Clinical Skills Managed Educational Network

It is a requirement for all trainees starting their first Anaesthetic attachment (including ACCS trainees from all parent specialties) to complete an Initial Assessment of Competency at around 3 months. This includes the structured management of critical incidents and failed intubations demonstrated through simulation. Whilst some of this type of simulation is already present across Scotland, there is a challenge with rotations and timings to make sure that all trainees have equity of access and are given the opportunity to attend.

Our current recommendation to achieve this is to run regional training days for all trainees new to Anaesthesia. These IAC skills days would take place at the end of September/start of November (for those starting in August) and end of April/start of May (for those starting in February) and be run over a full day at regional simulation hubs in the North, East, South East and West of Scotland. A potential example of this training day is shown in appendix 1, which has been evaluated highly and details and outcomes published⁽¹⁾. It should be noted this course has been run with final year ODP student participants, and the benefit gained from this interprofessional approach was evident in the feedback. It is anticipated that this course could incorporate ODPs or Anaesthesia Associates in the future, and links with training programmes and the National Academy will be developed in the coming months.

Based on the current training numbers of ACCS and CT1 Anaesthetists, there will be around 80 trainees requiring an IAC Skills Day in September/November and around 30 in April/May. In trying to balance cost effectiveness with equitability we would suggest:

IAC Skills Days in late September/November for those new to Anaesthetics who commenced in August:

• 1 IAC skills day in the North at a regional simulation centre
• 1 IAC skills day in the South East at regional simulation centre
• 3 IAC skills days for the West and East at 2 regional simulation centre

IAC Skills Days in late April/May, for those new to Anaesthetics who commenced in February:

• 1 day in the West at a regional simulation hub
• 1 day in the South East at a regional simulation hub
• 1 say for the North and East at a reginal simulation hub

As a backup for trainees that have a specific circumstance that means they cannot attend, we will either offer the opportunity to attend a date at a different region, or we will help support the local team to deliver these simulation workshops at a convenient time.

Dates

14th May 2024 - Scottish Centre for Simulation & Clinical Human Factors

Eligibility: Anaesthetic Core Trainees and ACCS trainees in their first Anaesthetic post, who have done at least two months of an anaesthetic attachment. If you are not sure if you are eligible, please contact the email below.

nes.anaestheticssimulation@nhs.scot

Book now: Online