Stage 2 equivalent training guidance

Stage learning outcome

• Provides safe and effective general anaesthesia with distant supervision for ASA 1 - 3 patients undergoing non-complex elective and emergency surgery within all settings

Experience and learning requirements

• further experience of cardiothoracic, neuro, paediatric and obstetric anaesthesia to achieve the capabilities at the supervision level outlined below
• evidence of the use of TIVA in different settings
• exposure to more complex ASA 3 patients for emergency and elective surgery.

Examples of evidence

Supervised Learning events (SLEs) across a range of surgical specialties and obstetrics including more complex ASA 3 patients, obese, frail and elderly, obstetrics and paediatrics

• evidence of use of TIVA in different settings
  • use of TIVA supervision level 2b

• neuro-anaesthesia
  • anaesthesia for ASA 1-3 adults, simple elective and emergency intracranial, spinal and neuroradiology procedures; minimum supervision level 2a
  • this may be evidenced by the CUT form for intermediate level neuro-anaesthesia provided that the supervision level for the capability described above is met

• cardiothoracic anaesthesia (old intermediate and higher)
  • anaesthesia for elective cardiac and non-complex thoracic procedures including one lung ventilation; supervision level 2a
  • this may be evidenced by the CUT form for intermediate level cardiothoracic anaesthesia provided that the supervision level for the capability described above is met

• paediatric anaesthesia
  • supervision level: minimum 2a for ASA 1-3 children aged 1-5, supervision level 2b for children 5 years and above
  • principles of general anaesthetic care of neonates

• obstetric anaesthesia
  • anaesthesia for elective and emergency obstetric patients including those with co-morbidities and obstetric complications; supervision level 3.