CCT in Anaesthetics - Core Level Training

Published: 15/08/2019

Assessments to be used for the Initial Assessment of Competence

A-CEX  

Assessment

Code

Assessment

IAC_A01

Preoperative assessment of a patient who is scheduled for a routine operating list [not urgent or emergency] [0-3 months]

IAC_A02

Manage anaesthesia for a patient who is not intubated and is breathing spontaneously [0-3 months]

IAC_A03

Administer anaesthesia for acute abdominal surgery [0-3 months]

IAC_A04

Demonstrate Rapid Sequence Induction [0-3 months]

IAC_A05

Recover a patient from anaesthesia [0-3 months]

 

 

DOPS  

Assessment

Code

Assessment

IAC_D01

Demonstrate functions of the anaesthetic machine [0-3 months]

IAC_D02

Transfer a patient onto the operating table and position them for surgery [lateral, Lloyd Davis or lithotomy position] [0-3 months]

IAC_D03

Demonstrate cardio-pulmonary resuscitation on a manikin. [0-3 months]

IAC_D04

Demonstrates technique of scrubbing up and donning gown and gloves. [0-3 months]

IAC_D05

Core Competencies for Pain Management – manages PCA including prescription and adjustment of machinery [0-3 months]

IAC_D06

Demonstrates the routine for dealing with failed intubation on a manikin.

 

 

CBD
Examine the case-notes. Discuss how the anaesthetic plan was developed. Ask the trainee to explain their approach to pre-op preparation, choice of induction, maintenance, post op care. Select each one of the following topics and discuss the trainees understanding of the issues in context.

Assessment

Code

Assessment

IAC_C01

Discuss the steps taken to ensure correct identification of the patient, the operation and the side of operation

IAC_C02

Discuss how the need to minimise postoperative nausea and vomiting influenced the conduct of the anaesthetic

IAC_C03

Discuss how the airway was assessed and how difficult intubation can be predicted

IAC_C04

Discuss how the choice of muscle relaxants and induction agents was made

IAC_C05

Discuss how the trainee’s choice of post-operative analgesics was made

IAC_C06

Discuss how the trainee’s choice of post-operative oxygen therapy was made

IAC_C07

Discuss the problems emergency intra-abdominal surgery causes for the anaesthetist and how the trainee dealt with these

IAC_C08

Discuss the routine to be followed in the case of failed intubation.

The Initial Assessment of Competence Certificate is available for download from the secure area of the College website.