2021 Training Scheme

From August 2021, all new CT1/ACCS CT2, ST3 and ST5 Trainees in the Welsh School of Anaesthesia will be following the new RCoA 2021 Curriculum, which encompasses Stage 1, Stage 2 and Stage 3 respectively.

The RCoA 2021 Curriculum, Assessment Strategy, Entrustable Professional Activity workbooks and information for trainees who are dual training with FICM can be found below and more information is being produced regularly on this RCoA link

The information and webinar links below include material which has been specifically produced for Welsh School of Anaesthesia trainees and details the implementation and transition plans which will be followed in Wales.

2021 Curriculum Webinar & Pre-Webinar Material

A webinar to discuss the changes that will occur with the introduction of the 2021 anaesthetic curriculum was held on 17th June. Below is the webinar recording and some important pre-webinar material which will provide you with important information in preparation for the introduction of the 2021 curriculum.
2021 Curriculum Webinar (Session 1; 2021 curriculum overview, core trainee transition & specialist trainee transition)
2021 Curriculum Webinar (Session 2; SLEs, MTRs, EPA1/2/3/4, Generic Professional Domains & Local Implementation)
Pre-webinar material:
2021 Curriculum Overview
Core Training Curriculum Transition
Specialty Training Curriculum Transition

Stage 1 Training

Trainees who have been unable to secure an ST3 training programme are encouraged to follow the RCoA guidance on how to achieve Stage 1 capabilities and a Stage 1 training certificate in a CT3 equivalent 'top-up' post by following on advice on this RCoA link

The Welsh School of Anaesthesia has provided additional information in the form of a checklist below on how the additional capabilities can be successfully achieved and will recognised by College Tutors in Wales to sign off Stage 1 training.

The new Welsh School of Anaesthesia educational supervisor paperwork for the 2021 curriculum stage 1 trainees can be downloaded below.

Stage 1 Professional "Sim" Day
A novel & interactive day; highlighting some of the clinical scenarios faced by anaesthetists in training and focussing on the RCoA 2021 Curriculum requirements for Domain 1 of the Generic Professional Capabilities (Professional Behaviours and Communication). This will enable all Stage 1 trainees to evidence this domain in their portfolios, and is designed for CT1, CT2, CT3s (& ST3s to evidence their Stage 1 Equivalence).

The next course date Friday 6th May 2022 at Grange University Hospital Education Centre. It is free for Welsh School of Anaesthesia trainees. Click here to sign up via eventbrite.

Stage 2 Training

The Welsh School of Anaesthesia has produced a summary of the gap analysis to help trainees with equivalence evidencing for stage 2 training. This checklist can be downloaded below.

Generic Professional Domains

The non clinical domains that demonstrate the Generic Professional capabilities of all Doctors are part of the RCOA 2021 anaesthesia curriculum. The 7 Generic Professional Domains are found across stages 1, 2 and 3. To support trainees across all stages of training we have developed a series of short lectures which are the basics and building blocks for these modules. Trainees across all 3 stages should complete these online lectures and complete a reflection. This reflection should be uploaded to the Lifelong learning platform as evidence of completion of the lecture series and should be thoroughly discussed with the Educational supervisor. The ES will be asked to make specific comments on the trainees reflections as part of the ESSR. These lectures are the core principles and trainees will be expected to demonstrate progression in these modules by adding reflection on other activities as well as the relevant supervised learning events (SLEs) eg QI project, audit cycle, guideline development etc.

An Overview of the Generic Professional Domains by Dr Caroline Evans

Professional behaviours and communication

Management and Professional and Regulatory Requirements

Safety

Quality Improvement

Safeguarding

Education and Training

Research and Managing Data

Team Working
No presentations have been created for this domain because you should easily be able to reflect and evidence how you work as part of a team in your day to day practice.

Educational Development Time

In order to support trainees achieving the GPC domain capabilities, the RCoA have produced guidance on the provision of specific time in the working week i.e. Educational Development Time (EDT) for developing and assessing skills to support learning and assessment in professional practice. The RCoA has a suggested time required for each stage of training, recommending trainees in anaesthetic posts in Stages 1 and 2 of the curriculum on both Core Anaesthetic Training and ACCS pathways should be allocated up to 2 hours of EDT per week. Those in Stage 3 should be allocated up to 4 hours per week, reflecting the requirement for greater involvement in some of these areas in the later stages of the training programme.

EDT should be allocated pro rata for less than full time trainees. The RCoA guidance suggests that allocation of time may be managed flexibly by departments and can be averaged over a period of time if desired.

The School established a working group from the WSoA STC membership and Health Boards to provide a standardised approach for allocation and agreed content of EDT in each departmental site. The following principles were agreed.

  • EDT is time allocated in addition to study leave, departmental and/or regional teaching.
  • EDT should be allocated on the electronic rota and, if possible, the trainee should be present in the hospital to complete this activity if the facilities allow.
  • It is the responsibility of the ES to ensure EDT is allocated on the weekly rota and to direct and monitor content within a clearly defined personal development plan. Use of EDT will be specifically recorded by the ES on the ESSR for ARCP.
  • EDT is not accrued during annual leave and study leave.
  • EDT must be given the same protected status as departmental teaching time.

Allocation of Educational Development Time

In Anaesthesia, EDT is better facilitated by a sessional (4.5 hours) allocation rather than weekly hours. To ensure appropriate and regular allocation of EDT throughout the training year, departments are encouraged to annualise the sessions to a total of 16 sessions/year for Stage 1&2 trainees (4 sessions every 3 month module) and 32 sessions/year for Stage 3 trainees (8 sessions every 3 month module). This is based on a 39/40 week calculation, after all annual and study leave allocation has been taken into consideration.
Departments are encouraged to prospectively rota EDT on their electronic weekly rota in the same way as teaching time is allocated. At times a balance will need to be found between effective rota management and meeting trainee EDT needs. A degree of flexibility in the rota may be needed for specific project work or to accommodate attendance at relevant teaching lists - this can be agreed with the ES on a case-by-case basis.

Examples of EDT activity include the following:

1. Simulation based teaching. During the IAC or IAOC, EDT should support simulation training or tailored educational novice training sessions
2. Development/maintenance of significant and specific procedural skills for all stages of training e.g. TOE/FICE, regional blocks
3. Quality improvement/Audit project work
4. Attendance at Quality & Safety/Clinical Governance meetings
5. Development of leadership/management portfolio, e.g. complaints, serious incident investigations, departmental meetings, training meetings, CD/MD observation work
6. Teaching and development as an educator
7. Research activity
8. COVID related training recovery