Top Tips for Educational Supervisors for ACCS Trainees

Mel Hearn, TPD for CTs and ACCS year 2, September 2015


New ACCS curriculum: The ACCS training committee are planning to produce a new curriculum soon which should come into play in August 2016. I will keep you informed.

e-portfolios: There are no plans to produce an e-portfolio specifically for ACCS because of cost. It looks as though trainees will need to continue to keep things on paper for the foreseeable future. Anaesthetic badged trainees should be encouraged to start their e-portfolio ASAP as they need to complete their BLT on it by the end of their third year.

Educational Supervision: All trainees should be allocated an ES from their parent specialty at the beginning of year 1 (although obviously they will have clinical supervisors in EM and AM during their 1st year who will provide reports for the ARCP). Can you please meet with your trainee within the first 2-6 weeks so that they have a point of contact and you can check that things appear to be on track.

Non-anaesthetic badged ACCS trainees will be allocated a clinical supervisor for their anaesthetic/ICM year who will be responsible for supporting them, checking paperwork and writing a report for the ARCP. ICM competencies should be signed off appropriately by the ICM training lead.  

Information for educational supervisors is available at our faculty development pages

ARCP Record Book: This document contains information regarding training requirements and competencies that need to be undertaken in year 2 in anaesthesia and ICM.

During the anaesthetic 6 months trainees will all be required to complete their IAC (initial assessment of competency) and all modules in the ‘Basis of Anaesthetic Practice’ workbook. In addition they must complete 2 out of 4 modules (airway, sedation, transfer and critical incidents) which I have placed at the end of the ‘Basis’ workbook and also appear in the ‘Basic Anaesthetic Training’ (BLT) workbook. I would recommend that non-anaesthetic badged trainees undertake the sedation and transfer modules as they are the simplest and will be of most use in their future careers. Trainees should complete either the ‘Basis’ workbook or the ARCP Record Book by way of evidence, but do not need to do both.

The ICM competencies are listed in the ARCP Record Book, which should be used to document completion. There are more competencies required than for core trainees (which is reasonable as they do spend 6 months in ICM). I would recommend that anaesthetic ACCS trainees also get the FICM paperwork in the BLT workbook signed off for completion as it does not involve any extra work.

There are sections at the beginning for trainees to document any outstanding short or long cases, competencies or practical procedures.

The ARCP report also has space to document details about the log book, and other activities undertaken during the year.

MSF: Trainees are all required to undertake at least 1 MSF per year. As long as there are no issues raised this can be in either anaesthesia or ICM. If issues are raised the trainee should undertake a second MSF in the other discipline.

BLT workbook: Anaesthetic badged trainees will need to have completed this by the end of their 3rd year. It is therefore sensible that they start this during their 6 months of anaesthesia in year 2.

Training time: ACCS trainees only undertake 18 months of their training in anaesthesia (compared to 21 months as a core trainee). This means that they have to work harder to get all of their BLT modules signed off. They may also be at a slight disadvantage as far as preparing for the FRCA exam is concerned, depending on whether they do their anaesthetics or ICM first. Please do try to ensure that they are encouraged to ‘frontload’ their work and studies to ensure that they obtain their BLT certificate in a timely fashion.