2021 Curriculum for a CCT in Anaesthetics

The points below provide a high-level description of attainment to be achieved, in each of the domains, at the end of each stage of training in order to progress to the next. A copy of this grid including mapping to the Generic Professional Capabilities and domains of Good Medical Practice can be found with the stage 1 2 and 3 learning syllabus links.

Generic professional domains of learning

Professional Behaviours and Communication

• High-level Learning Outcome: Demonstrates the professional values and behaviours that patients expect from their doctors
• Stage 1 Learning Outcome: Demonstrates the professional values and behaviours required of doctors in training
• Stage 2 Learning Outcome: Demonstrates the professional values and behaviours required of senior anaesthetists in training
• Stage 3 Learning Outcome: Demonstrates the professional values and behaviours required to be a consultant.

Management and Professional and Regulatory Requirements

• High-level Learning Outcome: Undertakes managerial, administrative and organisational roles
• Stage 1 Learning Outcome: Understands and undertakes managerial, administrative and organisational roles expected of all doctors
• Stage 2 Learning Outcome: Understands and undertakes managerial, administrative and organisational roles expected of senior anaesthetists in training
• Stage 3 Learning Outcome: Understands and undertakes managerial, administrative and organisational roles expected of consultants.

Team Working

• High-level Learning Outcome: Contributes to teams to enhance patient care
• Stage 1 Learning Outcome: Works effectively as a member of a clinical team
• Stage 2 Learning Outcome: Demonstrates safe and effective followership and leadership in clinical teams
• Stage 3 Learning Outcome: Leads and participates in complex and diverse teams in all situations.

Safety & Quality Improvement

• High-level Learning Outcome: Improves the quality and safety of patient care
• Stage 1 Learning Outcome: 
  • Understands and applies quality improvement methodology
  • Applies the principles of patient safety to their own clinical practice
• Stage 2 Learning Outcome:
  • Leads a local quality improvement project
  • Applies the principles of patient safety in the hospital context
• Stage 3 Learning Outcome: 
  • Supervises a local quality improvement project and participates in regional or national quality improvement projects
  • Uses a systems approach to creating, maintaining and improving safety.

Safeguarding

• High-level Learning Outcome: Identifies vulnerable people and takes appropriate action
• Stage 1 Learning Outcome: Describes the importance of safeguarding vulnerable people
• Stage 2 Learning Outcome: Recognises safeguarding concerns in patients and healthcare professionals
• Stage 3 Learning Outcome: Evaluates and instigates initial management of safeguarding concerns.

Education and Training

• High-level Learning Outcome: Helps others to develop their professional practice
• Stage 1 Learning Outcome: Takes responsibility for their own education and training needs and contributes to departmental education
• Stage 2 Learning Outcome: Plans, delivers and reflects on educational activities provided to other learner
• Stage 3 Learning Outcome: Meets the requirements of a clinical supervisor (as defined by the GMC).

Research and Managing Data

• High-level Learning Outcome: Expands the understanding of anaesthetic practice
• Stage 1 Learning Outcome: Is research aware: Demonstrates an understanding of the evidencebased approach to anaesthetic and perioperative care
• Stage 2 Learning Outcome: Is research ready: Develops critical appraisal skills; gains a broader understanding of data management and research methodology; communicates research evidence to patients and colleagues in a meaningful way
• Stage 3 Learning Outcome: Is research experienced: Has engaged with research; applies the governance involved in research; evaluates and communicates research findings clearly.

Specialty specific domains of learning

Perioperative Medicine and Health Promotion

• High-level Learning Outcome: Facilitates safe multi-disciplinary peri-operative care and promotes the principles of public health interventions and efficient use of healthcare resource
• Stage 1 Learning Outcome:
  • Identifies clinical and social challenges that increase risk for patients undergoing surgery
  • Appreciates the principles of sustainability in clinical practice
• Stage 2 Learning Outcome: Works with patients to reduce the risks associated with surgery
• Stage 3 Learning Outcome:
  • Manages perioperative care at an individual and service-wide level
  • Applies the principles of sustainability to clinical practice.

General Anaesthesia

• High-level Learning Outcome: Provides safe and effective general anaesthesia
• Stage 1 Learning Outcome: Provides safe and effective general anaesthesia with distant supervision for ASA 1-3 patients undergoing noncomplex elective and emergency surgery within a general theatre setting
• Stage 2 Learning Outcome: Provides safe and effective general anaesthesia with distant supervision for ASA 1-3 patients undergoing noncomplex elective and emergency surgery within all settings
• Stage 3 Learning Outcome: Provides safe and effective general anaesthesia independently for all patients undergoing nonspecialist procedures and for patients within defined areas of a special interest.

Regional Anaesthesia

• High-level Learning Outcome: Provides safe and effective regional anaesthesia
• Stage 1 Learning Outcome: Performs simple peripheral nerve blocks and performs spinal and lumbar epidural anaesthesia/analgesia independently
• Stage 2 Learning Outcome: Performs a wider range of regional anaesthetic techniques
• Stage 3 Learning Outcome: Delivers a range of safe and effective regional anaesthetic techniques to cover the upper and lower limb, chest wall and abdominal wall independently.

Resuscitation and Transfer

• High-level Learning Outcome: Resuscitates, stabilises and transfers critically ill patients safely
• Stage 1 Learning Outcome:
  • Able to recognise and initiates resuscitation of the deteriorating patient
  • Works as an effective member of the medical emergency team
  • Cares for stable critically ill adult patients independently during interhospital transfers by road.
• Stage 2 Learning Outcome: 
  • Able to manage the ongoing care of postresuscitation patients
  • Independently cares for critically ill adult patients during interhospital transfers by road.
• Stage 3 Learning Outcome: 
  • Is able to lead the multidisciplinary team for all patients requiring resuscitation from anu cause, subsequent stabilisation and post-resuscitation care
  • Able to supervise inter-hospital transfers and evaluate the necessary resources for patient transfers.

Procedural Sedation

• High-level Learning Outcome: Provides safe & effective sedation
• Stage 1 Learning Outcome: Provides safe procedural sedation to ASA 1 -3 patients within the theatre complex
• Stage 2 Learning Outcome: Provides safe sedation to ASA 1- 3 patients and children in any location within the hospital
• Stage 3 Learning Outcome: Delivers safe and effective procedural sedation independently.

Pain

• High-level Learning Outcome: Manages pain
• Stage 1 Learning Outcome: 
  • Recognises, assesses and treats acute pain independently
  • Differentiates between acute and chronic pain
• Stage 2 Learning Outcome: Understands the aetiology and management of acute, acute on chronic and chronic pain
• Stage 3 Learning Outcome: Able to initiate complex pain management for in-patients and to sign-post to appropriate pain management services.

Intensive Care

• High-level Learning Outcome: Manages critical illness
• Stage 1 Learning Outcome: Provides safe and effective care for critically ill patients under close supervision
• Stage 2 Learning Outcome: Provides safe and effective care for critically ill patients with specialist help and guidance
• Stage 3 Learning Outcome: Provides safe and effective care for critically ill patients with specialist help and guidance.