Milestones and Certificates for LLP users
There are currently seven milestones on the LLP and each milestone requires 1 or 2 sign-offs by consultants at supervisory level or above. Below is a table with the milestones listed.
| Milestone | Description | Requirements / Notes |
| 1. Initial Assessment of Competence (IAC) | Summative assessments for the initial period of Anaesthetics training. | - Link and sign off relevant EPA HALOs (e.g., EPA 1 & 2) |
| - Link a completed Multiple Trainer Report | ||
| - Link Personal Activities labelled "Simulation training" to the milestone | ||
| 2. Initial Assessment of Competence in Obstetric Anaesthesia (IACOA) | Summative assessments for the initial period of Obstetric Anaesthesia training. | Same as IAC: |
| - EPA HALOs | ||
| - Multiple Trainer Report | ||
| - Simulation Personal Activities | ||
| 3 & 4. Equivalence Stage 1b and 2b (EQ1A & EQ2A relate to 2010) | For 2021 curriculum users transitioning from ANAES 2010 to complete training gaps. | These milestones will be inactive from 2025. More information will follow. |
| 5, 6 & 7. Stage 1, 2 & 3 Milestones | Certificates evidencing completion of each training stage. | Require sign-off by: |
| - College Tutor | ||
| - Designated Consultant | ||
| - Regional Advisor |
For ICM curriculum purposes, Intensivists in Training must evidence the capabilities outlined in the Anaesthesia HiLLO.
To demonstrate IAC attainment during anaesthetic placements in the ICM curriculum, doctors can:
- Complete equivalent workplace-based assessments, mapping evidence to Anaesthesia HiLLO10
- Obtain consultant sign-off confirming required competencies
- Use the FICM MCR (https://www.ficm.ac.uk/trainingexamstrainingcurriculaandassessment/multiple-consultant-report-pilot) in lieu of the Anaesthetic MTR
- Paper forms for EPA 1 and 2 can be found here: EPA 1 and EPA 2 paper versions and uploaded to the FICM LLP as personal activities and linked to the HiLLO10
N.B. Intensivists in training and CESR applicants in ICM are not required to complete the IAC, but must demonstrate equivalent capabilities through appropriate assessments aligned with the ICM curriculum (e.g. HiLLO10).
Only certificates completed on the current curriculum via LLP appear in the Milestones section.
Watch this 2019 video by Dr Toni Brunning and Dr Lucinda Williams to learn how to upload certificates done on paper or a previous curriculum.