Core Training

RCoA Guide for Novice Trainees

Core Training in Anaesthesia in the Warwickshire School

There are three schools of anaesthesia, Warwickshire, Birmingham and Stoke in the West Midlands Deanery. Core training in the Warwickshire School is co-ordinated by a training programme director. It normally takes two years and is a competency based, time limited programme. On completion, trainees are awarded the basic level training certificate. 

Hospital Placements

One year will normally be spent in a teaching hospital, either Heartlands or University Hospital Coventry and Warwick (UHCW), and one year in a district general, either Warwick, George Eliot in Nuneaton, Alexandra in Redditch or Good Hope in Sutton Coldfield.

Training Schedule

The first three months will be spent completing the initial competencies in anaesthesia. On completing these, an IAC certificate will be awarded and the trainee is allowed to work with distant supervision.

The remaining time will be spent completing competency-based assessments from the core-training portfolio.

Work place assessments need to be completed on the e-portfolio.Multi-source feedback (MSF) should be done every year. During the first 12 months, three months will be spent doing a module in intensive care.

During the second year a module in obstetrics should lead to completion of the initial obstetric competencies.


The primary FRCA focuses on basic sciences and consists of 2 parts. There is a MCQ examination containing questions on physiology, pharmacology, physics and statistics. It must be passed before entering the other part i.e. an OSCE and SOE (structured oral examination). 

The Warwickshire School runs a half-day release teaching course to prepare trainees for the primary exam. It is held at Solihull hospital on Tuesday mornings, during term time.


Each hospital has a college tutor and every trainee will be allocated an educational supervisor. The educational supervisor will meet with the trainee at the beginning of the placement and will carry out regular appraisals.

Trainees are required to register with and use the Royal College e-portfolio.Trainee e-portfolio

Educational meetings should be carried out every three months . Details of the paperwork required are on the trainee information pages of the school website.

All trainees will have an annual review of competence progression (ARCP) at which the following are assessed:Logbook, personal portfolio including appraisals, competency assessments, workplace assessments, multi source feedback and examination success.

A successful outcome from the ARCP is required to progress to the next year of training.