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1.   GENERAL

1.1   An Approved Hospital Department is one that has been accredited by the College for the purpose of providing trainees with supervised training experience in anaesthesia.

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 TE10 - Recommendations for Vocational Training Programs)

2.   THE APPROVED HOSPITAL DEPARTMENT

2.1   Hospital Departments that request accreditation for ANZCA training will be assessed by College representatives with approval being granted by Council.

2.2   Approved Hospital Departments must agree to re-inspection by College representatives when requested by Council.

2.3   Job descriptions for the specialist anaesthesia staff, anaesthesia trainees and other anaesthesia providers must be acceptable to the College (see College Professional Document TE6 Guidelines on the Duties of an Anaesthetist).

2.4   When specialist anaesthesia staff are appointed, the advice of a properly constituted committee capable of evaluating the applicants must be sought.See College Professional Document PS44 – Guidelines to Fellows Acting on Appointments Committees for Senior Staff in Anaesthesia.

2.5   Positions in Departments approved for training in anaesthesia by the College must be advertised with that approval noted.

2.6   An Approved Hospital Department of Anaesthesia must be under the direction of a suitably qualified anaesthetist who is responsible for the organisation, teaching and service requirements of that Department.

2.7   A Supervisor of Training in Anaesthesia must be nominated by the Department of Anaesthesia and notified to College Council.It is not permissible for the Supervisor of Training to be the Director of the Department of Anaesthesia.This appointment requires ratification by Council.The duties of the Supervisor of Training are specified in College Professional Document TE5 Policy for Supervisors of Training in Anaesthesia.

2.8   There must be adequate supervision of trainees by specialist anaesthesia staff who hold the FANZCA or another qualification acceptable to Council (see College Professional Document TE3 Policy on Supervision of Clinical Experience for Vocational Trainees in Anaesthesia).Specialist anaesthesia staff must be familiar with the College’s training program.

2.9   Trainees may be employed full or part-time.Their duties must include normal, emergency and out-of-hours supervised work.Part-time training is subject to the requirements of the relevant College Regulations.

2.10   The hospital must agree to notify Council via the Supervisor of Training and the Regional Education Officer of any changes that might affect training.Importance is placed on changes such as alterations in work-load and increases or decreases in the number of senior staff and trainees working in the Department.

2.11   The Department of Anaesthesia must have:

2.11.1   A minimum of one specialist anaesthetist who holds the FANZCA.

2.11.2   A minimum of two full time equivalent (FTE) specialist anaesthesia staff with qualifications acceptable to Council.

2.11.3   Sufficient FTE anaesthesia specialists to provide supervision for all trainees in accordance with College Professional Document TE3 Policy on Supervision of Clinical Experience for Vocational Trainees in Anaesthesia.

2.11.4   Adequate secretarial staff.Most departments will require at least one full-time secretary with several being needed in larger hospitals (see College Professional Document TE7 Recommendations on Secretarial and Support Services to Departments of Anaesthesia).

2.11.5   Adequate office space for the specialist staff.

2.11.6   Suitable study facilities for trainees.

2.11.7   Access to a suitable conference room for quality assurance, clinical review and educational activities.

2.11.8   Regular programs of quality assurance and teaching appropriate to the size of the department (see College Professional Document TE9 Quality Assurance)

2.11.9   Adequate library facilities with information sources appropriate to anaesthesia and its sub-specialities.

2.11.10   Ready access to appropriate computer facilities for specialists and trainees.

2.11.11   Access to clinical support services appropriate to the role of the hospital.

2.11.12   Anaesthesia specialists participating in the College’s Continuing Professional Development Program or its equivalent.

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 Guidelines on the Assistant for the Anaesthetist

PS18 Recommendations on Monitoring During Anaesthesia

T1 Recommendations on Minimum Facilities for Safe Administration of Anaesthesia in Operating Suites and Other Anaesthetising Locations

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 Guidelines for Secretarial and Support Services to Departments of Anaesthesia

TE9 Guidelines on Quality Assurance in Anaesthesia

TE10 Recommendations for Vocational Training Programs

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 (as E1):1985

Reviewed:1991, 1996, 2003, 2005

Date of current document:Sept 2005

This document is copyright and cannot be reproduced in whole or in part without prior permission.

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