West African College of Surgeons


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	ANAESTHESIA - CURRICULUM STRUCTURE AND REGULATIONS FOR THE FELLOWSHIP EXAMINATION IN ANAESTHESIA EDUCATION/EXAMINATION COMMITTEE To prepare the curriculum for the Fellowship of the College in the Faculty. To organise postgraduate courses and symposia on behalf of the college. To report to the Board regularly on all its deliberations. To make recommendations to the Faculty Board for the development of manpower of paramedical staff appropriate to the faculty. To organise examinations in the Faculty on behalf of and report back to the Faculty Board. TRAINING PROGRAMMES IN THE FACULTY The training programme for the fellowship shall cover a period of at least four years but not exceeding five years. Exemptions from part of the training programme may be approved by the Council on the recommendation of the Credentials Committee through the Faculty Board. QUALIFICATIONS FOR ACCEPTANCE TO THE PROGRAMME Candidates must possess a qualification registrable by the local medical council. Candidates must have served the pre-registration year/years in their own country or in any other country accepted by the Local Medical Council, and must have been fully registered. Candidates must have had at least one year of post registration experience, which should be of general duties acceptable to the College. EXAMINATIONS The examinations for the Fellowship shall be in three parts: Primary Examination (Basic Sciences) Part I Examination. Part II Examination (Final) The candidate must show evidence of having passed the Basic Science and the Part I Fellowship examination before being admitted to the Part II. CURRICULUM FOR EACH PART OF THE EXAMINATION IN PRIMARY EXAMINATION (BASIC SCIENCES) The subjects shall be: Basic and Applied Anatomy Basic and Applied Physiology (including Biochemistry). Pharmacology General principles of Pathology as related to Anaesthesia Physics relevant to Anaesthesia. OBJECTIVES: The Primary examination in basic sciences is aimed at ensuring that candidates understand the applications of the principles of Anaesthesia. The Faculty shall prepare a Basic Sciences Syllabus or course content for the guidance of the candidate, teachers and examiners. The Faculty may offer short courses in Basic Sciences preparatory to the Examination in Basic Sciences. FORMAT OF THE EXAMINATION The examination shall be written and oral viz: Paper I, Paper II & Orals PAPER I Paper I will consist of one hundred multiple-choice questions (MCQ) covering the subjects mentioned in (5) above. PAPER II Paper II will consist of essay type questions. The sections on Physiology and Pharmacology will be compulsory. Section 3 will be on Anatomy or Biochemistry while section 4 will be on Physics or Pathology. ORAL EXAMINATIONS The orals will be in two parts and each part will cover a combination of subjects as follows: Pharmacology ,Anatomy and Biochemistry Physiology, Physics and Pathology Each candidate will be examined for 15 minutes in each of the two areas. Candidate must pass in the written (total) papers and orals before he is credited with a pass. EXEMPTION FROM PRIMARY EXAMINATIONS Candidates who have been successful in the National Post-graduate Medical College of Nigeria Primary examination may, on request, be exempted from the Primary examination. Application for exemption should be addressed to the Secretary General WACS before the time of application for the examinations. The Faculty Board reserves the right to reject any application for examination. PART I EXAMINATION 6.1 OBJECTIVES There shall be a residency programme in Anaesthesia to prepare candidates for the part I Examination. The Residency programme shall be undertaken in hospitals accredited by the College. The Part I Examination may be taken anytime after completion of two years of approved residency training in Anaesthesia. A logbook of 1000 anaesthetics shall be submitted together with the application for the examination with effect from October 2003. FORMAT FOR TRAINING The junior residency programme will be for a minimum period of 24 months. The relevant subject areas will be as follows: - Pre-operative evaluation, preparation and care of patients for Anaesthesia. Principles and practice of Anaesthesia for: General Surgery Orthopaedics and Traumatology Obstetric and Gynaecology Cardiothoracic surgery Ophthalmology Otorhinolaryngology Maxillofacial and Dental Surgery Paediatric surgery Burns and Plastic surgery Urology Neurosurgery Post operative care Acute and chronic pain management Anaesthetic Equipment Resuscitation, intensive care, instrumentation and related measurements. The candidate is expected to have a detailed knowledge of anaesthesia for paediatric, cardiothoracic and neurosurgery, intensive care therapy and pain relief instrumentation and clinical measurements as related to anaesthesia and intensive care. The candidate is also expected to attend update courses and conferences. CLINICAL POSTING IN INTERNAL MEDICINE AND ANAESTHETICS MEDICINE All candidates are expected to spend 3 months in the Department of Internal Medicine. Exposure will be in all aspects of clinical medicine but with emphasis on cardiology and respiratory medicine. PARTIALLY ACCREDITED CENTRE Where the Primary institution of training is partially accredited by the College, the candidate will spend 3 months in the department of a fully accredited institution. The period shall be used to acquire experience in Neuro anaesthesia, cardiothoracic anaesthesia and intensive care therapy. GUIDELINES FOR THE PART I EXAMINATION Entry Qualification To be eligible to sit for the Part I examinations, a candidate must: Have passed the primary examination or have been exempted from it. Have undergone training in clinical anaesthesia for not less than 24 calendar months of junior residency in an accredited institution including a three months posting in clinical medicine. Evidence or certifications of training must be provided. Candidates who have successfully completed a Diploma in Anaesthesia programme may have 12 months counted towards the Part I residency requirement (besides condition already stated) on request to the Faculty Board. Candidate must submit a logbook of 1000 anesthetics. The candidate must be the principal anesthetist in the management of 500 cases while he/she is required to take an active part in the management of the other 50% of cases. The examination will be in three (3) parts. Written: Paper I, II & III Clinicals- Long & Short cases Orals Written Examinations Paper I: clinical measurements, instrumentation and Research Orientation. Paper II: related specialties of Medicine, Surgery, Obstetrics and Gynecology. Paper III.: exclusive topics on principles and practice of Anaesthesia. Clinical Examinations. Long Case 40 minutes will be allowed the candidate for history-taking and examination of the patient for the long-case. Thereafter he/she will be examined for 20 minutes on presentation, demonstration of physical signs, diagnosis, management and anaesthetic implications. Short Cases The candidate will examine and be interrogated on two short cases for 10 minutes on each case. Orals Oral examinations will be in two parts each lasting for 15 minutes distributed as follows: Table I: Clinical measurements related specialties and research procedures. Table II: Principles and practice of Anaesthesia including intensive care. Conditions for a pass: To obtain a pass in the examinations, the candidate must: Obtain a pass mark in the clinical and orals separately Pass paper III Pass over all.