The new curriculum requires trainees to complete either one 12 month block or two 6 month blocks from the General Duties list in preparation for independent practice.   Advanced modules are for Year ST6/7 trainees although you can apply if you are currently an ST5 but will be moving into ST6 at the next rotation and you have undertaken it at Higher first.

You will receive an application form via email.




It is most important that you read the ‘Annex E’ document written by the Royal College of Anaesthetists on Advanced Training (

Advanced training   ‘Domains’

For each Advanced unit, the emphasis is on advanced clinical experience underpinned by the 5 other domains:

Domain 1 – Clinical practice

Non clinical domains

Domain 2 – Team working

Domain 3 – Leadership

Domain 4 – Innovation

Domain 5 – Management

Domain 6 – Education

GUIDANCE FOR TRAINEES – what is available?


Advanced Training Modules (ATMs)

As suggested by the Royal College of Anaesthetists (Annex E) – Advanced training has two aims:

The Northern School’s delivery of this part of the 2010 curriculum is an evolving project. Our one key aim is to make this a fair process.


Please note:

At Higher level we would expect trainees to complete 9 of the 14 units of training listed under the general duties banner before applying for an advanced module.

The Pre-hospitalEmergency Medicine (PHEM) posts – including JCUH post, are appointed nationally and we are not involved with the appointment. This is classed as an OOPE (Out of Programme Experience). If you are planning to apply for this post or for a post out of region, you MUST seek permission from the Programme Director before accepting a job.   The final decision is made by the School Executive Committee.

If you already have an Advanced ICM post then that year IS your Advanced year (or equivalent). The same applies to trainees who have been appointed to Advanced Pain / 12 months Research in JCUH/RVI and to anyone doing the 12 month Pre-hospital Emergency Medicine Care (OOPE) post at James Cook.

Advanced/Chronic Pain – you will need to have discussed your plans in advance with the Regional Advisor for Pain Management – Dr Allistair Dodds, Consultant in Anaesthesia & Pain Management, Sunderland Royal Hospital.  Advanced Pain is only recognised at the Royal Victoria Infirmary and James Cook University Hospital.   You will work in only one of these units for 12 months.

If there are vacant ATM posts available, the TPD can place other trainees in empty slots if it fits in with the structure and running of the rotation and the requirements of said trainees.

Where we have too many applicants for the number of posts in any subspecialty, there will be competitive interviews.

Where you will go to do your module?   You are NOT guaranteed any particular location for your Advanced Training Module.   The Programme Director  will determine who goes where.   No trainer can promise an ATM to a trainee!

Before you start your module. Once you have received notification from the TPD of your advanced module, you should think about contacting the College Tutor or Advanced Lead to discuss on-going projects, research and teaching opportunities that are taking place which you could start planning for once you start your module.

Advanced Modules offered in the Northern Region


Attached is the most up to date list of ATMs available and where they are located.
















Most Job descriptions of  Advanced modules can be found in the drop down menu under ‘Advanced Training’.