Anaesthetics ST4
Anaesthetics ST4 Specialty Training Application Form
These are the specialty specific questions used on Oriel for applications to Anaesthetics ST4.
The questions are presented here to help you prepare for your future applications. Please be aware application form structures, questions, word counts, etc. can change and there is no guarantee that future application forms will remain the same.
Please list any additional completed undergraduate qualifications with dates. Include intercalated BSc/ equivalent degree here, if you have one. Do not include details of your pre-university school education/ exam results.
If you do not have any additional undergraduate degrees and qualifications please add and just enter none
For each qualification enter:
- Name
- Qualification
- Place of Study
- Grade / Result
- Date Completed
Please give details of any completed postgraduate medical qualifications/ other degrees/ diplomas/ certificates (e.g. MD, MRCP, etc.). Where a qualification is partly completed please state your exam status e.g. MRCP (Part 1) etc. For an MD please state whether this is linked to your primary medical qualification or the result of an independent research thesis. Please include here any relevant qualifications listed as desirable on the person specification.
If you do not have any postgraduate degrees and qualifications please add and just enter none
For each qualification enter:
- Name
- Subject / Qualification
- Place of Study
- Grade / Result
- Date Completed
Prizes, awards, and other distinctions (please include specialty and qualifying distinction). Please indicate whether these were awarded to you as an undergraduate or postgraduate. If you do not have any additional achievements please add and just enter none
For each prize/award/distinction enter:
- Name
- Prize/Award/Distinction
- Awarding Body
- Date Awarded
Include in this section the most relevant training courses to this specialty that you have attended and details of courses that you are currently undertaking. Please include any Advanced Life Support or similar courses mentioned in the Person Specification.
If you do not have any training courses please add and just enter none
For each course enter:
- Name
- Course Title
- Training Provider
- Duration of Course
- Date Completed
- I have no additional degrees or qualifications. : 0
- I have a postgraduate certificate in a relevant field (excluding education/teaching) OR a part 1 of a postgraduate exam e.g. MRCP/MRCEM etc. : 2
- I have a postgraduate diploma in a relevant field (excluding education/teaching) OR MRCP part 1 and 2 written OR 2 parts of any postgraduate exam. : 3
- I have an additional full postgraduate medical qualification e.g. MRCP/MRCEM etc OR a postgraduate masters/MSc in a relevant field (excluding education/ teaching/ leadership). : 4
- I have an MD (Res) completed following my undergraduate medicine degree OR a PhD in a subject not relevant to medicine completed following my undergraduate medicine degree OR a PhD in a subject relevant to medicine completed before or during my undergraduate medicine degree OR the Full FRCEM, FRCS or MRCPCH. : 5
- I have PhD in a subject related to medicine completed following my undergraduate medicine degree. : 6
- I have no additional awards. : 0
- I have a postgraduate prize or award from my hospital or Trust prior to starting anaesthetic training, e.g. certificate of merit. : 1
- I have a prize or an award from my hospital or Trust since commencing anaesthetic training or equivalent, e.g. Greatix award or learning from excellence award. : 2
- I have a prize awarded at post graduate level awarded by a regional medical organisation. : 3
- I have a prize awarded at postgraduate level by a national or international medical organisation. This includes prizes in the Primary FRCA. : 4
Up to 1 year of adult ICM can be included
- No experience in a complementary specialty by time of appointment. : 0
- At least 5 months experience in complementary specialties by time of appointment, without evidence of achievement of all expected outcomes, anywhere in the world. : 1
- 5 to 12 months experience in an appropriate/relevant complementary specialty by the time of appointment, with evidence of achievement of all expected outcomes, anywhere in the world. This includes 6 months acute medicine and 6 months emergency medicine during ACCS training. OR more than 12 months experience without evidence of expected outcomes. : 2
- More than 36 months in complementary specialties by time of appointment, with evidence of achievement of all expected outcomes, anywhere in the world. : 3
- 13 to 24 months experience in an appropriate/relevant complementary specialty by the time of appointment, with evidence of achievement of all expected outcomes, anywhere in the world. : 3
- 25 to 36 months experience in an appropriate/relevant complementary specialty by the time of appointment, with evidence of achievement of all expected outcomes, anywhere in the world. : 4
can include audit as a tool to demonstrate quality improvement work in this section and trainee research network projects
- I have not participated in any quality improvement learning events or projects. : 0
- I have taken part in other people’s postgraduate (non-anaesthetic) audits. OR I have taken part in QuIP since starting anaesthetic training (i.e. data collection or made other minor contributions, but not led or designed the project) OR completed bronze level QuIP or equivalent. : 1
- I have made a significant contribution to audit projects or quality improvement work as a postgraduate. This includes co-designing or joint leading a quality improvement or audit project and making recommendations for changes to practice based on audit findings OR closing the audit loop. : 2
- I have made a significant contribution to quality improvement work since commencing my core or stage 1 anaesthetic training OR equivalent. This includes co-designing or joint leading a quality improvement or audit project at my hospital and making recommendations for changes to practice based on findings OR closing the audit loop. : 3
- I have been the LEAD for one audit/QuIP since commencing my anaesthetic training. This includes making recommendations to change /practice based on findings OR closing the audit loop. OR I have led a regional TRN QuIP/audit project. : 4
- I have been the LEAD for more than one audit/QuIP since commencing my anaesthetics training. This includes designing, leading and managing QuIP and implementing changes to practice based on audit findings and closing the audit loops. OR I have led a national TRN QuIP/audit project. : 5
- I have not been involved in research. : 0
- I have assisted with data collection for ongoing studies. : 1
- I have been involved with recruitment of participants to research projects (including TRN and NIHR CRN Portfolio studies). : 2
- I have completed an NIHR associate principal investigator scheme OR had personal and direct involvement (as a co-investigator) leading, planning or running a postgraduate research project prior to anaesthetic training. : 3
- I have had personal and direct involvement (as a co-investigator) leading planning OR running a postgraduate research project since starting anaesthetic training. OR led a regional TRN research project (this cannot be the same project as Domain 4). OR been the principle investigator of a funded study or co-applicant on a successful grant application. : 4
- I have led a national TRN research project (this cannot be the same project as Domain 4). OR I have been the chief investigator of a funded study or lead applicant on a successful grant application. : 5
- I have not contributed to formal teaching. : 0
- I have some experience in formal teaching for health professionals. OR I have some experience of formal teaching health-related topics to a non-medical audience. OR I have attended a teaching the teachers course, generic instructors course or similar. : 1
- I have made a major contribution to a local teaching programme including developing/organising a programme. OR I have instructed on an ALS /ATLS course, or similar. OR I have organised a one-day teaching programme and delivered a topic(s) on it OR I have a leadership position in education e.g. teaching fellow. : 2
- I have obtained a postgraduate certificate in education/teaching. : 3
- I have made a major contribution to a regional or national teaching programme including developing/organising a programme as a postgraduate. : 4
- I have made a major contribution to a regional or national teaching programme including developing/organising a programme during my anaesthetic training. OR I have obtained a postgraduate diploma in education/teaching. : 5
- I have undertaken a major dissertation and been awarded a Masters in medical/clinical education. : 6
- I have not published anything. : 0
- I am a co-author of (PubMed listed OR peer reviewed) one or more case reports OR one or more clinical / scientific abstracts OR one or more letters OR one or more editorials. : 1
- I am first author of (PubMed listed OR peer reviewed) one or more case reports OR one or more clinical / scientific abstracts OR one or more letters OR one or more editorials. : 2
- I am a co-author of (PubMed listed OR peer reviewed) one or more pieces of original research OR one or more narrative reviews. : 3
- I am first author of (PubMed listed OR peer reviewed) one or more pieces of original research OR one or more narrative reviews. : 4
- I am first author of (PubMed listed OR Peer reviewed) more than one piece of original research. : 5
- I have given no presentations nor presented any posters. : 0
- I have given one local/departmental presentation at any time during postgraduate training. : 1
- I have given more than one local/departmental presentation at any time during postgraduate training. OR I have given one local/departmental presentation since commencing anaesthetic training. : 2
- I have given more than one local/departmental presentation since commencing anaesthetic training. : 3
- I have given a POSTER presentation at a regional, national or international meeting at any time during postgraduate training. OR I have given an oral presentation prior to anaesthetic training at a regional, national or international meeting. OR I have given an oral presentation at a regional meeting since starting anaesthetic training. : 4
- I have given an oral presentation at a national or international meeting since commencing anaesthetic training. : 5
- I have given an oral presentation at more than one national or international meeting since commencing anaesthetic training. : 6
- No evidence of CPD. : 0
- I am able to demonstrate evidence of mandatory training /local online training. : 1
- I am able to provide evidence of mandatory training/local online training plus one educational event/CPD event of 1 day duration (see guidance document if no mandatory training evidence). : 2
- I am able to provide evidence of mandatory training/local online training, plus 2 educational events/CPD of 1 day duration (see guidance document if no mandatory training evidence). : 3
- I am able to provide evidence of mandatory training/local online training plus 2 educational events. One of which is related to simulation or regional anaesthesia AND one of which is more than 1 day duration (see guidance document if no mandatory training evidence). : 4
- I am able to demonstrate evidence of mandatory training/local online training, plus 3 educational events. At least one should be related to regional anaesthesia or simulation, one is more than 1 day duration AND one includes a national; or international CPD event related to anaesthesia (see guidance document if no mandatory training evidence). : 5
Leadership during school years will not be counted in this section
- I have not been involved in significant activities outside of medicine and I have not had opportunity to demonstrate leadership within my medical career to date. : 0
- I am an active member of a group, club or organisation promoting recreation, charity, community activities etc. and/OR I demonstrate significant time management outside of work OR I can demonstrate significant leadership or mangement as an undergraduate locally. : 1
- I can demonstrate significant leadership or management as an undergraduate regionally or nationally inside or outside of medicine. OR I can demonstrate leadership in management or leadership as a postgraduate in my hospital OR I have a leadership qualification eg PG certificate in medical leadership. : 2
- I can demonstrate significant leadership or management as a postgraduate regionally inside or outside of medicine. : 3
- I can demonstrate a national or international commitment to leadership or management inside or outside of medicine in the postgraduate period such as expedition leadership Duke of Edinburgh leader and/OR I sit/sat as trainee representative at a national committee/working party OR I have significant responsibility within e.g. BMA, GMC, RCoA. : 4
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