Return to Anaesthesia Practice for Anaesthetists
Optimal performance depends on recency of practice, and deteriorates when clinical activities are interrupted. Deterioration is individual, and relates to:
- Duration of interruption
- Duration of practice prior to interruption
- Ageing
- Illnes
- Individual variation
Definitions
- Prolonged absence
Absence from clinical anaesthesia >12 months.
Principles
Return to practice should be:
- Based upon ANZCA roles in practice
- Incorporate ANZCA CPD philosophy
- Be informed by a needs analysis
Outline
Program duration is one month per year of absence:
- Tailored to individual needs
- Broken into stages:
- Stage 1
Prior to recommencement, or early in return to practice:- CICO
- Cardiac arrest
- Formal CPD plan
- Stage 2
On commencement.- Initial period of one-to-one supervision
- Structured assessment of ability to practice without one-to-one supervision
- Stage 3
After finishing one-to-one supervision period.- Oversight by supervisor
- Evaluation
MSF, peer review, clinical audit. - Discussion of cases with supervisor
- Stage 4
Completion of return to practice.- Supervisor submits report to college confirming satisfactory completion
- Stage 1
Plan Requirements
Must contain:
- Supervisor details
- Reason of absence from practice
- Learning needs analysis
- Description of:
- Where the program will occur
- Intended duration
- Intended clinical experience