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Trainee information

ACCS simulation strategy

The ACCS curriculum document states –


‘…simulation aimed at achieving technical competence for certain procedures, should be provided as early as possible in ACCS training. Scenario-based immersive simulation training is expected to be undertaken in all relevant specialty specific learning outcomes, with human factors incorporated into the scenarios where appropriate…’


We recognise the importance of simulation training within the ACCS. It provides a safe training experience, for both patients and trainees, where confidence and competence can be built.

To supplement local teaching and training NES provides national simulation training courses to help meet ACCS trainees’ needs during particular training blocks and stage of training.


Key principle of this strategy include –

  • Early exposure to procedural skills to accelerate competency development and patient safety
  • Pre-attendance knowledge building followed by practice using this knowledge through skill and drills
  • Exposure to hard to reach curriculum areas
  • Improving equality of training opportunities regardless of geographical location
  • Cross specialty training where curriculum needs cross (e.g. core anaesthetics, IMT)
  • A psychological safe environment provided for trainee development
  • Continuous development and updates to course material and teaching methods based on training requirements and feedback


Initial competencies in anaesthesia

This full day course is provided in the trainees’ local area around the midway point in their anaesthetic block. It aims to prepare ACCS trainees for managing the initial stages of common anaesthetic emergencies, and gives a structured approach to such situations. This is met via pre-reading, simulated scenarios and workshops all aligned with the ACCS and Anaesthetic curriculum.




Skills training

During the 1st year of ACCS training, ideally during an IM or EM block, ACCS trainees join IMT2 trainees for a full day of skills training.

Places are allocated at either RCPS Glasgow or Suttie centre Aberdeen between August-February.

This course uses simulation based mastery learning principles to ensure trainees are ready for supervised practice in the following skills –

-           Central line insertion

-           Seldinger chest drain insertion

-           US guided venous access

-           Arterial line placement

The day also covers use of non-invasive ventilation via an interactive session

Prior to attending trainees are provided with exemplar videos and reading material on all skills





Critical Care - Skills, Drills and Simulation

This full-day course provides an excellent opportunity to train in the skills required to manage critically ill patients.

Skills - opportunity to develop skills with expert faculty. 

  • Use of mechanical ventilation 
  • Blunt dissection surgical chest drain placement 
  • Performing a critical care intubation 
  • Performing procedural sedation 

Sim - trainees take part in immersive simulation scenarios to encourage development and reflection on non-technical and technical skills.

Places are allocated to centres across Scotland and pre-reading material is provided

This page was last updated on: 27.03.2024 at 10.40