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					TRAINING & COMPETENCE IN ANAESTHESIA FOR PLASTIC SURGERY & BURNS
Response to RCA request for information from the Plastic Surgery & Burns Anaesthetists group.

                           Generalist practice                                                 Specialist practice
                           For all anaesthetic trainees including those who might wish to      For those wishing to work in a large Plastic Surgery & Burns
                           do 1 - 2 Plastic Surgical sessions per week as a consultant         Unit
Training
  Content                  See separate list -Plastic Surgery & Burns Training content         See separate list -Plastic Surgery & Burns Training content
  Minimum caseload         See separate list -Plastic Surgery & Burns Training content         See separate list -Plastic Surgery & Burns Training content
                                                                                               6 months ITU at intermediate level for specialist practice in
                                                                                               Burns
                                                                                               Additional training in paediatric anaesthesia & PICU
Competencies               Assessed by observation of patient management by                    Assessed by observation of patient management by
                           consultants locally                                                 consultants locally
  Knowledge                To have the knowledge to undertake any of the above list of         To have the knowledge to undertake any of the above list of
                           target cases independently                                          target cases independently
  Skills                   To have the skill to manage any of the above cases                  To have the skill to manage any of the above cases
                           independently                                                       independently
  Attitudes                To have the attitudes expected of all consultants & defined in      To have the attitudes expected of all consultants & defined in
                           recent documents                                                    recent documents
                           Eg Consultant 2000; Duties of a Doctor etc                          Eg Consultant 2000; Duties of a Doctor etc
Service Standards
  Resources                Most easily delivered in larger specialised unit with >12 plastic   Must be delivered in a larger specialist units with > 6 Cons
                           & hand surgical lists. However training opportunities in            Plastic Surgeons & > 12 Plastic Surgical operating lists per
                           DGH’s & TH’s with fewer plastics list are valuable experience       week.
                           & may make up part of the overall exposure.                         Specialist Consultant Anaesthetists
  Clinical facilities      General plastic surgical lists                                      Plastic surgical subspecialties including
                                                                                               Burns; Clefts; Hands; Head & Neck etc
                                                                                               Burns Unit with
                                                                                                 > 6 beds
                                                                                                 separate burns theatre
                                                                                                 access to Intensive care for burns either in Burns Unit or
                                                                                               general ITU
                                                                                                  adults & children
 Other trained personnel   Plastic surgeons                                                    Plastic Surgeons
                                                                                               Specialist nurses in Plastic Surgery & Burns including Burns
                                                                                               ITU
                                                                                               Specialist therapists
                                                                                  Psychology service
  Other facilities   As for any anaesthetic department                            As for any anaesthetic department
                       Departmental office                                           Departmental office
                       Secretary                                                     Secretary
                       Consultants’ offices                                          Consultants’ offices
                       Seminar / tutorial room                                       Seminar / tutorial room
                       Library support; CD Rom                                       Library support; CD Rom
                       IT facilities available to trainees                           IT facilities available to trainees
                       Audit                                                         Audit
                                                                                  + Research activities in department
  Supervision        Consultant anaesthetist on call at all times                 Anaesthetic consultants with a special responsibility for
                     Supervision in theatre by consultant >50% of the time        Plastic Surgery & Burns on call at all times.
                     >6 fixed consultant sessions per SpR                         Supervision in theatre by a consultant >50% of the time
                                                                                  > 6 fixed consultant anaesthetic sessions per SpR
  Assessment         Use the standard assessment process of the local School of   Use the standard assessment process of the local School of
                     Anaesthesia                                                  Anaesthesia
                     One case presentation per 3 months                           3 extended case summaries per 6 months
Case load            Dependant on the number of Plastic Surgical lists            Dependant on the number of Plastic Surgical lists & whether
                                                                                  there is a Burns Unit
  Casemix                                                                         Dependant on the number of Plastic Surgical lists,
                                                                                  subspecialties available & whether there is a Burns Unit

				
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