This will be a time of transition for you. You have probably come from a job where you took a lot of responsibility for your patients and, after two years or more as a doctor, felt like you had the hang of things.
Anaesthesia is different. For the next few weeks you may feel like a student again with people standing over your shoulder watching your every move. Try not to take offense if people are trying to teach you things you already know.
During some afternoons in the first month we will run a programme of tutorials and practical skills to cover the basics of anaesthetics. Your consultant will be happy to let you away from the theatre list to attend but you will need to inform them.
Initial Assessment of Competence (IAC)
Initially you will require a supervision level 1. As you progress through your supernumerary period, you will reach a level when supervision level 2A is more appropriate. You will aim to complete the initial assessment of competence within 3-6 months.
The college workbook on EPA1 and EPA2 covers achieving IAC but it encompasses –
Entrustable Professional Activity 1 – Performing an anaesthetic preoperative assessment
Entrustable Professional Activity 2 – Providing General Anaesthesia for an ASA I/II patient having uncomplicated surgery
After completing the IAC, your training curriculum covers areas as diverse as the Environmental Impact of your Practice to Human Factors and Team Resource Management. You should use the guidance and updates published on the Royal College and School and Department websites to guide you, especially regarding the requirements at ARCP, and locally accepted delivery of learning objectives. Here is the current ARCP checklist. Please look at it well in advance of ARCP season. 2021 Curriculum ARCP checklists and guidance | The Royal College of Anaesthetists (rcoa.ac.uk)
Training in Anaesthesia Highlands of Scotland 