Training in Anaesthesiology

In-training assessment (ITA) of trainees in anaesthesiology is an essential part of the trainees’ education and development. ITA is a formative assessment and will complement other methods of evaluation, such as examination. ITA will focus on trainees’ professional competent practice on three domains: clinical skills, attitudes and behaviour.

Objectives

  • Assess and assist with the trainees’ progress towards appropriate professional competence
  • Provide regular feedbacks to trainees
  • Develop any remedial activities for the trainee that may be required

Process and Methods of Assessment

The ITA will be undertaken by the College designated specialist trainers and the College Supervisor of Training in at least 6 monthly during the period of clinical anaesthesia training (or shorter if there is a change in hospital rotation). There are 2 ITA forms designed for specialist trainers and SOTs:

ITA Form for Trainers

  • To be completed by two or more specialists trainers, and/or
  • To be completed in a formal consensus senior staff meeting of the department
  • The form must be kept by the College SOT

ITA Form for SOTs

  • To be completed by Collge SOT with information from ‘ITA Form for Trainers’
  • ITA is a joint process of evaluation and goal setting by the Trainee and the SOT
  • Trainee and the College SOT must sign this form after the trainee has had the opportunity to add comments
  • The trainee, College SOT and the College must keep a copy of the signed completed ‘ITA Form for SOTs’

Both ITA forms are required to document and sign that the assessments have been completed in good faith.

Unsatisfactory ITA

Trainees are required to have completed ITA satisfactory before allowed to attempt the final fellowship examination or Exit Assessment. Hence, trainees who experience difficulty are encouraged to discuss with the College SOT so that remedial strategies can be established. Examples of remedial strategies include:

  • Feedback, advice and counseling of the trainee for any problem identified
  • Mentor appointment for further progress the trainee
  • Remedial further period of training

Trainees with an unsatisfactory individual ITA must be monitored and reassessed at a later stage; and formal documentation of the ITA and remedial strategies are required. The Board of Education shall be notified for any trainee whose performance is consistently below acceptable level (two or more unsatisfactory ITAs) and a number of actions may be considered included but not limit to:

  • Exclude from sitting the fellowship examination and/or Exit Assessment
  • Recommend further period of training
  • Leave or interrupt training
  • Out of training
  • Advice for career change

Trainee with unsatisfactory ITA who has any dispute of the ITA can appeal to the College or the Hong Kong Academy of Medicine.

In Training Assessment Form (The form should be signed by the SOT of the training hospital during the training period)

Administrative Instructions for submission of In-Training Assessments (ITAs)

Enquiry: Email to Chairman of Board of Education

The eLogBook is a web-based logbook which was officially launched since 1st July 2004 and was updated in October 2005. It is designed to assist the trainees to keep a record of the clinical cases and skills they have exposed. On using the eLogBook:

  • Ask the SOT of your hospital for the user ID and password
  • For trainees currently rotated to other hospital, you have to ask the SOT of your parent hospital to create the account for you
  • The SOT of parent hospital can change the setting of their trainees. Inform your parent hospital SOT to change the current hospital setting in the eLogBook after you have rotated to other hospital
  • The data may be extracted for audit, research and educational purposes
  • FAQ for trainee and SOT is available online under the Help submenu

Click here to access eLogBook. User guide on how to add shortcut onto your smartphone home screen can be downloaded here.

For trainees admitted after 1 July 2018, click here to access a new e-portfolio and e-logbook system.

Trainees please note:

Please inform the College Secretariat if you have attended course(s) relevant to your anaesthesia and/or intensive care training and is not recorded in your eTraining Portfolio 4 weeks after your have attended the course(s).

You must enter your training experience immediately before or after you have finished your rotation every year. The Board of Education will conduct regular and random checking of the information related to your training in your eTraining Portfolio.

Trainees please note:

Modifications have been made on the e-logbook:

  1. Change module name “Obs Regional Analgesia” to “Obs Regional for Labour Analgesia
  2. Restrict to enter case for module “Paediatric (<=6 years)” if age > 6 (updated on 12 Sep 2012) 

In a recent combined meeting between the Board of Education and the Board of Accreditation, it was noted that some trainees have not entered cases that he/she has done in a timely manner. The summary statistics therefore did not truly reflect his/her training experience and certain subspecialty experience that he/she is still lacking. It was therefore agreed by both Boards and subsequently endorsed by the Council of the HKCA that the following modifications to the current eLogBook system will be made to facilitate trainees to have an up-to-date training statistics in the eLogbook. Trainees are not able to add cases whose operation date is greater than 2 years from the day of data entry without any exception. However, he/she will be allowed to modify the subspecialties of all cases previously entered irrespective of the date of operation