Core Anaesthetic Training Scheme

Core Training

Induction Day

The Welsh School of Anaesthesia holds an Induction Day for those trainees commencing Core Training. The Induction Day is held in early September for trainees who commence programmes in August, and in late February/early March for trainees commencing in February. Please see the Courses & Study Days pages of the website for further information.

Training Overview

Progression through the anaesthetic training programme requires demonstration of clinical competence in a range of clinical units of training. The training Programme changed in August 2016. Trainees will complete and Introduction to Anaesthesia which underpins the 'newest' part of the Anaesthetic Curriculum, Perioperative Medicine as well as Preassessment. This is followed by Core Anaesthesia comprising 15 units of training. Competence in knowledge, skills and demonstration of good attitude and behaviour are also assessed.

The Introductory units must be completed in the first 3-6 months of training. There are mandatory assessments, 6xDOPS, 5xAnaes-CEX and 8xCBD's, which are mapped against these units and comprise the Initial Assessment of Competence (IAC)

Trainees cannot work without direct supervision until this is successfully achieved. Once the IAC is achieved trainees can begin the CORE anaesthesia units of training. Sign-off of these units requires 1xDOP, 1x Anaes-CEX and 1xCBD per unit together with logbook and any other evidence leading to a successful Core Clinical Learning Outcome for that unit.

These units are not necessarily delivered in module form, except for a mandatory 3-month ICM module, and it is also desirable to complete obstetric anaesthesia training as a single 3-6 month module. There is an Obstetric Assessment of Competence, similar in format to the IAC, which must be completed before trainees can work unsupervised in obstetrics.
One anaesthetic MSF per year is also mandatory, in addition you may also be required to complete an MSF during your ICM module.

When all units are successfully completed and the trainee has passed the Primary FRCA, the Core Level Training Certificate (CLTC) is awarded allowing career progression to the Specialty Training Programme.

Core Training


In Wales, we are able to offer a 3rd year of core training with an opportunity to spend 6 months in a complementary specialty e.g. acute medicine, emergency medicine or intensive care medicine. This will enhance your core training experience and will valuable if you wish to pursue a career in pre-hospital emergency medicine or intensive care medicine. Trainees are invited to apply prospectively for this third year of core training during the early months of their CT2 year. It is expected that trainees will not make an simultaneous ST3 application for the same training year.


Towards the end of each year of Core Training you will have an ARCP (Annual Review of Competence Progression), all evidence of your training progression should be collated on the RCoA lifelong learning platform. It is much better to plan for this from Day 1, not Day 364. ARCP dates are detailed on the ARCP webpage.

Due to the current COVID-19 pandemic, ARCP checklists have been amended - see below.

Primary Exam

Trainees are expected to attend focussed Primary FRCA teaching. For information on all current teaching, see Courses & Study Days
For the latest information on exams, please see the examinations section of the Royal College of Anaesthetists website

For further information relating to Core Training, please contact the Core Training Programme Director Dr Graeme Lilley: