Anaesthesia Programme

The Training Programme in Anaesthesia is divided into 3 main sections as follows:-

Basic Core Specialist Training (CT 1 and 2)

Basic training comprises 2 years in District General Hospitals with a period of directly supervised work lasting about three months until achievement of the Initial Test of Competence after which the trainee may join the on call rota working with close supervision. As well as gaining competencies in anaesthesia for general surgery, orthopaedics and gynaecology, three months of the first year will generally be spent in intensive care. The second year will continue with general cases and training in obstetric analgesia and anaesthesia. In order to complete Basic Level Training (BLT) trainees must complete asssessments according to College guidelines and pass the Primary FRCA examination. They are then awarded the Certificate of BLT.

For those entering through the ACCS(Anaes) three year programme (CT1,2,2b) the same rules apply to the anaesthesia and intensive care modules. One year in acute and emergency medicine will also have been completed. Successful completion of Basic training is a requirement for application to Specialist training which starts at ST3 (for those from either entry route). Entry to ST3 will be by open competition.

Intermediate Specialist Training (ST 3 and 4)

The two intermediate years are spent in the Teaching Hospitals; Bristol Royal Infirmary, Bristol Royal Hospital for Children and Frenchay Hospital, following a modular training programme to cover all sub-specialties of anaesthesia. All trainees do at least 3 months Intensive Care Medicine training during this time. In order to achieve a Certificate of Intermediate Level Training (ILT) all modules most be completed and the Final FRCA exam passed.

Advanced Specialist Training (ST 5, 6 and 7)

In general the programme is more flexible for the more senior trainees to allow them to target their training towards their career aspirations. At least one year is spent in a DGH, during which time trainees further develop their clinical skills and will take on additional clinical responsibilities and supervision of more junior colleagues. In addition further experience will be offered in teaching, audit, research and management. Further experience is gained in anaesthetic sub-specialities at a senior level in the teaching hospitals. The organisation of modules is dependent on the trainees’ requirements and future career plans. Advanced training modules are offered in many specialist areas; if oversubscribed they are allocated competitively within the School. Advanced training in Intensive Care Medicine for one year is possible after successful open competitive interview to satisfy the Intercollegiate Board. These posts are advertised nationally and appointed annually. Off Rotation Training is supported during the advanced training years.

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