Stage 1 (Core) pain training

What is Stage 1 Pain Medicine training?

Pain Training is one of the 14 domains of learning with the RCoA 2021 Anaesthetic curriculum. Stage 1 Pain Training is aimed at providing a comprehensive introduction to Pain Medicine reflected in 'generalist' anaesthetic practice, improving your approach to the management of pain in the perioperative period.

Your Stage 1 Pain module will improve your understanding of:

  • the assessment of patients with acute, chronic, acute on chronic, and cancer pain
  • the biopsychosocial model of pain
  • the pharmacotherapy management of pain
  • the use of equipment for pain management
  • multi-professional and multi-disciplinary team working.

Why do I need Stage 1 Pain training?

Managing pain is a key anaesthetic skill. The aspiring anaesthetist must develop wide-ranging knowledge, be proficient in a number of technical and nontechnical skills, and must understand how to best apply these abilities safely in different contexts.

When do I complete Stage 1 Pain training?

Stage 1 is the first 3 years of the anaesthetics training programme, from CT1 to CT3. Stage 1 is commenced on successful recruitment to core training. Evidence for Stage 1 Pain training can be accumulated the three years of training.

Completing Stage 1 Pain training

This requires completion of a HALO by your Faculty Tutor in Pain Medicine or Regional Advisor in Pain Medicine.

Completion of a HALO requires the following evidence:

  1. supervised learning events (ACEX, ALMAT, A-QIPAT, CBD, DOPS) to suggest level of supervision
  2. personal activities
  3. personal reflections
  4. multiple trainer report(s) that include Pain.

Counting experience from outside the training programme towards a CCT

Anaesthetists joining the training programme may be able to have some of their prior UK experience count towards their CCT. RCoA guidance on this process can be found here.

Ready to take the next step?
Read more about moving beyond Stage 1
to Stage 2 Pain Training.