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Joint Consultative Committee on Anaesthesia (JCCA)

The Joint Consultative Committee on Anaesthesia (JCCA) is a tripartite committee with representatives from the Australian and New Zealand College of Anaesthetists (ANZCA), the Royal Australian College of General Practitioners (RACGP) (RACGP Rural) and the Australian College of Rural and Remote Medicine (ACRRM). The current membership of the JCCA is four specialist anaesthetists from ANZCA, two rural GP anaesthetists nominated by RACGP Rural, and two rural GP anaesthetists nominated by ACRRM. The JCCA normally meets in February, July and November of each year.

Membership

Representing RACGP (RACGP Rural)

  • Dr Stuart Prosser Chair
  • Assoc Prof Richard Watts

Representing ANZCA

  • Dr Neville Green
  • Dr Andrew Michael
  • Dr Rodney Mitchell
  • Dr Brian Spain

Representing ACRRM

  • Dr Phillip Gribble
  • Dr Charles Nadin

If you have any issues you would like discussed by the JCCA, send the details to:

Ms Pam Garrard
JCCA Secretariat
RACGP
100 Wellington Parade East Melbourne VIC 3002
P: 03 8699 0577
F: 03 8699 0400
E: jcc@racgp.org.au

RACGP Rural Statement on Anaesthesia Diploma

RACGP Rural is working with the Australian and New Zealand College of Anaesthetists (ANZCA) and the Australian College of Rural and Remote Medicine (ACRRM) in developing a Diploma of Rural General Practice Anaesthesia (DRGPA). Please note that the name of the qualification is still to be determined.

Background

Currently the Joint Consultative Committee on Anaesthesia (JCCA) provides the oversight, training post and supervision approvals, curriculum and completion of training documents for general practitioners (GPs) wishing to acquire GP anaesthesia skills. Over the last two years, the JCCA has overseen significant changes to training and CPD requirements for GP anaesthetists (GPAs). However, an ongoing lack of recognition of GPAs’ skills and contributions to rural and remote communities has overshadowed some of these efforts.

ANZCA has proposed that the DRGPA is developed and RACGP Rural supports this proposal. A DRGPA is a major advance for GPAs. The DRGPA would overcome several of the issues that the JCCA has started to address, in particular:

  • consistency of anaesthetic training
  • access to established educational resources to supplement the clinical based training program
  • standardised examination process
  • linking ongoing CPD to the currency of the qualification.

RACGP Representation

An ANZCA Consultative Working Group (CWG) is tasked with the development of the DRGPA. The RACGP representative is A/Prof Richard Watts and Dr Stuart Prosser is the JCCA representative. Additionally, Dr Ron McCoy who is RACGP’s Education Strategy Senior Advisor will attend all CWG meetings on behalf of the RACGP. All the RACGP representatives are committed to the interests of our rural GPs and their patients.

Ongoing management

RACGP Rural Chair, A/Prof Ayman Shenouda has spoken at length with Dr Rodney Mitchell, the vice-president of ANZCA. The ongoing governance of the DRGPA will be decided by all three Colleges (RACGP, ANZCA and ACRRM) and RACGP Rural will strongly advocate for the best outcomes for our members.

If you should have any questions or comments about the DRGPA or for our representatives on the CWG please email rural@racgp.org.au.

Curriculum for General Practitioner Anaesthesia, 5th Edition 2018

The JCCA supervises and examines GP registrars from the RACGP and ACRRM who are completing a twelve-month advanced rural skills (ARS) / advanced specialised training (AST) post in anaesthesia, using the Curriculum for General Practitioner Anaesthesia, 5th edition, 2018 as the basis of the training. This training includes:

  • A twelve month training period in a JCCA-accredited post
  • A satisfactory report from the director of the training department. This report may be generated in a similar fashion to the in-training assessment process for ANZCA trainees. Registrars must produce this satisfactory report of training from their supervisor before they are permitted to sit for the examination.
  • Success in the JCCA examination.

The JCCA, in liaison with ANZCA, inspects and accredits the ARS/AST training posts for these registrars, and oversees the examination process in anaesthesia. The training posts are mainly in ANZCA accredited hospitals, but there are some in ANZCA non-accredited hospitals. All hospitals accredited for ANZCA training are accepted for accreditation as a training post upon submission of relevant documentation relating to the GP anaesthesia training to be offered by the hospital.

It is possible that the Joint Consultative Committee on Anaesthesia (JCCA) can consider prior training towards the issue of a statement of equivalence to its Curriculum for General Practitioner Anaesthesia but this is not guaranteed. Each applicant’s case is treated individually with consideration being given to the original training and its format, assessment reports, rural general practice training and referee reports provided. Further information is below under Recognition of Prior Learning.

An administration fee (includes GST) is due for the issue of the confirmation letter following successful completion of training and/or a statement of equivalence. Increases are applied at 1 July each year in line with the CPI increase.

The curriculum and its associated documentation can be downloaded from the links below.

  • Training Regulations
  • Registrar enrolment in training

Registrars who have arranged a training position must enrol with the JCCA’s Secretariat at the commencement of training. The enrolment form is to be completed and forwarded to the JCC Secretariat @ jcc@racgp.org.au

  • Completion of emergency medicine course as part of training

There is a requirement for completion of an emergency medicine course as part of the GP anaesthesia training within the last four years, or for a secure position to be confirmed within a future course. The approved courses are:

  • Anaesthetic Crisis Resource Management (ACRM)
  • Emergency Life Support Course (ELS)
  • Rural Emergency Skills Training (ACRRM REST)
  • Clinical Emergency Management Program (CEMP) Advanced
  • Emergency Management of Anaesthetics Crises Course (EMAC). (It is the policy of the EMAC organisers that anyone attending EMAC must have first completed one year of accredited anaesthetic training (this includes the JCCA’s GP anaesthesia training).

Other courses may be considered by the JCCA. For clarification JCCA registrars should contact the JCCA Secretariat.

For registrars who have not completed the emergency medicine course prior to their training completion date advice of a secure position in a future course is to be advised. The certificate of satisfactory completion of the course is to be supplied to the JCCA within two weeks of completion. This regulation relates to the JCCA’s training. If a registrar intends to apply for the RACGP’s FARGP or the FACRRM it is recommended that they contact the relevant College to enquire on regulations for completion of emergency medicine courses for application for these awards.

Curriculum Statement in Anaesthesia for Advanced Rural Skills and Advanced Specialised Training, Fourth Edition 2010

A link to a copy of the Curriculum Statement in Anaesthesia for Advanced Rural Skills and Advanced Specialised Training, Fourth Edition 2010 is available below.

JCCA CPD Standard

The JCCA CPD Standard (previously Maintenance of Professional Standards) was introduced by the JCCA in the 1996–98 triennium as a means for general practitioners providing anaesthesia services  to develop their continuing professional development (CPD) or  professional development (PDP) activities in the area of anaesthesia. Effective CPD is understood by the medical profession as educational activity that results in quality improvement in clinical practice. The standard reference curriculum for this program is the Curriculum for general practitioner anaesthesia. 

Successful completion of the JCCA CPD program leads to the issue of a certificate of completion. 

  • 2017–19 triennium

During 2016 the Victorian Coroner recommended that in order that general practitioners providing anaesthesia services remain informed, appraised of and proficient in current practice and current practice standards in the area of anaesthesia a compulsory continuing professional development (CPD) scheme be implemented. 

A second recommendation was to link the provision of ongoing or triennium accreditation to practice as a general practitioner providing anaesthesia services only on the completion of compulsory CPD points as determined within the stated period. 

This was discussed by the JCCA and agreed that a mandatory CPD program should be introduced for the 2017–19 triennium. The JCCA recognises that it can only recommend compliance with the CPD Standard. However, this information has been advised to health authorities encouraging that demonstration of compliance with the JCCA CPD Standard should be sought from general practitioners providing anaesthesia services as part of routine credentialing processes. 

The 2017–19 requirements are outlined in the handbook which can be downloaded below. 

In the handbook there is mention of a Return to work procedure and Recognition of prior learning policy. These two documents are currently with the three colleges for consideration of endorsement and will be added to the website when confirmed. 

Enrolment

A GP who has completed the 12 months GP anaesthesia training or previously enrolled in the Maintenance of Professional Standards program during the 2002–04 triennium or after is required to complete the one page registration form only. 

New enrollees should complete the longer enrolment form. This application requires evidence of anaesthesia training, qualifications, recent caseload, curriculum vitae, and reports on completion of a supervised clinical attachment and the JCCA's examination, to be attached. 

Enrolment with the JCCA is not compulsory and general practitioners providing anaesthesia services can complete the JCCA CPD requirements in their own College CPD program (RACGP, ANZCA or ACRRM).

Please note: Forms need to be downloaded and saved on your computer in order for you to be able to fill them out electronically.

Recognition of Prior Learning

It is possible that the Joint Consultative Committee on Anaesthesia (JCCA) can consider prior training towards the issue of a statement of equivalence to its Curriculum Statement for General Practitioner Anaesthesia but this is not guaranteed. Each applicant’s case is treated individually with consideration being given to the original training and its format, assessment reports, evidence of intention to enter rural general practice training and referee reports provided. The Recognition of prior learning policy and application form can be downloaded below. 

The JCCA advises that the issue that the issue of a statement of equivalence of training is related to the curriculum training only and is not connected with whether a GP can practise as a GP providing anaesthesia services in a rural area in the future. This is not the JCCA's decision and requires credentialing by a hospital credentialing committee. 

General practitioners providing anaesthesia services to practice after they have been away from anaesthesia practise

It is the JCCA’s policy that a return to work program must be completed where a general practitioner providing anaesthesia services has had time out of Anaesthesia practice. As there is a large degree of individual variation in the impact of factors involved return to practice programs must be tailored to individual needs. The overall aim is to ensure that the general practitioner providing anaesthesia services provides safe and up–to–date care.

The JCCA’s Return to work/upskilling policy and application form can be downloaded below.