E N D
1. Acute Care Common Stem Training in Wales Rachel Walpole
Welsh School of Anaesthesia Lead for ACCS
3. ACCS Training Programme Years 1&2:
6 months Acute Medicine
6 months Emergency Medicine
6 months Anaesthesia
6 months ITU
Year 3:
12 months parent specialty
4. Pros and Cons for WSA High novice load
ITU continuity
Insight for other specialties
Net anaesthetic & ITU trainee gains
5. Where are ACCS trainees? Cardiff
Royal Gwent
Swansea
North Wales: Bangor & Wrexham
CT1 & CT2 on same site, usually also CT3.
6. Who are ACCS trainees? 12 ACCS trainees per site:
4 CT1
4 CT2
4 CT3
Each group of 4=
2 Anaesthetists
1 Emergency Physician
1 Acute Physician
7. Anaesthesia for ACCS 2010 BASIS of anaesthetic practice
Initial Assessment of Competence
BASIC Anaesthetic Training Units:
Airway Management
Critical Incidents
Paediatrics (modified)
MSF
Educational Supervisors Report
8. Paperwork & Curriculum https://public.me.com/christhorpe
Requires Firefox
Curriculum
Paperwork
Information
RCoA website: Curriculum
p139 for Anaesthesia
9. ACCS Challenges 1 The Problem Trainee: Communication!!!!
No option to progress more slowly
Gaps
Maternity & Sick Leave
Part-Timers
10. ACCS Challenges 2 Career Changes
Discrimination
Parent Specialty Teaching & Exams
11. ACCS Challenges 3 The returning CT2 ACCS Anaesthetist
12. Educational Supervision Specialty Supervisor for each 6 months of training
Parent Specialty Supervisor
For career / exam issues
Local ACCS Lead
Problem Trainees
13. Who can help? Leads for ACCS each site:
UHW – Anton Saayman (ITU)
Swansea - Sabine Eggert (ITU)
Bangor - Chris Thorpe (An’a & ITU)
Wrexham - Chris Subbe (Medicine)
RGH - Rachel Walpole (Anaesthesia)
Programme Director: Chris Thorpe
14. Summary ACCS numbers not high
But all novices
50% are career anaesthetists
6 months in Anaesthesia
Slightly different CT curriculum
Timing is a challenge
“Specialist” Educational Supervisor advisable