Specialty specific guidance for CESR in Anaesthetics

The new Anaesthetics curriculum was published in July 2021. There are limited changes that are being made to the competencies skills that need to be demonstrated in the curriculum. The curriculum has been updated to include the GMC’s Generic Professional Capabilities.

Applicants were given the opportunity to start an application in GMC Online against the 2017 curriculum until 4 August. If you created an application in GMC Online before this date you have the choice of applying under the 2017 or 2021 curriculum. All applications under the 2017 curriculum must be submitted by 4 August 2022.

As of 4 August, all applications created in GMC Online will be assessed against the 2021 curriculum.

Specialty Specific Guidance

The Royal College of Anaesthetics and GMC have produced guidance documents for each version of the curriculum.

2021 Curriculum

The GMC designed its new standards for postgraduate medical curricula Excellence by Design and its framework for Generic Professional Capabilities, published in May 2017, to help postgraduate medical training programmes re-focus trainee assessment away from an exhaustive list of individual competencies, towards fewer broad capabilities required to practice safely as a day-one consultant.

As a result, the 2021 Anaesthetics curriculum is outcomes-based, meaning that trainees will be assessed against the fundamental capabilities required of consultants in the working week. These include the general skills which all doctors need to have (the GMC’s Generic Professional Capabilities) as well as those needed to carry out all the specific day to day tasks undertaken by a consultant anaesthetist (Curriculum Domains).

Assessment tools

A new assessment tool has been developed for outcomes-based assessments. The Multiple Consultant Report (MCR) allows assessment of performance relative to the level required of a Day 1 consultant in each CiP and the GPCs. The MCR is an assessment based in the workplace using observations gathered over an extended period of time. For trainees, this is the entire duration of a placement. For CESR applicants we would expect observations to be over a similar time frame. The MCR for CESR should reflect the final MCR for a trainee and should be a summative assessment. The MCR should cover a period of at least 6 months prior to making the CESR application. Applicants should bear this in mind when they first begin to gather their evidence for CESR.