Training as an Anaesthesia Practitioner

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Training as an Anaesthesia Practitioner

• David Wilkinson
• Royal Devon and Exeter Hospital

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Anaesthesia Practitioners

• Why do it?
• The curriculum, teaching and learning
• The reality
• Relationships with other staff
• Hopes for the future

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Why do it?
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Options

• Healthcare worker
• Vegetate
• Role development
• Education
• Management
• Leave the job
• Graduate
• Need a fulfilling job
• Become an Anaesthesia Practitioner

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Why do it?

• Plenty of patient contact
• Postgraduate Diploma Masters
• ARCA
• Work in a great team
• Lots of practical skills
• A degree of autonomy
• Provide good service

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The Curriculum, teaching and learning

• The Curriculum
• Teaching
• Learning
• New Ways of Working in Anaesthesia
• E- lectures
• Extended Matching Questions

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Extended matching questions/sets

• Theme Neuromuscular transmission
• Options
• A. Presynaptic depolarisation
• B. End plate potential
• C. Muscle action potential
• D. Vesicular exocytosis
• E. Nicotinic receptors
• F. Fast sodium channels
• For each of the descriptions below choose the
  most appropriate option from the list above. Each
  option may be used once, more than once or not at
  all.
• Propagates down T-tubules
• Ligand-gated ion channels
• Occurs in response to Calcium influx
• Open during axonal action potential
• Nonpropagating electrical event
• Releases transmitter into the neuromuscular cleft

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The Reality

• The 11 model reduced turnaround time
• increased
  throughput
• smoother running
• The 21 model not in training
• Other Practitioner roles
• Biers blocks
• Pre-op clinics
• Sub-Tenon blocks
• ? Facet joint injections

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Relationships
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Hopes for the future

• Integration into the theatre team
• Acceptance by patients
• 21 working where required
• Input to the training and accreditation process
• Acceptance by Anaesthetists