FRCA Curriculum – Physics and Clinical Measurement

Competence Source Curriculum Description
PC_BK_01 Basic Mathematical concepts: relationships and graphs
PC_BK_02 Basic Exponential functions including wash-in, wash-out, tear-away
PC_BK_03 Basic Logarithms
PC_BK_04 Basic Area under the curve [integration] and rate of change [differentiation]
PC_BK_05 Basic Basic measurement concepts relevant to understanding of monitoring in anaesthesia:

linearity

drift

hysteresis

signal to noise ratio

static and dynamic response
PC_BK_06 Basic Electrolyte solutions [also drug doses]: conversion between units e.g. molar, mg/ml, %
PC_BK_07 Basic SI Units: fundamental units and derived units
PC_BK_08 Basic Other non SI units relevant to anaesthesia: including mmHg, bar, atmospheres, cm H2O, psi
PC_BK_09 Basic Simple mechanics: mass, force, work, energy, power
PC_BK_10 Basic Heat: including temperature, absolute zero
PC_BK_11 Basic Heat transfer and loss: conduction, convection, radiation, evaporation
PC_BK_12 Basic Temperature measurement: including Hg, alcohol, infrared, thermistor, thermocouple, Bourdon gauge, liquid crystal. Anatomical sites used for measurement
PC_BK_13 Basic Latent heats, triple point of water
PC_BK_14 Basic Patient warming systems: principles
PC_BK_15 Basic Warming equipment for intravenous fluids: principles
PC_BK_16 Basic Laws of thermodynamics; mechanical equivalent of heat
PC_BK_17 Basic Humidity, absolute and relative; including measurement
PC_BK_18 Basic Colligative properties: osmolarity, osmolality, osmometry, diffusion
PC_BK_19 Basic Physics of gases. Gas Laws: kinetic theory of gases, Boyles, Henry’s, Dalton, Charles, Gay-Lussac
PC_BK_20 Basic Critical temperature, critical pressure
PC_BK_21 Basic Physics of vapours
PC_BK_22 Basic Pressure: absolute and relative pressure; gauge pressure
PC_BK_23 Basic Manufacture and storage of gases and vapours, safety
PC_BK_24 Basic Cylinders and pipelines, Bourdon gauge
PC_BK_25 Basic Suction devices
PC_BK_26 Basic Scavenging devices
PC_BK_27 Basic Measurement of lung volumes and diffusion
PC_BK_28 Basic Density and viscosity of gases
PC_BK_29 Basic Laminar and turbulent flow: Hagen-Poiseuille equation, Reynold’s number, examples including helium
PC_BK_30 Basic Measurement of volume and flow in gases and liquids, including pneumotachograph and other respirometers
PC_BK_31 Basic Bernoulli principle
PC_BK_32 Basic Venturi effect and entrainment devices
PC_BK_33 Basic Vapour pressure: saturated vapour pressure
PC_BK_34 Basic Vaporisation: process of vaporisation
PC_BK_35 Basic Vaporisers: principles, including plenum and draw-over, temperature compensation, concentration
PC_BK_36 Basic Principles of surface tension
PC_BK_37 Basic Basic concepts of electricity and magnetism
PC_BK_38 Basic Electrical voltage, AC and DC current, resistance, impedance
PC_BK_39 Basic Electrical circuits: series and parallel
PC_BK_40 Basic Symbols of basic components of electrical circuits
PC_BK_41 Basic Capacitance, inductance
PC_BK_42 Basic Wheatstone bridge: principles, uses
PC_BK_43 Basic Electrical hazards: causes and prevention
PC_BK_44 Basic Electrocution: including microshock, earth faults, leakage
PC_BK_45 Basic Electrical equipment safety: domestic and medical, classification/types of equipment, symbols
PC_BK_46 Basic Circuit breakers, fuses
PC_BK_47 Basic Transformers, inductance
PC_BK_48 Basic Transistors, diodes
PC_BK_49 Basic Amplifiers: band width, low pass, high pass, band pass filters
PC_BK_50 Basic ECG: principles including electrodes and electrode placement
PC_BK_51 Basic Fourier analysis
PC_BK_52 Basic Amplification of biological signals: including ECG, EMG, EEG, BIS, CFM, CFAM
PC_BK_53 Basic Piezo-electric devices
PC_BK_54 Basic Electrical interference: sources, methods of reduction
PC_BK_55 Basic Processing, storage, display of physiological measurements
PC_BK_56 Basic Transducers and strain gauges
PC_BK_57 Basic Lasers: basic principles and safety
PC_BK_58 Basic Ultrasound: basic principles of ultrasound
PC_BK_59 Basic Demonstrates knowledge of the physics relevant to optical fibres
PC_BK_60 Basic Doppler effect, principle and clinical application
PC_BK_61 Basic Cardiac pacemakers: principles and classification
PC_BK_62 Basic Defibrillators and defibrillation: principles, including thoracic impedance, monophasic, multiphasic, implantable devices
PC_BK_63 Basic Diathermy: monopolar, bipolar; safety and uses
PC_BK_64 Basic Pressure transducers
PC_BK_65 Basic Resonance, damping, frequency response
PC_BK_66 Basic Plenum systems: warming blankets, theatre and anaesthetic room ventilation
PC_BK_67 Basic Breathing systems: Maplesons’ classification, coaxial systems, circle systems, T-piece; resuscitation breathing devices
PC_BK_68 Basic Ventilators: principles, including pressure and flow generators, cycling, minute volume dividers, jet and oscillator ventilators
PC_BK_69 Basic Disconnection: monitoring of patient ventilatory disconnection
PC_BK_70 Basic CO2 absorption: chemistry, complications
PC_BK_71 Basic Capnography
PC_BK_72 Basic Pulse oximetry
PC_IK_16 Intermediate Pulse oximetry
PC_BK_73 Basic Fires and explosions: risks and prevention
PC_BK_74 Basic Measurement of gas pressures
PC_BK_75 Basic Blood pressure: direct and indirect measurement
PC_BK_76 Basic Pulmonary artery pressure measurement
PC_BK_77 Basic Cardiac output: principles of measurement
PC_BK_78 Basic Measurement of gas and vapour concentrations: e.g. infra-red, paramagnetic, fuel cell, oxygen electrode, mass spectrometry
PC_BK_79 Basic Measurement of pH, PCO2, PO2, electrolytes
PC_BK_80 Basic Derived blood gas variables, e.g. HCO3a, HCO3s, BE. Siggaard-Andersen nomogram
PC_BK_81 Basic Measurement of CO2 production, oxygen consumption, respiratory quotient
PC_BK_82 Basic Simple tests of pulmonary function: peak flow rate, spirometry
PC_BK_83 Basic Measurement of perfusion: coronary, cerebral, splanchnic, renal
PC_BK_84 Basic Assessment of neuromuscular blockade
PC_BK_85 Basic Infusion pumps and syringe drivers; including PCA drivers and epidural infusion devices: principles, use, safety, and relevant drug infusion calculations
PC_BK_86 Basic Environmental monitoring: contamination by anaesthetic gases and vapours
PC_BK_87 Basic Minimum monitoring standards
PC_BK_88 Basic Understanding the limits of monitoring equipment
PC_BK_89 Basic Principles of calibration of monitoring equipment
PC_BK_90 Basic Principles of hygiene, including cleaning and sterilisation of equipment
PC_IK_01 Intermediate Assessment of respiratory function: blood gases, including capillary, venous and mixed venous; flow-volume loops, diffusion capacity
PC_IK_02 Intermediate Assessment of cardiac function, including exercise testing: METS, stair climbing, shuttle test
PC_IK_03 Intermediate Measurement of nerve conduction
PC_IK_04 Intermediate Operative spinal cord monitoring
PC_IK_05 Intermediate Peripheral nerve stimulators: assessment of neuromuscular function. Identification of nerves with needle electrode.
PC_IK_06 Intermediate Interpretation of biochemical data
PC_IK_07 Intermediate Interpretation of haematological data
PC_IK_08 Intermediate Measurement of coagulation of the blood and interpretation of data
PC_IK_09 Intermediate Interpretation and errors of dynamic pressure measurements: systemic, pulmonary, arterial and venous pressures
PC_IK_10 Intermediate Interpretation and errors of dynamic pressure measurements: intracranial, intrathoracic, intra-abdominal and intraocular pressures
PC_IK_11 Intermediate Cardiac output measurement: interpretation and limitations of derived indices: PiCO, LiDCO, bioimpedance, contour analysis
PC_IK_12 Intermediate Trans-oesophageal ECHO [TOE]
PC_IK_13 Intermediate Principles of imaging: principle characteristics of medical imaging devices [including X-rays, CT, MRI, ultrasound], including principles, construction, artefacts, bio-effects, hazards and safety
PC_IK_14 Intermediate Radiation protection
PC_IK_15 Intermediate Capnography: interpretation and errors
PC_IK_17 Intermediate Ventilatory and respiratory gas analysis
PC_IK_18 Intermediate Sleep studies – principles
PC_IK_19 Intermediate Principles of hygiene, including cleaning and sterilisation of equipment, and care of fibre-optic instruments
PC_IK_20 Intermediate Principles of fibre-optic instruments
PC_IK_21 Intermediate Principles of haemofiltration and renal support
PC_IK_22 Intermediate Assessment of the depth of general anaesthesia and avoidance of awareness
PC_IK_23 Intermediate Measurement of evoked potentials in the clinical situation
PC_IK_24 Intermediate Glasgow coma score [GCS]
PC_IK_25 Intermediate Anaesthetic and surgical outcome scoring systems: including Goldman, Detsky, APACHE, POSSUM etc
PC_IK_26 Intermediate Sedation scoring systems
PC_IK_27 Intermediate Assessment of cognitive function e.g. abbreviated mental test score and confusion assessment method