Hull York & East Coast School of Anaesthesia
Welcome to the Hull York & East Coast School of Anaesthesia pages of the Yorkshire and the Humber Postgraduate Deanery Website.
The Hull York & East Coast School of Anaesthesia (HYEC) is one of three schools which together constitute the Academy of Anaesthesia responsible as a whole for the delivery of anaesthetic training within the Yorkshire and the Humber Postgraduate Deanery. Although some of the activities of the three schools are co-ordinated it is largely the case that each school operates more or less independently in delivery of the Royal College of Anaesthetists training curriculum. (In particular there is no routine facility for the rotation of trainees between the three schools without special arrangement).
The Hull York and East Coast School of Anaesthesia was set up initially in 1996 as the East Coast School and at this time incorporated only those hospitals along the north and south banks of the Humber Estuary. With the subsequent opening of the Hull York Medical School in 2003 the hospitals in York and Scarborough were amalgamated with those in Hull, Grimsby and Scunthorpe to form the Hull York and East Coast School in its present form.
Although HYEC is not long established compared to its sister schools within the Academy it has steadily gained a sound reputation for the quality of the training it provides.Those of us within HYEC responsible for training and delivery of the Royal College of Anaesthetist's curriculum view ourselves as fully committed towards producing junior (core) trainees well prepared for competitive entry into senior training and for producing senior (specialty) trainees well prepared for a future as a Consultant Anaesthetist. If you are considering applying for anaesthetic training in Yorkshire and would like specifically to discuss training opportunities within HYEC do not hesitate to contact either of the School's Training Programme Directors (Listed on the right)
Rotation and distribution of posts within HYEC
The table below gives the current distribution of Core and Specialty Trainees across the School’s five hospitals:
| CT1/2 | ST3-7 | ACCS (EM) | ACCS (Anaesthesia) | |
|---|---|---|---|---|
| Hull | 10 | 30 | 2 | 3 |
| York | 6 | 8 | 2 | 1 |
| Scarborough | 5 | 4 | 1 | - |
| Scunthorpe | 4 | 3 | - | - |
| Grimsby | 6 | 4 | 1 | - |
| Total | 31 | 47 | 6 | 4 |
At present basic level training in anaesthesia is a minimum of 21 months in anaesthesia and 3 months in ICM. In general trainees appointed to CT1 posts will be offered a period of employment of two years in order to obtain their necessary competences. However, an offer of the second year of training will only be made subject to satisfactory progress in the first year. Those appointed to CT2 posts will be offered a period of employment of one year to obtain their required competences. It is anticipated that any trainee who has displayed satisfactory progress, but has not been able to acquire all their necessary competencies (including the Primary FRCA) may be offered a period of extended training. Trainees who come to anaesthesia via the Acute Care Common Stem Programme (ACCS) will already have acquired various competences in anaesthesia and ICM that will be taken into account when assessing progress in basic level anaesthetic training and in the completion of the Basic Level Training Certificate.
Throughout the period of time a trainee spends in post there will be a process of continual and ongoing assessment. In particular all trainees are required to earn the Initial Assessment of Competency Certificate (IACC) which must be obtained before being permitted to practice anaesthesia without direct clinical supervision. The necessary assessments to obtain the Certificate are usually undertaken after approximately three months in post and demonstrate that a trainee has acquired the necessary skills, key components of knowledge and displays the appropriate attitudes necessary to progress within the specialty. Failure to achieve initial competence within one year would be viewed as a failure to progress in the grade. Obstetric competencies are usually achieved in year two.
On a formal level, progression to the next year of training is dependent on a satisfactory Annual Review of Competence Progress (ARCP) outcome. These mandatory reviews are arranged by the Chairman of the relevant Specialty Training Committee under the auspices of the Postgraduate Dean, and the trainee will be expected to produce an up to date logbook summary, along with completed workplace-based and other relevant assessment forms, for inspection. An Annual Summative Assessment Form, incorporating the College Tutor’s views on the trainee’s progress, will also be reviewed at this time. It is compulsory that the trainee also keeps a copy of all the above documentation for their own personal training portfolio. All relevant paperwork / forms are available via the Yorkshire and Humber Deanery website under the appropriate specialty. It is the trainee’s responsibility to ensure completion of the relevant paperwork throughout their training programme.
Trainees applying for Core Training in Anaesthesia must understand the specialty has now “uncoupled” and that further competitive entry is needed to enter ST3 training and obtain a National Training Number. This post is not a run-through post to CCT. Trainees will only be eligible to progress into ST3 after they have all their core training competencies successfully signed off, have completed a minimum of two years of training as outlined above and have passed the Primary FRCA examination.