This ‘optional’ Intermediate level unit of training, which may not be available to all trainees as this will be dependent upon the distribution and availability of local services. Severe burns, although initially admitted to many Emergency departments will, following resuscitation, be transferred to a specialist unit and training opportunities will be limited. However since all anaesthetists may be involved in the initial resuscitation of burns at a receiving hospital teaching in this field is essential. This may take a number of forms including classroom, CD-ROM and e-learning presentations or simulator training. Knowledge in this area is assessed in the Final FRCA examination

Learning outcomes:

• To gain knowledge of the initial resuscitation and management of a patient with severe burns prior to transfer to a specialist centre 
• To gain an understanding of the specific requirements of anaesthesia for burns and plastic surgery including the principles of safe perioperative anaesthetic care to patients for a wide range of surgical procedures undertaken by plastic surgeons [to include microsurgery and free-flap reconstructive techniques] 

Core clinical learning outcome:

• Delivers safe perioperative anaesthetic care to ASA 1-3 adult patients for minor to intermediate plastic surgery [e.g. tendon repair or split skin grafting] with distant supervision

NB: All competencies annotated with the letter ‘E’ can be examined in any of the components of the Final examination identified in the FRCA examination blueprint section.