2021 Curriculum - structure
The structure of the new curriculum
The new curriculum has three stages of training, which an anaesthetist in training must progress through and ultimately gain a Certificate of Completion of Training (CCT). These are:
- Stage 1 encompassing CT1, CT2, CT3
- Stage 2 encompassing ST4, ST5
- Stage 3 encompassing ST6, ST7
There are 14 domains of learning in each stage, covering both specialty-specific and generic professional requirements, all of which must be demonstrated throughout the training programme.
Each domain has a High-level Learning Outcome that sets the scene for what constitutes an anaesthetist.
Below that is a stage learning outcome that provides a description of what needs to be achieved at the end of that stage in order to progress to the next.
Next follows a set of key capabilities, which are mandatory and must be evidenced by anaesthetists in training to meet the stage learning outcome.
Every stage learning outcome includes a selection of examples of evidence, which are examples of evidence within a range of clinical contexts that anaesthetists in training may use to support their achievement of the key capabilities.
These are described at a high level below:
Generic professional domains
Domain |
High-level Learning Outcome |
Professional Behaviours and Communication |
Demonstrates the professional values and behaviours that patients expect from their doctors |
Management and Professional and Regulatory Requirements |
Undertakes managerial, administrative and organisational roles |
Team Working |
Contributes to teams to enhance patient care |
Safety & Quality Improvement |
Improves the quality and safety of patient care |
Safeguarding |
Identifies vulnerable people and takes appropriate action |
Education and Training |
Helps others to develop their professional practice |
Research and Managing Data |
Expands the understanding of anaesthetic practice |
Specialty-specific domains
Domain |
High-level Learning Outcome |
Perioperative Medicine and Health Promotion |
Facilitates safe multi-disciplinary peri-operative care and promotes the principles of public health interventions and efficient use of healthcare resources |
General Anaesthesia |
Provides safe and effective general anaesthesia |
Regional Anaesthesia |
Provides safe and effective regional anaesthesia |
Resuscitation and Transfer |
Resuscitates, stabilises and transfers critically ill patients safely |
Procedural Sedation |
Provides safe & effective sedation |
Pain |
Manages pain |
Intensive Care |
Manages critical illness |
The learning syllabus
Details of the learning outcomes, capabilities and examples of evidence for each stage and domain of learning can be found here.
Stage 1
Stage 2
Stage 3
Stage 3 Special Interest Areas (SIAs)
If you would like to contact us, you can email the Anaesthetics Curriculum and Equivalence Team on training@rcoa.ac.uk or call on 020 7092 1550.
Please let us know what you think. If you feel the information on this page could be improved, please get in touch with us.
Last reviewed: 31 December 2022
Next review due: 1 January 2024