Changes to Specialty Training Programme ST3-6.

Monday, January 08, 2018 | anaesthetics.yh@hee.nhs.uk

Training Structure from recruitment to August 2018

Yorkshire and Humber School of Anaesthesia is a large school consisting of around 200 Specialty Training Posts located in 13 NHS trusts. Yorkshire offers a fantastic choice of exciting places to live but also covers a vast area and trainees often feel daunted when applying to such a big region. Following several surveys exploring trainees’ views of the training scheme the School is changing the format of its programmes to provide greater assurance to trainees about where they will train and the opportunities that they will be able to access.

Yorkshire and the Humber is fortunate to have three large tertiary centres: Hull (26 ST posts), Leeds (59 ST posts) and Sheffield (46 ST posts). It is anticipated that the majority of trainees joining the scheme from August 2018 onwards will spend time working in at least two of these tertiary centres during the first four years of Specialty Training in order to maximise their exposure to specialist skills in important areas of practice such as managing complex airways, dealing with major trauma and gaining confidence in paediatric cases.

From recruitment to August 2018, Specialty Trainees in Anaesthesia will be appointed to posts for which the first four years of training have already been laid out. The fifth year of training (Advanced Level Training) will be decided later on in training - once the trainee has identified their preferences for sub-specialty or general anaesthetic practice. Existing Anaesthesia NTN holders are unaffected by these changes. ICM NTN holders have from inception been appointed to a pan-deanery rotation.

Below are five example rotations. The exact format of these will vary and will depend upon the number of available posts and the number of appointable candidates. Some placements may be for less than twelve months; all trainees will spend a minimum of 18 months in tertiary centres during ST 3-6.

As the examples show, each rotation will aim to keep commuting distances manageable however most trainees will find themselves with a longer commute at some stage of their training. In this event, travel expenses from their base hospital will be paid, and rest facilities will be available in all trusts prior to travelling home after a night shift. Free accommodation or travel expenses for trainees will also be arranged at those trusts furthest from the trainee’s base. Also, please be aware these rotations are planned assuming an uninterrupted progression through training on a full-time basis, and they may have to alter due to unforeseen training needs.

Applicants to Yorkshire and the Humber Deanery will have the opportunity to rank their preference for each available post at application to the recruitment round and posts will be offered depending upon each candidate’s interview score.

There will be an FAQ produced shortly and uploaded onto the school website.

 

ST3

ST4

ST5

ST6

ST7

Example Post 1

Leeds

Calderdale and

Huddersfield

Sheffield

Bradford

Advanced

Level Training

Example Post 2

Sheffield

Rotherham

Leeds

Doncaster

Advanced

Level Training

Example Post 3

Hull

Harrogate

Leeds

York

Advanced

Level Training

Example Post 4

Sheffield

Scunthorpe

Hull

Mid Yorks

Advanced

Level Training

Example Post 5

Leeds

Barnsley

Sheffield

Chesterfield

Advanced

Level Training

 

Advanced Level Training ST7

All advanced modules in the RCoA curriculum are delivered in Y&H. The most specialised modules require a twelve-month module and it is generally recommended that these are undertaken in two centres, as detailed in the RCOA Curriculum. This is already the case for Advanced Pain (West/East) and Advanced Cardiac where trainees spend 6 months each in two different centres. From August 2018 this will also be expected for other 12m modules including Advanced Paediatrics, ICM and Neuro/Trauma. This is to recognise that the delivery of anaesthetic services is more than just learning anaesthetic techniques; surgical management, multi-disciplinary support and managerial input can vary greatly between centres.

Trainees are encouraged to start planning their Advanced Training early in ST 5 and to bear in mind the requirement to complete Domains 2-6 of the Advanced Curriculum as well as Domain 1 (Clinical Practice). Advanced Modules do not necessarily need to be delivered in tertiary centres – trainees can choose to divide their advanced year so as to gain experience of tertiary and secondary care services.

For further information please see https://www.rcoa.ac.uk/CCT/AnnexE

Dr Bret Claxton, MBChB, FRCA, MMedSci, FFPMRCA

Head of School Anaesthesia and ICM,

HEE Yorkshire and the Humber

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