Joint Consultative Committee on Anaesthesia

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The Joint Consultative Committee on Anaesthesia (JCCA) comprises representatives appointed by the councils of the Australian and New Zealand College of Anaesthetists (ANZCA), the Royal Australian College of General Practitioners (RACGP) and the Australian College of Rural and Remote Medicine (ACRRM).


The committee has two core responsibilities concerning general practitioner anaesthetists (GPA), training and accreditation.

 

Training

The committee is responsible for the supervision and examination of GP registrars from the rural training stream of the Royal Australian College of GPs and Australian College of Rural and Remote Medicine who are completing a 12-month advanced rural skills/advanced specialised training post in anaesthesia, using the Curriculum Statement in Anaesthesia as the basis of the training. The training includes:

  • A 12-month training period in a JCCA-accredited post.

  • A satisfactory report from the director of the training department.

This report may be generated in a similar fashion to the in-training assessment process for ANZCA trainees. Registrars must produce this satisfactory report of training from their supervisor before they are permitted to sit for the examination.

  • Success in the JCCA viva voce examination.

The JCCA, in liaison with ANZCA, inspects and accredits the training posts for these registrars and oversees the examination process in anaesthesia. The training posts are mainly in ANZCA accredited hospitals, but there are some in ANZCA non-accredited hospitals. Training can also be done overseas and various hospitals in the United Kingdom have been accredited for this training.

 

The examination process comprises a viva voce examination with two examiners - one a specialist and the other a general practitioner anaesthetist. At examination, the registrar is specifically asked about epidural skills (which are elective) and a minimum patient age for paediatric anaesthesia at which the registrar is competent. The usual minimum age for paediatric anaesthesia by advanced rural skills registrars is three years of age. Endorsement from the JCCA in paediatric anaesthesia down to the age of 12 months is available, depending on appropriate training, demand, ongoing experience and skill.

 

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Accreditation

The second core responsibility of the JCCA is the accreditation and recertification of existing general practitioner anaesthetists. This is done via the requirements in place for the Continuing Professional Development Program. The standard reference curriculum for this program is the Curriculum Statement in Anaesthesia.

 

The principles on which the JCCA makes and has made decisions are:

  • There are areas of Australia where there will always be a requirement for GPs to be administering anaesthesia. This is mainly at present in small rural towns and some provincial cities, although there are some situations where GPs may and should work in cooperation with specialist anaesthetists.

  • These GPs must have appropriate training and must be providing safe anaesthesia. This training has been fully discussed in the Curriculum Statement in Anaesthesia. Other training in anaesthesia may be acceptable.

However, application to the JCCA is necessary to accredit this training.

  • These GPs must maintain their anaesthesia skills and knowledge, that is, there must be a regular caseload commitment to anaesthesia and participation in ongoing continuing professional development (CPD) in the field of anaesthesia.

For further information: http://www.racgp.org.au/yourracgp/organisation/committees/joint-consultative-committees/jcca/  

 

 

Committee members

ANZCA Fellows on the joint consultative committee on anaesthesia

Title

Name

Region

Chair, RACGP National Rural Faculty

Dr Stuart Prosser

WA

Fellow, ANZCA

Dr Patrick Farrell

NSW

Fellow, ANZCA

Dr Brian Spain

NT

Fellow, ANZCA

Associate Professor Deborah Wilson Tas
Fellow, ANZCA Dr Fred Rosewarne Vic

Fellow and ANZCA President (invited observer)

Dr Rod Mitchell

SA

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