The Stoke-on-Trent School of Anaesthesia

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Congratulations to Dr Steve Lord who has won the UHNM Employee of the Month Award for June 2017.  Well done Steve!

UHNM Employee of the Month – Dr Steve Lord

The Academy of Medical Royal Colleges Assessment Committee has produced guidance on Improving Feedback and Reflection to Improve Learning: A practical guide for trainees and trainers.  This practical guide has been developed and agreed across all Colleges via assessment leads. This can be a really helpful guide to use to facilitate reflective practice.

You can find this on the Academy website via the following link:

http://www.aomrc.org.uk/publications/reports-guidance/improving-feedback-reflection-improve-learning-practical-guide-trainees-trainers/

 

If you are interested in an Anaesthetic Fellowship either as an OOP or a post CCT fellowship somewhere else in the world then there is a fantastic resource available to you. It is continually evolving and updating so take a look by clicking the link.

Details can be found on this website in the OOP page

The college has just released new guidance regarding extensions to training time for Dual Anaesthetic/ICM trainees.

Essentially if you require an extension in one of the specialities you have to remain in that speciality until the issue is resolved. You can’t switch to the other speciality.

See the full guidance here: Remedial time for dual trainees

Or read the link on the website: extensions to training time

Please note a new ARCP Checklist is available on the updated ACCS ARCP Requirements Webpage of the SSA Website:

ARCP Checklists and Information

ACCS Anaesthetic Trainees will find a new easy to use ARCP Checklist available for use in preparation for their ARCP. This checklist has been generated using the required criteria from both the ACCS and Anaesthesia ARCP Checklists.

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Please Note: There are no changes to the HEWM ARCP Checklist for ACCS Acute Medicine and ACCS Emergency Medicine Trainees and you are advised to continue using the existing Checklist. Click on the above link for more details.

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Hello all

 

Trauma and stabilisation is intended to be delivered over the course of a whole training period (basic, intermediate, higher or advanced). I understand, and expect, therefore that this means I’ll be busy with requests for module completion forms in the run up to ARCPs.

 

Paperwork

– I suggest making an entry in your logbook (under miscellaneous) for all trauma calls you attend whether they happen at Stoke or in the trauma units that are in the rotation. This will allow you to record supervision, airway management and procedures. In the ‘operation’ field I suggest writing Trauma call – (type of injuries / destination, e.g. ED only / theatre / IR / ICU).

– WPBAs required are outlined in the trainee workbooks

 

Trauma courses

The intermediate workbook requires ATLS or equivalent only if you are not able to achieve the learning outcomes of the intermediate trauma module. However, ATLS (or preferably something better!) does help meet the learning outcomes considerably….

 

Case numbers / exposure

There won’t be a case number target – I’ll look at the core learning outcomes for each module and take into account complexity, range and supervision of cases together with any other learning (courses, elearning, CPD etc).

The intermediate training block is probably the most challenging to achieve since trauma calls at RSUH are attended by RAC / Consultant – getting to trauma calls as St3/4 is difficult and I appreciate this. But there are opportunities and you will hopefully encounter these cases in the trauma units as well.

 

Advanced training

If anyone in intermediate / higher training has ambitions of attending trauma calls at 0200 well in to their middle age then please do get in contact with me and we can plan an advanced module

 

Suggested reading

I recommend you have a look at 3 papers for a good overview on the limitations of ATLS, tension pneumothorax dogma vs real life and an education article on major haemorrhage management

1. Archaic trauma life support?

http://onlinelibrary.wiley.com/doi/10.1111/anae.13166/full

2. Tension pneumothorax – time for a re-think?

http://emj.bmj.com/content/22/1/8

3. Major haemorrhage in trauma

https://academic.oup.com/bjaed/article/14/6/251/247523/Management-of-haemorrhage-in-major-trauma

 

Shameless plug……

If you’re looking to do a quick bit of elearning can I suggest the doctors.net.uk module on immediate management of major trauma? I’m not paid per user!

https://www.doctors.net.uk/ecme/wfrmNewIntro.aspx?moduleid=1646

 

Hope that’s helpful

 

Thanks

 

Alex

 

Alex James Consultant, Trauma Resuscitation and Anaesthesia

Anaesthetics Department Royal Stoke University Hospital University Hospitals of North Midlands NHS Trust   Email: alex.james@uhnm.nhs.uk Mobile: 07976 839567

There have been a number of commendations given to trainees since the excellence awards went live.

Remember to reward those that have done an exemplary piece of work or simply gone the extra mile.

They deserve it!

Dear ACCS Anaesthesia CT2 Trainees

With effect from the commencement date of your current CT2 year in ACCS- Anaesthetics (August 2016) it has been agreed amongst Dr Khalid Hasan (Chair of ACCS) and the Core Anaesthetic Training Programme Directors (TPDs) that your training will now be managed by the Core Anaesthesia TPDs.

In practice this will mean your Core Anaesthesia TPD will also assess you at ARCP. Should you have training queries that your Educational supervisor/College Tutors are unable to support you on, you will be able to then approach your Anaesthesia TPD for support. If you have any further queries in relation to this please contact your Core Anaesthesia TPD via email.

Your Core Trainee TPD is Dr. C.J. De Klerk        email: chris.deklerk@sath.nhs.uk