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Getting Started with Higher (ST5-7) Training

Welcome to the NSAICM Higher Training programme.  The higher level of training is two years in duration and is called Post Fellowship Training.

Units of Training – Higher Training ST5-7- updated Feb 2018

RCOA Annex D

Intermediate Training Certificate

You must forward the Intermediate Level Training Certificate to the RCoA.   Once received the College will contact you with your estimated CCT date.

Dual trainees –  in order to be able to assess your CCT date the RCoA require a copy of your Stage 1 Certificate.


**RCOA Training Certificates (IAC, IAOC, CLTC and ILTC) are required to be present in your e-Portfolio**.

Introduction to Higher Training

Trainees will be invited to attend a meeting with the Training Programme Director before entering Higher Training.   The meeting is not mandatory but the School Executive committee highly recommend that you do attend.

The aim of this meeting is to offer advice on how to optimise your ST5-7 years with further information on Advanced modules alongside career guidance, recommendations on CV building and information on non-clinical opportunities available.

Specialist Interest – dual trainees

Dual trainees who wish to undertake a specialist interest in a particular area of anaesthesia, will need to do this whilst undertaking General Duties.

Trainees will need to be flexible to which hospital they undertake a special interest as placements cannot always be guaranteed.

This is not an Advanced module.


Trainees who have an interest in Paediatrics and are considering Advanced Paediatrics, may be eligible to swap their Higher Adult ICM to PICM.

During your Intermediate training, trainees will need to email the Regional Advisor (RA) for Anaesthetics & the Higher Training Programme Director (TPD) for permission.

The Regional Advisor will write to the Training Department at the RCoA for pre-approval before you move into Higher Training.   It can take time to hear back from the College.

You will receive a confirmation email from the College and a copy will be sent to the RA & TPD.   Once you have received permission, you should contact Dr Sue Jackson, Head of PICU at the RVI to ask her permission to accommodate you on PICU.   Please copy this email to your Training Programme Director.

Anaesthesia in Developing Countries

Within the RCoA curriculum, as part of Higher Training, there is the option to undertake an “Anaesthesia in Developing Countries” module (http://www.rcoa.ac.uk/CCT/AnnexD) .

The College website has additional information:   (http://www.rcoa.ac.uk/careers-training/oope-and-oopt/working-training-developing-countries)

Trainees and Consultants within the School have been involved with projects overseas, and further information and advice can be obtained by emailing any of the contacts below;

David Mayne
David Snell
Janaki Pearson
Ed Pugh   For information on the Zambia Anaesthesia Development Project (ZADP) click here


For information on the MSc project in Ethiopia click here:


David Mayne or David Snell will be available to act as supervisors for trainees intending to undertake this module.

BKL Walawalkar Hospital, Dervan, India

BKLWalawalkar Hospital is a 500-bed multispecialty hospital providing treatment to patients from across India, including residents surrounding Dervan, who are offered subsidised treatment rates.

There is an existing relationship between the hospital and a team of doctors in the North East of England, who have visited the hospital on a number of missions.


For further information, please email Dr Sanjay Deshpande, Consultant Anaesthetist, South Tyneside Hospital.

Advanced Training

Further information on the main menu.

Lead Employer Trust – Junior Doctors Contract 2016 Implementation FAQs

The LET will be updating these FAQs on a regular basis, so please keep reviewing them for further details on the new contract.