JOINT CONSULTATIVE COMMITTEE ON ANAESTHESIA CURRICULUM FOR

GENERAL PRACTITIONER ANAESTHESIA SIXTH EDITION 2020

The Joint Consultative Committee on Anaesthesia (JCCA) is a tripartite committee of the Australian and New Zealand College of Anaesthetists (ANZCA), The Royal Australian College of General Practitioners (RACGP) and the Australian College of Rural and Remote Medicine (ACRRM)

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Report by training supervisorsFor training completed in accordance with the JCCA’s Curriculum for General Practitioner Anaesthesia – Sixth edition 2020

Item Assessment from training supervisors

The registrar has completed 12 months of full time advanced skills anaesthesia training (or its equivalent), is practising to the standard of the Curriculum, and is ready to undertake the formal examination of the JCCA.

The registrar has achieved the required skills and competency to practice independent GP anaesthesia, and is ready to undertake the formal examination of the JCCA. Please provide any general comments.

Obstetric anaesthesia The registrar has achieved competency in elective and emergency obstetric anaesthesia. Please provide numbers of elective and emergency LUCS.

Epidural anaesthesia The registrar has acquired epidural skills. Please provide numbers of epidurals (a minimum of 30 is expected).

The registrar has not acquired epidural skills.

Name of registrar (Dr)

Training commences Training finishes

/ / / /

Hospital

Training supervisorsSpecialist supervisor name GP supervisor name

The Joint Consultative Committee on Anaesthesia (JCCA) is a tripartite committee of the Australian and New Zealand College of Anaesthetists (ANZCA), The Royal Australian College of General Practitioners (RACGP) and the Australian College of Rural and Remote Medicine (ACRRM)

Training supervisors’ completion of training reportJOINT CONSULTATIVE COMMITTEE ON ANAESTHESIA CURRICULUM FOR

GENERAL PRACTITIONER ANAESTHESIA, SIXTH EDITION 2020

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97

Item Assessment from training supervisors

Paediatric anaesthesia The registrar has achieved competency in paediatric anaesthesia down to a minimum age of three years. Please provide numbers of cases <five years and total paediatric case numbers. (Minimum further 20 cases in the <5 year age group required and minimum 50 total paediatric cases required).

The registrar has achieved competency in paediatric anaesthesia down to a minimum age of five years. Please provide numbers of cases <10 years (minimum 30 cases required).

The registrar has not yet achieved competency in paediatric anaesthesia but is competent to anaesthetise down to a minimum age of 10 years.

The log of cases is to be attached to this report for the examination.

Anaesthetic machine and equipment The registrar has achieved competency with the anaesthetic machine check and equipment maintenance.

Completion of: (minimum one course required)

Anaesthetic Crisis Resource Management (ACRM) on / / (the exact date must be listed).

Rural Emergency Skills Training (REST)on / / (the exact date must be listed).

Emergency Life Support Course (ELS)on / / (the exact date must be listed).

Emergency Management of Anaesthetics Crises Course (EMAC) on / / (the exact date must be listed).

The registrar will undertake the

(name of course)

on / / (the exact date must be listed).

Completion of three case studies or research project.

The three case studies/research project have been internally moderated by the two training supervisors and are confirmed as appropriate.

Registrar log book The training supervisors confirm that the log book has been reviewed each three months and that the log of cases is appropriate as part of training.

The Joint Consultative Committee on Anaesthesia (JCCA) is a tripartite committee of the Australian and New Zealand College of Anaesthetists (ANZCA), The Royal Australian College of General Practitioners (RACGP) and the Australian College of Rural and Remote Medicine (ACRRM)

Training supervisors’ completion of training reportJOINT CONSULTATIVE COMMITTEE ON ANAESTHESIA CURRICULUM FOR

GENERAL PRACTITIONER ANAESTHESIA, SIXTH EDITION 2020

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97

General comments on overall performance of registrar during training. (Please attach a separate page if required)

We confirm:

Satisfactory completion of anaesthesia training according to the Curriculum for General Practitioner Anaesthesia – Sixth edition 2020

The registrar is ready to sit for the JCCA’s examination.

Electronic signatures are acceptable.

Specialist supervisor signature Date

/ /

GP supervisor signature Date

/ /

I have had the opportunity to discuss this training report with my supervisors and agree that I am ready to sit for the JCCA’s examination.

JCCA registrar signature Date

/ /

Training supervisors’ completion of training reportJOINT CONSULTATIVE COMMITTEE ON ANAESTHESIA CURRICULUM FOR

GENERAL PRACTITIONER ANAESTHESIA, SIXTH EDITION 2020

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97

How to lodge this reportThis report and the log of paediatric cases is to be provided for the two examiners prior to the examination.

For more information call 03 8699 0577 or email jcc@racgp.org.au

Note: It is advisable to save the completed version of this form to your documents library.

THIS REPORT MUST BE ATTACHED TO THE EXAM REPORT WHEN IT IS FORWARDED TO THE JCCA FOR DECISION.

The Joint Consultative Committee on Anaesthesia (JCCA) is a tripartite committee of the Australian and New Zealand College of Anaesthetists (ANZCA), The Royal Australian College of General Practitioners (RACGP) and the Australian College of Rural and Remote Medicine (ACRRM)

Contact detailsSpecialist supervisor

Phone Email

GP supervisor

Phone Email

JCCA registrar

Phone Email