Changes to the training program

Training program changes coming soon…

Over the past 12 months ANZCA has been making changes to the training program, following a period of evaluation. The changes include improvements to the curriculum, the handbook, regulation 37 and the training portfolio system (TPS).
 

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Learning outcome changes

We have added five new learning outcomes to the curriculum:

  1. AT_PO 1.7 - Discuss the principles of Choosing Wisely.  Apply the ANZCA Choosing Wisely recommendations in the peri-operative period

  2. AT_PO 2.12 - Describe the methods used to investigate a suspected anaphylactic reaction including blood, intradermal, and skin prick testing and recommendations around the appropriate timing for those investigations.

  3. AR_PF 2.6 - Describe the principles underpinning culturally competent care and apply these to their practices (refer to Professional document PS62 Statement on Cultural competence).

  4. BT_PO 1.79a - Explain the principles of blood gas and acid-base analysis, and interpret blood gas analysis in clinical situations.

  5. AR_SC 4.9 - Demonstrate effective teaching practices in the operating theatre and other clinical settings

The following six learning outcomes have been updated to reflect current anaesthesia practice:

  1. AR_ME 4.8 - Arrange or provide follow up care for patients

  2. AR_LM 4.7 - Understand the financial, administrative and human resource requirements needed to manage a practice or hospital department, including but not limited to:

    • Planning health care delivery (for example, staff rosters/rotas/schedules)

    • Factors affecting anaesthesia expenditure

    • Adherence to local guidelines concerning anaesthesia practice and equipment

    • Quality improvement activities

    • Processes by which new drugs are approved for research and clinical use in Australia and New Zealand

    • Regulations regarding the contracting or pricing of personal anaesthesia services

  3. AR_HA 1.1 - Identify opportunities for patient advocacy in particular by promoting:

    • Delivery of timely care

    • Safe work practices

    • Delivery of culturally competent care to patients and their family/support network (Refer to Professional document PS62 Statement on Cultural competence)

  4. AR_HA 2.5 - Outline measures to reduce the impact of anaesthesia care on environmental pollution in the workplace and globally (refer to College Professional Document “PS64 Statement on environmental sustainability in anaesthesia and pain medicine practice”).

  5. BT_PO 1.98a - Describe the physiology of skeletal muscle including mechanism of excitation contraction coupling and compare and contrast the physiology of skeletal, cardiac and smooth muscle.

  6. BT_RT 1.18 - Describe the pharmacology of therapeutic drugs recommended in the ARC and ILCOR resuscitation guidelines.

 

Education principles

The college is piloting revised education principles, which will apply to all educational offerings. These principles can be found in the “curriculum design” section of the anaesthesia training program curriculum.
 

Provisional fellowship

From November 2018 all trainees completing provisional fellowship training will need to complete a provisional fellowship review (PFR), in TPS, at the end of training. The PFR will replace the final feedback clinical placement review.
 
Trainees must complete an ALS course in every training period, including PFT; this does not apply to trainees who commence PFT prior to the HEY 2019. Trainees who cannot complete this requirement and have completed an ALS1 or ALS2 within the last 4 years, within a previous core unit, can apply to the DPA Assessor for an exception.

Courses and exemptions

From 2019 HEY, the following direct observation of procedural skills (DOPS) will become courses:
  • CICO

  • PALS

  • Resuscitation of a newborn

Trainees may complete equivalent courses or activities to meet the course requirements for each core unit. A full list of equivalent courses and exemptions are listed on the website.
 
Some common exemptions and equivalent courses are listed below:
  • Completion of an EMAC course during the core unit will exempt trainees from the ALS course and CICO course (if applicable).

  • Trainees who instruct all components of an ALS course during the core unit will be exempt from the ALS course.

  • Completion of an ALS instructor re-accreditation course during the core unit will exempt trainees from the ALS course.

 

EMST and trauma sessions

Trainees who are unable to get access to sufficient trauma sessions to meet the VOP requirement, must complete an EMST or equivalent course. A list of equivalent courses are available on the “courses page” .

Clinical anaesthesia time during introductory training

Clinical anaesthesia during introductory training can include the following:
  • Pre-admission clinic

  • Acute pain

  • Perioperative medicine

Trainees should record this as ‘clinical anaesthesia’ time in the TPS; time recorded as ‘CAT-pain medicine’ will not accrue.
 

Supervision of training overseas

When a trainee undertakes training overseas they must have an ANZCA supervisor, who will provide advice and guidance to their overseas supervisor. The ANZCA supervisor is not required to review or complete any assessments.
 

Return to practice plan

Trainees who are away from clinical anaesthesia practice for 26 or more weeks in BT or 52 or more weeks in AT or PFT must complete a return to practice plan. This will form part of the planning clinical placement review with their SOT. This should be done at the start of the placement. Supervisors should review and sign off progress towards the return to practice plan in the next interim or feedback CPR. Read the return to practice section in the ANZCA Handbook for Training for more information.
Trainees who take 52 continuous calendar weeks of leave and/or interrupted training, can only have maximum of eight weeks leave during the next 52 weeks FTE of training.
 

Other clinical time in lieu of leave

BT & AT trainees can longer count additional ICM time in lieu of leave.
 

Clinical placement reviews

If a trainee is on a placement longer than 26 weeks, an interim clinical placement review must occur mid-way through the placement or at least every 26 weeks.
An interim CPR can be completed for trainees who are experiencing difficulties. This may be requested by either the trainee or supervisor of training.
SOTs should consider whether a trainee with a ‘borderline’ CPR needs to complete the Trainee Experiencing Difficulty process (TDP). Further guidance for SOTs can be found in the ANZCA handbook for training.
 

Supervision levels

Supervisors should be aware that trainees may require increased supervision when completing unfamiliar emergency cases. Emergency cases includes all non-elective cases; it does not include acute elective cases.
 

Recording training in TPS

Videos detailing how to record training in TPS are now available on Networks.
 

Multi-source feedback

The supervisor of training can request that a trainee seek feedback from specific assessors.


More information

If you have any questions, please contact the Training and Assessments team via email or phone (+61 3 9510 6299).
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