In the rigorous path to becoming a consultant anaesthetist, the "procedure" is the primary unit of competency. Whether you are performing an Ororacheal Intubation in a high-stakes emergency or a complex Regional Block in a controlled surgical environment, the ability to document the Outcome and the level of Supervision is the foundation of your clinical evidence. A procedure performed but not recorded is a technical milestone that remains invisible to your training board.
The Philosophy of Procedural Proficiency
The "Procedure v2" template is designed for the trainee or fellow who understands that technical mastery is built on an audit of repetition. It moves your procedural tracking from scattered notes to a structured, audit-ready digital ledger. By standardizing the capture of the specific Procedure type and the anatomical Site, the system ensures that your portfolio meets the forensic requirements of the Royal College of Anaesthetists (RCoA). It acknowledges that a Successful procedure performed Independently represents a different level of proficiency than one that Required Assistance.
The Blueprint: Technical Skill Architecture
The structure of this library is built to handle the high density of data required for surgical training.
- Taxonomic Breadth: The template provides a comprehensive Procedure list, ranging from basic LMA Insertion to advanced Fibreoptic Intubation and Percutaneous Tracheostomy. This ensure that your portfolio demonstrates mastery across the full spectrum of anaesthetic practice.
- Supervision Hierarchy: Dedicated fields for Supervision (Assisted, Observed, Independent) establish the clinical progression of your training, providing documented proof of your increasing autonomy.
- Outcome Forensics: The Outcome field provides an objective measure of procedural success. This data is vital for self-reflection and for identifying areas where further supervised practice or simulation training may be required.
Usage Scenarios: The Portfolio Audit
You are preparing for your Annual Review of Competence Progression (ARCP). Instead of manually counting procedures from various logbooks, you open Memento and filter by Procedure = Epidural. You instantly see your total volume and your success rate. You group by Supervision to show that 90% of your Central Venous Catheter placements are now performed Independently. The narrative of your growth is clear, the data is structured, and your procedural evidence is ready for senior review in seconds.
Power Feature: Integrated Site and Note Context
By utilize the Site and Notes fields, the template allows you to document the specific challenges of a procedure—such as a difficult airway anatomy or a complex regional block requirement. This contextual data turns a simple tick-box into a professional case study, providing the depth of evidence required for advanced specialist modules. It ensures that your clinical milestones are always supported by high-resolution documentation of the patient's specific procedural journey.