capability M

M

Provides safe anaesthetic care for any patient who requires elective or emergency obstetric anaesthesia in a general maternity unit

Examples of evidence

  • SLEs from experience in obstetrics.
Personal activities and reflections:
  • attendance at obstetric anaesthesia clinic

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

  • Perioperative Medicine and Health Promotion

 

Paediatric anaesthesia: key capability N

N

Provides safe anaesthetic care for common non-complex elective and emergency surgical procedures in children aged one year and over

Examples of evidence

  • SLEs from experience in paediatric surgery.
Personal activities and reflections:
  • courses and e-Learning: scientific meeting paediatric anaesthesia.

Suggested supervision level

  • Children aged 1-3: supervision level 2b - supervisor within hospital for queries, able to provide prompt direction/assistance.
  • Children aged 3 and over: supervision level minimum 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

 

Paediatric anaesthesia: key capability O

O

Provides emergency anaesthetic care for paediatric patients pending inter-hospital transfer to a tertiary unit

Examples of evidence

  • SLEs.
Personal activities and reflections:
  • courses and e-Learning: paediatric resuscitation.

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

  • Team Working
  • Resuscitation and Transfer
  • Intensive Care