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News and Current Information

Latest news and information from the School. If you have any News Items which you would like to add, please email them to us.

One day intensive OSCE course.

One day intensive OSCE course.

Exam style OSCE stations with feedback on performance.

Consultant examiners, authentic experience of the college exam.

Based on RCOA exam objectives.

Tips and tricks for Anatomy for the FRCA.

Exam skills direct from Senior Consultants.

Excellent feedback from last years candidates.

Great value course.

30 for Central School

50 for External candidates.

To register email:

Course Organisers: Dr Sarah Chieveley-Williams & Dr Claire Frith

Central london location, UCLH Education Centre 250 Euston Road, NW1 2PG.

Post Final FRCA Study Day North London, 28th April 2017

Post Final FRCA Study Day North London, 28th April 2017

Session 1 Cutting Edge Aortic Surgery

Time Lecture Presenter

09:00 Endovascular aortic surgery in 2016 (including EVAR trial update) Dr Tara Mastracci, Head of Complex Vascular Surgery, Royal Free Hospital

09:30 Radiation safety and fusion imaging Mr Tom Carrell, Cydar, Chief Executive, Director and Co-Founder

10:00 Open thoracoabdominal aneurysm surgery Prof Aung Oo, Associate Medical Director for Surgery, Liverpool Heart and Chest Hospital

Break 10:30 to 11:00

Session 2 Perioperative Medicine in Vascular

Time Lecture Presenter

11:00 Vascular surgical medicine Dr Jo Hardwick, Consultant in Surgical Medicine, Royal Free Hospital

11:30 Risk assessment (anaemia, frailty, hypertension) Dr Sadie Syed, Consultant Anaesthetist, St Marys Hospital

12:00 Cardiology in risk assessment/imaging Dr Tim Lockie, Consultant Cardiologist, Royal Free Hospital

12:30 Prehabilitation Dr Clare Morkane, Liver Research Fellow, Royal Free Hospital

Break 13:00 to 14:00

Session 3 Practical Workshops

Time Workshops Presenter

14:00 Carotid update and Regional anaesthesia for carotid endarterectomy Dr Craig Lyness, Consultant Anaesthetist, Royal Free Hospital

14:45 Peripheral vascular update and Regional anaesthesia for lower limb surgery Dr Jane Lowery, Consultant Anaesthetist, Royal Free Hospital

15:30 Introduction to CPET and CPET workshop Dr Clare Morkane and Dr Christine Sathananthan, Research Fellows, Royal Free Hospital

Break 16:15 to 16:30

Session 4 The Future

Time Lecture Presenter

16:30 The future of vascular anaesthesia Dr Nick Schofield, Consultant Anaesthetist, Royal Free Hospital.#

only 100 places available, register Now!!!

Please use this link for the feedback

College Trainee Newsletter

The latest edition of “The Gas” Trainee Newsletter is now available on the College Website please see link below;

Primary FRCA OSCE Course

Primary FRCA OSCE Course
Simulation Centre, Royal Free Hospital
18th & 19th April 2017
Course Fee: 150

2 day intensive OSCE practice
Guidance from experienced RCoA OSCE examiners & recent successful candidates

Day 1: Exam focused Simulation & Resuscitation scenarios. Each candidate will have a scenario, feedback and learning about exam technique.

Day 2: 42 OSCE stations (3 circuits) incorporating recent topics for the RCoA exams.

Previous feedback
“very well organised, friendly faculty”
“fantastic course, definitely feeling better prepared for the exam”
“great value for money”

London Anaesthesia 25th Anniversary Conference

London Anaesthesia 25th Anniversary Conference

Thursday 25 May 2017

Holiday Inn, Coram St, London WC1N 1HT

Organiser: Dr Lila Dinner

9.00 Registration
9.30 Welcome Drs Claire Shannon and Cleave Gass,Heads of the London Academy of Anaesthesia
9.45 Noahs Ark; what can we learn and where to next? Dr H Alibhai, Royal Veterinary College
10.20 Nanotechnology for Health Prof Bart Hoogenboom, Prof of Biophysics, UCL
10.55 Communication in an Elite Environment Dr Imtiaz Ahmad, Club Doctor, QPR
11.30 Coffee
12.00 Workshop Sessions - Widening the Workforce, Patient Safety, Skills Stations, New Directions

13.00 Lunch
14.00 Workshop Sessions ; Widening the Workforce, Patient Safety, Skills Stations,New Directions
15.15 Sustainable Intensive Care; is it deliverable globally? Dr Rashan Haniffa, Chief Exec, NICST
15.45 KEYNOTE SPEECH: Global Reach of Anaesthesia Dr Rola Hallam, Chief Executive, CanDo
16.30 Royal College of Anaesthesia Council Member
16.40 Closing Remarks
16:30 Panel discussion and close

REGISTRATION is via the School of Anaesthesia Secretary

Poster competition via

Post-Fellowship Training Day - Airway

Dear ST5, ST6, ST7 & Post FRCA trainees & College Tutors

Information below
What:  Post-Fellowship Training Day
Subject:  Airway
When:  Friday, 24th March 2017
Where:  Clinical Lecture Theatre, Imperial College, Norfolk Place, London, W2 IPG

Programme provisionally as follows:
0915 - Welcome
0930 - Jim Roberts (RNTNE) Paediatric ENT Anaesthesia
1000 - Tina Ferguson (RNTNE) The Shared Airway
1030 - David Vaughan (NPH) Anaesthesia for ENT Head and Neck Surgery
1100 - Q&A
1115 - 1145 Coffee
1145 - Tamsin Rope (NPH) Anaesthesia for maxillofacial trauma
1215 - Imran Ahmad (Guys) AFOI
1245 - Q&A
1300- 1400 Lunch
1415- Anil Patel (RNTNE) THRIVE
1445 - Helen Drewery (RLH) Tracheostomy
1515 - Q&A
1530 - General Airway Q&A
1545 Close

Please register your attendance by using the following link; Password Airway2017

Feedback for CT 1 & 2 central school teaching sessions

Dear Trainees,

Please use this link to a google form to enter your feedback for each teaching session. This will help us develop the program to your needs.

Many Thanks

Steve Cone

Post FRCA Higher Training Day - TRAUMA - 24th February 2017

Dear ST5, ST6, ST7 & Post FRCA trainees & College Tutors

Information below
What:  Post-Fellowship Training Day
Subject:  Trauma
When:  Friday, 24th February 2017
Where:  Wolfson Lecture Theatre, St Marys Hospital, London, W2 INY

Programme currently being finalised.

Please register your attendance by using the following link - Password Trauma2017

Read comments (1) or add another

North Central School of Anaesthesia Core Trainees Teaching 2017

Dear all,

Happy New Year!

Please take note of the Core Teaching dates for 2017.

More details to follow suite.

UCLH Education Centre

09:00 12:00

Feb 7th

Feb 21st

Written paper 28th Feb

Mar 7th

Mar 21st

Apr 4th

May 2nd

SOE week beginning 15th May

May 16th

June 13th

June 27th

July 11th

Aug 22nd

Sep 5th

Sep 19th

Oct 3rd

Oct 17th

Oct 31st

Nov 14th

Nov 28th

Dec 12th
Read comments (1) or add another

Post-FRCA Training Day - Paediatric Anaesthesia - Friday, 27 January 2017

What:  Post-FRCA Training Day
Subject:  Paediatric Anaesthesia
When:  Friday, 27 January 2017
Where:  Education Academy, The Royal London Hospital

The programme has been designed to suit all trainees, from those with a passionate desire to pursue a career in tertiary paediatrics, to those who never wish to see anyone under 12 again (you will, and it will probably be in resus).

Reasons to come along include:
- a recap of all things paediatric for those feeling a bit rusty
- an update on some hot topics in paeds anaesthesia
- tips for those soon to be providing out of hours consultant cover in a DGH (CCT is sooner than you think.......)
- advice on planning a career or fellowship in paediatric anaesthesia
- tips for managing a variety of paediatric emergencies, and how CATS can help you!

Please register to attend by following link:

Details of this day can also be found on the Barts and London School of Anaesthesia website:

Final FRCA Study Day -Perioperative Care of the Cancer Patient

4th Global Conference
on Perioperative Care of
the Cancer Patient
Accredited for 15 CME points
Wednesday 23rd Friday 25th November 2016
The Royal Horseguards, 2 Whitehall Court, London SW1A 2EJ

Programme is here

Primary FRCA Masterclass

Dear College Tutor,

The next Primary FRCA Masterclass will take place at the RCoA from Tuesday 10th to Friday 13th of January 2017. Please note that this course is Tue-Fri rather than our usual Mon-Thu.

The course is a mixture of lectures and practice MCQ papers enabling candidates to compare their performance against their peers. The course only runs twice a year and is primarily aimed at candidates planning to sit either the March Primary MCQ Paper although anyone is welcome to attend.

Further details can be found on the RCoA Website at

The course has become very popular in recent years and, as there is a limit as to how many we can accommodate in the lecture theatre, early booking is advisable.

I would be grateful if you could forward this email to trainees in your department who are planning to sit the Primary in March or September.

Yours sincerely

Ed Hammond

Edward J Hammond
Consultant Anaesthetist
Royal Devon and Exeter Foundation Trust

Clinical Lead e-Learning Anaesthesia
Director Primary FRCA Masterclass
Royal College of Anaesthetists

07985 685978

Final FRCA viva revision sessions

Dear All,

Final FRCA viva revision sessions at the Royal Free Hospital- back by popular demand!

Everyone is welcome- this preparation is for exams starting on 5th December 2016. Sessions are to be run by consultant anaesthetists and post FRCA trainees on a variety of topics.

Anaesthetic department seminar room
3rd floor
Anaesthetic department
Royal Free Hospital

Time: 6pm

Thursday 27th Oct
Monday 31st Oct
Wednesday 2nd November
Tuesday 8th November
Thursday 10th November

Tuesday 15th November
Thursday 17th November
Monday 21st November
Wednesday 23rd November
Friday 25th November
Monday 28th November
Wednesday 30th November
Friday 2nd December

See you there!
Any questions, please feel free to get in touch:

FINAL FRCA Short Answer Questions Club

North Central London School of Anaesthesia

A free revision aid for those sitting the Final FRCA Short Answer Questions exam.

Read on if this applies to you

The Short Answer Questions (SAQs) are a daunting component of the Final FRCA exam, and rightly so as the pass rate is approximately 35%. To aid revision for this exam, the North Central School of Anaesthesia is starting up a Final FRCA Short Answer Questions Club (FRCASAQS).

What is the aim of the Final FRCA Short Answer Questions Club?
The primary aim of the FRCASAQS is to help you revise for your exam. Whether you are just starting off with your revision, or well into it, the FRCASAQS is here to help. Whilst there is no substitute to hard work, we hope we can motivate you in your studies with carefully chosen practice questions, feedback on how your peers are doing, and the opportunity to sit a practice exam prior to the big day.

How does the FRCASAQS work?

1) At the start of every week, a number of carefully selected SAQs will be sent to your email account. These questions will have been specifically chosen, encompassing examiners favourites, previously poorly answered questions, and current topics of interest.  As the exam draws nearer, the number of questions sent out each week will be increased.

2) At a convenient time in the week, you should write answers for the set questions with pen and paper, laying out the answers exactly as you would in the exam. How you go about this, how you lay out your answer, and whether you read up on the topics prior to answering them, is totally up to you.  You know, or will soon work out, what is best for you.

3) Once answered, scan your answer sheet and then email them back to us at (There are lots of free apps you can download onto your phone to do this e.g. Scanner Mini (by Readdle)).

4) At the end of the week, we collate and anonymise all the answers (scans) we have received, and then email them back out to everyone along with the next weeks questions.

5) If you have previously replied with answers, you will therefore be in the position to look over other peoples responses, which in turn will:
o Allow you to consolidate, and even boost your knowledge on the topic.
o See how others answer the questions in terms of their layout, style, prioritisation of information etc.
o Motivate you in your exam revision.

6) And so the process continues…

7) Finally, in the run up to the exam, there will be a chance to sit a practice exam. Twelve questions in three hours under exam settings a task well worth attempting prior to the big day.

It is totally up to you to reply to the set questions, and read your peers responses, however you will very much get out of the process, what you put in to it.  Similar methods to this have certainly boosted the SAQ pass mark in a number of other deaneries around the country, and we hope this will be the case here in North Central London.

How do I join the Final FRCA Short Answer Questions Club?
THE FRCASAQS is totally free, and all you have to do is send an email to to register. We will then add your email address to the weekly mailing list and thats you good to go.  Emails will continue to be sent to you until you ask to be removed from the list which hopefully will not be too long after you join the FRCASAQS when you pass the SAQs exam!

If you have any further questions regarding the FRCASAQS, then please dont hesitate to contact us at

Many thanks and good luck


Ned Gilbert-Kawai & Toc Husain

Online Survey - Fatigue

Dear All,

GAT and AAGBI Board are working with the RCoA Trainee Committee and Council and two trainees who are conducting a survey about fatigue. Please take out the time if you can to complete this short survey which can be found on the

following link -

North Central School of Anaesthesia Core Trainees Teaching 2016

North Central School of Anaesthesia
Core Trainees Teaching 2016

Whittington Education Centre
09:00 12:00

August 16th Endocrine Dr Catherine Shaw (Whitt)

Aug 30th Physics topics Dr Megan Smith (Royal Free)

Primary written 6th September 2016
Sep 13th Pre Assessment and Peri Operative Medicine Dr James Holding (UCL)

Sep 27th Pharmacokinetics Dr Lesley Bromley (UCL)

Oct 11th Neuro Dr Katherine Hunt (NHNN)

Oct 25th Physics topics (practice vivas) Dr Kostas Miltsios (Whitt)

Nov 8th Pain medicine Dr Basil Almahdi (Whitt)

Primary SOE week of 7th November/ Primary written paper 15th November 2016

Nov22nd ENT/airways Dr Jamie Turnbull (UCL)

Dec 13th ITU Drs Alice Carter/Jim Down (UCL)

Christmas break until Jan 10th 2017

Primary FRCA OSCE Course

Dear all,

We are running a Primary OSCE course at the RFH.

Simulation Centre, Royal Free Hospital
5th & 6th October 2016

2 day intensive OSCE practice Guidance from experienced RCoA OSCE examiners
& recent successful candidates

* Focus on simulation and resuscitation stations

Day 1: Exam focused Simulation & Resuscitation scenarios. Each candidate will have a scenario. Feedback and Learning are focused on exam technique.
Day 2: 42 OSCE stations (3 circuits) under exam conditions incorporating recent topics from the RCoA exams.

Course Fee: 75
Course Organisers: Dr Bindiya Varma & Dr Lasitha Abeysundara

For further details please contact:

Place are limited so please book early!

ATTENTION!!!! - Core Level Training Certificate

Dear College Tutors,

To support the recent amendments to the 2010 CCT in Anaesthetics, and the renaming of basic level training to core level training, the corresponding certificate has also been updated.

The Core Level Training Certificate is now available to download here,

Kind regards,

Claudia Moran | Training Manager

Royal College of Anaesthetists

Warm Welcome to all our CT Trainees

Many congratulations on joining the North Central School of Anaesthesia for August 2016.

I am the training programme director for core trainees in the North Central School (have recently taken over from Dr Marchant)

This is a brief message to welcome you to the school. I hope it will be educationally fulfilling, successful and enjoyable.

If you have any problems during your placements, I would encourage you to discuss these with your educational supervisor and or college tutor at your base hospital in the first instance. Failing this, or if you do not feel comfortable then do contact me directly

I am based at The Royal Free Hospital and you can always make an appointment to see me if there is anything you would like to discuss in person.

I believe most hospitals will be setting up a mentoring system run by SpRs as an additional point of support

Please make sure that you are able to access the Central School of Anaesthesia website - lots of useful information regarding the hospitals in our school, your rotation details, ability to send emails to other members in the school, updates regarding teaching etc.
Rebecca at our school administrator will be able to give you login details and a password

As you may know, we will be running a novice course and core trainee teaching days. You should be notified of these shortly if you have not already been. Novices who have already completed their basic competencies previously are welcome and expected to attend this too.

Things you need to ensure you do in the next week are;

1) Register with the Royal College of Anaesthetists

2) Register with E-Portfolio

3) Start using an electronic log book for every case you are involved with

I look forward to meeting you on September 13th when we have a school evening where we will have the opportunity to put faces to names.

Very kind regards


Dr Carlos Kidel
Consultant Anaesthetist

REMINDER - The Novice Course in Anaesthesia 2016

Dear Trainees,


This is a gentle reminder for the Novice Course in Anaesthesia 2016!!!!

You have been invited to attend the Novice Course in Anaesthesia 2016 on the following dates:

17th August 2016 - Atrium, Ground Floor, Royal Free Hospital, Pond Street, London NW3 2QG.

24th August 2016 Postgraduate Education Centre, Chase Farm Hospital The Ridgeway, Enfield, Middlesex, EN2 8JL.

31st August 2016 - Simulation Centre, Lower ground Floor, Royal Free Hospital, Pond Street, London NW3 2QG.

7th September 2016 Postgraduate Education Centre, Chase Farm Hospital The Ridgeway, Enfield, Middlesex, EN2 8JL.

Time: 8:30am 4:30pm

NB: You will need to attend all 4 days as part of your induction as these are Mandatory in order for you to complete your ARCP There will also be a Simulation date running In September and each Trainee will be allocated a date after the first date of the Novice Course.

Your respective college tutors will already know these dates and will be expecting you to attend.

Please could you make your payment of 150 via cheque to The School of Anaesthesia Making note at the back with references - your first initial and surname e.g. R Akinbobola

Once you have done this, kindly send an email to in order to keep a record of your payment and confirm your registration on to the course.

Receipts and certificates of attendance will only be received on completion of this course.

Kindy email the Schools administrator Rebecca Akinbobola to confirm your attendance to the event, and If you have any further queries- Email:

The Novice Course in Anaesthesia 2016

Dear Trainees,

You have been invited to attend the Novice Course in Anaesthesia 2016 on the following dates:

17th August - Atrium, Ground Floor, Royal Free Hospital, Pond Street, London NW3 2QG.

24th August Postgraduate Education Centre, Chase Farm Hospital The Ridgeway, Enfield, Middlesex, EN2 8JL.

31st August - Simulation Centre, Lower ground Floor, Royal Free Hospital, Pond Street, London NW3 2QG.

7th September Postgraduate Education Centre, Chase Farm Hospital The Ridgeway, Enfield, Middlesex, EN2 8JL.

Time: TBC

NB: You will need to attend all 4 days as part of your induction as these are Mandatory in order for you to complete your ARCP
There will also be a Simulation date running In September and each Trainee will be allocated a date after the first date of the Novice Course.

Your respective college tutors will already know these dates and will be expecting you to attend.

Please could you make your payment of 150 via cheque to The School of Anaesthesia Making note at the back with references - your first initial and surname e.g. G Johnson

Once you have done this, kindly send an email to in order to keep a record of your payment and confirm your registration on to the course.

Receipts and certificates of attendance will only be received on completion of this course.

The course programme and time will become available shortly

If you have any further queries, please feel free to contact Rebecca Akinbobola -

ARCP Consultant Survey

Dear All,

Having completed a survey of trainees views on the ARCP process we would now like to ask for feedback from the ARCP panel members.
We would be very grateful if you would complete our short survey:

Many thanks
Jenny Illingworth & Sarah Muldoon
Co-Chairs of the LAA Trainee Forum

Perioperative Medicine implementation - Anaesthetics 2010 Curriculum

Dear all,

To support the introduction of the perioperative medicine (PoM) units of training, the following implementation plan has been agreed with the GMC -

Trainees and trainers should implement this unit of training when trainees commence their next respective level of training (i.e. intermediate, higher);

• CT1 Core unit from August 2016
• ST3 Intermediate unit from August 2016
• ST5 Higher unit from 2016
• ST6/7 Advanced unit from 2016

The PoM units can be optional for CT2 and ST4 trainees in 2016, as these trainees will commence their mandatory units when they progress to their next training level i.e. ST3/5 in 2017. 

This information has been recieved from the College

New School Administrator

The school is delighted to welcome Rebecca Akinbobola, who joined us this week as the new appointed School Administrator.

Rebecca worked with the Royal Free for over 6years in different segments of the hospital.

She will be working 5 days a week for 4 hours a day and will be based at the school office on the 3rd floor at the Royal Free.

Rebecca can be contacted through this website or via

TEL: 0207 794 0500 EXT: 35750

Email: /

CEACCP collections

Dear All

All CEACCP articles are now available in collection format, categorised by specialty and subcategories. You can view the collection here -
this will be of great benefit to trainees & also to all fellows & members wishing to enhance their CPD in particular areas.

Please disseminate the news of this excellent development.

With regards

Karen Morris
Regional Representatives Support Co-ordinator
Royal College of Anaesthetists
35 Red Lion Square
London WC1R 4SG

Rotation placement emails to trainees for August 2016

Dear All

See below.

Please contact the school administrator if there are any discrepancies with what you were expecting and what various trust tell you.


Drs Shaw and McGlennan


Dear All,

The ops team will be notifying trainees of their August placements based on the information provided in the last couple of weeks by the TPDs. This will be in addition to the local mechanisms used by the Schools to notify their trainees. This is a mandatory process which HEE expects to ensure consistency across its processes. It also provides additional assurance to HEE that the Trainees are being notified 12 weeks prior to rotation date which is the code of practice followed by HEE.

We will be prefacing the rotation emails to trainees with a statement to the effect that this is in addition to comms they may have received already and may reflect only 6 month placement of their full year although they may have been placed for 12 months. This next 6 months will be reconfirmed again in the autumn. In addition, if they have received different comms/ information from TPDs/ School, they need to get in touch with us as changes may have been made recently that we are not aware of.  This will enable us to update Trusts and our records to reflect accurately the placements.

I appreciate that this is a new process for the Schools and trainees but it is not meant to replace the comms sent to them by the Schools.

I wanted to inform you ahead of us sending this information to reassure you that we are not placing trainees against TPD advice and any discrepancies may be due to recent changes that didn’t make its way to us or element of human error. But with 12 weeks to go we still have the opportunity to send relevant updates as necessary.


Sapna Subhash
Senior Operations Manager
Operations Department (London)
London and South East

Health Education England
Stewart House | 32 Russell Square | London | WC1B 5DN

Professional Behaviour

Dear Trainees,

There have been some instances recently of trainees failing to attend non clinical aspects of their working week – notably departmental clinical governance meetings and departmental teaching at times they are supposed to be at work.

Clearly if these fall at times you are not supposed to be at work, attendance is voluntary and not expected. If these sessions fall during your normal working hours, you must attend unless you have booked leave or been in contact with your department. A failure to do so is a probity issue – essentially you are being paid to be at work but are absent. This is likely to be discussed at your ARCP.

This is always important but all the more so at this time when we need to support each other. I haven’t met any consultants who aren’t hugely supportive of your actions and understand the stress this places many of you under, professionally, personally and financially. If there are particular issues, please do talk to your College Tutor or Educational Supervisor, don’t just go AWOL.

Best wishes,

Lila Dinner

RCoA Opportunity Trainee Liaison for the Final FRCA Course

Dear All,

The RCoA is currently recruiting a Trainee Liaison to assist Dr Alex Goodwin (Organiser) with the Final FRCA Revision Course that runs twice yearly.

The application deadline is midnight on May 9th 2016.

For further details about the Final FRCA Revision Course, please visit the RCoA Events Page:

For further details about the post, please visit the RCoA Current Vacancies page:

Best regards,

RCoA Events

Summer ARCP

Dear All,

Please see below and make sure your e-portfolio is up to date.

If you e-portfolio dates need adjusting, please let me know and I can do that for you.

Please also take time to fill out the Annual Trainee Feedback North Central Thames Summer 2016 feedback form -

This survey is mandatory and if you have not completed it before you have your ARCP, you will need to do it on the day.

Please take the time to fill it out for each hospital that you have attended on your rotation.

For the following RCOA documents:

Notification of completion of training
Basic Level Training Certificate
Intermediate Level Training Certificate
Intermediate Level Progress Report
OOP Forms (RcOA)

Please go to:

For the following Deanery documents:

OOP Checklist
OOP Application Form
OOP Trainee Guidance

Please go to:

Kind regards,

Georgina Johnson
Anaesthetics Training Co-ordinator

The GAS Issue 13

Dear All

The latest edition of The Gas Trainee Newsletter is now available on the College Website please see link below; We would be very grateful if you could forward it to your anaesthetic trainees for their information.

With the kindest regards

Karen Morris
Regional Representatives Support Co-ordinator
Royal College of Anaesthetists


Dear all,

The GMC recently provided the College with feedback indicating that a significant number of Out of Programme Training (OOPT) applications were being withdrawn because the post applied for was in a location already approved for training. As a result we sought to clarify a list of approved locations in order to reduce the number of unnecessary applications and the associated workload. The GMC responded by producing a list of approved locations on their website which can be found at The GMC have confirmed that this list will be updated fortnightly.

If a trainee wishes to go outside of the local training programme to an approved location then this would be considered a secondment rather than an OOPT. We have now created a Secondment Notification Form which can be found at I have also attached a copy of the form to this email. OOPT application forms will only be required when the post is in a location not listed on the GMC website. We understand that local processes may still require College approval for this secondment. As a result, approval has been delegated to the local College representative - the Regional Advisor. There is a space on the document for the Regional Advisor to sign to say that the post has been discussed with them and that they agree that the post forms part of a balanced training programme.

For all future secondments could you please send Secondment Notification Forms to alongside a copy of a job description so that there is a record of approval, as well as for our own data collection purposes.

Kind Regards

Chris Scorer
Specialty Training Co-ordinator
Royal College of Anaesthetists | Churchill House| 35 Red Lion Square | London WC1R 4SG

Dr. Claire Sheppey

Dear All,

I was sadly informed today of the sudden and unexpected death of Dr. Claire Sheppey a Consultant Paediatric Anaesthetist and College Tutor at the Royal London Hospital.

Many Central School trainees have passed through the Royal London and worked with and been trained by Claire. Im certain she will be remembered fondly, not least for her often dark sense of humour.

Jonathan Mathers

Locum Consultant, Royal Free Hospital

PRISM QI Training resource

The link to the QI teaching website is:

The NHS is no stranger to change, but most efforts at improvement have limited success. In order to improve the efficacy of our improvement projects, there is a growing understanding that clinicians should be leading change and to do this using quality improvement (QI) and implementation science methodologies. The Academy of Medical Royal Colleges is proposing QI forms part of a core curriculum of all doctors, and the RCoA curriculum annex G already contains QI knowledge and skills.

The perioperative improvement science and management (PRISM) website is a new online resource to help aid trainees, consultants and the wider perioperative team in learning and delivering QI projects. The website is designed around the needs of the perioperative team, and grounded in real life perioperative examples. The core of the website is a QI teaching module, completely based on and linked to the RCoA annex G QI curriculum, with a certificate of completion at the end. In addition, there are freely downloadable how-to-guides and templates that take you step by step through the process of QI, to help you with your QI projects.

Quality Improvement Survey

Dear Anaesthetic Trainees,

I am a fellow Anaesthetic Trainee currently undertaking an Education Fellowship at the Royal College of Anaesthetists with a specific remit to improve training and resources in Quality Improvement (QI) methodology for trainers and trainees in anaesthesia.

There is a current RCoA strategy to improve access to resources in QI training and aid delivery of QI training for trainers and trainees. To aid this we are aiming to collect information and feedback from trainees on Quality Improvement training in an attempt to recognise the efforts of trainees and improve learning resources available for them.

The survey will be closed next Friday 18th December, so if you haven’t yet had the opportunity to do so, I would be grateful if you would complete this survey .

Many thanks to those who have already participated.

Your feedback is important.

Dr Erin Innes

RCoA/KSS Education Fellow


Claudia Moran | Training Manager

The Royal College of Anaesthetists

Churchill House | 35 Red Lion Square | London | WC1R 4SG

Annual Trainee Feedback North Central Thames Summer 2016

Dear All,

Please see below link to the feedback form -

I will be sending this to link via email also.

Kind regards,

Georgina Johnson

Anaesthetics Coordinator

Annual Trainee Feedback North Central Thames Spring 2016

Dear All,

Please see below link to the feedback form -

I will be sending this to link via email also.

Kind regards,

Georgina Johnson

Anaesthetics Coordinator

Joint Welfare Statement

Dear Colleagues,

It has been a difficult couple of weeks for doctors in training, in particular those working in the acute specialties.

The RCoA, FICM and the AAGBI agree it is crucial that trainees are, and feel, supported. Trainees are essential to the on-going safe delivery of anaesthesia and critical care; training and service are intrinsically linked.

We have been extremely concerned at the breakdown of negotiations between NHS Employers and the BMA, a decision to impose a contract and the looming threat of industrial action.

News yesterday of the Secretary of State’s intervention in the process is encouraging and we hope that this will help facilitate resolution of the dispute.

It is understandable that trainees may currently have higher degrees of stress, anxiety and uncertainty. Those studying for exams, preparing for job applications, interviews, presentations or just the daily challenge of making themselves better anaesthetists may really be feeling the pressure.

Consultants, SAS doctors and trainees alike must be particularly mindful of these pressures and the effects they can
have on individuals.

Don’t forget the support networks available if anyone feels overwhelmed:
1. Talk to somebody: fellow trainees, family and friends
2. Meet with your clinical or educational supervisor, College Tutor or mentor
3. Use one of the available support and welfare schemes:
a. AAGBI Support and Wellbeing
b. RCoA Career and Personal Difficulties
c. BMA Doctors’ Wellbeing

We are heartened by the support shown for trainees by consultants, SAS doctors and allied professionals.

We will continue to work with as many external bodies as possible to ensure that a safe and fair agreement is achieved in the interest of patients and for you the future of our specialty.

In the meantime, look after yourselves and each other.

JP Lomas on behalf of the RCoA Trainee Committee
Ben Fox on behalf of GAT
David Garry Senior Trainee Representative, FICM
Anna Batchelor Dean, FICM
Andrew Hartle President, AAGBI
Liam Brennan President, RCoA

29 September 2015
1. RCoA statement junior doctor contract proposals
2. College Presidents’ letter to Jeremy Hunt
3. AAGBI statement on the proposed Trainee Contract
4. AAGBI and specialist societies letter to The Guardian
5. Academy Trainee Doctors Group statement
6. AAGBI: Fatigue and Anaesthetists
7. AAGBI: Drug and Alcohol Abuse amongst Anaesthetists

OOP process with 6 month deadline

Dear Colleagues,

Health Education England (HEE) and English Deans (CoPMED) are keen to implement a consistent process across the LETBs with regards to the OOP submission process in order to allow sufficient notification to Post Graduate Deans as well as the programmes in order to manage gaps in training more effectively.  The requirement is now for submission of application at least 6 months in advance of OOP start date as recommended in the Gold Guide. What we propose to do in Anaesthetics is to require Trainees to submit an initial application form with information they have at hand to show intention of taking an OOP.  In recognition that full details and documentation regarding the OOP may not be available at this stage, we are expecting trainees to submit full supporting documentation 3 months prior to OOP start date- the same process we have in place at the moment.

Unfortunately, there is no choice in the matter but we hope that the expectation we have in place at the 6 month deadline will not disadvantage trainees in any way and still meet the requirements.  I have attached the guidance with updated deadlines for your information. The intended start date for the new process is Monday 5th of October 2015 for April 2016 OOP start dates. For the first month, i.e October, due to the short notice, we will accept these applications throughout October.

Please do contact us or Drs Brodrick and Shannon if you have any queries.

Many thanks

Operations Department (London)
London and South East

Health Education England
Stewart House | 32 Russell Square | London | WC1B 5DN

E. Anaesthetics queries
Intensive Care Medicine queries

2007 Curriculum will no longer be approved by the GMC

REMINDER - With effect from 1st January 2016 the 2007 Curriculum will no longer be approved by the GMC. Any trainees who will not complete training by the 31st December 2015 MUST move to the 2010 Curriculum at the earliest opportunity and are strongly advised to contact the Training team.

With regards

Training Team
The Royal College of Anaesthetists
Churchill House | 35 Red Lion Square | London | WC1R 4SG

RCoA Trainee Registration Information

Dear All,

The College have received quite a few queries from trainees about registering with the RCoA, and where to find the registration forms on the website. 

These can be found at:

The first one on the list is the core registration form and the second one down the on for STs

Kind regards,

The Royal College of Anaesthetists
Churchill House | 35 Red Lion Square | London | WC1R 4SG

ARCP Requirements July 2015

Dear All,

This is just to remind people, as the ARCPS draw near, that evidence of having attended one of the simulation courses that NE/NC School offers each year will be expected. This has been a mandatory requirement for a year and without it, you are likely to get an outcome 5.

The Deanery has also imposed an additional mandatory requirement which you have probably been emailed about. You must present evidence of having obtained Child Safety Level 2 and Vulnerable Adult training. Mostly this will have been done as part of your Mandatory or Statutory Training at induction but you must bring evidence you have done it once in the past year. Again, you will be issued with an outcome 5 without it.

Most Trusts have these available as an e-module so there is still plenty of time to do it in your Trust.

Best wishes,

Lila Dinner

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Vivek Sivaraman - funeral details

Dear All,

Following the very sad death of our colleague and friend, anyone who would like to attend Viveks funeral is welcome. The details are as follows:

Tuesday 24th March at 12.30pm

Lauderdale House,

Waterlow Park,


N6 5HG

Vivek Sivaraman

Dear All,

It is with tremendous sadness that I announce the death of one of our trainees - Dr Vivek Sivaraman. This has been a great shock to colleagues and friends and I’m sure everyone will be touched by this.

If anyone wants to send condolences who knew Vivek but perhaps not his family, we will collect these in the School Office and send on. Please send to School of Anaesthesia office, 3rd Floor, Royal Free Hospital, Pond St, London NW3 2QG

Dr Lila Dinner

UCLH Research/Acute Pain Job

ST5 trainees and above can apply for this vacant post in August 2015 for a year.

Interested parties should discuss with


Upper limit on dual training entry

Dear all,

Please be advised that potential Dual Anaesthesia and ICM trainees should be advised that from the August 2016 onwards, trainees will not be able to apply for Dual CCTs if they are beyond the end of ST5 in their initial specialty of appointment.

The August 2015 intake is therefore the last opportunity for trainees above ST5 to enter into the Dual programme (whether they be current anaesthesia only trainees intending to dual with ICM or ICM only trainees intending to dual with anaesthesia).

We would appreciate it if you could make any trainees in your region who may be affected aware of this change.

For more information, please see the FICM website -

Details will be added to the RCoA Training website shortly.

Many thanks and best wishes,

Maria Burke | Training Supervisor
The Royal College of Anaesthetists
Churchill House | 35 Red Lion Square | London | WC1R 4SG

Mandatory Simulation Training

Dear All,

For the first time UCLP have funded a simulation course for every trainee per year of their training.
In order to allocate you to an appropriate course, we need to know which year of your training you are in as of 1st February 2015.

The proposed schedule is as follows, although we recognise that some of you have already attended some simulation courses. If this applies to you and you have already attended a course to which you are allocated, please do let us know.

CT1 - Novice and Critical Incident
CT2 - Obstetrics
ST3 - Paeds
ST5 - Airway
ST6/7 - Patient safety

Once you have replied with your year of training, you will be allocated a course which will most likely be at UCH, Whittington, Royal Free or Barnet. However, the course you are attending maybe at one of the Royal London sites.

We will try to give you lots of notice of the date of your course so that within reason you maybe able to swap if the date is inconvenient, however, if you are unable to swap it will be your responsibility to find another course which you maybe asked to pay for.

The school has decided to make attendance at your simulation day mandatory to pass your ARCP and evidence of your attendance will be sought.

Kind regards,

Sarah Chieveley-Williams
Deputy Regional Advisor

Leadership Development for Anaesthetists (LDfA)

Set up by a group of trainee anaesthetists in the North Central London School, the LDfA exists to help inspire anaesthetic trainees to become more actively involved in leadership and management within the NHS. Check out our website for articles, resources and details of our upcoming events.


Follow us on twitter:  @LDfA_live

Join our mailing list: 

New OOP Lead - Dr Robert Self

I have recently been appointed as the Out-Of-Programme (OOP) Lead for the School of Anaesthesia. This is a new position and will involve:

1) Discussion / advice available to trainees considering taking OOP posts.

2) Ensuring that relevant paperwork is completed for prospective approval.

3) Acting as a point of contact during the OOP time and involvement afterwards at ARCP.

I have been a Consultant Anaesthetist at the Royal Marsden Hospital since 2007 and before this was a trainee in the Central School of Anaesthesia. I have personal experience of the OOP process and speak on this topic at the RCOA ‘After the FRCA’ day.

If you wish to contact me (usually after passing the FRCA!), please send me an email to set up an appointment.

I can also be contacted via website or by TPDs.

Paperwork for the OOP process has recently become more time critical.
I will aim to get links to this on website but it’s worth also keeping an eye on the RCOA website.

Look forward to hearing from you,

Robert Self

OOP applications

The rules for OOP applications have recently been tightened by the GMC and they WILL NOT process apllications with less than the notice as specified below.

We have no control over this. Our new guidelines will match those of the other London schools:

6 months Intention to OOP discussed with TPD
5-4 months Completed paperwork, signed, approved and taken to school office by trainee
4-3 months School submits paperwork to Deanery/RCoA meeting deadline.

You will have already received this email relating to this:

Please be advised that if you wish to take time Out of Programme starting from 1-31 August 2014, your fully completed and signed Out of Programme application must be submitted to by 5pm GMT, Monday 5 May 2014

If you have already submitted your OOP application to us or if you have already received approval, then this reminder does not apply to you.

Deadline for Operations Dept to receive fully completed and signed application Start date of Out of Programme
5pm GMT, Monday 7 April 2014 1 – 31 July 2014
5pm GMT, Monday 5 May 2014 1-31 August 2014
5pm, GMT, Monday 2 June 2014 1-30 September 2014
5pm, GMT, Monday 7 July 2014 1-31 October 2014
5pm,GMT, Monday 4 August 2014 1-30 November 2014
5pm, GMT, Monday 1 September 2014 1-31 December 2014
5pm, GMT, Monday 6 October 2014 1-31 January 2015
5pm, GMT, Monday 3 November 2014 1-28 February 2015
5pm, GMT, Monday 1 December 2014 1-31 March 2015

Study Leave Claims - Process has changed

Dear Anaesthetics Specialty Registrar,

From the financial year 2014/2015 the process for claiming study leave as a Specialty Registrar in Anaesthesia has changed. This change is a result of changes to the way Postgraduate Medical Training will be funded.

Claims for 2014/15 onwards

These should be made to the Postgraduate Medical Education Centre at the trust you are currently employed.

Outstanding Claims for Study Leave up to 31 March 2014

These should be made to Anne Ramlal at .

Best wishes


Simon Rose
Senior Operations Manager
Health Education South London
Operations Department
Working also on behalf of Health Education North Central and East London and Health Education North West London
Stewart House | 32 Russell Square | London | WC1B 5DN

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E -portfolio news - Educational Supervisors Review

E-Portfolio has not been altered yet in this regard.

The Interim Progress Report ( is only available from the College website as a download.

The best way for this to be used currently is for it to be printed, completed then scanned/uploaded to a trainees library as personal evidence.

Further information here:
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School rules for ARCP

ARCPS are held in June/July and Jan/Feb each year. Most trainees need to be seen once a year but there are periods in your training when you might need to be seen six monthly. Ad hoc ARCPs are held throughout the year for trainees who cannot attend other dates.

Requirements for North Central School trainees are going to include an annual MSF from summer 2014. This is in line with most other Schools around the country.

Failure to have an MSF at the time of ARCP will mean an outcome 5 - incomplete paperwork - will be issued and a 2 week extension will be offered.

ICM Regional Advisor


We would like to welcome Dr Julian Howard as the new ICM RA.

Dr Howard has now replaced Dr Nick Harper as ICM Regional Advisor.

The school would like to thank Dr Harper for all his hard work and contribution to the progression of the school. We wish him all the best for the future.

Administrator Availability

Georgina Johnson will be in the office Monday and Tuesday 10 - 3pm.

She will also cover our major events of recruitment, ARCPs, RITAs and Induction.
She is best accessible on her email and will regularly be checking the telephone for messages.

She can be contacted on the email and 0207 794 0500 x 35750

Out of Programme - Updated Process

We have updated the process to reflect that some documents such as job descriptions and College approval letters for time to count may come through after an OOP form is submitted.

The key parts of the new OOP process are:

• A fully completed and signed OOP form must be received by Operations Dept at least 3 months before start date
• OOPC can be submitted with shorter notice for unplanned and urgent reasons
• Outstanding documents will be requested by the Operations Dept with a deadline date – if information is not provided, the OOP application will not be approved
• The process will start from 7 April 2014 deadline for applications for a July OOP start date.

Local Education Training Boards

Dear All,

As many of you will have heard, all postgraduate training in anaesthesia since April has been managed by Local Education Training Boards or LETBS. Almost as soon as they came into being, their name changed to Health Education England, in our case North East North Central (HEE NE/NC). They commission training in anaesthesia in the North Central and North East areas of London, essentially in the areas and hospitals which are part of the North Central School (the ‘Central’ School’) and the North East School of Anaesthesia (’Barts and the London’ School) .

The delivery of training is still done at each hospital or Local Education Provider but a middle man called, in our case, UCLP or UCL Partners, now manages the interaction between the commissioning and the local provision. Recruitment, the ARCP process, OOPE/T applications and much of the admin associated with training still sits with the Deanery which is now called the London Shared Services. That means you will receive communications from UCLP and from Shared Services and from the Schools and there are a myriad of courses and training opportunities available so this should be good for your training overall.

Over the next year, we will work to share best practice across both Schools and to look at how to share training opportunities and educational resources of all sorts. We will be meeting regularly with your trainee reps and again, we hope this will be good for trainees and trainers alike.

Day to day, nothing will change for any of you, except possibly get better!

Best wishes,

Lila Dinner
Consultant Anaesthetist
Royal Free Hospital
Regional Adviser and Head of School
North Central School of Anaesthesia
0207 794 00500 Ext: 35750
Email –

Helen Drewery
Consultant Anaesthetist
The Royal London Hospital
Regional Advisor and Head of School
0203 594 1278
Barts and the London School of Anaesthesia
Email –

Dr Khalid Rauf RIP


Dr Khalid Rauf, consultant anaesthetist, died suddenly on the 11th of August. He was 52.

Khalid joined The Whittington in 2006, and whilst you may not recognise his name, many of you will recognise his face, as he saw patients in many areas of the hospital.

Khalid was a quiet man, who was known for his calm, gentle and considerate manner and his ability to allay the fears of the most nervous patient.

Outside of work, Khalid loved his family and cricket. He was married with three sons, the oldest of whom will start at St Georges Medical School in the autumn. His second son recently completed work experience here at The Whittington, with a view to also becoming a doctor. His youngest son is eight years old.

Khalid was buried on the 13th of August, in accordance with the Muslim faith. There will be Remembrance service on Thursday 12th of August at 2 p.m. in the Whittington Education Centre, to which all are invited to come and pay their last respects. A book of remembrance has been opened, and can be found at the reception desk in Main Theatres.

Guide for Novices starting in Anaesthesia

The Royal College of Anaesthetists has produced an interactive Guide for Novice Trainees specifically designed to support the first three to six months on the training programme.

The Guide, available in the form of a 4GB USB memory stick, has been sent out to all CT1 and ACCS Anaesthesia trainees starting in August 2013.

It contains key documents and a step-by-step guide to help trainees get started on the training programme. It also contains all 82 e-learning sessions from Module 1 of e-Learning Anaesthesia, specifically written for Novice Trainees and additional learning resources/guidelines from the AAGBI, Resuscitation Council and Difficulty Airway Society.

An on-line version of the Guide for Novice Trainees is available via the link below as well as instructions on how to install and start using the Guide from the USB stick.

The on-line version is compatible with most tablet computers and smart phones. The introductory video and videos/animations contained in some of the e-Learning sessions require Adobe Flash and therefore can only be viewed if using a Flash compatible browser on these devices.

KSS Deanery Bursaries

KSS Deanery Bursaries for PG Cert, PG Dip Anaesthesia and Perioperative Medicine, opportunity for London trainees.

20 bursaries towards the cost of course fees for either the Postgraduate Certificate or the Postgraduate Diploma in Anaesthesia and Perioperative Medicine, run by the Brighton and Sussex Medical School and validated by the University of Brighton.  The bursary will provide £1,500 towards the overall cost of the course.  The fees for UK / EU students are as follows:

PG Cert (3 modules over 1 year): £2,130
PG Dip (6 modules over 2 years): £4,260 (subject to a small increase in 2014/15 in line with inflation)

The first 20 successful applications, to be received by 31st July, will be offered a bursary. (Applications for the course may be made after the 31st July but will not be considered for a bursary).

Detailed information about the course can be accessed at:

Course applications should be made online at the website above.

Extension Training/Grace Periods

The GMC recently issued clarification over their interpretation of extension periods (sometimes known as grace periods).

They can be offered at end of CT2 (or CTb for ACCS) for lack of primary (or lack of other core competences).

They can also be offered at ST4 for lack of final or lack of (non-exempted core competences).

However, because it is recognised that trainees may gain competences at
different rates for a number of reasons, trainees will be able to have
additional aggregated training time of normally of up to one year within the
total duration of the training programme in the hospital specialties and
normally up to six months in general practice because of the short duration
of the training programme, unless exceptionally, this is extended at the
discretion of the Postgraduate Dean, but with an absolute maximum of two
year additional training during the total duration of the training programme.
This does not include additional time which might be required because of
statutory leave such as ill health or maternity leave. Assuming that the
trainee complies with the additional programme that has been planned, this
enables reasonable time for the trainee, but does not unduly disadvantage
other trainees who may be attempting to gain admission into run-through
training in the specialty. If the trainee fails to comply with the planned
additional training, he/she may be asked to leave it and the training
programme before the additional training has been completed.

This is taken to mean that you may have a year as a CT2 and/or a year at ST4.
(But you cannot have over a year at either on its own - eg you can’t have 18 months extension in ST4).

There have been previous arrangements that pre-dated this that will be honoured.

GMC publish review of Medical Training in London

Medical training in London is good, but the quality of supervision and clinical placements varies
Doctors in training and medical students in London are being well educated and trained, according to our new report.

But Regional review of medical education and training in London: 201213 shows some areas of concern, particularly around the quality of supervision and clinical placements, need to be addressed.

The findings come from visits to the local education providers, medical schools and the deanery* in London over three months in 201213. The report gives a valuable insight into the experiences of almost 12,000 students and doctors in training 20% of the total in the UK.,1JCHI,3F64VQ,595N3,1

Clinical Fellowships

To All Senior (or about to be Senior) Trainees.

A number of well-regarded clinical fellowships have become available in the School.

If you would like to discuss the possibility of taking one of these, please contact Dr Alan McGlennan in the first instance.

From Aug 2013 we have a Regional Fellowship at Royal Free Hospital and a Bariatric Fellowship at UCH.

In February 2014 we have an airway fellowship at UCH and another one at the RNTNE.


Pan School Teaching Cancelled 27th February 2013

Masterclass Teaching in Remote Site Aanesthesia at UCH is cancelled.

Sorry for short notice.We will rearrange.

Dr John Ruston RIP


We deeply regret to announce that Dr John Ruston died unexpectedly in his sleep on the 21st of January. He was 57 years old.

John had been a Senior Registrar at the Royal Free and was appointed as Consultant in 1993. He was a versatile and knowledgeable anaesthetist, able to handle a wide range of clinical cases with great skill and confidence. He was calm, methodical and completely reliable.

He was much-loved by all who knew him, popular with staff and with patients, and was always a source of common-sense advice and a good friend.

He is survived by his wife Mandy and his two sons. We are awaiting details of the funeral arrangements.



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Time limiting of CCT applications

Please see the information below from the GMC.

As you may be aware the Postgraduate Board has approved the introduction of a limit on timeframes within which a doctor is able to apply for a CCT / CP. The limit will be 12 months from the doctors expected end of training date, and will be effective from 31 March 2013.

We are now in a position to communicate this key change to current and future trainees in order for it to be implemented successfully. The GMC guidance pages on the internet have been updated fully and I have enclosed a link to these pages for your convenience.

I have enclosed a link to our flyer below which captures the key points around this change.

If in the meantime we can be of any further assistance please do not hesitate to contact us.

This information will be put on the RCoA website and an alert sent via e-portfolio.

Intensive Care Foundation

2013 New Investigator Award is now open for submissions
Closing date Friday 1st March 2013, 5pm

The Intensive Care Foundation would like to invite all new investigators to submit applications for this year’s “New Investigator Award”
Equal weighting will be given to quality clinical research projects and laboratory-based projects that have a
relevance to the field of intensive care
Individual applications may be granted up to £15,000

All applications must be submitted in both electronic and hard copy form no later than the above deadline
For instructions and application forms visit
For more information contact
Jenny Dixon at

Dual Programmes in Anaesthetics and ICM

The RCoA and FICM has issued guidance on Dual Programmes in Anaesthetics and ICM.  The details can be found here - and in the ‘News’ section.

It is also available on the FICM website( ).


The London Academy of Anaesthesia Board has agreed that it is mandatory that you use the e-Portfolio for training placements from 1 August 2012, if you are entering the following years of training:


During your ARCP at the end of your training year you will be expected to present all evidence via the e-Portfolio. Paper based workplace based assessment will not be accepted (with exception of ICM paperwork which currently remains paper based).

If you are starting your ST6 or ST7 year in August 2012, you may use the e-Portfolio but it is not currently mandatory.

If you do not have an e-Portfolio user account please contact Georgina Johnson -

If a consultant does not have an e-Portfolio Account
When you undertake a workplace based assessment during your training if you find that the consultant supervising you does not have an e-Portfolio login, please contact the School Administrator with their name and hospital so that they can be added.

If you need help with using the e-Portfolio
You can contact the RCoA e-Portfolio team via

Alan McGlennan

BLT and ILT certificates and ILPR

At the ARCPs I rejected a lot of certificates which were presented for my signature because they were incomplete.
The whole certificate MUST be completed by either a College Tutor or ES, not just the front page. All sections must be countersigned by one of these trainers to confirm that, for each of the modules, the evidence has been seen to satisfy completion of the module.
If an ST4 trainee is on the 2010 Curriculum and has either Cardiac or Neuro to carry over into ST5 they need an Intermediate Level Progress Report.
So apologies for being pedantic, but I will not sign certificates if they are not fully completed.
College Tutor at the trainees’ current placement can do this, even if some modules were done elsewhere.
It is a bit of work checking that everything has been completed, but if other ESs have done their bit by accurately filling out the ES report required for the ARCPs, then it should not be too much trouble to get the details about when modules were completed.
E-portfolio for all next year!

Regina Milaszkiewicz, Regional Adviser.


Dear Trainee

At the recent ARCPs we tried to run a separate panel for e-portfolio candidates.

It was not overly successful.

Discussing the issues with the trainees I have found

· Little buy in from non Core Trainees

· Inconsistency throughout trusts regarding the amount of consultants who have registered

· A reliance on paper portfolios

From August 2012 we expect all trainees to use e-portfolio and future ARCP events will be conducted with this.  Hence, we would like all WPBAs, etc to be performed via the e-portfolio system from now on.

For those not registered this must be rectified as soon as possible.  Contact Georgina, the School Administrator () with your email, College number and GMC reference number.

College Tutors have been alerted to this and instructed to ensure all Consultants are registered with the e-portfolio system.

At the last ARCP there were >75% outcome 1s.  In the future we will know who these are and may either not call them to be seen or spend the time planning rotations or offering advice.


Dr Alan McGlennan


Messages do not appear to have been transmitted, so in order to avoid any further misunderstandings I would like to clarify what we expect as a School.

There are 2 things running in parallel when considering the number of WBA required.

1) The minimum WBA required to demonstrate that you have satisfied the minimum learning outcomes for a module.

This is where it is necessary to provide a minimum of 1 of each type of WBA per module. Ideally you would have more, as you would like to demonstrate that you are developing within that module, not just achieving a minimum standard.

2) In addition you should be doing WBAs to demonstrate the achievement of all sorts of other things in the curriculum including Professionalism, for example.

So you should not just do the bare minimum, but demonstrate an engagement with the training process and do:

12 DOPs, 8 A-Cex and 4 CBDs for a year. If you are only in a 3 month placement, you should come away with 3 DOPS 2 A-Cex and 1 CBD. This is just a little bit more than the minimum requirement for a module.

If you are somewhere for a year keep the latter in your mind as a target for each 3 months.

In addition an MSF is now required every year.
Your ARCP is your documentation for your revalidation. So it is an important process.

Ideally this is all done on the e-portfolio, and we expect all trainees in years 1-5 to only use e-portfolio next year. If using paper all modules must be signed off on the completion of Unit of Training form (Available either on School website under Forms and Downloads or on College website) which should also state the evidence used in forming the decision that you have achieved the minimum standards.

These guidelines will be being reviewed periodically according to College and/or Deanery requirements. I will ensure you get updates via this website.

Dr Regina Milaszkiewicz

RA and Head of School

Returning to Work Simulation day

To All Programme Directors

Managing a successful return to work : do you have any trainees on maternity leave / career break / sick leave who might benefit from attending a “Returning to Work” simulation day?
This is an excellent way of utilising one of their funded 10 KIT days (Keep In Touch days) to refresh core skills before they start back at work, as recommended in the May 2012 AoMRC guidance on “Returning to Practice”.

GAS Again (Giving Anaesthetics Safely Again) have 4 RTW simulation dates over the next 12 months:
• BRADFORD - 19th September 2012
• BRADFORD - 16th January 2013
• LONDON - 24th January 2013
• BOURNEMOUTH - 2nd July 2013

If you know of or are managing a trainee returning to work or who will have recently returned to work around any of the dates given above for 2012 / 2013 and would like more details to see if they would benefit from this core skills refresher day, please get in touch. The cost is £125, which should be covered by a funded KIT day.

Carolyn Evans
RCoA B.J.Advisor LTFT / RTW

ARCP Workbook for ACCS Anaesthetics

Please see Forms and Downloads section to get access to the ARCP workbook for ACCS Anaesthetics.

Deanery Professional Support Unit

The London Deanery’s Professional Support Unit was launched in April.
There is a wide variety of help offered both personal and professional.
Further information is available on the website: where you will also find information and flyers for the separate services offered.

Changes to Higher Training and CCT

The GMC has decreed that if you accredit after August 15th 2012, you must have higher competencies in obs, cardiac, paeds and neuro w 12 months general duties (often time can be double counted depending on where you acquire these competencies) and 3/12 higher ITU signed off. If you do not, you may find your CCT extended.

If you cannot identify how you can get this, you need to see or speak to Dr Lila Dinner or Dr Alan McGlennan soon. Do not panic - there are ways to sort this out and many of you, on examining your rotations, will be fine with some minor form filling to do. However, a number of you will need to adjust your rotations. There is no way around this. We have not been given very much notice of this deadline. Forms for higher competencies are available from the school or RCOA websites - completion of unit of training (2010 curriculum). This applies whether you are on 2007 or 2010 curriculum.

In light of this, I have started to make some changes so please do check your rotation first.

Lila Dinner
Lead TPD

Research Fellow Post

West Hertfordshire Hospital NHS Trust

Job Description

ICU Research Fellow at Trust Registrar level

Watford General Hospital

Here is the link to the bmj advert - or it is reference number 360 338 on NHS jobs.

For a copy of the job description please contact -

Application for Joint CCT programme in ICM 2012

Hi all,

For those of you who wish to apply the timeline for the London programme of Joint CCT recruitment is as follows:

Advert opens on the London Deanery website from 3.2.2012 – 5.3.2012

Applications can be made from 17.2.2012 – 5.3.2012

Interviews are on 10.4.2012 and 11.4.2012

This is the only recruitment to the programme this year with the final recruitment to the Joint programme around the same times next year. After that you will need to go down the Dual CCT route. See the FICM website for more details:


Nick Harper,

RA ICM London North Central

Rotation changes

It would be sensible for everyone to check their rotations as there have been a number of changes and over 25 new people will be joining the School in Feb. Let me know if any problems - I cannot promise to change things but I will read your email!

Best wishes,

Lila Dinner
Training Programme Director
Central School


From August 2012 all ST’s will need an MSF done annually.

Pan North Thames Recruitment for Advanced Pain Trainees

The online recruiting system for North London is now live.

The interviews for these posts will take place on the 25th of November at the Royal College.

The closing date is in 2 weeks on 18th November.

The job descriptions, person specification, and application can be found at the web site below -

The 4 hospitals with vacancies through this application are:

- St Marys Hospital, Imperial
- Hillingdon Hospital
- Chelsea And Westminster Hospital
- The Royal Marsden Hospital

The posts for Barts and Whipps Cross Hospital have been advertised separately but are part of the Pan London Training programme and are being interviewed on the same day.

Apologies for the short notice as it did take some time to get this all organised.

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Completion of Unit of Training Certificate - A College Clarification

The RCoA have recently attempted to clarify the CUTC.  Here is a statement that has gone to all Schools.

The purpose of the Completion of Unit of Training Certificate [CUTC] is to confirm that all the requirements for each unit of training attempted have been met, ie, case mix, assessments and most importantly, that the trainee has achieved the core clinical learning outcomes. In other words, the trainee has met the minimum standard. This means that a separate CUTC must be completed for each unit in the Basis of Anaesthetic Practice [BAP] and for each of the units in general duties. The IAC only meets the assessment requirement of the BAP. This applies equally to ACCS trainees.

The CUTC plays an important role in the next phase of the e-Portfolio. It is the generation of this certificate which is used by the system to show that a unit of training has been satisfactorily completed, ie turning the UoT green and then feeds into the Educational Supervisors Structured Report for ARCP.

ARCP Paperwork update

The paperwork for ARCPs has been updated and can be downloaded from the downloads page

Assessments and Competencies - which do you need?

There has been a bit of confusion about this, particularly when it comes to RITA’s. The bottom line is that you probably need both, particulary if you will still be in year 1 or 2 in February 2005.

Assessments are carried out on a per-hospital basis, and are normally carried out when your rotation at that hospital ends. Your assessments will be inspected at a RITA. Normally, you will not have been assessed at the hospital where you are presently working, unless your departure is imminent.

SpR 1/2 Competencies are subspecialty-based (eg ENT, Paediatrics, Pain). You can get them signed in any order, and at any hospital. In order to enter year 3 of training you will need to have obtained signatures in the 7 “key” modules (although there is a 6 month period of grace under certain circumstances).

Logbook for trainees in Pain Medicine

A new Pain Medicine logbook has been kindly and diligently put together by Roger Laishley and Barry Miller. 
The logbook has been developed as a standalone record using a spreadsheet model and will work with Microsoft Excel, OpenOffice or iWork. There is an FAQ included for further information. 

The logbook is available at the following URL for download:

Society of Bariatric Anaesthetists

Dear Fellow Trainee-
I would like to draw your attention to the SOCIETY OF BARIATRIC ANESTHETISTS (SOBA) UK.
As I am sure you are all increasingly aware, we have to manage obese patients on a daily basis in all sub-specialties. This can sometimes be a daunting prospect. SOBA run a one-day meeting three times a year entitled How to Anaesthetise the Bariatric Patient, although mainly attended by consultants in the field, this is an excellent way of obtaining the tips to manage even the bariatric patient for non-bariatric surgery.
The RCOA is currently planning new college training competencies in bariatric and obesity anaesthesia. SOBA is involved in this process, so if you want to be ahead of the game, come visit our website.
Bariatric Surgery is a rapidly growing field and many hospitals are considering establishing or increasing a bariatric service. In terms of future career planning, this field is one you should really be aware of. Whilst many trainees have little exposure to bariatric anaesthesia training, SOBA members are able to access a directory of day-visit centers, happy to provide a taster of the specialty.
There are training regions that have Bariatric Anaesthesia Fellowships. I myself am undertaking one currently and it is an excellent opportunity to gain transferable skills. If you are interested in this, you should contact our Fellows Representative at .
We are calling for posters and oral presentation for the September Chichester Bariatric Meeting 2010. The best submission will win a prize. A selection of the best original work will also be considered for publication in Anaesthesia. The deadline for submission of abstracts is 6th September and all criteria can be found on the SOBA website or . The meeting program and downloadable registration form can also be found there.
For further information please visit our website or please contact me on
Looking forward to hearing from you,
Malthi Dudley
Trainee Rep,
Society of Bariatric Anaesthetists, UK.

Are you due a RITA or ARCP?

If any trainee has not received a date for their RITA/ARCP but believes that they are due to be seen, please contact the Administrator, Ann Robinson on

Perioperative Medicine Academic Training Forum

We have established a trainee-led perioperative research training group. We are organising a pan-London conference for all those involved in the perioperative medicine research translational pathway. This conference is aimed at scientists to clinicians, basic researchers to clinical researchers, medical students to consultants, and BSc students to professors.
The aim of our group and this conference is to improve and promote research training, networking and collaboration within our specialties, and ultimately the beneficial translation of this research to our patients.

More information at

2010 Curriculum Implementation

The GMC have approved the Colleges implementation plan to transfer trainees currently on the existing 2007 GMC approved CCT in Anaesthetics curriculum to the 2010 CCT in Anaesthetics curriculum. In approving the implementation plan, the GMC has recognised that the training at the basic and intermediate levels in the two curricula [2007 and 2010] are equivalent and therefore trainees who transfer will be eligible for a CCT on successful completion of the UK approved programme. In addition, the GMC has agreed transitional arrangements for the recognition of examination credits accrued prior to transfer to the new curriculum.


The implementation plan for the 2010 curriculum is as follows:
All CT1 trainees starting from August 2010 will be appointed to a programme using the 2010 curriculum.
All CT2 to ST5 trainees will be transferred to the 2010 curriculum in August 2010 or all CT2 to ST5 in August 2011.
The decision of when to transfer to the 2010 curriculum [August 2010 or August 2011] lies with the School of Anaesthesia and not with an individual trainee.
All trainees starting ST6 and 7 in the year the School transfers CT2-ST5 trainees to the 2010 curriculum will remain on the 2007 curriculum.
The 2007 curriculum will continue as an approved curriculum until midnight, 31 December 2015 to allow those less than fulltime ST 6 and 7 trainees to complete their CCT.
Some limited flexibility in deferring ST3/4 units of training to ST5 will be available for ST4 trainees for the year of transfer.

Transitional arrangements of examination credits for implementation of 2010 curriculum

Transitional arrangements have been agreed with the GMC for those trainees who were appointed to a CCT programme in Anaesthetics prior to 1 August 2010 and who are transferred to the approved
2010 curriculum. For trainees who have completed the respective Irish examination in its entirety [i.e. the Primary and/or Final] by the date of transfer to the 2010 curriculum, the examination will be
recognised for the award of a CCT.
For those trainees who have partly completed the Irish examination, such as the MCQ component only, on transfer to the 2010 curriculum, there are two options:
Complete the Irish examination and proceed with the training programme for the award of a CESR[CP]; or
Complete the RCoA examination [within the rules for number of permitted attempts and exam validity]

Please note, the Irish examinations are currently not approved tests of knowledge for the award of a CCT for the 2010 CCT in Anaesthetics curriculum. If a trainee eligible for a CCT after transferring from
the 2007 curriculum completes an Irish examination after 1 August 2010 or 1 August 2011 (depending which year the School transfers to the new curriculum] in lieu of the respective UK examination, the trainee will lose their eligibility for a CCT but will be eligible for the CESR[CP] instead.

Music from the Genome Events

Dear Colleagues,
Please see below an exciting venture into genomics and music ability led by=a Wellcome Trust funded anaesthetist, Dr Andrew Morley, Consultant at Guy’= and St Thomas’ NHS Trust.
Best wishes,

Perioperative Medicine Academic Training Group
London Academy of Anaesthesia

Calling all anaesthetists. ‘Music from the genome’ events.

Some of you may be already aware of the ‘Music from the Genome’ research pr=ject. It is being directed by Andrew Morley, a consultant anaesthetist at =uy’s and St Thomas’ Hospitals, and is funded by the Wellcome Trust. It com=ines a study of the genetic determinants of musical ability (comparing the=DNA of 250 choral singers with that of 250 non-musicians) with the creatio= of a new 40-part unaccompanied choral work for the New London Chamber Cho=r (NLCC), entitled “Allele”. Many of the “non-musician” participants in th= genetic study were recruited at anaesthetic events in London and the Sout=.

“Allele” is being written by Michael Zev Gordon (winner 2008 British Compos=r of the Year choral section) and Ruth Padel (well-known poet and Charles =arwin’s great great grand-daughter). Michael has used the results of each =ndividual singer’s genetic analysis to create their part. The NLCC singers=will effectively be singing their own genes. 

There are a few project related events between now and summer and the first=is at the Southbank Centre on Wednesday March 3rd. This is part of their s=ries of talks on Music and Writing. It will feature a short introduction f=om Andrew about the science behind the piece and then a conversation betwe=n Andrew, Michael and Ruth, chaired by the writer and academic, Eva Hoffma=. Michael has written about of the piece already and there will be a f=w excerpts for discussion, recently recorded by the choir. The whole thing=will last about 90 minutes and the link is below.

The piece itself will be premiered at Diamond Light, the UK’s National Sync=rotron Facility in Didcot, on the evening of Fri 9th July. This will be as=part of an NLCC concert to be held in the atrium of the Synchrotron buildi=g. The New London Chamber Choir are top notch, but pretty uncompromising c=ampions of contemporary music. Traditionalists, however, will be happy to =earn that the programme includes Spem in Allium (Tallis), together with Ma=er Christi (Tavener), Sanctum est Verum Lumen (Gabriel Jackson), Libera No=. 1 & 2 (Sheppard) and Lux Aeterna (Ligeti). The concert will be preceded =y a bookable tour of the facility itself. It’s pretty awe-inspiring - a so=t of mini-CERN, visited for inspiration by the producers of one of the mor= recent Bond films and the latest Dan Brown. There will be a Q&A afterward= with Andrew, Michael and James Weeks, the choir’s musical director.

On Saturday 10th July, the NLCC will be doing a similar concert, featuring =llele, at Cheltenham Music Festival in Cheltenham College Chapel, with a s=ort pre-performance introduction from Andrew about the science. Tickets on=sale via the website from early April. The final, London performance will =e at the end of a Music from the Genome evening at the Royal Society of Me=icine on 13th July under their public engagement banner. Marcus du Sautoy,=Oxford Professor of the Public Understanding of Science will open the proc=edings with a lecture on “How science feeds the arts” or similar. Thereaft=r some short talks from Michael, Ruth and Andrew - the choir will do the T=llis and finally, Allele. Entry free.

Friendly anaesthetists especially welcome at any of these!

Survey on Pulmonary Artery Catheters

We would be very grateful if you could take a couple of minutes to complete a survey on your own experience with pulmonary artery catheters.
We believe this is still an essential skill but due to their use falling out of favour, as trainees we are not getting enough exposure to their use.

Please click on the link below

Many thanks
Alex Sell and Lliam Edger Anaesthetic SpRs, Imperial School of

Has your email address or phone number changed?

The contact details on the website are used by the Administrator, Trainee Progamme Directors and other members of the school to contact trainees so it is most important that this information is kept up to date. Please could you all check your email addresses and update them as necessary. If your phone or address has changed please also contact the administrator who will update your paper files

ARCP Information

We have added a new page to the site with information about ARCPs. You can find it here

New Study leave form for ST3+ Trainees

We have been sent a new Study Leave claim form to be used by ST3+ Trainees.
It can be downloaded from

Your study leave budget is Currently 750 per year from August - July. To make a claim you will need to send the fully completed form, together with your College TUtor signature, original receipts and your bank details to Anne Ramlal at St Thomas Hospital.

Good news

Congratulations to Dr Richard Marks who has been elected to the College Council!
This is fantastic for Richard and for our School!
Thanks to all those who supported him.

Intermediate Level Training Certificate - ST4/5 should read

It has come to my attention that the Intermediate Level Training Certificate has not been claimed by many trainees.

This is the piece of paper which certifies that you have satisfactorily completed the Key Units of Training and passed the Final FRCA. It can be filled in by your College Tutor. The College requires this to calculate your final CCT date.  Please note that until then your date is only provisional.

For further information see the entry on page 12 in the “CCT in Anaesthetics III - Specialty Training Years 3 and 4” document from the College

Alan McGlennan
Co-TPD StRs 3-7

Recruitment 2010 for CT1 and ST3

Please see our Recruitment Page

Safeguarding Children - message from the President of the RCoA

September 2009

Dear Regional Adviser and College Tutor

In July 2009 the Care Quality Commissions (CQC) review of arrangements within NHS Trusts for safeguarding children and young people revealed significant gaps in the uptake and monitoring of training. Their current recommendation is that all anaesthetists should complete Level 1 and 2 training in Child Protection.

Safeguarding Children and Young People is the new e-learning program developed by the Royal College of Paediatrics and Child Health (RCPCH). The programme is designed to help health professionals meet the statutory training requirements of Section 11 of the Children Act and ensuring people are up to date with the issues surrounding Child Protection. The programme is closely aligned to current best practice as set out in the Intercollegiate Document 2006.

Level 1 - Introduction to Safeguarding Children and Young People:

A single session that covers the knowledge and competences required for Level 1 Safeguarding

Level 2 Recognition, Response and Record:

Three sessions that cover the knowledge and competences required for Level 2 Safeguarding

These sessions are now available on e-Learning Anaesthesia (e-LA) to ALL anaesthetists.

If you are already using e-LA you can log on with your existing username and password

If you havent yet registered for access to e-LA please visit and follow the link to the registration page. You will be sent your username and password within few days

Level 1 and 2 training can be found on the Learning Management System by clicking the menu item Mandatory on the left of the screen as shown in the image overleaf. A short PowerPoint presentation with details of how to access this is also available on the College website.

The College recommends that all anaesthetists complete the National Level 2 e-Learning package to support local implementation of the current guidance from the CQC.

I would be grateful if you could disseminate this information to all members of your department.

Yours sincerely

Peter Nightingale


Information for new trainees in the School

We have prepared an information sheet for new members of the School which outlines the key responsibilities, the key members of the School Executive and some important practical information. It can be reached via the downloads page or directly accessed here

Swine flu information from the College

The College has posted some detailed information on swine flu, which will be of help to intensivists and anaesthetists. The information will be uodated from time to time. It can be accessed at

New guidance on Anaphylaxis

The Association of Anaesthetists has published new guidance on anaphylaxis. The document can be downloaded here.

(1) The AAGBI has published guidance on management of anaphylaxis during anaesthesia in 1990, 1995 and 2003. This 2008 update was necessary to disseminate new information.

(2) Death or permanent disability from anaphylaxis in anaesthesia may be avoidable if the reaction is recognised early and managed optimally.

(3) Recognition of anaphylaxis during anaesthesia is usually delayed because key features such as hypotension and bronchospasm more commonly have a different cause.

(4) Initial management of anaphylaxis should follow the ABC approach. Adrenaline (epinephrine) is the most effective drug in anaphylaxis and should be given as early as possible.

(5) If anaphylaxis is suspected during anaesthesia, it is the anaesthetists responsibility to ensure the patient is referred for investigation.

(6) Serum mast cell tryptase levels may help the retrospective diagnosis of anaphylaxis: appropriate blood samples should be sent for analysis.

(7) Specialist (allergist) knowledge is needed to interpret investigations for anaesthetic anaphylaxis, including sensitivity and specificity of each test used. Specialist (anaesthetist) knowledge is needed to recognise possible non-allergic causes for the reaction. Optimal investigation of suspected reactions is therefore more likely with the collaboration of both specialties.

(8) Details of specialist centres for the investigation of suspected anaphylaxis during anaesthesia may be found on the AAGBI website

(9) Cases of anaphylaxis occurring during anaesthesia should be reported to the Medicines Control Agency and the AAGBI National Anaesthetic Anaphylaxis Database. Reports are more valuable if the diagnosis is recorded following specialist investigation of the reaction.

(10) This guidance recommends that all Departments of Anaesthesia should identify a Consultant Anaesthetist who is Clinical Lead for anaesthetic anaphylaxis.

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