The Training Programme in Anaesthesia is divided into 3 main sections as follows:
Core Training (CT 1 and 2)
As from August 2021 Core Training became a 3 year training programme. Stage 1 training now comprises three years in one or two District General Hospitals and a period of time in the Bristol tertiary hospitals. At the start of training there is a period of directly supervised work lasting about three months until achievement of the Initial Assessment of Competence which now comprises EPA 1 and 2. After this the trainee may join the on call rota working with close supervision. As well as gaining competencies in anaesthesia for general surgery, orthopaedics and gynaecology, three months of the first year will generally be spent in intensive care. The second year will continue with general cases and training in obstetric analgesia and anaesthesia. The third year will build on the experience of the first two years with the trainee gradually increasing the amount of indirect supervision they receive. They will have a further period of Intensive care to complete a total of 6 months during stage 1 training and a further 3 months of obstetrics training. In order to complete Stage 1 training trainees must complete assessments according to College guidelines and pass the Primary FRCA examination. They are then awarded the Core Level Training Certificate.
For those entering through the ACCS(Anaes) four year programme (CT1,2,3 and 4) the same rules apply to the anaesthesia and intensive care modules. One year in acute and emergency medicine will also have been completed. Successful completion of Core training is a requirement for application to Specialty training which will start at ST4 (for those from either entry route). (The final entry to ST3 will be by open competition for February 2022 start.) Further recruitment from February 2023 onwards will be at ST4 level.
Minimum standards for out of hours supervision. of core trainees.
Intermediate Specialty Training (ST 3 and 4) this will change in August 2021 due to the new curriculum implementation
The two intermediate years are usually spent at University Hospitals Bristol (Bristol Royal Infirmary, Bristol Royal Hospital for Children and St Michael's Hospital) and North Bristol (Southmead Hospital). On very rare occasions up to 9 months of the ST3/4 programme will be completed in one of the DGHs (RUH Bath, Swindon, Gloucester and Cheltenham) Training is modular and covers all sub-specialties of anaesthesia.
When the trainee has completed all units of training and passed the Final FRCA exam they are awarded the Intermediate Level Training Certificate.
Trainees will often not have completed all subspeciaty modules before sitting the exam; this is recognised by the Royal College of Anaesthetists and relfected in the expectations of the examiners. Study days to specialist units can be arranged before the exam.
Higher & Advanced Specialty Training (ST 5, 6 and 7) this will change in August 2021 due to the new curriculum implementation
In general the programme is more flexible for more senior trainees to allow them to target their training towards their career aspirations. At least one year is spent in a DGH, during which time trainees further develop their clinical skills and will take on additional clinical responsibilities and supervision of more junior colleagues. In addition further experience will be offered in teaching, audit, research and management. Further experience is gained in anaesthetic sub-specialities at a senior level in the teaching hospitals. The organisation of modules is dependent on the trainees’ requirements and future career plans. Advanced training modules are offered in many specialist areas; if oversubscribed they are allocated competitively within the School. Up to one year of out of programme training (OOPT) is supported during the ST5-7 years.
Intensive Care Medicine
The Anaesthesia programme contains three months ICM blocks at core, intermediate and higher levels for all trainees.
Trainees appointed in open competition to both Anaesthesia and ICM programmes are supported by maximising opportunities for relevant modules to count twards the CCT in both specialties. This dual programme leads to CCTs in both Anaesthesia & ICM. For up to date information on ICM training and recruitment see the Faculty of Intensive Care Medicine website.