Anaesthetists in Training Representatives Group 17 March

Presentations

Frequently asked questions

Yes, 14 HALOs need to be completed in each stage of training but you will be expected to show progression towards HALO sign off in each year of each stage.

Essentially yes. You can apply for the FRCA final exams once you have completed core training and have been awarded the stage 1 certificate.

This has always been a possibility for trainees in their advanced training year but requires specific prospective approval from the College to do. Being able to support intensive care services at consultant level without those individuals necessarily having completed an ICM CCT is a good thing. This helps to maintain critical care services where there are limited numbers of dual anaesthetic and ICM CCT holders.

Running the exams is an enormous amount of work throughout the year not only for the Examinations Department but also for Examiners who will have clinical commitments. A phenomenal amount of work has also been required to deliver exams during the pandemic which is likely to have a knock-on effect for the next year or so.  So at this present time it is not viable to consider another sitting.

An important part of the requirements for completing a domain of learning is demonstration of engagement with training and learning.  It is expected that anaesthetists in training will accrue evidence throughout the stages of training.

More succinct domains such as Pain, Procedural Sedation and even Regional Anaesthesia may be completed ahead of the end of the stage of training.  However, General Anaesthesia and Perioperative Medicine and Health Promotion are likely to be completed nearer to the end of the stage of training. Similarly for the generic professional domains, although it is expected that there will be evidence available for review in each of these domains at each ARCP.

Development work on the LLp has already started and is expected to be completed and fully tested by early July.

Yes, Schools and Deaneries will be able to deliver training programmes as is appropriate and workable in their region.

However, both anaesthetists in training and trainers will need to look at across all the capabilities for any stage of training to develop an understanding of what is required for each domain at each stage; particularly for broad domains such as General Anaesthesia and Perioperative Medicine and Health Promotion. For example, a succinct capability to provide general anaesthesia to an ASA 1-2 patient, or 1-3 patient for non-complex surgery, could be achieved doing an orthopaedic list, a general surgical list, or if you have a patient having cataract under general anaesthesia.

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.

The overall content of the exams syllabus is not planned to change with the introduction of the new curriculum. Aspects of QI are already included in the exams syllabus and this will continue.

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.

Providing they remain members of the College, yes.

The new Supervision Scale is for SLEs; logbook entries will still require you to select Immediate, Local, Distant and Solo.