regional final frca general information & education programme

North West School of Anaesthesia 

REGIONAL 

FINAL FRCA 

GENERAL INFORMATION 

& 

EDUCATION PROGRAMME

REGIONAL FINAL FRCA 

GENERAL INFORMATION 

& 

EDUCATION PROGRAMME 

CONTENTS 

SECTION ONE: 

INTRODUCTION & GUIDANCE TO REGIONAL EDUCATION PROGRAMME 

SECTION TWO: 

REGIONAL STUDY DAYS CALENDARS: 

1. Neuro, Cardiac, Chronic Pain & Paediatrics 

2. ST3 Neuro /ITU Simulation Study Days 

SECTION THREE: 

TUTORIAL TERM PLAN 

SECTION FOUR: 

CENTRAL, NORTH & SOUTH SCHOOL TUTORIAL CALENDARS 

SECTION FIVE: 

CURRICULUM CHECKLIST

INTRODUCTION & GUIDANCE 

TO THE 

REGIONAL FINAL FRCA 

EDUCATION PROGRAMME 

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Final FRCA Tutorial Programme 2012-2013 

There have been a number of changes made to the Final FRCA Tutorial programme this year: 

The North, Central and South Schools will each run weekly tutorials which you will be expected to 

attend. Each school is running the same tutorial programme, divided into two terms, so that if you move 

Schools after six months, you should not have any repetition of subject matter. The tutorials will all be 

on Wednesday mornings, with North run at Preston, Central at Salford and South at Wythenshawe. The 

tutorials will be open to all ST3 and 4 who have yet to complete their Final FRCA, and also to the CT2s 

who have passed the Primary (negotiated with their Tutors). 

The first term runs from 5/9/12 until 30/1/13, and will cover Head & Neck, Airway, Orthopaedics, 

Regional, Vascular & Non-Theatre. The second term runs from 6/2/13 until 31/7/13 and will cover 

General topics, Obstetrics, Plastics & some common ICM topics. 

Specialist Study Days 

To try and ensure that teaching in the various sub-specialities is standardised across the region, it has 

been decided that we will run a number of Study Days, in Cardiac, Neuro, Chronic Pain and Paediatrics. 

These full day sessions will also take place on Wednesdays, and the usual final tutorial will be cancelled. 

You will be expected to book onto one Cardiac, Neuro and Chronic Pain day in a year. You should attend 

the one most relevant to your clinical modules in each six-month block (for example pain study in the 6 

months containing your pain module). Cardiac will take place at UHSM, Neuro at SRFT or Preston, and 

Chronic Pain at NMGH. 

You will also attend 4 Paediatric study days during one sixth-month period, where you will be exposed to 

some tertiary clinical paediatrics in addition to theoretical/exam-based work. The Paediatric days are 

numbered, and you will only be able to attend one of each tutorial. 

There will be a register for each study day, and you will need to book onto the days by contacting Janet 

Coulson via mailto:janet.coulson@uhsm.nhs.uk. To try to ensure that the same number of trainees 

attending each day, you may not always be able to attend the date of your choice. If you are not 

attending a study day - you will be expected to be gaining competencies at your usual place of work. 

This is a new scheme for the North West School, and will hopefully further improve training in the 

region. With all changes though - there may be some teething problems, and we would ask for your 

patience. There will be an opportunity to feedback towards the end of the year. 

Geraint Briggs/Oliver Pratt

REGIONAL STUDY DAYS CALENDARS 

1. Neuro / Cardiac / Chronic Pain 

& Paediatrics 

2. ST3 Neuro / ITU Simulation 

Study Days 

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Specialist Study / Other Dates 

2012-2013 

Please Note: Registration is required to attend all of the Specialist Study Days. If your 

rota reflects your attendance on any date, you still have to register to secure your 

place on the respective day(s). 

For Cardiac, Neuro, Pain & Paediatric Courses, please contact Janet Coulson by 

emailing: 

mailto:janet.coulson@uhsm.nhs.uk 

Thank you. 

Date Study Day Organiser Hospital Date Booked 

05/09/12 Paediatrics 1 Fines RMCH 

12/09/12 Neuro Sebastian SRFT 

19/09/12 Cardiac S-Barnes UHSM 

10/10/12 Chronic Pain Bhishma NMGH 


07/11/12 Final FRCA Viva Practice Briggs UHSM 



07/12/12 Introduction to SAQ Course Briggs UHSM 


13/02/13 Chronic Pain Bhishma NMGH 


27/02/13 Cardiac S-Barnes UHSM 

28/02/13 SAQ Study Day Briggs UHSM 

06/03/13 Neuro Preston 






For Cardiac, Neuro, Chronic Pain and Paeds Study Days – Contact Janet Coulson via mailto:janet.coulson@uhsm.nhs.uk 

The practice exam courses are for those who are about to attempt the Final FRCA: 

For the SAQ course – instructions are on the nwanaesthesia.org website. 

For the Final FRCA Viva course – instructions are on the nwanaesthesia.org website.

ST3 Neuro/ ITU Simulation Training 

This Course is mandatory to attend & should be completed at any point in the ST3 year. Please note it is in 

addition to any other Neuro Tutorial Study Day being held. Certificate with 5 CPD Points awarded. 

Please register via Janet Coulson mailto:janet.coulson@uhsm.nhs.uk Further information on www. 

nwanaesthesia.org.uk 

This Course is mandatory to attend & should be completed at any point in th e ST3 year. Please note it is

TUTORIAL TERM PLAN 

North(Preston)/Central(SRFT)/South(UHSM) Tutorials 

Term 1 – 5/9/12-30/1/13 

12 Tutorials 

To cover: 

Airway – 2 tutorials 

Airway assessment 

Tracheostomy/Laser Surgery 

ENT – 3 tutorials 

Middle Ear Surgery 

Head and Neck Cancer/Emergencies 

Bronchoscopy/Venturi/Fibreoptics/Helium/Jet Ventilation 

Non Theatre – 1 tutorial 

Orthopaedics – 1 tutorial 

Regional – 3 tutorials 

Upper Limb 

Lower Limb 

Ultrasound/Local Anaesthetics 

Trauma – 1 tutorial 

Vascular – 1 tutorial 

Term 2 – 6/2/13 -31/7/13 

16 Tutorials 

To cover: 

General – 7 tutorials 

Pancreatectomy/Liver Resection/Splenectomy 

Oesophagectomy/One-Lung Ventilation Revision/Chemotherapy/Radiotherapy 

Carcinoid/Phaeochromocytoma/Thyroid 

Transplant Surgery 

Bariatric Surgery 

Risk Scoring/CPET 

Enhanced Recovery/Haemodynamic Monitoring 

Obstetrics – 2 tutorials 

Concurrent disease 

CMACE 

Pain – 1 tutorial 

Ophthalmology – 1 tutorial 

Plastics/Burns – 1 tutorial 

Statistics – 1 tutorial 

ICM – 3 tutorials 

Renal 

Sepsis 

Respiratory

CENTRAL, NORTH & SOUTH 

SCHOOL 

TUTORIAL CALENDARS 

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Central School 

Final FRCA Tutorial Calendar 

Term 1: Sept ’12 – Feb ‘13 

All tutorials will be on Wednesday Morning, 9.30am in the Stanley Foulds Room, 

Anaesthetic Department, Salford Royal (Hope) Hospital. 

Please refer to separate calendar for Regional Study Days (whole day) 

(Where there is no tutorial & you are not attending a study day - you will be expected to be gaining 

competencies at your usual place of work). 

Date Subject Lead Organising 

Trust 

Other Dates 

05/09/12 No tutorial Paeds 1 

12/09/12 No tutorial Neuro - SRFT 

19/09/12 No tutorial Cardiac 

26/09/12 Tracheostomy/Lasers CMFT 

Sign 

03/10/12 Airway Assessment NMGH 

10/10/12 No tutorial Chronic Pain 


24/10/12 ENT Topics Bolton 

31/10/12 Head/Neck & MaxFax NMGH 

07/11/12 Bronchoscopy Bolton 

14/11/12 Non Theatre & MR Scan Eadsforth SRFT 


28/11/12 Major Spinal Surgery SRFT 

05/12/12 Ultrasound Wigan 

12/12/12 Regional – Upper Limb Wigan 

19/12/12 No Tutorial 




16/01/13 Regional – Lower Limb Bolton 

23/01/13 Trauma NMGH 

30/01/13 Vascular CMFT 

06/02/13 No Tutorial Changeover

Central School 

Final FRCA Education Calendar 

Term 2: Feb – July 2013 

All tutorials will be on Wednesday Morning, 9.30am in the Stanley Foulds Room, 

Anaesthetic Department, Salford Royal (Hope) Hospital. 


(Where there is no tutorial & you are not attending a study day - you will be expected to be gaining 

competencies at your usual place of work). 

Date Subject Lead Organising 

Trust 

Other Dates 



27/02/13 No tutorial 

Sign 

06/03/13 No tutorial Neuro - Preston 

13/03/13 Pancreas/Spleen, 

NMGH 

etc 

20/03/13 Oesophagus, etc SRFT 




17/04/13 Carcinoid, etc SRFT 

24/04/13 Transplant 

Surgery 

CMFT 

01/05/13 Bariatric Surgery O’Connor SRFT 

08/05/13 Risk 

CMFT 

Scoring/CPET 

15/05/13 Enhanced 

SRFT 

Recovery 


29/05/13 Obs – Concurrent 

Disease 

CMFT 

05/06/13 Obs - CMACE Bolton 

12/06/13 Acute Pain Wigan 

19/06/13 Ophthalmology Bolton 

26/06/13 Plastics/Burns NMGH 


10/07/13 Statistics Lalkhen SRFT 

17/07/13 ICM – Renal CMFT 

24/07/13 ICM – Sepsis Wigan 

31/07/13 ICM – 

Respiratory 

CMFT


North School 

Term 1: Sept ’12 – Feb ‘13 

All tutorials will be held on Wednesday Morning at 9.30am 

in the Anaesthetic Departments at Preston or Blackburn 


(Where there is no tutorial & you are not attending a study day - you will be expected to be 

gaining competencies at your usual place of work). 

Date Subject Lead Organising Other Dates 

Tutorial Venue 

Trust 


12/09/12 No tutorial Neuro - SRFT 

19/09/12 No tutorial Cardiac 

26/09/12 Tracheostomy/Lasers Preston Preston 

03/10/12 Airway Assessment Lancaster Preston 



24/10/12 ENT Topics Blackpool Preston 

31/10/12 Head/Neck & MaxFax Blackburn Blackburn 

07/11/12 Bronchoscopy Blackburn Blackburn 

14/11/12 Non Theatre & MR Scan Preston Preston 


28/11/12 Major Spinal Surgery Preston Preston 

05/12/12 Ultrasound Lancaster Preston 

12/12/12 Regional – Upper Limb Blackburn Blackburn 




09/01/13 No Tutorial Paeds 4 

16/01/13 Regional – Lower Limb Blackpool Preston 

23/01/13 Trauma Preston Preston 

30/01/13 Vascular Lancaster Preston 

06/02/13 No Tutorial Changeover


North School 

Term 2: Feb – July 2013 

Subject Lead Organising 

Trust 

“Clash” events 

Tutorial Venue 

13/02/13 Chronic Pain Bishma NMGH 

20/02/13 Paediatrics Fines RMCH 

27/02/13 Cardiac S-Barnes UHSM SAQ Study Day 

28/2 

06/03/13 Neuro Preston 

13/03/13 Pancreas/Spleen, 

Blackburn 

Blackburn 

etc 

20/03/13 Oesophagus, etc Preston Preston 




17/04/13 Carcinoid, etc Blackpool Preston 

24/04/13 Transplant 

Blackburn 

Blackburn 

Surgery 

01/05/13 Bariatric Surgery Blackpool Preston 

08/05/13 Risk 

Preston 

Preston 

Scoring/CPET 

15/05/13 Enhanced 

Blackburn 

Blackburn 

Recovery 



Blackpool Final Viva Practice Preston 

Disease 

29/5 

05/06/13 Obs - CMACE Lancaster Final Viva Practice Preston 

4/6 

12/06/13 Acute Pain Preston Preston 

19/06/13 Ophthalmology Lancaster Preston 

26/06/13 Plastics/Burns Preston Preston 


10/07/13 Statistics Blackburn Blackburn 

17/07/13 ICM – Renal Blackpool Preston 

24/07/13 ICM – Sepsis Blackburn Blackburn 

31/07/13 ICM – 

Respiratory 

Blackburn 

Blackburn 

Tutorials in Red are region wide subspeciality study days. Trainees are expected to attend 

1 neuro, 1 pain, 1 cardiac and 4 paeds days in ST3 – ideally in the 6 month term when that 

unit of training is being completed. 

When regional subspecialty study days are being held, the North school tutorials will not 

take place. Trainees not attending the Study day should work a standard clinical shift. 

All tutorials will be on Wednesday Morning, 9.30am in the Anaesthetic Departments at 

Preston or Blackburn.

South School Tutorial Programme 

All tutorials commence at 09:30a.m. & are held in the 

Committee Room, Anaesthetic Department, UHSM. 


(Where there is no tutorial & you are not attending a study day - you will be expected to be gaining competencies at 

your usual place of work). 

Date Subject Lead Hospital Other Dates Sign 


12/09/12 No Tutorial Neuro - SRFT 

19/09/12 No Tutorial Cardiac 

26/09/12 Tracheostomy McGrath UHSM 

03/10/12 Airway Assessment Oldham 

10/10/12 No Tutorial Chronic Pain 


24/10/12 Middle Ear Surgery Braude UHSM 

31/10/12 Head and Neck Ca Brady UHSM 

07/11/12 Branchoscopy Greig UHSM 

14/11/12 Non Theatre Trafford 


28/11/12 Orthopaedics Hardy SHH 

05/12/12 Regional – Upper 

Limb 

12/12/12 Regional – Lower 

Limb 



Rigg 

Currer 

SHH 

SHH 



16/01/13 Ultrasound Tameside 

23/01/13 Trauma Shardlow UHSM 

30/01/13 Vascular McKavney UHSM 

06/02/13 No Tutorial Changeover 

13/02/13 No Tutorial Chronic Pain 



06/03/13 No Tutorial Neuro – Preston 

13/03/13 Pancreas/Spleen, etc Cochran Oldham 

20/03/13 Oesophagus, etc Bramer UHSM 




17/04/13 Carcinoid, etc S Smith UHSM 

24/04/13 Transplant Surgery Conroy UHSM 

01/05/13 Bariatric Surgery Nazir SHH 

08/05/13 Risk Scoring/CPET Wisely UHSM 

15/05/13 Enhanced Recovery Dobson UHSM 



Disease 

Yuill SHH

South School Tutorial Programme 

All tutorials commence at 09:30a.m. & are held in the 

Committee Room, Anaesthetic Department, UHSM. 


(Where there is no tutorial & you are not attending a study day - you will be expected to be gaining competencies at 

your usual place of work). 

Date Subject Lead Hospital Other Dates Sign 

05/06/13 Obs – CMACE Hill UHSM 

12/06/13 Acute Pain Maclennan UHSM 

19/06/13 Ophthalmology Mirza Oldham 

26/06/13 Plastics/Burns Maguire UHSM 


10/07/13 Statistics Columb UHSM 

17/07/13 ICM – Renal Alexander UHSM 

24/07/13 ICM – Sepsis Maddock UHSM 

31/07/13 ICM – Respiratory SHH

CURRICULUM CHECKLIST 

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Curriculum Checklist 

The following list details specific RCOA curriculum topics, which where possible, should be 

covered in the tutorials 

Term 1 

Tracheostomy & Laser Surgery 

Lasers 

AM_IK_07 

EN_IK_05 

EN_IK_06 

EN_IK_07 

Tracheostomy 

AM_IK_04 

AM_IK_05 

AM_IK_06 

EN_IK_13 

EN_IK_14 

EN_IK_15 

Describes the specialized airway techniques used for laser surgery in, or near, 

the airway 

Recalls/describes the characteristics of the lasers used for surgery and the 

circumstances in which they are used 

Recalls the hazards of laser surgery 

Recalls/describes the specialised airway techniques used for laser surgery in, or near, 

the airway 

Lists the indications for tracheostomy 

Outlines the anaesthetic principles for tracheostomy 

Describes the management of the obstructed/misplaced tracheostomy 

Describes the emergency management of the obstructed airway including tracheostomy 

Recalls the indications for tracheostomy 

Describes the principles of the care of the tracheostomy 

Airway Management 

Airway assessment – including C-spine/MRI/CT/Flow-volume loops 

AM_IK-02 

EN_IK_09 

AN_IK_05 

Discusses the identification and assessment of pathology in and around the airway, 

including 

History and examination 

Anaesthetic chart review 

Interpretation of investigations such as lateral C-spine X-ray, cross sectional imaging of 

the upper airway (MRI/CT), flow volume loops 

Discussion with surgeons 

Explains the use of specialised imaging techniques [CT, MRI] in planning anaesthesia and 

surgery for head and neck surgery 

Anatomy of the airway including anatomical knowledge relevant to the performance of 

fibreoptic intubation. 

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ENT Topics 

Middle ear surgery – TIVA/Hypotensive anaesthesia/Anaesthetic management of 

- Bleeding tonsil/Epiglottitis/Croup/Foreign Bodies 

EN_IK_02 Recalls/explains the principles of anaesthesia for middle ear surgery, 

including use of TIVA and hypotensive techniques 

AN_IK_01 Relevant anatomy for understanding of surgical procedures 

EN_IK_11 Explains the principles of the recognition and appropriate management of 

acute ENT emergencies, including bleeding tonsils, epiglottis, croup, and inhaled foreign 

body 

Head & Neck Cancer/MaxFax Surgery 

Head and neck cancer/Emergencies – co-morbidities/pathophysiological changes 

EN_IK_03 Explains the principles of management of anaesthesia for major head and 

neck surgery and: 

Recalls/describes the pathophysiological changes and co-morbidities associated with 

head and neck cancer 

Identifies the particular requirements for acute maxillo-facial emergencies e.g. fractured 

mandible, intra-oral abscesses and other pathological causes of upper airway 

obstruction 

EN_IK_12 Describes appropriate emergency management of fractures of the face 

including le Fort fractures and fractures of the mandible 

Bronchoscopy & Jet Ventilation 

Bronchoscopy/Venturi/Fibreoptic scope/Helium/Fibreoptic Scope 

EN_IK_08 Describes the safe use of equipment and airways devices used for surgery 

on and below the vocal chords, including bronchoscopes, Venturi devices and fibreoptic 

scopes 

AM_IK_01 Lists the risks associated with awake fibreoptic endotracheal intubation 

and describe the process of obtaining consent for this procedure 

AN_IK_05 Anatomy of the airway including anatomical knowledge relevant to the 

performance of fibreoptic intubation 

PC_IK_19 Principles of hygiene, including cleaning and sterilization of equipment, 

and care of fibreoptic instruments 

PC_IK_20 Principles of fibreoptic instruments 

AM-IK_13 Describes the principles of jet ventilation 

AM_IK_14 Recalls the principles underlying the use of helium 

EN_IK_16 Recalls/explains the principles of jet ventilation 

EN_IK_17 Recalls/explains the principles underlying the use of helium 

2

Non-Theatre & MR 

ECT/MRI Scanner/Radiology 

DI_IK_05 Describes the specific physical and physiological effects of ECT 

DI_IK_06 Explains the rationale behind the choice of anaesthetic technique for ECT 

DI_IK_07 Discusses the physical and psychological needs of patients who present 

for ECT 

DI_IK_08 Discusses the place of the Mental Capacity Act in relation to the provision 

of ECT 

PC_IK_13 Principles of imaging: principle characteristics of medical imaging devices 

[MRI], including principles, construction, artefacts, bio-effects, hazards and safety 

PC_IK_14 Radiation protection 

Spinal Surgery 

Spinal Surgery – Scoliosis surgery and neurophysiological monitoring/Spinal 

trauma and its complications/Blood conservation strategies 

OR_IK_02 Recalls/describes the principles of perioperative anaesthetic care for 

elective and emergency spinal surgery including but not exclusively: 

Scoliosis surgery including the need for, and implications of, neurophysiological 

monitoring 

Spinal trauma and the associated complications of spinal cord trauma 

PC_IK_04 Operative spinal cord monitoring 

PC_IK_23 Measurement of evoked potentials in the clinical situation 

PC_IK_08 Measurement of coagulation of the blood and interpretation of data 

OR_IK_04 Recalls/discusses blood conservation strategies that are used in 

orthopaedic surgery 

U/S and Regional Block Theory 

Ultrasound/Local anaesthetics/Opioids/Additives/Administration 

RA_IK_05 Demonstrates an in-depth understanding of the principles of ultra sound 

guided nerve blocks including: 

The principles of scanning including machine ergonomics, probe selection/handling and 

the use of acoustic couplant [ultrasound gel] to improve skin contact 

The importance of the angle of insonation on visibility of structures [anisotropy] 

specifically related to nerves and tendons 

The normal sonoanatomy of peripheral nerves and surrounding structures 

The basic concepts of needling techniques relating to ultrasound guidance (in plane / 

out of plane) 

Understanding and recognition of spread of local anaesthetic under ultrasound 

guidance, distinction between normal intraneural and intravascular injection 

RA_IK_03 Demonstrates understanding in the choice of local anaesthetic agents, 

opioids, use of additives and techniques of administration 

3

Regional – Upper Limb Blocks 

Basic sciences – anatomy for upper limb blocks & common techniques 

RA_IK_01 Demonstrates understanding of basic sciences as applied to all regional 

anaesthetic blocks 

RA_IK_02 Recalls/discusses advantages and disadvantages, techniques and 

complications [including management] of a wide variety of blocks including, but not 

exclusively, major peripheral blocks of the limbs, some cranial nerve blocks and blocks 

used to treat chronic pain conditions [Cross ref pain medicine] 

AN_IK_04 Anatomy relevant to the regional anaesthetic techniques [central and 

peripheral blocks, including ophthalmic] as outlined in the regional anaesthesia section 

of the intermediate syllabus; includes anatomy as visualised using ultrasound imaging 

during regional anaesthesia 

Regional – Lower Limb Blocks 

Basic sciences – anatomy for lower limb 

RA_IK_01 Demonstrates understanding of basic sciences as applied to all regional 

anaesthetic blocks [Cross reference applied basic sciences] 

RA_IK_02 Recalls/discusses advantages and disadvantages, techniques and 

complications [including management] of a wide variety of blocks including, but not 

exclusively, major peripheral blocks of the limbs, some cranial nerve blocks and blocks 

used to treat chronic pain conditions [Cross ref pain medicine] 





Trauma Topics 

Assessment/Management of Trauma/Electrical 

injuries/Drowning/Hypothermia/ Poisoning 

MT_IK_05 Describes the initial assessment, management and resuscitation of 

patients with: 

Severe burns 

Electrical injuries 

Drowning and near drowning 

Hypothermia 

MT_IK_11 Discusses the principles of clinical management for stabilisation of 

patients with multiple injuries requiring inter-hospital transfer strategies used, how 

safe transfer is undertaken, monitoring requirements and the options for modes of 

transfer [ATLS] 

PR_IK_02 Management of acute poisoning: including aspirin; paracetamol; opioids; 

aminophylline; digoxin; ecstasy and other social drugs; antidepressants; alcohol 

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Vascular 

Aneurysms/Carotid Sympathectomy 

VS_IK_01 Recalls/describes the cardiovascular physiology and pharmacology 

relevant to perioperative vascular surgery 

VS_IK_02 Lists the methods of assessment of the patient’s functional cardiovascular 

capacity 

VS_IK_03 Explains the preoperative management of the patient with atherosclerotic 

disease 

VS_IK_04 Describes the perioperative management of the patient for major vascular 

surgery 

VS_IK_05 Describes the resuscitation and management of major vascular accidents 

including the management of ruptured aortic aneurysms 

VS_IK_06 Explains the management of patients for endovascular radiological 

procedures [e.g. Stenting] including anaesthesia in isolated locations [Cross reference 

non-theatre anaesthesia] 

VS_IK_07 Describes the management of elective carotid artery surgery with general 

or 

regional anaesthesia 

VS_IK_08 Explains the principles and anaesthetic implications of sympathectomy, 

including thoracoscopic procedures 

VS_IK_13 Recalls the pathophysiology of aortic cross-clamping and of renal 

protection strategies 

DI_IK_10 Describes the anaesthetic management of patients for endovascular 

procedures [Cross Ref vascular] 

AN_IK_01 Anatomy relevant for understanding of surgical procedures 

5

Curriculum Checklist 

The following list details specific RCOA curriculum topics, which where possible, should be 

covered in the tutorials 

Term 2 

Pancreatic & Liver Surgery 

Anaesthesia for Pancreatic/Liver Resection/Splenectomy 

GU_IK_01 Recalls/describes the principles off the peri-operative management of the 

commoner complex cases including, (but not exclusively) pancreatic and liver resection 


PB_IK_16 Hepatic failure 

PB_IK_17 Jaundice 


commoner complex cases including splenectomy 


Oesophageal Surgery & One Lung Ventilation 

Oesophagectomy/One-Lung Ventilation/Chemotherapy/Radiotherapy and 

Anaesthesia 


commoner complex cases including, but not exclusively: 

Oesophagectomy [including one lung ventilation] 


CT_IK21 Describes the airway management of a patient undergoing one-lung 

ventilation and anaesthesia including placement of double lumen endobronchial tubes 

and bronchial blockers 

CT_IK_22 Recalls/explains the changes that occur during one-lung ventilation and 

the strategies to manage these changes 

GU_IK_02 Explains the effects of chemotherapy/radiotherapy, and the implications 

for anaesthesia 

PR_IK_16 Theraputics in pathologic states: problems associated with organ 

transplantation; anaesthetic relevance of drugs used in malignancy; therapy in acute 

and chronic respiratory distress 




6

Endocrine Surgery 

Carcinoid/Phaeochromocytoma/Thyroid 


commoner complex cases including, but not exclusively: 

Resection of neuroendocrine tumours [e.g. carcinoid and phaeochromocytoma] 


PR_IK_07 Management of hypertension before anaesthesia, including acute 

management and phaeochromocytoma. Manipulation of blood pressure to assist 

surgery 

Transplant Surgery 

Management of patients having/with transplants/Brain Stem Death/Organ 

Donation 

GU_IK_04 Recalls/ describes the ethical considerations of cadaveric and live-related 

organ donation for the donor [and relatives], recipient and society as a whole 

GU_IK_05 Describes the issues of anaesthesia for renal transplant surgery 

GU_IK_06 Explains the anaesthetic management of patients with transplanted 

organs for non-transplant surgery 




MT_IK_09 Describes the specific ethical and ethnic issues associated with managing 

the multiply injured patient, including issues that relate to brain stem death and organ 

donation 

Bariatric Surgery 

Bariatric Surgery/Obesity/Sleep apnoea 

GU_IK_08 Recalls/describes the anaesthetic implications of bariatric surgery 

AM_IK_08 Describes the causes, pathophysiology and management of obstructive 

sleep apnoea and the surgical procedures used to treat it 

EN_IK_04 Recalls/describes the causes, pathophysiology and management of 

obstructive sleep apnoea and the surgical procedures used to treat it 

PB_IK_37 Starvation/obesity 

PC_IK_18 Sleep studies - principles 

7

Perioperative Risk & CPET 

Risk Scoring of patients/CPET 

GU_IK_11 Recalls / describes the principles of preoperative evaluation of patients at 

risk of post-operative morbidity, including risk stratification tools, for example scoring 

systems and measures of functional capacity [including cardiopulmonary exercise 

testing] 

PC_IK_02 Assessment of cardiac function, including exercise testing: METS, starir 

climbing, shuttle tests 

PC_IK_25 Anaesthetic and surgical outcome scoring systems; including Goldman, 

Detsky, APACHE, POSSUM, etc. 

ERAS 

Enhanced Recovery & Haemodynamic monitoring 

GU_IK_09 Recalls/describes the principles of enhanced recovery programmes 

GU_IK_10 Recalls / describes the rationale and principles of perioperative 

haemodynamic management and optimisation 

PC_IK_11 Cardiac output measurement: interpretation and limitation of derived 

indices: PICO, LiDCO, bioimpedance, contour analysis 

Obsterics 

Common concurrent diseases/Basic Sciences/Premature Delivery/Multiple 

Pregnancy/PDPH 

OB_IK_01 Recalls/describes the influence of common concurrent medical diseases 

on pregnancy 

AN_IK_09 Maternal and fetal anatomy relevant to the practice of obstetric 

anaesthesia 

PB_IK_41 Physiology of normal and abnormal pregnancy, including physiology of 

labour and childbirth 

OB_IK_02 Discusses the obstetric and anaesthetic management of a premature 

delivery 

OB_IK_03 Discusses the obstetric and anaesthetic management of multiple 

pregnancy 

OB_IK_07 Demonstrates understanding of the methods of treating post dural 

puncture headache 

8

Obstetrics 

CMACE/Placenta Praevia/Amniotic Fluid Embolus 

OB_IK_04 Explains the classification of placenta praevia and the associated risk to 

the patient 

OB_IK_05 Recalls/describes the recognition and management of amniotic fluid 

embolus 

OB_IK_08 Discusses common causes of maternal morbidity and mortality, including 

national reports 

Acute Pain 

Assessment and management of – Acute Pain/Acute Non-surgical Pain 

PM_IK_01 Describes the assessment and management of acute pain in all types of 

surgery 

PM_IK_02 Describes the assessment and management of acute non surgical pain 

AN_IK_02 Anatomy relevant to acute and chronic pain management, including the 

whole range of neural blockade techniques outlined in the pain management section of 

the intermediate syllabus 

PR_IK_01 Analgesia: principles of analgesia including infusions, patient controlled 

analgesia; medications for chronic pain including antidepressants, anticonvulsants, 

antiarrhythmics; routes of administration including oral; sublingual; subcutaneous, IM; 

IV; inhalational analgesia, patient controlled analgesia, epidural; agents used for 

regional techniques and local blocks 

PB_IK_27 Mechanisms of pain; somatic, visceral, neuropathic 

Ophthalmic Surgery 

Anaesthesia for – Cataract/Stabismus/Glaucoma/Vitreoretinal 

OP_IK_01 Discusses the preoperative assessment of ophthalmic patients with 

particular reference to associated co-morbidities and how the care of high risk patients 

requiring ophthalmic surgery may be optimised 

OP_IK_02 Recognises that a relatively large proportion of patients requiring 

ophthalmic surgery are elderly and understands their particular needs including, but 

not exclusively, the effects of physiological changes associated with ageing and altered 

pharmacological responses 

OP_IK_03 Recalls/discusses the choice of local or general anaesthetic techniques in 

relation to the patient and surgery including their advantages, disadvantages and 

indications with particular reference to some or all of the following: 

Cataract surgery 

Strabismus surgery 

Glaucoma surgery 

Vitreoretinal surgery 

Oculoplastic surgery 

9

OP_IK_04 Recalls/describes the oculocardiac reflex, its treatment and prevention 

OP_IK_05 Recalls/describes the action of anaesthetic drugs on the eye 

OP_IK_06 Recalls the physiological mechanisms which control intraocular pressure 

OP_IK_07 Recalls/discusses the drugs which may alter intraocular pressure 





Plastics/Burns 

Free Flap Surgery/Pathophysiology of Burns/Airway Injury/Inhalational Injury 

Initial Management/Management of patients with burns undergoing procedures 

PL_IK_01 Can explain the specific features of preoperative assessment of patients 

for major plastic surgery procedures 

PL_IK_02 Explains and critically evaluates anaesthetic techniques appropriate for 

plastic surgical procedures including major reconstructive cases procedures 

PL_IK_03 Explains the factors affecting tissue blood flow with respect to free-flap 

surgery 

PL_IK_04 Describes methods for improving blood flow to the surgical field during 

plastic surgery 

PL_IK_05 Describes the pathophysiology of burn injury including thermal airway 

injury and smoke inhalation 

PL_IK_06 Describes the initial assessment and management of a patient with severe 

burns, including electrical & chemical burns 

PL_IK_07 Explains the principles of anaesthetic management of burns patients for 

surgery including dressing changes, grafting and related procedures 

Statistics 

SM_IK_01 Explains the simple aspects of study design defining the outcome 

measures and the uncertainty of measuring them 

SM_IK_02 Explains the difference between statistical and clinical significance 

SM_IK_03 Recalls the limits of clinical trials 

SM_IK_04 Recalls the basics of systemic review and its pitfalls 

SM_IK_05 Recalls how to define a clinical research question 

SM_IK_06 Explains the effects of bias 

SM_IK_07 Recalls the use of controls, placebos, randomisation and binding exclusion 

criteria 

SM_IK_08 Explains statistical issues including sample size and ethical issues 

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Intensive Care Medicine 

Renal 

Int 4.7 

PB_IK_12 

PB_IK_13 

PC_IK_21 

Initiates, manages and weans patients from renal replacement therapy 

Assessment of renal function 

Renal failure and its management 

Principles of haemofiltration and renal support 


Sepsis 

Basic 3.9 Recognises and manages the septic patient 

4.2 Manages antimicrobial drug therapy 

PR_IK_08 Antibiotics: principles of action, choice of drug. Antibiotic prophylaxis 

against surgical infection including subacute bacterial endocarditis. Therapy of 

bacterial, fungal and viral infections. 


Respiratory – ARDS, etc 

Basic 3.8 Recognises and manages the patient with acute lung injury syndromes 

PB_IK_19 Disorders of respiratory mechanics, gas exchange and gas transport 

PB_IK_21 Respiratory failure and ventilator support; consequences of positive 

pressure ventilation 

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regional final frca general information & education programme

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