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Induction

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Induction

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    1. Induction

    2. Important People

    3. Very Important People Regional Advisor/TPD Anaesthesia Dr J Read College Tutor Dr A McDiarmid Regional Advisor Pain Medicine Dr S Kanakarajan Programme Director Dr K Cranfield Educational Supervisors Unit Clinical Director Dr B Stickle Reasons for contact/support

    4. Very very important people Departmental administrator Mrs Susan Robertson Leave secretary – Heather Gordon On call rota master Dr Calum McDonald Day rota master Dr Manisha Kumar

    5. Leave Limited spaces in book Must be booked 6 weeks ahead On call rota prepared about 10 weeks ahead Email with deadline from rota master (Calum McDonald) Leave can be taken after deadline – discuss with Calum and Susan Under 6 weeks notice MUST discuss with Susan and day rota master (Manisha Kumar)

    6. Leave Max 2 weeks in a 6 week block Try and spread across blocks Cannot be carried to next year MUST be recorded with Heather Covers all leave wherever you are working including secondments Stat days must be used by 24 December. Ct 1 must use 2 weeks leave in first 6 months

    7. Annual Leave Email Heather Limited spaces in book 25 days until 3rd point on pay scale then 30 days notify Heather when reach this point Year runs from appointment date

    8. Festive period No leave until rota made up Must work one period

    9. Sickness Notify by phone in person in morning form 7:30 on 553142 Out of hours leave message on answer phone on 553239 Phone each day you are off E-mail not acceptable 7 days need medical certificate Failure of notification = no pay

    10. Study Leave Year is financial year April - April Fill in form Same rules as annual leave Limited funding Money may be available at end year Exams Inform secretary of potential viva dates

    11. Core Study Leave Core Leave Scottish Simulator Courses Scottish Primary FRCA Course Scottish Practice OSCE Life Support Courses ANTS Training Primary FRCA Tutorials Expenses for 2 sittings Primary FRCA Life support courses

    12. Structure of Training Bodies GMC Set and secure standard of training Approval curriculum and assessment Approve training programmes and posts Quality assurance of training Deal with concerns not resolved locally College Anaesthesia, Critical Care and Pain Management Competency Framework Certification Examinations Deanery Delivery of medical education Hospital/Department of anaesthesia

    13. Portfolio RCoA Portfolio Download from web site Portfolio Structure follows “Good Medical Practice” Everything you do should be filed Copy Critical Incident Reports Maintain organised portfolio Keep it up to date Includes annual appraisal documents

    14. Appraisal/Ed supervision Named Educational Supervisor Initial meeting Educational agreement Learning plan Personal development plan Regular (3-4month) meeting End Block Meeting Discuss WPA’s, progress, case reports, M and M cases Annual Appraisal Educational supervisor’s structured report

    15. Assessment Initial test of competency Within 3 months Formal tests Essential before working without direct supervision Spinal competency/Intrathecal Injection 3-6 months Essential before administration of spinal anaesthetics without direct supervision

    16. Assessment/Appraisal RECORD COMPETENCIES ACHIEVED Assessments Initial Assessment of Competence Competence in spinal anaesthesia Basic Competence in Obstetric anaesthesia Work place assessments Multi-source feedback ARCP (Annual Review of Competence} LOG book Portfolio RCoA web site Appraisal Mid term End block Annual Feedback Daily Educational supervisor Examination

    17. Simulator Scottish Clinical Simulation Centre Stirling Skills and Drills for Novice Anaesthetists Dates to be announced Other anaesthetics courses: paediatrics, obstetrics, intensive care www.scsc.scot.nhs.uk/

    18. Work Place Assessment Provide evidence of competencies achieved. Complete each unit of training Trainee Initiated Assessed by Consultants/Final year trainees MUST complete feedback sections of forms in detail

    19. Work Place Assessments 2010 Curriculum Minimum assessments as per blueprint in curiculum. Mostly 1 DOPS, 1 CEX, 1 CBD per unit of training. May need more (enough to satisfy ES and to sign off the unit)

    21. Work Place Assessment MSF Annual report Part of e-portfolio

    22. Work Place assessments “The trainees capacity to get these assessments done on time is a measure of professionalism and the ARCP panel should take providing incomplete evidence seriously” Consultants should not sign off assessments retrospectively

    23. Work Place assessmments Some WPA’s can be simulations – usually DOPS (critical incidents) Assessments are cross section of capabilities Assessments should be done regularly, not saved till end of placement.

    24. ARCP Annual Review of Competence Progression Formal process Essentially paper based exercise – ALL documents MUST be in order or you will not be able to progress. It is YOUR responsibility to ensure appropriate documents are completed in appropriate time Ed supervisor’s report will list your educational/workplace achievements and non achievements – report written well before ARCP so ensure everything completed before this.

    25. FRCA Examination Primary FRCA MCQ Ł300 Pass in ST1 or ACCS 2 (anaes) 13 Sept 2011, 7h Feb 2012, 12th June 2012 Pass valid 2 years, max 5 attempts SBA questions included from Sept 2011 OSCE, SOE x 2 Ł545 Oct, Jan, May Each valid for 2 years Primary valid for 10 years before Final FRCA Essential for Basic Level Training Certificate and entry to ST3 Essential by interview date for appointment to ST3 in 2013 Final FRCA MCQ/SAQ Ł435 (6th Sept 2011, 13th Mar 2012) Viva Ł520 (5th Dec, 25th 2011, June 2012) Essential for Intermediate Level Training Certificate and entry ST 5

    26. Study Leave PLANNING discuss with Ed sup Application – form Entitlement – 30 days max (discretion of TPD) Funding core study leave Re-imbursement from end year surplus Core Leave Scottish Simulator Courses Scottish Primary FRCA Course Scottish Practice OSCE Life Support Courses ANTS Training Primary FRCA Tutorials Expenses for 2 sittings Primary FRCA

    27. Critical Incident Reporting Anonymous process On line DATIX Record in portfolio

    28. General Education Theatre teaching Departmental Educational Meetings Obligatory attendance Tutorials Introductory Primary Final M and M 2 cases/year which could be used at M and M Meting Audit Minimum 1 completed project per year

    29. RCoA E-Learning Registration Anaesthesia trainees Non anaesthesia trainees in ACCS Apply via RCoA website Content Primary examination tutorials CPD, Assessment, library

    30. Local Training Structure General training ICM minimum 3 month block in first 2 years (not in first 6 months) Complete paperwork for basic training in ICM Obstetric Training block in ST2 Local documents Pain Training Complete local documents for CT1 and CT2 Regional anaesthesia/orthopaedics Local documents for CT 1 and CT 2

    31. Pain Training Complete local document PCA, Epidural pump training signed off Log book of procedures Minimum per year 4 consultant supervised pain rounds 1 chronic pain clinic 1 DOPS, 1 CEX, 1 CBD Sign off by Dr Cranfield/ Kanakarajan/Stickle

    32. Regional Anaesthesia 1 week/6months at Woodend Hospital Complete local document 1 DOPS, 1 CEX, 1 CBD per year Complete Spinal Competency form

    33. Log Book RCoA log book ESSENTIAL FOR PROGRESSION Keep it up to date – daily Back up – several places All cases Regular review Report for Ed Sup Meetings Annual Report for ARCP – format as in training manual Helpful to record procedures as observed/assisted/solo Also outcomes (eg success of regional blocks)

    34. General Initial Test of Competence <3months Work Place assessments throughout year Primary MCQ year 1 Primary FRCA year 2 Apply for ST3 year 2 (need exam) CV development for ST3 application ARCP each year

    35. Pumps/Devices Need training in all equipment/devices Some need certified training Epidural PCA Theatre pumps Anaesthetic machine

    36. Out of Hours On Call Structure Resident call 1st call Obsterics ICU Non resident trainees 2nd call (until 20:15) ICU Consultants – MUST be NAMED on ALL anaesthetic forms 1st and 2nd call anaesthetists Obstetric anaesthetist Paediatric anaesthetist Cardiac anaesthetist ICU consultants Hyperbaric consultant After 8:15pm consultant maybe second call

    37. ROTAS Day time weekly rota Prepared ~6 weeks ahead Night rota You can swap on call BEFORE day rota made only ALL LATE SWAPS MUST BE DISCUSSED WITH SECRETARIES Requests can be made in diary 2.5 days off after nights 2 days off after days One 0.5 day off per week

    38. Day time support Consultant cover for ALL theatres/trainees Named responsible consultant on all anaesthetic records Rostered consultant for individual theatre Black dot consultant General emergency consultant Elective duty consultant Woodend duty consultant Paediatric duty consultant Obstetric duty consultant Cardiac consultant IF IN DOUBT IN A CRISIS CALL EMERGENCY DUTY CONSULTANT

    39. ROTA Daily rota Weekend 1 in 5 If on leave swap the weekend You will not be left solely responsible for a patient until formally assessed as competent to do so (3 – 6 months).

    42. How to start Call supervising consultant the day before Explain who you are and your position in department Discuss pre-op visits (when, solo/accompanied etc) Discuss a learning plan/objectives for the day Ask for feedback at the end of the day

    43. General points You are expected to see all patients before and after surgery Preferably visit day before (if admitted) Early morning pre-op visits are unacceptable without special reason Visit all patients post op, may need follow-up for several days (including those in ICU)

    44. On call shadow work You must do on call in the evenings and weekends You will not be responsible for patients during this time If on leave for long period, swap these nights & especially weekends.

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