2021 Curriculum webinar 06 May

Frequently asked questions

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

Evidence already completed in the LLp, under the 2010 curriculum, cannot automatically be transferred to the 2021 curriculum. The equivalence evidence should be linked to what will essentially be a CUT form or HALO in the LLp, and this is currently in development. You can find details of the evidence required for on the College website:

Please also refer to the Guidance for Transition from 2010 to 2021 Anaesthetics Curriculum.

This is your usual LLp password.

6 months in stage 1 and 3 months in stage 2; there is no mandatory time required to be spent in ICU in stage 3, although the key capabilities in the Intensive Care domain still need to be maintained.

The College will only move across those who will be transitioning to the 2021 curriculum, as identified by TPDs. Anyone whose CCT date is before 31 January 2024 will automatically stay on the 2010 LLp.

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.

EPAs 3 and 4 relate to the Initial Assessment of Competence in Obstetric Anaesthesia but the ‘Triple C’ form relates to the completion of obstetrics for the whole stage. EPAs 3 and 4 are expected to be completed early in the stage, when anaesthetists in training are starting obstetric practice. Whereas the ‘Triple C’ for obstetrics will be completed towards completion of the stage.

NB For reference, stage 2 Perioperative Medicine and Healthcare capability D can be viewed here.

This list is indicative rather than exhaustive.

The HALO guides will include examples and encourage a diversity of evidence beyond SLEs as well as looking across domains. In the 2010 vernacular, a HALO can be thought of as a major CUT and the ‘Triple C’ as a minor CUT.

This particular capability can also be evidence by completion of the Final FRCA, which is still valid evidence.

We would expect them only for paediatric, cardiothoracic, neuro, and obstetric anaesthesia. However, they are not required if the educational supervisor can assess the evidence themselves and sign off the HALO.

Overall, this is 2 ‘Triple C’s in stage 1, 4 in stage 2, and 2 in stage 3.

If the faculty can discuss an anaesthetist in training’s progress in specialised areas, then a ‘Triple C’ form is not necessarily required. The ‘Triple C’ is just a mechanism to provide education supervisors with evidence in specific areas of training.

Under the Curriculum Review section SLEs and other evidence will be linked to Key Capabilities (and/or clusters) in each domain. Associated supervision levels will also be visible for each SLE (if recorded).

EPA's are currently only for the discrete areas of training covered by the Initial Assessment of Competence and the Initial Assessment of Competence in Obstetric Anaesthesia. Copies of the workbooks are available in the written resources section the College website.

Entrustable Professional Activities (EPAs) 1 and 2 will evidence achievement of the IAC and EPAs 3 and 4 will evidence achievement of the IACOA. Copies of the workbooks are available in the written resources section the College website.

Only one placement is allowed at a time so they should choose whichever part of the LLp is most appropriate; they will be able to link assessments across both curricula.

Yes. Those in the Dual Anaesthetics and ICM training programme will be able to combine 2010 Anaesthetics with 2021 ICM on the LLp.

ACCS doctors in training will only have a single stage 1 tab: ACCS. This has all of the ACCS curriculum and all of stage 1 Anaesthetics within it. Both curricula can be linked to simultaneously.

No. Equivalence certificates have been created to enable anaesthetists in training to map experience from their 2010 LLp to the 2021 curriculum in the transition or ‘top-up’ years. It is important that there is discussion regarding when a trainee switches to the new curriculum.

Yes. The special skills year is 12 months of Anaesthetics, which is part of stage 2 of the Anaesthetics curriculum.

All the SIAs will be approved using HALOS, 'Triple C' forms will not be required.

MTRs will be created by College Tutors. MTRs will have a dashboard, similar to the MSF, so it is possible to see the responses as they come in and offer encouragement where necessary.

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.

No, SLEs will need to be linked by the anaesthetist in training to any and all relevant key capabilities.

There is no minimum number of assessments for EPAs, or anywhere else in the new curriculum. The emphasis is on demonstrating progress; for example, using the supervision levels.

This is a key change from the current curriculum; more assessments is not necessarily better, it's what the assessments show. The assessments are there to assist learning, not just to fill up a portfolio.

Yes, SLEs will be linked to Key Capabilities. This will be very similar to the process for the existing curriculum where Workplace Based Assessments are linked to competencies with the Unit of Training. Within the Review Curriculum section and HALO completed SLEs will be grouped according to the capabilities (or clusters).

Please refer to the Guidance for Transition from 2010 to 2021 Anaesthetics Curriculum. We would encourage informed conversation between anaesthetists in training and trainers to agree on the most appropriate plan.

This will depend on what has been completed so far in a training programme. There are many nuances in the transition to stages 2 and 3 and many individual circumstances to consider. The Guidance for Transition from 2010 to 2021 Anaesthetics Curriculum indicates a number of options to allow flexibility.

Yes, if they are happy that the evidence is appropriate for the key capabilities in the new curriculum. Alternatively, CUT forms can be saved to the document store on LLp and then linked the new curriculum as a personal activity.

The MCR is only for ACCS doctors in training. The difference is basically the specialty placement:

  • MTR for Anaesthetics
  • MCR for ICM and AM
  • Faculty Educational Governance Statement (FEGS) for EM.

These are all classified as ‘panel-based judgements’ and perform the same essential function of providing supporting evidence of holistic performance from the training faculty. There is a bit more detail on the ACCS website, notably in the curriculum handbook: https://www.accs.ac.uk/accs/2021-curriculum/resources.

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.

All ICM doctors in training will change to the new curriculum in August 2021 apart from those within a year of CCT.

We have been working hard not to disadvantage any anaesthetist in training. The simplest approach would be to take a year out of ICM training to do the CT3 equivalent Anaesthetics post. This should be discussed with the Training Programme Directors.

No, as they are part of the new curriculum.

In the transition to the new curricula stages 1 and 2 will become a little more mixed up, so a more flexible approach is needed. However, capabilities for both curricula will need to be evidenced in order for this training to count to both. Additional ICM capabilities may be required but the whole placement may not need to be repeated.

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.

Stage 2 of the dual ICM and Anaesthetics programme is 2 years in duration with 1 year of ICM placements and 1 year of Anaesthetics.

Yes, ICM and Anaesthetics can be done in either order, although both should be in 1-year blocks.

Increased flexibility means that this is now possible. However, there will need to be suitable evidence that the learning outcomes have been achieved in order for this to count.

As the LLp is specifically designed for training it is unlikely that a specific career-grade appraisal system will be made available.

Any career grade anaesthetist who is a subscribing member of the College can have access to the LLp to record SLEs and other formative assessments. However, HALOs should not be signed off until they return to a training post in order that the evidence can be assessed at the appropriate time (ie an ARCP).

No, the anaesthetic 12-months within stage 2 is equivalent to either ST4 or ST5. The year of Anaesthetics at stage 3 is to complete the requirements of stage 3 of the Anaesthetics programme.

Yes, that is correct.

The equivalence evidence should be linked to what is essentially a CUT form or HALO in the LLp. You can find details of the evidence required for on the College website:

As an OOPT it will need to have been prospectively approved for what training is being undertaken and so this can be mapped to the appropriate point in the new curriculum. Existing OOPT applications will need to be reviewed on a case-by-case basis.

Changes to the parameters for OOPT are yet to be finalised and details will be published in due course.

The Special Interest Areas (SIAs) are a vehicle for preparation for consulting practice and so is mandatory. The SIAs should comprise a full year of training but this could be up to 3 different SIAs. In practise, the requirements for the SIAs should mesh with the requirements laid out as part of stage 3. Further guidance will be published regarding the SIAs in due course.

Access your LLp profile page (click on your LLp ID - top right of the LLp dashboard page) and then scroll down to the Portfolio section to Generate and Download a zip archive of your Portfolio. Please note that the portfolio download will NOT include your Logbook, Document store, and entries you have approved. We are working to resolve these issues and will notify you when they are fixed. In the meantime, you can download the rest of your portfolio.

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