b'Appendix 4: Hospital AccreditationGuidelines for Hospital AccreditationIntroductionThe College of Anaesthesiologists of Ireland (CAI) is mandated as a National Training Body under the auspices of the Medical Council of Ireland (Medical Council) to inspect and accredit all sites involved in the training of its specialist anaesthesiology trainees. This is done on a five yearly basis. Specialist Anaesthesiology Training (SAT) for the awarding of a Certificate of Satisfactory Completion of Specialist Training (CSCST) from the CAI, may only be undertaken in training sites which are accredited for training by the CAI.The main aim of the accreditation process is to ensure high quality training for CAI trainees. This process involves an assessment of:the quality and volumes of anaesthesia practice in the hospital;the training capacity of the hospital in terms of the numbers and levels of seniority of trainees;the availability and quality of training activities in the hospital, including clinical and academic.Before a site is accredited for training, it is inspected by a team from the CAI. The site inspection will involve communication between the hospital and the College, with its trainees and other anaesthesiology NCHDs, with its anaesthesiology consultants, in particular the College tutors (tutors) and hospital management. The inspection will provide feedback to the CAI from the inspectors on the quality of training in that institution and will provide support to the Anaesthesiology Department in achieving adequate resources and status within the hospital. 1. Medical Council Accreditation Standards for Evaluation of Training Sites(a)Clarity of Educational Governance Arrangements(b) Clarity of Clinical Governance Arrangements(c)Accountability(d) Induction Arrangements for Trainees(e) Clear Supervisory Arrangements for Trainees(f)Opportunities for training through clinical practice for trainees (g) Access to formal and informal education and training for trainees (h) Opportunities for trainers to train through protected training time (i)Access to resources which support directed and self-directed learning (j)Access to pastoral and health supports for trainees (k)Access to resources to maintain close contact with parent training bodies(l)Promotion of Medical Council guidance on professionalism, including promotion of current ethical guidance (m) Safe working environment (n) Specialty-specific supports (o) Participation in on-call duty rota(p) Support for assessment of trainees (q) Opportunities for multi-disciplinary teamwork (r)Opportunities for trainees to provide feedback to employing authorityCurriculum for the National Specialist Anaesthesiology Training Programme 139'