ACCS Curriculum Summary
Common Competences (CC)
- CC1 History taking
- CC2 Clinical examination
- CC3 Therapeutics and safe prescribing
- CC4 Time and workload management
- CC5 Decision making and clinical reasoning
- CC6 The patient as central focus of care
- CC7 Prioritisation of patient safety in clinical practice
- CC8 Team working and patient safety
- CC9 Principles of quality and safety improvement
- CC10 Infection control
- CC11 Managing long term conditions and promoting patient self-care
- CC12 Relationships with patients and communication within a consultation
- CC13 Breaking bad news
- CC14 Complaints and medical error
- CC15 Communication with colleagues and cooperation
- CC16 Health promotion and public health
- CC17 Principles of medical ethics and confidentiality
- CC18 Valid consent
- CC19 Legal framework for practice
- CC20 Ethical research
- CC21 Evidence and guidelines
- CC22 Audit
- CC23 Teaching and training
- CC24 Personal behaviour
- CC25 Management and NHS structure
Major presentations - Core training (CMP)
- CMP 1 Anaphylaxis
- CMP2 Cardio-Respiratory Arrest
- CMP3 Major Trauma
- CMP4 Septic Patient
- CMP5 Shocked Patient
- CMP6 Unconscious Patient
Acute presentations- Core training (CAP)
- CAP1 Abdominal Pain including loin pain
- CAP2 Abdominal Swelling, Mass & Constipation
- CAP3 Acute Back Pain
- CAP4 Aggressive/disturbed behaviour
- CAP5 Blackout/Collapse
- CAP6 Breathlessness
- CAP7 Chest Pain
- CAP8 Confusion, Acute/Delirium
- CAP9 Cough
- CAP10 Cyanosis
- CAP11 Diarrhoea
- CAP12 Dizziness and Vertigo
- CAP13 Falls
- CAP14 Fever
- CAP15 Fits / Seizure
- CAP16 Haematemesis & Melaena
- CAP17 Headache
- CAP18 Head Injury
- CAP19 Jaundice
- CAP20 Limb Pain & Swelling - Atraumatic
- CAP21 Neck pain
- CAP22 Oliguric patient
- CAP23 Pain Management
- CAP24 Painful ear
- CAP25 Palpitations
- CAP26 Pelvic pain
- CAP27 Poisoning
- CAP28 Rash
- CAP29 Red eye
- CAP30 Mental health
- CAP31 Sore throat
- CAP32 Syncope and pre-syncope
- CAP33 Traumatic limb and joint injuries
- CAP34 Vaginal bleeding
- CAP35 Ventilatory Support
- CAP36 Vomiting and Nausea
- CAP37 Weakness and Paralysis
- CAP38 Wound assessment and management
Paediatric major presentations (PMP)
- PMP1 Anaphylaxis
- PMP2 Apnoea, stridor and airway obstruction
- PMP3 Cardio-respiratory arrest
- PMP4 Major trauma in children
- PMP5 The shocked child
- PMP6 The unconscious child
Paediatric Acute Presentations (PAP)*
* Paediatric competencies are not expected to be achieved until the end of CT3 so not all paediatric competencies are included in this year 1 and 2 training programme. The paediatric major presentations are all covered in the training programme as well as an introduction to some of the paediatric acute presentations.
- PAP1 Abdominal pain
- PAP2 Accidental poisoning, poisoning and self-harm
- PAP3 Acute life-threatening event (ALTE)
- PAP4 Blood disorders
- PAP5 Breathing difficulties - recognise the critically ill and those who will need intubation and ventilation
- PAP6 Concerning presentations
- PAP7 Dehydration secondary to diarrhoea and vomiting
- PAP8 ENT
- PAP9 Fever in all age groups
- PAP10 Floppy child
- PAP11 Gastro-intestinal bleeding
- PAP12 Headache
- PAP13 Neonatal presentations
- PAP14 Ophthalmology
- PAP15 Pain in children
- PAP16 Painful limbs – atraumatic
- PAP17 Painful limbs- traumatic
- PAP18 Rashes in children
- PAP19 Sore throat
Anaesthetic Competences (AC)
Basis of anaesthetic practice
- Basic anaesthesia (A1-5)
- Pre-operative assessment (A1)
- Pre-medication (A2)
- Induction of general anaesthesia (A3)
- Intra-operative care (A4)
- Post-operative and recovery room care (A5)
- Management of Respiratory and cardiac arrest (RC)
- Control of infection (IF)
- Introduction to anaesthesia for emergency surgery (ES)
Additional units of training
- Airway management (AM)
- Sedation (CS)
- Transfer Medicine (TF)
- Critical incidents (CI)