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Training

The curriculum requirements to be allowed to practice in rural Australia are delineated by the Joint Consultative Committee on Anaesthesia (JCCA) – a tripartite committee from ACRRM, ANZCA and RACGP.

To qualify as a GP-Anaesthetist requires at least 12 months of superviseed anaesthetic practice (including some ICU or EM or retrieval), submission of a log book and a viva voce examination by a FANZCA and Rural GP-Anaesthetist.

Successful completion of JCCA requirements allows rural doctors to undertake elective anaesthesia for selected patients. Of course rural anaesthetists may also be called upon to assist colleagues as ‘the expert’ in management of an emergency airway.

One of the criticisms of JCCA training is that it is often delivered by anaesthetists! Whilst these are the experts in airway management, they may not ‘get’ the role of the rural doctor or appreciate the environment in which we work. Like it or not, rural doctors ‘are it’ when faced with a tricky airway at 3am – and they need to have the tools and training to manage not just selected ‘easy’ cases, but also to be able to deal with a difficult airway…often with minimum kit and no backup.

Aside from elective theatre and the occasional epidural, the most challenging part of the GP-anaesthetists work is usually in emergency work – and in this regard, we can learn a lot from Emergency Physicians and the Pre-Hospital Retrievalists. Check out the FOAMed section in Anaesthesia for more, as well as recommended blogs in the ‘Useful Resources’ menu.

The following books may also be useful

Anaesthesia Emergencies

Pharmacology for Anaesthesia and Intensive Care 3rd Ed

How to Survive in Anaesthesia

Regional Nerve Blocks And Infiltration Therapy Textbook and Color Atlas, 3rd ed

Understanding Mechanical Ventilation, 2nd Ed

The Clinical Anaesthesia Viva Book

You may also be interested in this talk, which briefly explains the work of GP-anaesthetists and some of the difficulties they may face.


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About

Http://about.me/timleeuwenburg

Http://about.me/timleeuwenburg

I am a Rural Doctor on Kangaroo Island, South Australia with interests in EM, Anaes & Trauma. Currently working with MedSTAR Retrieval, SA. Avid user & creator of #FOAMed; EMST & ATLS Director, Instruct on ETMcourse.com. My sites include KIdocs.org & RuralDoctors.Net, affiliated with smaccUs in Chicago 2015 Opinions expressed on these sites must not be used to make decisions about individual health related matters or clinical care as medical details vary from one case to another. Reader is responsible for checking information inc drug doses etc.

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