Minimum standards for out of hours supervision of core trainees

Bristol School of Anaesthesia & ICM

Providing anaesthesia

  • Prior to passing the Initial Assessment of Competence (IAC) all trainees must have direct supervision from an appropriate trainer when providing anaesthesia.
  • Completing the IAC typically takes around 3-4 months, but maybe longer; a trainee may in exceptional circumstances pass their IAC sooner but this would generally only apply to those who have previous experience in anaesthesia.
  • After the IAC until achieving the Basic Level Training Certificate (BLTC) trainees should not provide anaesthesia to any patients with significant medical, surgical or anaesthetic risk factors without direct or indirect (local) supervision from an appropriately senior supervising anaesthetist.

Outreach support (i.e. outside theatres/ICU)

  • Trainees may go on call prior to passing their IAC, but must not be the only anaesthetist in the hospital. This standard adopted in full from 1st Nov 2015.
  • Prior to achieving the BLTC if a trainee is called to provide outreach support (beyond simple airway measures, e.g. at cardiac arrest without RoSC) the trainee should discuss the case with an appropriately senior supervising anaesthetist/intensivist who must be available to attend if appropriate and provide assistance within 30 minutes.

For a detailed description of the grades of clinical supervision see the Curriculum for a CCT in Anaesthetics.

Minimum standards agreed at School Board meetings 


Ted Rees (Head of School)                          Jo Kerr (Core TPD)