The Royal College of Anaesthetists Initial Assessment of Competence in Obstetric Anaesthesia Certificate This is to certify that: GMC number College Reference Number has satisfactorily passed the workplace assessments and demonstrated the - 2025

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The Initial Assessment of Competence (IAC) is the first milestone in Anaesthetics training. We use the term novice anaesthetist, to describe a learner who is yet to achieve their IAC.
Obstetric anesthesia, by definition, is a subspecialty of anesthesia devoted to peripartum, perioperatvie, pain and anesthetic management of women during pregnancy and the puerperium. Perhaps no other subspecialty of anesthesiology provides more personal gratification than the practice of obstetric anesthesia.
The IAC is the foundation of training in Anaesthetics and is also a mandatory component of Core Training in Emergency and Intensive Care Medicine. The IAC consists of the two Entrustable Professional Activities (EPA) shown in Figure 1. Each EPA is described in greater detail below.
The indicative time-course for attaining the IACOA is a minimum of 3 months and usually commences after 1 year of anaesthetic training. Award of the IACOA allows the anaesthetist in training to take part in the obstetric on call rota.
The Initial Assessment of Competence in Obstetric Anaesthesia (IACOA) is an important milestone in the initial training period of obstetric anaesthesia in stage 1. The indicative time-course for attaining the IACOA is a minimum of 3 months and usually commences after 1 year of anaesthetic training.
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