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(Document effective from the beginning of the 2004 Hospital Employment Year)

1.   GENERAL

1.1   An Approved Training Program is a regionally-based, rotational arrangement involving a group of Approved Hospital Departments which together provide Trainees with a comprehensive and integrated training experience covering the essential requirements of all Training Modules. (see College Regulation 14: Definitions).

1.2   Approved Hospital Departments will be recognised by the College for training only if they are part of one or more Approved Training Programs (see College Professional Document TE1 Recommendations for Hospitals Seeking College Approval for Vocational Training in Anaesthesia)

2.   THE VOCATIONAL TRAINING PROGRAM

2.1   An Approved Training Program will provide access to the knowledge, skills and attitudes required to fulfil the aims of the curriculum’s Training Modules.

2.2   An Approved Training Program will be approved following an assessment by College representatives during the periodic review of its participating Hospital Departments, and this approval will be granted by Council.

2.3   An Approved Training Program will be reviewed at intervals determined by Council.

2.4   An Approved Training Program will be co-ordinated by a Rotational Supervisor. This person may be a Supervisor of Training from a participating Hospital Department or may be another suitable person. The Rotational Supervisor shall have the following duties.

2.4.1   Oversight of the Training Program.

2.4.2   Liaison with the Regional Education Officer (REO) and Supervisors of Training regarding training.

2.4.3   Monitoring of the quality of modules offered by the participating Hospital Departments to ensure that the requirements of College Professional Document TE1 are met, and notification to the Regional Education Officer of any deficiencies.

2.4.4   Monitoring the progress of trainees and their access to training modules.

2.4.5   Liaison with participating Hospital Departments regarding the rotation of Trainees in order to fulfil individual training requirements.

2.5   Approved Training Programs should interact with each other and the REO, with regard to the provision of subspecialty training.

2.6   Trainees will not normally be permitted to spend all of their training in one hospital

2.7   The Training Modules outline a series of required learning experiences within the overall Training Program, including but not limited to:

2.7.1   PAEDIATRIC ANAESTHESIA

Trainees require 50 sessions (1/2 days) of paediatric anaesthesia experience. Limited time in neonatal or paediatric intensive care may be included.

2.7.2   CARDIAC, THORACIC AND VASCULAR ANAESTHESIA

Trainees require 50 sessions (1/2 days) of cardio-thoracic and 20 sessions of vascular anaesthesia experience. Limited time in post cardio-thoracic and vascular surgical intensive care may be included.

2.7.3   NEUROSURGICAL ANAESTHESIA

Trainees require 30 sessions (1/2 days) of neurosurgical anaesthesia experience. Limited time in post neurosurgical intensive care may be included.

2.7.4   OBSTETRIC ANALGESIA AND ANAESTHESIA

Trainees require 50 sessions (1/2 days) of obstetric anaesthesia and analgesia experience. It is acceptable for obstetric experience to be combined with other duties provided that obstetric experience always takes priority.

2.7.5   PAIN MEDICINE

Trainees require 50 sessions (1/2 days) of pain medicine experience. While it will be acceptable for the majority of this experience to be in acute pain management, trainees must obtain experience in the management of chronic and cancer pain.

2.7.6   INTENSIVE CARE

Trainees require three months experience in intensive care medicine.

2.7.7   RURAL EXPERIENCE

The program must include a rural hospital so as to provide the opportunity for anaesthesia experience in a rural centre.

2.7.8   DAY SURGERY

Trainees require access to day surgery services so as to provide experience in ambulatory anaesthesia.

2.8   Learning experiences in the sub-specialties outlined in 2.7 must cover a broad spectrum of experience in that sub-specialty.

2.9   For those programs where the subspecialty experience cannot be organised into blocks or sessions, a pro-rata caseload in the specialty may be acceptable.

2.10   At least 50% of subspecialty experience must be in-hours.

3.   TRAINEES

3.1   Trainees are appointed by hospitals, not the College, but should be selected using a standardised selection process compatible with the College Selection of Trainees document.

3.2   A centralised selection and appointment process involving senior representatives of participating hospitals is desirable.

3.3   A College representative on the selection committee may only comment on the suitability of an applicant for training and must take no further part in the selection process.

3.4   The College does not specify the number of training posts or Trainees in an Approved Hospital Department.

3.5   Trainees will normally belong to a Training Program with access to all Training Modules, however this may not always be the case.

3.6   Junior medical staff who fill positions in Approved Hospital Departments, who have completed 24 months of General Hospital Experience, who have been selected as suitable for training according to processes in 3.1-3.3, who have registered as trainees with the College and who have Job Descriptions similar to other trainees may accrue accredited training time whether or not they have guaranteed access to subspecialty training.

This Professional Document should be interpreted with regard to the following Documents:

PS4 Recommendations for the Post-Anaesthesia Recovery Room

PS6 Recommendations on Minimum Requirements for the Anaesthesia Record

PS7 Recommendations on the Pre-Anaesthetic Consultation

PS8 Recommendations on the Assistant for the Anaesthetist

PS18 Recommendations on Monitoring During Anaesthesia

T1 Recommendations on Minimum Facilities for Safe Anaesthesia Practice in Operating Suites

T2 Recommendations on Minimum Facilities for Safe Anaesthesia Practice outside Operating Suites

TE1 Recommendations for Hospitals Seeking College Approval for Vocational Training in Anaesthesia

TE2 Policy on Vocational Training Modules and Module Supervision

TE3 Policy on Supervision of Clinical Experience for Vocational Trainees in Anaesthesia

TE4 Policy on Duties of Regional Education Officers in Anaesthesia

TE5 Policy for Supervisors of Training in Anaesthesia

TE6 Guidelines on the Duties of an Anaesthetist

TE7 Secretarial and Support Services to Departments of Anaesthesia

TE9 Quality Assurance

TE13 Guidelines for the Provisional Fellowship Program

TE17 Policy on Advisors of Candidates for Anaesthesia Training

PS44 Guidelines to Fellows Acting on Appointments Committees for Senior Staff in Anaesthesia

COLLEGE PROFESSIONAL DOCUMENTS

College Professional Documents are progressively being coded as follows:

TE Training and Educational

EX Examinations

PS Professional Standards

T Technical

POLICY – defined as ‘a course of action adopted and pursued by the College’. These are matters coming within the authority and control of the College.

RECOMMENDATIONS – defined as ‘advisable courses of action’.

GUIDELINES – defined as ‘a document offering advice’. These may be clinical (in which case they will eventually be evidence-based), or non-clinical.

STATEMENTS – defined as ‘a communication setting out information’.

This document has been prepared having regard to general circumstances, and it is the responsibility of the practitioner to have express regard to the particular circumstances of each case, and the application of this document in each case.

Professional documents are reviewed from time to time, and it is the responsibility of the practitioner to ensure that the practitioner has obtained the current version. Professional documents have been prepared having regard to the information available at the time of their preparation, and the practitioner should therefore have regard to any information, research or material which may have been published or become available subsequently.

Whilst the College endeavours to ensure that professional documents are as current as possible at the time of their preparation, it takes no responsibility for matters arising from changed circumstances or information or material which may have become available subsequently.

Promulgated: 2003

Date of current document: June 2003

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College Website: http://www.anzca.edu.au/