At all times SAS anaesthetists who are not autonomously practising anaesthetists should be supervised at an appropriate level(1-4) of sessional supervision, varying depending on both their level, including their previous experience and capability, and the case or cases for which they are being supervised doing.37,41,42
Structured training in regional anaesthesia should be provided to all anaesthetists in training and any other anaesthetists who wish to learn any of these techniques. The training should include an understanding of the relevant anatomy, physiology, pharmacology, ultrasound physics, non-technical skills and the prevention and management of complications. Part-task trainers may be used to improve practical skills.48
Specialist anaesthetists should be involved in the discussion of referrals and planning when conducted in the setting of a multidisciplinary team. This involvement should be recognised in job plans. Anaesthesia for complex adult congenital heart procedures should be undertaken by suitably trained adult congenital anaesthetists. Appropriate support from ACHD cardiologists and other cardiologists with suitable expertise in ACHD is necessary.33
Departments of anaesthesia must ensure that a named supervisory consultant is available to all non-consultant anaesthetists, except those non-consultant non-trainee anaesthetists that local governance arrangements have agreed in advance are able to work in those circumstances without consultant supervision, based on the training and experience of the individual doctor and the range and scope of their clinical practice.158 Where...
Member service is the focus of the first year of our Five-Year Commitment. We want to provide the right services to you at all stages of your career and deliver a programme of improvement so that your experience of the College is the best it can be.
I fully appreciate that there are some areas where we need to do better – you have told us where we need to improve, and we have been listening, acting and improving wherever we can. Our response time is one example. We have made it a priority to respond to your enquiries in a more timely way and to reduce the number of outstanding emails, particularly those relating to training.
Anaesthetists with a specific interest in orthopaedics and trauma should deliver regular theatre sessions to ensure the maintenance of their skills and experience.
Patients undergoing sedation or general anaesthesia by an anaesthetist should have appropriate preoperative assessment with appropriate risk stratification.
There should be a forum for discussion of matters relevant to both surgeons and anaesthetists, for example protocol development and critical incidents.
Anaesthetists should demonstrate engagement with ongoing education and CPD as required.74
