Workforce, training and education
East of England

2010 Curriculum - Higher and Advanced Training

This information was originally written for the 2010 curriculum, it will be updated for the 2021 curriculum soon.


Higher Training

These years are spent at District General Hospitals. Clinical modules of further training in intensive care and obstetric anaesthesia and analgesia are provided, together with focused training in specialties that may be individually available at each hospital, such as vascular surgery, local anaesthesia, pain relief, and maxillo-facial surgery.  Alongside these are organised training and experience in management and administration, audit, and teaching and training. There is ample opportunity to conduct clinical research.

In most cases the District General Hospital for the third year (ST5) of the rotation is selected at the time of appointment, and is usually one of those closer to the Hospitals selected for ST3/4.  Arrangements for the fourth year (ST6) are more flexible, but in principle this year will be spent at another District General Hospital that contrasts with the previous unit.

Unlike for Core and Intermediate training there isn't a specific EoE workbook for higher and advanced training, to reflect the greater flexibility of these stages of training.

For higher training (ST5 & 6) the mandatory units are
cardiac (as an EoE trainee you will usually have already completed both of these alongside your intermediate cardiac & neuro. The workbooks for each are available at the bottom of this page, and intermediate training page)
paeds (3 month block)
ICM ( 3 month block)
General duties- need to do 9 out of the 14 ( airway, CPR, and peri-op are mandatory)
There are also optional units eg ophthlamic
Please complete WPBA on the  eportfolio using codes from the RCoA curriculum. There is need to do only the minimum required by the curriculum (unless requested by ES or CT). Once you have achieved the core learning outcomes, populate the CUT form with WPBA, log book for that unit, any associated courses/teaching etc, cons feedback and send to the module lead for signing. Any queries, please contact your ES or College Tutor.


Advanced Training

During the final year, the programme is tailored to suit the consultant aspirations of the trainee. In general it is spent in the Teaching Centres of Cambridge (majority) or Norwich. This year includes longer modules ( 6 or 12 months) of advanced training in targeted sub-specialties. All final year trainees also need to complete the advanced training domains of clinical practice, team working, leadership, innovation, mngement and education.


Out of Programme Training (OOPT)

Possible OOPT aspirations are discussed at the ARCP meetings or by contacting the senior Training Programme Director. Trainees need to be post FRCA, and ST5, 6 or 7. If OOPT is outside the UK, trainees must be back in this country for six months prior to the award of the CCT. Further information is available here:

Advanced Pain Management

We are recognised by the RCoA for sub-speciality training in pain management and individuals with an interest may apply for the 12-month Fellowship programme. The pain management departments at Norwich, Kings Lynn, Addenbrookes and Ipswich provide this comprehensive training and experience.

Advanced Cardiothoracic

A fellowship year is available in Papworth Hospital, incorporating cardiothoracic anaesthesia and intensive care, transplant and ECMO, for suitable candidates. If over subscribed, places may be awarded by competitive process.

Advanced Regional Anaesthesia

The region has a strong history of training in regional anaesthesia and 6 or 12 month advanced regional anaesthesia fellowships are possible  in Norwich, Cambridge and Kings Lynn. If over subscribed, places may be awarded by a local competitive process.

Advanced Neuroanaesthesia

The NCCU (neuro critical care unit) and neuro anaesthesia in Cambridge enjoys an international reputation, and a neuro fellowship year would incorporate time in neurosurgey, neuroradiology and neuro critical care.

Advanced Paediatric Anaesthesia

A six month advanced paediatric anaesthesia training module for those wishing to become a paediatric lead in the DGH environment is available in Norwich or Cambridge. However, 12 months training in a tertiary centre is essential for those who wish to practice as specialist paediatric anaesthetists and our trainees have been successful in obtaining fellowships at a wide range of centres eg  Great Ormond Street Hospital, Birmingham Childrens Hospital, Alder Hey Liverpool, Yorkhill Glasgow, Toronto, Starship Auckland.

Advanced Obstetric Anaesthesia

A six month advanced obstetric anaesthesia training module is available at the Rosie Hospital, Cambridge or Norwich, and offers wide clinical experience as well as opportunities for teaching and quality improvement projects.


Subject to a national competitive process, the advanced training year may be spent training in Pre Hospital Emergency Medicine. The East of England is the national lead for this programme, and more information is available here

Thursday, 6 August, 2020
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Thursday, 6 August, 2020