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 - 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling in the blank space for the trainee's name, ensuring accuracy as this will be part of the official certification.
  3. Enter the GMC number and College Reference Number in their respective fields. Double-check these numbers for correctness.
  4. Review the clinical learning outcomes listed. Ensure that all relevant competencies are marked as demonstrated during assessments.
  5. Fill in the date of completion in the format day/month/year, which is crucial for record-keeping.
  6. Obtain signatures from two Consultant Anaesthetists, ensuring they print their names and include dates next to their signatures.
  7. Add any necessary hospital or department date stamp to finalize the document.

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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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Integrated Assessment Centre - IAC.

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