Anaesthetic Core Training in Mersey

1
Anaesthetic Core Training in Mersey

• Chris Parker
• Core Training Program Director

2
The programme Anaesthesia

• 2 year program
• CT1 level in anaesthesia
• CT2 level in anaesthesia ICM

3
The programme ACCS - Anaesthesia

• 3 year program
• CT1 level in Acute Emergency Medicine
• CT1 level in Anaesthesia ICM
• CT2 in Anaesthesia

4
Vacancies 2009

• Anaesthesia CT1 30 posts
• ACCS (Anaesthesia) CT1 4 posts
• Anaesthesia CT2 6 posts

5
Mersey Deanery 9 hospitals

• 2 Central
• Aintree University Hospital
• Royal Liverpool and Broadgreen
• (plus secondments to Liverpool Womens Hospital)

• 7 DGH
• Wirral at Arrowe Park
• Countess of Chester
• Crewe - Leighton
• Macclesfield
• Southport Ormskirk
• Warrington
• Whiston St. Helens

6
CT1 - CT2

• One year long attachments.
• Every trainee works in two hospitals for one year
  each.
• Most rotations one year in a central hospital
  and one year in a district hospital.
• Some rotations two years in district hospitals.
• Rotations take account of trainee preferences

7
Milestones Year 1

• 3 months Initial Assessment of Competency in
  Anaesthesia
• Competency in Regional Anaesthesia
• Year 1 ARCP at 9 - 10 months
• Primary FRCA MCQ

8
Milestones Year 2

• Competency in Obstetric anaesthesia
• ICM training
• Primary FRCA
• Year 2 ARCP at 21 months
• Certificate of Completion of Core Training.

9
Log book

• All cases collected in the Royal College of
  Anaesthetistslogbook
• Summary reports for ARCP

10
Training Simulation

• All trainees attend the Cheshire and Mersey
  Simulation Centre one a year to practice managing
  anaesthetic crises.
• EASE course
• Virtual reality environment
• Video assisted de-brief
• Team Resource Management principles

11
Training Basic Science

• CT1 trainees attend monthly day release teaching
  at the BASICs course
• Topics in Physiology, Pharmacology, Physics
• Second Friday of the month
• 4 sessions of 1 hour each
• Homework preparation
• MCQ practice

12
Training Transport

• CT1 Trainees receive training in patient
  transport (MOCC course) in preparation for
  undertaking patient transfers
• MOCC Movement of the Critically Compromised1
  day course

13
Mersey Selective

• One week intensive course
• Taken in preparation for Primary FRCA
• Classroom teaching on a selection of topics to
  aid understanding.
• Daily MCQs
• Very positive feedback

14
Other courses

• Basic Obstetric Anaesthesia Day
• Regional Airway workshop
• Anatomy workshop half-days
• Introduction to Intensive Care

15
Direct examination preparation

• Courses on
• MCQ
• OSCE / orals
• Weekend courses

16
ARCP

• As specified in Gold Guide
• Done May - June (9-10 months into the year)
• Based on submitted paperwork
• Meeting for feedback and planning

17
Portfolio

• A document that gathers together evidence of
  progress.
• Based on National Standards
• Click to download the Mersey Deanery Core
  Anaesthetic Portfolio
• Forms the basis of paperwork for ARCP

18
Association of Anaesthetists

• Professional Asociation
• Produces Guidelines
• Trainee Section GAT (Group of anaesthetists in
  Training)
• Your Career in Anaesthesia
• Your Welfare

19
Information

• For further information contact
• Chris Parker
• Core Anaesthesia Training Program Director
• 0151 706 3853
• Christopher.Parker14_at_btinternet.com
• christopherparker_at_nhs.net