Levels of supervision

Anaesthetists in training will need to demonstrate progression through the different levels of supervision detailed in the table below for clinical activities:

1

Direct supervisor involvement, physically present in theatre throughout

2A

Supervisor in theatre suite, available to guide aspects of activity through monitoring at regular intervals

2B

Supervisor within hospital for queries, able to provide prompt direction/assistance

3

Supervisor on call from home for queries able to provide directions via phone or non-immediate attendance

4

Should be able to manage independently with no supervisor involvement (although should inform consultant supervisor as appropriate to local protocols

For some activities it may be more appropriate to assign ‘not applicable’ for the supervision level.

The trainer should identify the level of supervision that the anaesthetist in training requires for that activity at the time the SLE is completed.  This is the supervision level the anaesthetist in training would require if they were to repeat that same activity ‘right here, right now’.

At each stage of training, the specialty specific domains of the curriculum will describe the level of supervision that should be demonstrated by the anaesthetist in training by the end of the stage of training.  Details can be found in the learning syllabus.

It is expected that the anaesthetist in training will have demonstrated capabilities at the supervision level described in stage 3 at the time of CCT.

SLEs and other activities should be used to illustrate engagement in the training programme and the opportunity to gain and record structured feedback on performance.  Ongoing engagement in the training programme is also reflected in the Key Capabilities within the generic professional domains.