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Getting Started With Core & ACCS (CT2) Training

Welcome to the Northern School of Anaesthesia & Intensive Care Medicine! Being a trainee in Anaesthesia is hard work but also very rewarding.  There is a very steep learning curve at the beginning of your training and there are quite a few things that need attention to get you up and running.

During this phase of training, trainees must pass the PrimaryFRCA Examination to enable them to progress to Specialty Training.

The following is intended to be a checklist of things that you should familiarise yourself with in the early stages and act upon accordingly.


NSAICM Induction

You will be invited to attend the School Induction.    Details will be emailed to you by Health Education North East.   Email address:  nsaicm.arcp@nhs.net

Programme Directors:

Core Trainees:                  Amir Rafi

ACCS Trainees:               Suzy O’Neill       


Lead Employer Trust – Junior Doctors Contract 2016 Implementation FAQs

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



Email Address

If you use a Hotmail accounts, could you please provide an alternative email address – preferably one with your actual name so we know who it is from!   Hotmail quite often stop Trust emails and you will miss out on important information from the School and your employer.


Royal College of Anaesthetists

This can be downloaded from:  https://www.rcoa.ac.uk/training-and-the-training-programme/rules-and-regulations-governing-training-the-curriculum

This is compulsory for all Anaesthesia trainees to register with the RCoA.   Registration form and further information:


Without College membership it is not possible to access e-Portfolio and start getting workplace-based placed assessments (WBAs) completed.   The RCoA registration form asks you for your National Training Number (NTN).   You will not know this number as yet, so please just send off the form to the College.   You will receive your NTN from HENE – email address:  nsaicm.arcp@nhs.net

ACCS Anaes trainees:  Please register with the Royal College of Anaesthetists ACCS Committee.   This is the only way that the RCoA can contact ACCS trainees to share information and keep you informed about relevant events etc.  The form can be found here: http://www.rcoa.ac.uk/system/files/TRG-ACCS-Reg-2014_1.pdf

The following memberships are recommended considerations to support your training practice:

Medical Defence Union – www.themdu.com
Medical Protection Society – www.medicalprotection.org
Association Of Anaesthetists Of Great Britain and Ireland – www.aagbi.org
British Medical Association – www.bma.org.uk
Medical and Dental Defence Union of Scotland – www.mddus.com


LLP was launched by the RCOA in August 2018 and replaced the old e-Portfolio which is being phased out.

To gain access you must  join the Royal College of Anaesthetists.    Your login code is your College number so getting hold of this is a priority (see above).   Your password will be sent to you (and can then be changed after your first login).  Once logged in for the first time you should check your details are correct and update the field for your Educational Supervisor.

There are online resources regarding its use.  All WBAs need to be completed through this.   Some of you may already have an account but if you have moved from another region we will need to update this information.


It is mandatory for trainees to keep a logbook of anaesthetic activity and submit a summary as part of the ARCP process. The new LLP has an integrated logbook feature which will automatically do these summaries for you. The ARCP panel do not insist that you use this logbook but there are definitely advantages in doing so.

Free downloadable logbooks for PC and MAC can be found at www.logbook.org .  It is highly recommended if you are using a separate logbook to keep thorough, regular and robust backups of all logbook data.


Guide to Assessments – very important



The Initial Assessment of Competency needs to be completed before you can start doing on calls.   This usually takes about 3 months although some trainees will complete this more quickly. The competencies needed are listed in the above documents.  Once completed you should generate an electronic sign off certificate for you educational supervisor to sign. WBAs for the IAC should be associated with IAC at the point of creation in the LLP.

For helpful guidance:- http://www.nsaicm.com/initial-assessment-of-competence/



By the end of Core Training you be expected to have completed the Royal College of Anaesthetists Core Level Training certificate.

This certificate will be required before you start your ST3 job.      RCoA Training Certificates are required to be present in your LLP.



Intensive Care Module

Anaesthetic trainees are expected to do 3 months ITU in their first two years as part of their training. It is very unlikely however that you will start in ITU.   A full list of ITU competencies can be found in Annex F via the following link http://www.rcoa.ac.uk/careers-training/training-anaesthesia/the-training-curriculum/CCT2010.


Core Training Courses

Training Courses are provided by A-liNE – Anaesthetic Learning in the North East.  

Mandatory Courses

It is mandatory that Core Trainees attend a ‘Training for Transfer’ course before the end of CT1.

For further information:  http://www.nsaicm.com/training-for-transfer/


Buddy System & Educational Supervision

You will receive an email asking you if you would like a buddy during your Core Training.     It is an informal system to offer support to new trainees moving to the region, starting out in anaesthetics, or returning to work following a career break.   Further information can be found in the ‘Wellbeing & Support’ section of the menu bar.

You will be allocated to an Educational Supervisor by your College Tutor.   On arrival to your new department, you should aim to meet with your Educational Supervisor within the first two weeks of starting a placement.   You will need to complete the ES1 form available from the Northern School of Anaesthesia website – found in the ‘Educational Supevision’ section at the bottom section of the website.

For trainees doing a 6 month placement in Anaesthesia should meet their Educational Supervisor 3 times – use Anaesthesia ES paperwork.

For trainees doing a 3 month block of ITU should meet their ITU Educational Supervisor 3 times – use ITU paperwork.  Trainees may also have a separate Anaesthesia Educational Supervisor for same 6 month placement – use Anaesthesia ES paperwork

Useful websites

Royal College of Anaesthetists www.rcoa.ac.uk
RCoA Lifelong Learning Platform https://lifelong.rcoa.ac.uk/login
Logbook www.logbook.org.uk
Novice Guide to Core Training http://www.rcoa.ac.uk/careers-and-training/the-rcoa-guide-novice-trainees
A useful (free) FRCA exam and educational resource www.frca.co.uk
The Association of Anaesthetists of Great Britain and Ireland (worth joining) www.aagbi.org.uk
e-LA https://www.rcoa.ac.uk/e-la
Advanced Trauma Life Support https://www.rcseng.ac.uk/education-and-exams/courses/search/advanced-trauma-life-support-atls-provider-programme/
Advanced Life Support


Advanced Paediatric Life Support


Personal Checklist

Task Completed?
Apply for RCoA membership  
Download copy of 2010 Curriculum  
Download copy of Assessment Guidance  
Apply A-liNE New Starters course  
Consider applying for Primary Exam course  
Apply Training for Transfer course  
Start completing Anaesthetic Logbook  
Meet Educational Supervisor  
Start gaining Initial Competencies (to complete by about 3 months)  
Ensure you are a member of a Medical Defence organisation  
Consider joining a Trade Union e.g. the BMA  

Units of Training offered within the NSAICM.