Our Curriculum
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Our Curriculum
The program spans four years, with an optional final year in France as a junior doctor for residents who achieve a B2 level in French.
Anaesthesia & Critical Care — Full Residency Programme
Years 1 to 4 · From foundations to independent specialist practice · CoBaTriCE aligned
Year 1 — Foundation Phase
Core clinical competencies: pre-op assessment, general anaesthesia, airway management, regional techniques, recovery and critical care basics.
10 modules
From first consultation to critical care — the complete foundation
Ten core clinical competencies, hands-on from day one, built around patient safety, technical mastery, and professional excellence.
Pre-anesthesia assessment
Risk stratification, lab validation, airway & analgesia planning, consent, fasting rules — elective, urgent, obstetric & high-risk cases.
OR readiness
Systematic room checks to detect equipment or system failures before any procedure begins.
General anesthesia setup
Efficient, safe setup and verification of all anaesthesia equipment for routine surgical cases.
Airway & vascular access
Mask ventilation to advanced intubation; IV & arterial line insertion including ultrasound-guided access in elective and emergency settings.
Intraoperative monitoring
ECG mastery, vital sign trends, NMB monitoring, depth of anaesthesia, ventilation management, fluid balance & reinjection protocols.
Complication recognition
Identify & manage hypoxemia, hypotension, arrhythmias, anuria with faculty support; independently manage uncomplicated ASA 1 patients.
Recovery & handover
Wake-up, weaning & extubation criteria; structured handovers; PACU monitoring, pain assessment & Aldrete-based discharge.
Sedation for GI procedures
Risk assessment, sedation type selection, simple TCI, observation of high-risk cases, airway management & recovery oversight.
Regional anaesthesia
Spinal, epidural & peripheral/interfascial nerve blocks under ultrasound & NS guidance; side-effect management & acute post-op pain.
Communication & professionalism
Morning case presentations, SBAR, closed-loop verbal orders, ASA 1–3 plan formulation & reflective debriefing.
New — Critical Care Track
Basics of Critical Care — integrated from Year 1
Alongside anaesthesia training, residents gain early ICU exposure — building the cross-disciplinary foundation that defines elite specialists from the very start of their career.
Ventilator management
Shock recognition
Organ support basics
Sepsis protocols
ICU handover
Arterial line interpretation
Fluid resuscitation
Pre-anesthesia consultation & planning
Assess, stratify and plan for any patient — from routine elective to high-risk multimorbidity.
OR setup & general anaesthesia delivery
Equipment checks, induction, ventilation piloting, real-time monitoring, complication response.
Sedation & regional techniques
GI sedation protocols, TCI, neuraxial blocks, ultrasound-guided peripheral nerve blocks.
Post-op care, recovery & discharge
PACU monitoring, pain protocols, Aldrete scoring, structured patient handover.
Critical care basics
Haemodynamic monitoring, ventilator management, shock recognition & ICU handover protocols.
Reflective practice & professional growth
Daily debriefs, morning meetings, evidence-based decision-making & self-appraisal.
Years 2 & 3 — Deepening Phase
Advanced mastery across specialty anaesthesia domains, ultrasound-guided practice and 29 CoBaTriCE critical care competencies.
7 anaesthesia + 29 ICU
Advanced clinical mastery across anaesthesia and intensive care
Building on Year 1 foundations, residents deepen expertise across 7 complex anaesthesia domains and 29 critical care competencies — aligned with the European CoBaTriCE framework.
Reference framework: CoBaTriCE — Competency Based Training in Intensive Care Medicine in Europe. All competencies are mapped to this European standard.
Preoperative assessment
Full pre-op workup, operative risk classification, drug management, and anesthetic strategy.
- Operative risk (ASA, cardiac risk)
- Perioperative drug management
General anaesthesia
Complete mastery of GA delivery from machine checks to emergence under deep monitoring metrics.
- Airway control & ventilation metrics
- Depth of anaesthesia tracking loops
Recovery management
Pathophysiology of recovery, complex incident monitoring, and treatment protocols for PONV.
- Recovery pathophysiology & scores
- PONV prevention architecture
Locoregional anaesthesia
Full pharmacology of local anaesthetics and advanced practice of major nerve techniques.
- Spinal, epidural & caudal blocks
- Peripheral nerve block mapping
Perioperative pain
Complete pain control matrix from intraoperative delivery down to long term chronic tracks.
- Morphine, antagonists & multi-modes
- Postoperative pain management paths
Specialty anaesthesia
Adapting complex clinical strategy across major organic subspecialty surgical arenas.
- Cardiovascular, Thoracic & Neuro paths
- Obstetric & Pediatric high-risk loops
Ultrasound & Resuscitation
Diagnostic procedural ultrasound validation across cardiac, pulmonary and vascular applications.
- Cardiac echo & Pleuropulmonary checks
- US-guided locoregional sono-anatomy
Critical Care — 29 competencies · CoBaTriCE aligned
Intensive care mastery — organ failure to end-of-life care
A comprehensive ICU curriculum covering every dimension of critical illness physiological support profiles.
Structured assessment and treatment of single/multi-organ failure.
Evaluate, monitor, prescribe and interpret examination loops.
Manage metabolic, cardiovascular, renal and hepatic system collapses.
Identify and deploy dynamic bundles for severe septic shock tracks.
Identify and manage environmental toxin or drug toxicities parameters.
Manage catastrophic acute peripartum complication syndromes safely.
Master strategic pharmacology profiles for specific ICU antibiotic targets.
Administer massive blood transfusions and track products safety pipelines.
Calibrate vasopressors, inotropes, and responsive fluid therapies rules.
Deploy mechanical circulatory options (IABP, basic ECMO support loops).
Initiate, manage and wean complex invasive/non-invasive ventilation setups.
Complete CoBaTriCE intensive portfolios including end-of-life legal frameworks.
Year 4 — Mastery & Transition Phase
Transitioning to independent specialist practice. Senior leadership roles, advanced management architecture, and clinical mastery blocks.
Strategic Leadership
Professional transition, clinical mastery, and systemic leadership
The final residency tier. Shifting from high-level supervision to independent clinical decision-making, operation command loops, and hospital management expertise.
Clinical Governance
Command morbidity and mortality reviews, manage hospital risk registries, and enforce evidence safety benchmarks.
Team Management
Coordinate diverse operative teams under severe stress, manage conflict resolutions, and oversee junior resident steps.
Academic Excellence
Deliver complex case analyses, guide journal clubs, and produce quality improvement projects.
Anesthesia Pre-Op Clinics
Direct the patient triage pathway, optimize hospital booking lists, and manage tertiary referral loops loops.
Operating Room Logistics
Master emergency schedule adjustments, staff balance paths, workflow efficiency metrics, and turnover safety limits.
Intensive Care Bed Flow
Analyse critical bed capacity, navigate step-down triage arguments, and settle allocation choices under acute pressure.
Specialist Board Readiness Guaranteed
On completion of Year 4 criteria, residents fully step into the independent professional market as assertive, competent clinical leaders ready for complex hospital practice.
