2021 Curriculum webinar 25 March

Pre-recorded presentations and relevant presentations from prior events

Presentations recorded on the day

Frequently asked questions

Guidance has now been published that sets out the experience and evidence required for the transition year between core level training on the 2010 Anaesthetics curriculum and stage 2 training on the 2021 Anaesthetics curriculum; this has elsewhere been referred to as the stage 1 or CT3 'top-up' year.

There is general guidance, suitable for all trainers and anaesthetists in training.

Guidance has also specifically been developed for Clinical Directors.

Further guidance regarding transition will be published soon.

Yes, in the same way they can do so now. If they're currently signing off workplace-based assessments, then they will be able to sign off supervised learning events in the new curriculum. Guidance on the role of anaesthetists in trainings as assessors will be covered in the curriculum handbook.

Heads of School and Training Programme Directors are responsible for the organisation of rotations; in some schools they may spend three years in one place, in other schools it will be different.

This will not change from the arrangements for the existing curriculum. If trainer recognition is required for a trainer to approve a CUT form then this will be required to sign off a HALO.

Run through training was discussed as an option at the outset of developing the new curriculum but was not well supported enough to take forward.  It was felt to be insufficiently flexible by both anaesthetists in training and trainers.

Yes. The GMC rules have recently changed; if you have completed a minimum of three years within a training programme then you will be awarded a CCT.

This is covered in an anaesthetic training update from 20 May 2020.

Yes. There are many different capabilities within General Anaesthesia domain, but some have been clustered some together and some stand alone.

For example, in stage 1 there is a key capability to be able to provide safe general anaesthesia for ASA 1-3 patients for non-complex surgery. That is a short sentence but encapsulates an enormous amount of training in order to achieve the suggested level of supervision.

Current units of training, like orthopaedics, can be observed and completed within one trust, but the key capabilities for General Anaesthesia in the 2021 curriculum span many different areas of training and surgical specialties. The educational supervisor will be able review the evidence that has been provided and use their professional judgement to assess whether the trainee has achieved that key capability.  Trainers will be able to look at the range of supervised learning events and observe progress as indicated by the supervision scale.

It is important to remember that the 2021 curriculum is not defined by surgical specialties, as anaesthetic practice is not defined only by surgery; it is defined by capabilities.

There are local training programmes where anaesthetists go through ‘blocks’ of specialist training such as paediatric and cardiothoracic anaesthesia, and we know that there are good systems in place already to facilitate trainer feedback and discussion. This is one element that we are very keen to preserve.  Experience for some specialist areas will cut across several domains of learning and this can be reflected in the LLp.

No, leads will still have that role. However, individuals will become the Assessment Faculty HALO designated assessors for particular domains.

For more information please see the Assessment Guidance.

ICM training can be undertaken at any time in stage 1. It can be undertaken as a single 6-month block but is likely to be of greater value to anaesthetists in training and the intensive care department if it comprises 2 x 3-month blocks.

However, those following the ACCS programme will be required to do a single 6-month block.

It is worth noting that during the ICM placement, key capabilities in the 2021 curriculum Resuscitation and Transfer domain are likely to be achieved and evidenced.  This flexibility is one of the benefits of HALOs although it will take a little time to become familiar with the new curriculum.

Yes, but they will need to compile the evidence for CT3 equivalence onto LLp and be issued with the Stage 1 Equivalence Certificate before moving on to stage 2.

Yes. TIVA is contained within the General Anaesthesia domain throughout the 2021 curriculum.

On-call obstetrics is not mandatory but it may be necessary in order to acquire the required experience eg, to gain experience of dealing with emergency procedures for more complex patients.

Yes. Development work has already started and is expected to be completed and fully tested by early July.

An important part of the requirements for completing a domain of learning is demonstration of engagement with training and learning.  It is expected that anaesthetists in training will accrue evidence throughout the stages of training.

More succinct domains such as Pain, Procedural Sedation and even Regional Anaesthesia may be completed ahead of the end of the stage of training.  However, General Anaesthesia and Perioperative Medicine and Health Promotion are likely to be completed nearer to the end of the stage of training. Similarly for the generic professional domains, although it is expected that there will be evidence available for review in each of these domains at each ARCP.

No. As with the existing 2010 curriculum where 1 round of consultant feedback informs multiple units of training, in the new 2021 curriculum 1 round of MTRs can be used by the assessment faculty to inform more than one domain of learning.

We are aware that consultant feedback occurs in many different ways across the country and so have developed a singular, simple process that will be embedded in the LLp.  This will enable the collection of trainer feedback from specialty-specific (clinical) domains as well as generic professional domains.

For more information please see the Assessment Guidance.

Yes, because the curriculum requires the demonstration of capability.

For example, if an individual wanted to undertake vascular as one of their special interest areas in stage 3, they would not have to specifically undertaken vascular training before stage three, as they will have the general capability by the end of stage 2 to complete a vascular case, due to exposure to similar cases in other areas.

Many special interest areas inform the capabilities required in General anaesthesia and the generic professional domains.  This will be explored in greater detail at a future webinar.

Certainly the possession of the IAC, with progression from a supervision level of 1 (direct supervisor involvement, physically present in theatre throughout )to a supervision level of 2b (supervisor within hospital for queries, able to provide prompt direction/assistance).  Supervision levels will be a better indicator of progress than the current system of collecting workplace-based assessments.  A HALO in Procedural Sedation for example, could also be completed in this time.

We will provide guidance for ARCPs in due course, that will have more detailed information about what could be expected by this time.

At the moment there are only the 4 EPAs that cover the IAC and the IACOA. However, we will be exploring the suitability for EPAs to cover other areas within the curriculum in the future.

It is possible that some of this time in redeployment may count towards training, if it has occurred contemporaneously to the level of training being signed off.  However, in most cases we would not expect that the competencies achieved will be sufficient to complete units of training in ICM due to the specific nature of care provided during the COVID pandemic.

Please see our existing guidance for further details.

Yes. The stage 3 Intensive Care learning key capabilities in the 2021 anaesthetics curriculum are not the same as those for dual or single ICM trainees.  These have been developed for anaesthetists and could be better described as capabilities for managing the integration between anaesthetic and ICM services.

No, your training to date, including your IAC, will be recognised in the collection of evidence that will contribute towards your CCT.

At a department level.

The HALOs for ICM in stages 1 and 2 need a period of training in ICU. The HALO for stage 3 ICM will not require a ‘module’ in ICM but will likely need some ICM on call in order to acquire the key capabilities.

There is guidance on the experience required in the Assessment Guidance. Schools can adapt this HALO guidance according to local circumstances but the anaesthetist in training will still need to meet the key capabilities at the supervision level advised.

This should be deliverable in a DGH assuming that they manage children aged 5 years and over.