CT3 equivalent training guidance

Published: 31/03/2021


This guidance sets out the experience and evidence required for the transition year between core level training on the 2010 Anaesthetics curriculum and stage 2 training on the 2021 Anaesthetics curriculum.

What is a CT3 Equivalent Year?

In the new 2021 Anaesthetics curriculum, stage 1 training is an indicative 3 years duration, from CT1 to CT3, with stage 2 commencing from ST4.

For a number of reasons, there will be a cohort of doctors who complete core level training on the 2010 Anaesthetics curriculum, or ACCS (Anaesthetics) but who will not commence a ST3 anaesthetics post by February 2022, when the final recruitment to ST3 occurs.

These anaesthetists will need to gain the necessary experience and demonstrate the learning outcomes required for stage 1 of the 2021 Anaesthetics curriculum, in order to be eligible for recruitment to higher specialty training in Anaesthetics at the ST4 (Stage 2) entry point. This will be done in a CT3 equivalent year. Doctors are eligible to apply to work on a less than full time basis, following the normal procedures.

A CT3 (stage 1 ‘top up’) equivalent post that is not in the training programme is the type of post that may have been called a clinical fellow post, occupied by core trainees who required time after core training to perhaps pass the full Primary FRCA exam, or those who wished to take time out before applying for a higher specialty training post.

Who should read this guidance?

Doctors who have completed core level training of the 2010 Anaesthetics curriculum but who are not in an ST3 post.

These doctors can still demonstrate evidence and experience for the equivalent of a CT3 training year.

Attainment of the following experience and evidence will allow individuals to apply for ST4 as it is consistent with the completion of stage 1 as part of the new 2021 Anaesthetics curriculum.

This guidance may also be useful for Educational Supervisors to support doctors as part of their development during this time.

Separate but complementary guidance has been developed for Clinical Directors in this area.

What additional training will I need to undertake to be eligible for ST4 (stage 2) applications?

The additional experience required is detailed in the following pages, structured around the domains of learning that comprise the new curriculum.

Will I need to demonstrate evidence of attainment of Generic Professional Capabilities (GPC) as part of the CT3 equivalent year?

Yes. However, Structured Learning Events (SLEs) for the clinical domains can also be used to evidence capabilities in the GPC domains. In addition, individuals can use previous evidence from core level training of the 2010 Anaesthetics curriculum, from the non-clinical sections of the Lifelong Learning platform (LLp).

Will I be able to evidence attainment of CT3 level capabilities within the LLp?

Yes.  The LLp will be updated to include a section that will enable anaesthetists with access to the LLp, to record and evidence attainment of CT3 capabilities. More details on this will be available prior to August 2021.

What evidence do I need to show attainment of CT3 level capabilities?

Examples of evidence for all the domains of learning at stage 1 of the 2021 Anaesthetics curriculum are detailed in the following pages, structured around the domains of learning that comprise the new curriculum.

What happens at the end of the CT3 equivalent training period?

Your Educational Supervisor and/or College Tutor will review the evidence that you have accumulated and will assess this together with your logbook and consultant feedback.

They will then be able to issue a Stage 1 Equivalence Certificate, which will show equivalence for completion of stage 1 training of the 2021 Anaesthetics curriculum (download a copy here).

What can I do once I have completed CT3 equivalent training but do not yet have an ST4 post?

Capabilities attained in a locally employed post can count towards the award of a CCT in Anaesthetics provided a minimum of three years training occurs in a UK GMC approved training programme.

Once CT3 equivalent training is completed, you can start using stage 2 of the 2021 Anaesthetics curriculum and collect evidence for these capabilities. This evidence can be presented to ARCP panels in the future once you have been appointed to a higher specialist training post in anaesthesia, where it can count towards your training.

It is likely that overseas experience may also count towards training. For guidance regarding counting time from outside the training programme towards a CCT, please see Training programme update - No. 01/2020: Completion of units of training outside the training programme.

You should discuss any experience of this sort with your Training Programme Director once you have commenced ST4 training.