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The Aberdeen Advanced Airway Couse is run twice a year and is a one day course comprising a mixture of tutorials, practical sessions and case-based discussions.

Practical stations include:

  • Fibreoptic Intubation
  • Video & Optical Laryngoscopy
  • Intubation via Supra-glottic Devices
  • Cricothyroidotimy
  • Ultrasound of the Airway

The fee is £50 for Trainees/SAS and £100 for Consultants.

Further details can be found by contacting us using the details on the Contact page.

This is a one day course covering the basics of ultrasound guided regional anaesthesia and is aimed at anaesthetists who are new to regional anaesthesia and who want to gain new skills.

Participants are limited to 16 to allow small group teaching. Areas covered include:

  • Ultrasound and relevant anatomy lectures
  • Cadaveric anatomy
  • Needle practice with expert guidance
  • Hands on scanning of live models

The course is held at the Suttie Centre, Foresterhill, Aberdeen. Further details can be found by contacting us using the details on the Contact page or by clicking on the Register Now button.

The Anaesthetic Department in Aberdeen has a number of guidelines that cover practice in anaesthesia in Aberdeen. The guidelines are available on this website and via the Anaesthetic Department intranet site and are divided in to five main sections. The emergency guidelines are also located in a red folder in each theatre, normally located in the bottom drawer of the anaesthetic machine.

Back pain is one of the most common musculoskeletal condition and accounts for significant proportion of general practice and specialist clinic consultations.

Up to 7% of acute back pain sufferers develop chronic low back pain. In chronic back pain sufferers, precision diagnostic blocks can be used to locate various sources of pain such as Disc, Facet joints and Sacro-iliac joints, thereby enabling delivery of target-specific treatment. 

The intensive workshop is an applied learning course for clinicians to improve the quality of care delivered to their patients suffering with low back pain. It allows participants to learn and improve their technical skills for such precision diagnostic blocks and target-specific treatments as well as improve knowledge about patient selection and subsequent outcomes.

This 12-hours workshop comprises of lectures, live demonstrations, hands-on training in cadaveric stations and Q & A sessions.

This free event is aimed at all grades of practitioners in anaesthesia, critical care and pain medicine. It will be held at the Suttie Centre, Foreste

rhill, on Wednesday 29th March from 0900 to 1630. This is an all day event, but Aberdeen anaesthetists only need to apply for study leave for the afternoon as the morning sessions is part of the regular CME morning.

Research cloud image

Morning session topics include:

  • Anaesthetists as trainers/educators
  • Research
  • Quality improvement

Afternoon session:

  • Research methodology workshop

Poster Presentations

There will also be an opportunity to submit a poster presentation to present your work. Please contact the course administrators for further information:

  • John Chalmers - This email address is being protected from spambots. You need JavaScript enabled to view it.
  • Saravanakumar Kanakarajan -  This email address is being protected from spambots. You need JavaScript enabled to view it.

CPD Matrix Codes

  • 1F01 - Consent
  • 1F03 - Information Governance
  • 1F05 - Ethics
  • 1G01 - Patient record systems
  • 1G02 - Basic research methodology
  • 1H01 - Clinical supervisors
  • 1H02 - Personal education/learning
  • 1I05 - Quality improvement
  • 3J03 - Research 

Refreshments

As this is a free event, no refreshments are provided. Food and drink are available from the cafe in the Suttie Centr or across the road in Aberdeen Royal Infirmary concourse.

With great opportunities at work to a fantastic place to live, Aberdeen has a great deal to offer. Read all about why you should work in Aberdeen in this section.

World Congress of Anaesthesia 2016

One of the strengths of the department is the training in Human Factors and non-technical skills. Our reputation in this area resulted in the department being featured in the conference TV commissioned for the 2016 World Congress of Anaesthesia in Hong Kong.  The resulting Aberdeen film, shot by the global leader and award winning conference TV company Websedge can be seen below.

There is a huge choice of hotel, bed and breakfast or self catering accommodation in Aberdeen, but the following suggestions are either within walking distance of Foresterhill, or are on a bus route that passes through Foresterhill.

Walking Distance

On Stagecoach 59 or Firstbus 12 Route

Manage your account on this page.

This stage of training covers ST7. It is governed by Annex E of the CCT in Anaesthetics document. The Advanced Level page on the RCoA website has more information.

During ST7 trainees should focus on preparing for consultant practice. They may choose to specialise in neurosurgical, cardiothoracic, or paediatric anaesthesia. Alternatively they may concentrate on general duties with some areas of sub-specialty interest.

There are no essential units of training.

Advanced training & Fellowships

The department offers some in-house fellowships as detailed below, but remains supportive of trainees who wish to go on OOPT outwith the North of Scotland. Our consultants have good links with other centres offering fellowships for paediatrics, cardiothoracics, neurosurgery, and pain, not just in the UK but across the various ponds...

  • Regional fellowship: Excellent local opportunity for professional development with regards to clinical skills in regional anaesthesia, management ability and medical education. Usually applied for from ST5 onwards. Trainees are assigned lists where ultrasound guided regional anaesthesia is taught by local experts with the aim of practicing independently under local supervision (and teaching others) by the end of the fellowship year. One and a half days a week are dedicated to teaching anatomy via cadaveric demonstration to medical students as part of their undergraduate degree. This experience is invaluable both in terms of improving teaching skills and in mastering the anatomy required for regional anaesthesia. Trainees also supervise an intercalating BSc medical student in a regional anaesthesia/anatomy related project. We also co-organize and teach on the ABRAC, which includes lectures, anatomy demonstration on cadavers and scanning of live models.
  • Pain fellowship: Well-supported training over the breadth of the sub-specialty with protection from on-call duties during weekdays. There are regular tutorials plus weekly theatre lists giving opportunity to become proficient in both X-ray and ultrasound guided interventional procedures for chronic pain. Rota flexibility allows access to related specialty clinics influenced by personal preference and there is excellent scope for service improvement or research projects during the year.  

The knowledge and skills core learning objectives for this unit of training can be found in the CCT in Anaesthetics, Annex D - Intermediate Level Training.

Core Clinical Learning Outcomes (CCLO)

  1. Deliver safe peri-operative anaesthetic care to complicated ASA 1-3 adult patients requiring complex elective intra-cranial and spinal surgery and neuroradiological investigations under direct supervision.

  2. Deliver peri-operative anaesthetic care to complicated ASA 1-3 adult patients for emergency non-complex intracranial and spinal surgery with indirect supervision (i.e. craniotomy for acute sub-dural / acute decompressive lumbar laminectomy).

  3. Lead the resuscitation, stabilisation and transfer of adult patients with brain injury. Cross reference to Transfer Medicine section.

Work Place based Assessments

Need to reflect the CCLO, but a minimum of:

  • 1 A-CEX
  • 1 DOPS
  • 1 CBD

Logbook Summary

Number of Cases

25 to 35 approximately.

Expected Case Mix

  • Anterior and posterior cervical spine surgery.
  • Posterior thoracic and lumbar spine surgery.
  • VP shunt / EVD insertion.
  • Endoscopic transphenoidal surgeries.
  • Minimum of five anterior and middle fossa craniotomy – SOL, vascular (clipping, AVM).
  • Minimum of one posterior fossa craniotomy/ectomy (can include foramen magnum decompressions).
  • Minimum of six anaesthetic management of Mayfield clamp application.
  • Positioning – prone on Wilson frame, prone on Montreal mattress.
  • Positioning – lateral tilt.
  • Positioning – park bench, full lateral.
  • Pain management procedures (intrathecal pumps and percutaneous approach for trigeminal neuralgia).
  • Transfer to/from theatre/ICM/neuroradiology/ED.

Expected Level of Supervision

  • ASA grade and supervision level are explicitly outlined in the core competences above.
  • Many complex cranial spinal surgeries will be undertaken with direct supervision. Development of competence during training will permit a review of the level of supervision on a case by case basis. Higher trainees wil be expected to advance to distant supervision after a maximum of ten sessions.

Specific anaesthetic procedures and level expertise/supervision expected (e.g. invasive lines, regional blocks, spinals etc):

  • Invasive lines are used regularly (IABP and CVC). The need for supervision will be determined by the trainee and trainer working together allowing competence to be assessed. It is expected that trainees at the higher level of training will have the necessary level of competence to function without direct supervision when placing invasive monitoring lines.
  • Awake fibre optic intubations will be undertaken with direct supervision in the first instance moving swiftly to distant supervision as competence/confidence is demonstrated.
  • LP drains will be undertaken infrequently and under direct supervision at all times.

Further Information

Trainees are expected to seek MSF from members of the neurosurgery/neuroanaesthesia team within the relevant training year.

It is expected that the trainee will make use of the opportunities available to achieve the relevant competences outlined in Annexe G (academic, research and audit; improvement science and safety; teaching and learning; management). 

The neurosurgical services offer an opportunity for the anaesthesia trainee to develop their professionalism competences as outlined in Annex A of the 2010 curriculum. The combination of neurosurgical patients with their unique challenges and the cohesive and well aligned surgical team (surgeons, anaesthetists, ward and theatre nursing staff, neuorphysiologists, SALT and physiotherapy) provide a supportive environment for the trainee to build their skills.

Final words, communication is key to success.

The knowledge and skills core learning objectives for this unit of training can be found in the CCT in Anaesthetics, Annex C - Intermediate Level Training.

Core Clinical Learning Outcomes (CCLO)

  1. Deliver safe perioperative anaesthetic care to uncomplicated ASA 1-3 adult patients undergoing non-complex elective intracranial and spinal surgery with direct supervision.
  2. Deliver safe perioperative anaesthetic care to uncomplicated ASA 1-3 adult patients undergoing non-complex emergency surgery with distant supervision (e.g. insertion of V-P shunt/EVD).
  3. Be an effective team member for resuscitation, stabilisation and transfer of adult patients with brain injury with distant supervision.

Work Place based Assessments

Need to reflect the CCLO, but a minimum of:

  • 1 A-CEX
  • 1 DOPS – e.g. positioning, AFOI
  • 1 CBD

Logbook Summary

Number of Cases

25 to 35 approximately.

Expected Case Mix

  • Anterior cervical spine surgery.
  • Posterior lumbar spine surgery.
  • VP shunt / EVD insertion.
  • Endoscopic transphenoidal surgeries.
  • Minimum of three anterior and middle fossa craniotomy – SOL, vascular (clipping, AVM).
  • Minimum of one posterior fossa craniotomy / ectomy (can include foramen magnum decompressions).
  • Minimum of five anaesthetic management of Mayfield clamp application.
  • Positioning – prone on Wilson frame, prone on Montreal mattress
  • Positioning – lateral tilt
  • Non-essential positioning – park bench, full lateral

Cases that may be encountered but are not essential:

  • Pain management procedures (intrathecal pumps and percutaneous approach for trigeminal neuralgia)

Expected Level of Supervision

  • ASA grade and supervision level are explicitly outlined in the core competences above. 
  • Most cranial cases and complex spinal surgeries will be undertaken with direct supervision, development of competence during training will permit a review of level of supervision on a case by case basis.

Specific anaesthetic procedures and level expertise/supervision expected (e.g. invasive lines, regional blocks, spinals etc):

  • Invasive lines are used regularly (IABP and CVC). The need for supervision will be determined by the trainee and trainer working together allowing competence to be as assessed. It is expected that trainees at an intermediate level of training will have the necessary level of competence to function without direct supervision when placing invasive monitoring lines.
  • Awake fibre optic intubations will be undertaken with direct supervision.
  • LP drains will be undertaken infrequently and under direct supervision at all times.

Further Information

Trainees are expected to seek MSF from members of the neurosurgery/neuroanaesthesia team within the relevant training year. 

It is expected that the trainee will make use of the opportunities available to achieve the relevant competences outlined in Annexe G (academic, research and audit; improvement science and safety; teaching and learning; management).

The neurosurgical services offer an opportunity for the anaesthesia trainee to develop their professionalism competences as outlined in Annex A of the 2010 curriculum. The combination of neurosurgical patients with their unique challenges and the cohesive and well aligned surgical team (surgeons, anaesthetists, ward and theatre nursing staff, neuorphysiologists, SALT and physiotherapy) provide a supportive environment for the trainee to build their skills.

Final words, communication is key to success.

The Department of Anaesthesia in Aberdeen is one of the largest single departments in the UK with over 70 Consultants, 37 Trainees and several Associate Specialists.

Most anaesthetic services are provided on the Foresterhill site which is home to Aberdeen Royal Infirmary (ARI), Royal Aberdeen Children's Hospital (RACH) and Aberdeen Maternity Hospital (AMH). Elective orthopaedics is undertaken at Woodend Hospital, one mile west of Foresterhill with its own dedicated suite of six theatres. Mental health services are based at the Royal Cornhill Hospital less than a mile to the east.

All major specialties are covered including cardiothoracic surgery, vascular surgery, trauma, head and neck surgery, plastic surgery, neurosurgery, paediatric surgery and obstetrics. This concentration of services is facilitated by a department which is very well integrated and which includes staff with a wide breadth of experience in all branches of anaesthesia. 

The Department of Anaesthesia is located in ARI and consists of administrative offices, tutorial room, library, computer room, coffee room and consultant and trainee accommodation. The department is located in close proximity to the Main Theatre Suite of 17 theatres, and the Aroma Coffee Bar.

Maternity Leave Entitlement

If you have more than one year of continuous service in the NHS at 11 weeks prior to your EDD, you are entitled to:

52 weeks maternity leave:

  • Weeks 1 to 8: full pay (basic salary in addition to out-of-hours work)
  • Weeks 9 to 26: half pay with statutory maternity pay in addition to this
  • Weeks 27 to 39: statutory maternity pay only
  • Weeks 40 to 52: unpaid

The earliest you can take maternity leave is 29 weeks pregnant.

You can continue to accrue annual leave during maternity leave and if you wish to extend your time off, you can take it either before or after your maternity leave. If the baby arrives early, maternity leave has to begin from the date of delivery and annual leave moved to after the maternity leave.

Your superannuation continues to be paid throughout paid maternity leave.

Who do you need to tell?

  • Maternity Leave Co-Ordinator: Between the 12th and 15th week of pregnancy, phone the maternity leave co-ordinator. Have your staff payroll number handy. She will answer any questions and send you out the maternity leave policy and risk management form.
    • When you reach your 20th week of pregnancy, your midwife will issue a MAT B1 form. You then make an appointment to see the maternity leave co-ordinator to sort out provisional maternity leave dates. You should bring your MAT B1 form and signed risk assessment form to this meeting. 
  • Unit Clinical Director: They will also sign your risk assessment form.
  • Rota co-ordinator: They can inform relevant people like the rota makers, so you are not rostered for trauma lists with x-rays etc.
  • Training Programme Director: They can plan for training blocks.
  • The Royal College of Anaesthetists Training Department: They will need to be informed in writing of your maternity leave dates and whether you plan to return to work full-time or less than full-time. You can write this once you have returned to work.
  • If you consider returning to work less than full-time then you need to make an appointment to see the Less Than Full-Time Training Dean at NHS Education for Scotland to organise this and discuss with the Regional Advisor and College Tutor as early as possible. See section on returning to work.

You need to give a minimum of 28 days notice of your return to work, but in practice much longer is appreciated for rota planning. Rotas are usually made in between 6 and 8 weeks in advance.

Practical Points

  • Consider informing professional bodies such as AAGBI, RCoA, BMA, GMC and medical defence union as you may be entitled to a subscription reduction fee while not working.
  • Depending on how your dates fall into the study leave calendar, you should try to use your study leave dates/budget as you won’t have access to it during your maternity leave.
  • The pay you receive over maternity leave is calculated over an average eight weeks. Should this fall over a period where you are changing training years and your pay increases it is worth checking the pay is based on your new salary for the change in training grade.

We run airway focused simulation sessions during the Anaesthetic CME sessions at Aberdeen Royal Infirmary.

Four spaces are available for each session and scenarios will be managed as a team. We will aim to run two scenarios per session. 

This session is for members of the ARI Anaesthetic Department only. Please wear theatre scrubs.

Learning Outcomes

  1. Develop a safe technique to prepare and perform awake fibreoptic intubation.
  2. Develop effective approaches and strategies for predicting and managing difficult airways, utilising appropriate devices and techniques.
  3. Develop skills for alternative ventilation strategies using supraglottic airway (SGA) devices, techniques for SGA-endotracheal tube exchange, and surgical techniques for rescue ventilation.
  4. Develop or improve crisis resource management skills for dealing with difficult or failed intubation.

CPD Codes

  Awake Fibreoptic Intubation Failed Intubation/CICO
Consultant
1C01
2A01
2A10
3A01
3A07
1B02
1I03
2A10
3A01
Core Training AM_BK_15
AM_BK_16
AM_BK_17
AM_BS_09
AM_BS_10
AM_BS_15
Intermediate Training
AM_IK_01
AM_IS_01
AM_IS_01
Higher Training AM_HS_01
AM_HK_01
AM_HS_06
AM_HS_06
Advanced Training AM_AS_01 AM_AK_01

Anaesthetic Continuing Education Meetings (CME) are organised by Anne Wake. They are run as ten half day sessions spread over the year (timed to avoid school holidays as much as possible). The meetings roll through Tuesday to Fridays mornings.

These meetings are open to the anaesthetic departments in Aberdeen, Elgin, Wick, Orkney and Shetland, with remote sites connecting over video link. Medical students, FYs, Trainees, SAS, Consultants, Specialist Nurses and other interested colleagues are welcome.

The meetings have a regular M&M slot alongside a programme designed to cover the RCoA CPD matrix, local developments and areas of interest. The department is able to support occasional external speakers, and we’ve had a number of high profile and interesting speakers visiting Aberdeen in the last few years.

We are always on the look out for interesting topics for presentation at the CME meetings. If you would like to speak, have a suggestion for a topic or have seen an interesting speaker at a meeting, please let us know at This email address is being protected from spambots. You need JavaScript enabled to view it.

CME Presentations

Selected presentations made available to registered users on the Presentations page. 

Guidance on consent and information for patients is available from the GMC, AAGBI and RCoA. In addition, the other pages in this section assist with risk assessment and incidence of complications when discussing anaesthesia with patients.

 

 

Click on the link below to open the Raigmore Consultant Feedback form. You will need to log in first by clicking on Login at the top right of the page.

Use the form to provide feedback to inform the Completion of Unit of Training (CUT) assessment for ICM, Obstetrics and Pain, or to provide general feedback to the College Tutor.

If you have any problems, then email website admin at This email address is being protected from spambots. You need JavaScript enabled to view it.

Consultant Feedback Form

This is requested by the Regional Advisor once a year. It is done in addition to the MSF process through the RCoA e-Portfolio, the aim being to collect feedback from a wider group of consultants.

Only consultants are able to provide feedback and you will need to login with your user account. You can register for an account by clicking on Register at the top of every page.

If you would like to contact the Anaesthetic Department at Aberdeen Royal Infirmary, then please use the contact information on this page.

Do not send any confidential patient information to this email address. If you need to send such information, please contact the department by phone to discuss.

home contact iconAnaesthetic Department
Aberdeen Royal Infirmary
Foresterhill Road
Aberdeen
AB25 2ZN

phone contact icon

01224 553144

This email address is being protected from spambots. You need JavaScript enabled to view it.This email address is being protected from spambots. You need JavaScript enabled to view it.

web contact iconwww.aberdeenanaesthesia.org

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A number of courses are run thoughout the year, mostly based in the Suttie Centre. The Suttie Centre for Teaching and Learning in Healthcare was opened in 2009 and is a joint venture between University of Aberdeen and NHS Grampian. It is the centre of undergraduate and postgraduate medical education in Aberdeen and has a wide range of facilities including simulated ward areas and a clinical simulation suite.

Registration and booking of courses in Anaesthesia is done through this website. Click on the menu headings for more information.

Information on getting to, and staying in, Aberdeen is available below:

 

We will be running training sessions relating to COVID-19 in the coming weeks.

Sessions run Monday to Friday at 0900, 1100, 1300 and 1500, and last approximately two hours.

Click on the Register Now button to see available sessions.

Program

Personal Protective Equipment (PPE) 

  • What PPE to use
  • Donning/doffing in theatre environment
  • Buddy check

COVID-19 Emergency Critical Care Intubation (1 hour)

  • Equipment, drugs, sedation 
  • Simulated intubation and transfer
  • Debrief

Patients with COVID-19 Requiring Surgery (Discussion 20 mins)

  • Theatre
  • Staff
  • PPE
  • Equipment- what is in theatre, what is not in theatre
  • Hydration, comfort, natural breaks
  • When to change PPE
  • How to get equipment/drugs into theatre during case
  • Transfers to and from theatre – intubated and self ventilating patients
  • COVID wards (110/111)
  • COVID reception in Emergency Department
  • Transfer routes for intubated patients

Questions

At the end of a unit of training, feedback is requested by the clinical supervisor for that unit from consultants who have been working with the trainee. This is mandatory for signing off units of training and is a valuable process which assesses the clinical skills, attitudes, relationships and overall performance of trainees. Feedback is collated and discussed with the trainee at the end of their time in the unit of training.

Only consultants are able to provide feedback and you will need to login with your user account. You can register for an account by clicking on Register at the top of every page.

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