Anaesthesia for all ACCS trainees


Welcome to the Anaesthesia section of the ACCS Website.

During the two years of the ACCS programme you will spend between six and nine months in Anaesthesia depending on the deanery in which you are working. During this time you should complete the Initial Assessment of Competence, complete the relevant modules listed below, complete the necessary work place based assessments, maintain an anaesthetic logbook, develop your portfolio and attend the specific tutorials and education sessions as specified by your deanery.

Anaesthesia curriculum and assessments

All ACCS trainees must complete the following sections of the ACCS curriculum as a minimum and attain all the identified minimum clinical learning outcomes:

1  Anaesthesia: Initial Assessment of Competence (IAC)

Initial Assessment of Competence (IAC): All ACCS trainees should aim to complete the IAC within the first three months of Anaesthesia training and until successfully completed, may not work without direct supervision. Some deaneries may have specific paperwork for completion of the IAC, others can use the Royal College of Anaesthetists' paperwork (more information can be obtained from the educational supervisor). All anaesthetic assessments for the IAC are summative and compulsory. The 2015 assessment forms can be found here

  • Minimum number of assessments required for completion of IAC: 5 Mini-CEX, 6 DOPs, 8 Cbds

2  Anaesthesia: further modules post-IAC

All ACCS trainees must complete, in addition to the IAC, the modules listed under ‘Introduction to anaesthesia’ and all the associated learning outcomes.

  1. Introduction to Anaesthesia
  1. Preoperative assessment
  1. History taking
  2. Clinical examination
  3. Specific anaesthetic evaluation
  1. Premedication
  2. Induction of general anaesthesia
  3. Intra-operative care
  4. Postoperative and recovery room care
  5. Introduction to anaesthesia for emergency surgery
  6. Management of respiratory and cardiac arrest
  7. Control of infection

There are an additional two units within anaesthetic core training, (listed under Core Anaesthesia) but not part of the ‘Introduction to Anaesthesia’, which are of added interest to ACCS trainees:

  1. Core anaesthesia
  1. Transfer medicine
  2. Sedation

Trainees wishing to complete these additional ‘core training’ units may do so once the ‘Introduction to anaesthesia’ (IAC + basis of anaesthetic practice), has been successfully completed. These additional units are optional for the ACCS trainee.

3  Anaesthesia e-portfolio

ACCS trainees should maintain an educational portfolio from their parent specialty. This can include appraisal information, details on cases and information regarding the trainees’ professional activities, achievements and development relating to their anaesthetic training.

Please note some deaneries have their own specific paper versions of the portfolio/workbooks to follow. Individual educational supervisors should be consulted regarding local deanery policy.

4  Anaesthetic Logbook

As in all ACCS specialty modules, you are required to keep a logbook for your time spent in anaesthesia, which will form a vital part for the yearly assessment procedures (ARCP). ACCS Anaesthesia trainees should be aware that the anaesthetic component of their ACCS logbook is expected to continue through and form an integral part of their anaesthesia training. For further guidance and facilities on downloading the electronic logbook, see the Royal College of Anaesthetists (RCoA) website.

5  Multi-source feedback

All trainees must complete an MSF during their anaesthetic/ICM placements.

e-Learning Anaesthesia website

There is now an e-Learning website for trainees in anaesthesia. This aims to deliver components of the first two years of the anaesthesia curriculum (CT1/2) through a series of teaching sessions, accessible through a central website. The interactive lessons and self-assessment sessions follow the academic block structure of the anaesthesia curriculum and support the acquisition of knowledge and skills as trainees progress through the training programme. The e-Learning resource operates in synergy with existing resources to prepare trainees for the Primary Examination. It records the learner’s progress through the curriculum, offers formative assessment/feedback and enhances their knowledge base and clinical skills ready for progression into more advanced training. You can register using your RCoA registration details.

Non-Anaesthetic ACCS trainees can also register for access to the e-learning Anaesthesia website via: free of charge. You will require an NHS email address and your GMC number. Non-Anaesthetic ACCS trainees may also apply for inclusion on the Voluntary Register of the RCoA. Benefits include receiving the British Journal of Anaesthesia, BJA Education, archive editions of Continuing Education in Anaesthesia Critical Care and Pain (CEACCP) and the RCoA Bulletin. Further details and an application form can be obtained from the RCoA Membership Department (020 7092 1701/1702,