Draft 2020 Curriculum Survey

Summary of main proposed changes to the anaesthetic curriculum/training programme:

  • 3 stages; 3/2/2 years (Stage 1 = CT1, 2, 3 / Stage 2 = ST4, 5 / Stage 3 = ST6, 7)
  • Recruitment for entry into Stages 1 and 2
  • Primary FRCA at end of Stage 1, final FRCA end of Stage 2
  • 9 months of ICM (6 in stage 1, 3 in Stage 2)
  • No spiral requirement in Cardiac and Neuro Anaesthesia.  Mandatory training in stage 2 and trainees can further access these areas in stage 3
  • Stage 3 will have 12 months of generic content supporting generalist skills, particularly on call, plus 12 months of special interest training (existing ‘advanced’ training will be packaged in the new curriculum as a special interest area of practice, and will be undertaken during the Stage 3)
  • Paediatric anaesthesia will be incorporated at each of the 3 levels
  • Curriculum will be divided into 14 High-level Learning Outcomes incorporating clinical and professional capabilities. The Key Capabilities will be described for each level
  • Descriptions will be more generic than the current detailed lists of competences
  • The competences detailed in the current curriculum (detailed content found in existing Annexes B and C) will form the basis of the FRCA syllabus, which is currently under revision
  • The first cohorts on the 2020 Curriculum are expected to start in August 2021, work is continuing on the transition process, the latest updates can be found here.

The Anaesthetics Curriculum will contain 14 high-level learning outcomes (HLOs) that specify the standard that trainees must demonstrate as they progress through training and ultimately attain a Certificate of Completion of Training (CCT). Anaesthetic trainees are required to demonstrate achievement of both the generic and specialty specific HLOs throughout their training period.

Each HLO has an overarching description that sets the scene for what constitutes an Anaesthetist.

Below that is a HLO Stage description that provides a high-level description of attainment to be achieved at the end of that stage in order to progress to the next.

Next follows a set of Key Capabilities that are mandatory capabilities that must be evidenced by trainees, in the Lifelong Learning platform, to meet the HLO Stage description. These are also therefore mapped to the GPC framework.

Every HLO at each stage of training includes a selection of Illustrations that are examples of evidence and give the range of clinical contexts that trainees may use to support their achievement of the Key Capabilities. These are intended to provide a prompt to the trainee and trainer as to how the overall outcomes may be achieved. They are not intended to be exhaustive and there are many more examples that would provide equally valid evidence of performance. These Illustrations have not been included in the draft versions below, but will be made available in due course. 

Satisfactory sign off for each Stage of training requires demonstration that, for each of the HLOs, the trainee’s performance meets or exceeds the minimum requirements as described. This will require Educational Supervisors to make a global judgement indicating whether the trainee has made satisfactory progress for the defined stage of training.

The HLOs and Key Capabilities have been mapped to the Generic Professional Capabilities (GPC) framework and Good Medical Practice (GMP), but this has not been included in the draft versions.

For the Draft Stage 1 High Level Learning Outcomes, please select here

For the Draft Stage 2 High Level Learning Outcomes, please select here

For the Draft Stage 3 High Level Learning Outcomes, please select here

For the Draft Stage 3 Special Interest High Level Learning Outcomes, please select here

If you would like to take part in the survey, please follow this link: https://www.surveymonkey.co.uk/r/FZLP2VX