August 2021 / February 2022 will be the final intake for ST3 in Anaesthesia.  From August 2022 there will no longer be any ST3 recruitment and competitive entry to Higher Specialist Training rotations will be at ST4 commencing August 2023. Anaesthetists in training appointed to Core Anaesthesia from August 2020 and ACCS Anaesthesia from August 2019 will automatically include an additional year from August 2022.  Anaesthetists in training appointed to Core Anaesthesia prior to August 2020 and ACCS Anaesthesia prior to August 2019 will not be eligible for an additional year within their core training programme.

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No. These anaesthetists in training will still need to complete ICM at ‘higher’ level for stage 2 equivalence.

Yes. The GMC rules have recently changed; if you have completed a minimum of three years within a training programme then you will be awarded a CCT.

This is covered in an anaesthetic training update from 20 May 2020.

Yes, but they will need to compile the evidence for CT3 equivalence onto LLp and be issued with the Stage 1 Equivalence Certificate before moving on to stage 2.

It is possible that some of this time in redeployment may count towards training, if it has occurred contemporaneously to the level of training being signed off.  However, in most cases we would not expect that the competencies achieved will be sufficient to complete units of training in ICM due to the specific nature of care provided during the COVID pandemic.

No, your training to date, including your IAC, will be recognised in the collection of evidence that will contribute towards your CCT.

All anaesthetists in training, including LTFT, must be transitioned to the new curriculum no later than January 2024.  A CCT for the 2010 curriculum cannot be awarded after this time.

Fundamentally, the onus will be on the individual to organise these posts, in a similar way to applying for clinical fellow posts now. However, some Schools have already started to collate clinical fellow posts appropriate as CT3’equivalent’ posts. Securing one of these posts may require a move to a different region but the College is confident that there will be enough posts available for everyone; this process gives flexibility to anaesthetists in training to determine their own future.

Anaesthetists who have completed 2 years of training will be very appealing to clinical directors; there is research that indicates the benefits of employing anaesthetists in training. Anaesthetists in training looking at these top-up posts should familiarise themselves with the requirements of completing stage 1 and look for roles that will support this eg there is 3 months of ICM available, there is suitable provision of study leave.

Some individuals will effectively be out of the training programme for 2 years. 1 year could be spent accruing stage 1 equivalence and the other year could be spent undertaking complementary interests, and it is possible that some of the experience could also count towards stage 2 of the new curriculum (in a similar process to now).

The College recommends that anaesthetists in training should transition to the new curriculum as soon as is reasonably possible. LTFT anaesthetists whose points of progression don’t align with the transition guidance should liaise with their TPD about the best point to change curriculum and what evidence would be required to support the change.

31 January 2024 is an agreed date with the GMC. Anybody expecting to complete training after this date should transition to the new curriculum.

This is a viable proposition. If a trainee has completed stage 1 training and has been awarded the equivalence certificate then they are essentially eligible for ST4 (all other requirements, notwithstanding). It may be worth noting that August 2023 is the first ST recruitment to the new curriculum and this may have an impact on competition for posts.

Yes. These anaesthetists in training should move to the 2021 curriculum and complete EQ1b to map any remaining stage 1 capabilities once they have completed stage 2 cardiothoracics and neuro. More information can be found in the Guidance for Transition from 2010 to 2021 Anaesthetics Curriculum above.

Yes. Please see the Guidance for Transition from 2010 to 2021 Anaesthetics Curriculum above for further details.

Depending on local training arrangements it may be best to wait until ST4. Decisions around this should be made using the Guidance for Transition from 2010 to 2021 Anaesthetics Curriculum above.

It would be advisable to transition to stage 1 of the 2021 Anaesthetics Curriculum and avoid any potential confusion regarding requirements of the 2021 ACCS Curriculum. Relevant summative assessments should be transferred and mapped to stage 1. Please refer to the Guidance for Transition from 2010 to 2021 Anaesthetics Curriculum above.

Yes, that’s right. If they are in their ST3 year and are doing standard things like ICM, obstetrics, and general duties they will stay on the 2010 curriculum on the LLp and complete the equivalence certificate called EQ1a.

But an ST3 who is doing cardiothoracics, neuro, and paediatrics would go onto the 2021 curriculum and complete equivalence certificate EQ1b. This is the equivalence certificate for stage 1 but is available in the 2021 curriculum on the LLp. This allows them to also do some stage two capabilities. If they’re doing cardiothoracics in ST3, they can evidence it in the appropriate section of stage 2 and if they're doing ICM in ST4 they can evidence it back to stage 1.