Download Core module 5: Core surgical skills

Key:
Common competency framework competencies Medical leadership framework competencies Health inequality framework competencies
Core Module 5: Core Surgical Skills
Learning outcomes:

To understand and demonstrate appropriate knowledge, skills and attitudes in relation to basic surgical skills
Knowledge criteria
GMP
Clinical competency
GMP
Professional skills and attitudes
GMP
Training support
Evidence/assessment
Legal issues around consent to surgical
procedures, including consent of children,
adults with incapacity and adults and
children in emergency situations
1,2
Interpret pre-operative investigations
1
Recognise the need for and initiate
collaboration with other disciplines,
before, during and after surgery
3
Basic Practical skills
course (RCOG
approved)
Logbook
Demonstrate the ability to select the
operative procedure with due regard
to degree of urgency, likely pathology
and anticipated prognosis
1
RCOG Obtaining
Valid Consent
Guideline. RCOG
website.
MRCOG
Have an awareness of the need to
meet targets
1
RCOG Consent
Advice series
Mini CEX
Develop the ability to work under
pressure and recognise limitations
2
Department of Health
website
Reflective learning
Show the need to appreciate and
recognise that decision making is a
collaborative process between the
surgical team members
3
Local courses
MRCOG Part One
StratOG.net: The
Obstetrician and
Gynaecologist as a
Professional. Ethical
and legal issues etutorial
MRCOG Part Two
Arrange pre-operative management
Recognise potential co morbidity
Name and mode of use of common
surgical instruments and sutures
Obtain valid consent
1,3,4
Complications of surgery
Explain procedures to patient
3
Regional anatomy and histology
Advise patient on postoperative course
Commonly encountered infections,
including an understanding of the
principles of infection control
Within agreed level of competency for the
procedure:

Choose appropriate operation

Exhibit technical competence

Make intraoperative decisions

Manage intra-operative problems
Audit project
OSATS – opening and
closing abdomen
CbD
Knowledge of the NHS Improvement
Programme Enhanced Recovery
principles to enhance patient safety and
optimise pre, intra and postoperative care
Principles of nutrition, water; electrolyte
and acid base balance and cell biology.
1,3,4
Clinical skills essential for:
o
Common clinical skills-delivery of twins
fetal bradycardia and ventouse delivery,
malposition at full dilatation
Confident in stepping up from ST2 to
ST3
Increase responsibility and promote
patient safety
Appropriate use of blood and blood
products
Non-clinical skills essential for:
o
Understanding of senior
midwife coordinator
expectations of an ST3 on
delivery suite
o
Best practice in telephone
consultations and referral
o
Coping and dealing with
serious untoward incidents
including debriefing and
feedback.
o
Improving resilience –looking
after yourself
General pathological principles
MRCOG Part Three
Assessment in
Laparoscopic Simulation
with OSATS
The Obstetrician and
Gynaecologist journal
Learning resources
available at NHS
Improvement
Programme website
– Enhanced
Recovery
(Gynaecology)
http://www.improvem
ent.nhs.uk/enhancedr
ecovery2/Gynaecolo
gy.aspx
1
GMC Good Medical Practice (GMP) Domains:
Domain 1: Knowledge, skills and Performance
Domain 2: Safety and quality
Domain 3: Communication, Partnership and Teamwork.
Domain 4: Maintaining Trust
Key:
Common competency framework competencies Medical leadership framework competencies Health inequality framework competencies
Knowledge criteria
GMP
Clinical competency
GMP
Professional skills and attitudes
GMP
Training support
Evidence/assessment
Resilience training;
Step-up course or
equivalent
2
GMC Good Medical Practice (GMP) Domains:
Domain 1: Knowledge, skills and Performance
Domain 2: Safety and quality
Domain 3: Communication, Partnership and Teamwork.
Domain 4: Maintaining Trust
Key:
Common competency framework competencies Medical leadership framework competencies Health inequality framework competencies
Appendix to Module 5: Details of Knowledge Criteria:

Knowledge of the NHS Improvement Programme Enhanced Recovery principles to enhance patient safety and ensure:

patients are in the optimal condition for treatment

patients have different care during their operation

patients experience optimal post-operative rehabilitation

Legal issues around consent to surgical procedures, including consent of minors (and Fraser competency), adults with incapacity and adults and children in emergency situations.

Name and mode of use of common surgical instruments.

Knowledge of sutures and their appropriate use.

Prevention and complications of surgery including:



Venous thromboembolism
Infection (wound, urinary tract, respiratory, intra-abdominal and pelvic)
Primary and secondary haemorrhage (intraoperative and postoperative).

Relevant clinical anatomy.

Relevant bones, joints, muscles, blood vessels, lymphatics, nerve supply and histology.

Characteristics, recognition, prevention, eradication and pathological effects of all commonly encountered bacteria, viruses, Rickettsia, fungi, protozoa, parasites and toxins, including an
understanding of the principles of infection control.

Principles of nutrition, water, electrolyte and acid base balance and cell biology.

Knowledge and awareness of anaesthesia: general anaesthetic, conscious sedation, regional and local.

General pathological principles including general, tissue and cellular responses to trauma, infection, inflammation, therapeutic intervention (especially by the use of irradiation, cytotoxic
drugs and
hormones), disturbances in blood flow, loss of body fluids, hyperplasia and neoplasia.

Knowledge and awareness of use in complications of Diathermy and other energy sources Curriculum Module 6: Postoperative Care
3
GMC Good Medical Practice (GMP) Domains:
Domain 1: Knowledge, skills and Performance
Domain 2: Safety and quality
Domain 3: Communication, Partnership and Teamwork.
Domain 4: Maintaining Trust
Key:
Common competency framework competencies Medical leadership framework competencies Health inequality framework competencies
Competence level
Basic level
Intermediate level
Advanced level
Not required
Core Module 5 Logbook
Level 1
Date
Level 2
Signature
Date
Signature
Level 3
Date
Signature
Interpret preoperative investigations
Arrange preoperative management
Obtain informed consent
Choose appropriate operation
Open and close the abdomen
Exhibit technical competence
Make appropriate operative decisions
Manage intraoperative problems
Training Courses or sessions
Date
Title
Signature of educational supervisor
Obtaining consent
Basic Practical Skills in Obstetrics and Gynaecology course
(RCOG approved)
4
GMC Good Medical Practice (GMP) Domains:
Domain 1: Knowledge, skills and Performance
Domain 2: Safety and quality
Domain 3: Communication, Partnership and Teamwork.
Domain 4: Maintaining Trust
Key:
Common competency framework competencies Medical leadership framework competencies Health inequality framework competencies
Resilience training; Step-up course (or equivalent)
Authorisation of signatures (to be completed by the clinical trainers)
Name of clinical trainer (please print)
OSATS
Opening and closing the abdomen
Signature of clinical trainer
Each OSATS should be successfully completed for Independent Practice on 3 occasions before the module can be signed off
Date
Date
Date
Signature
Signature
Signature
5
GMC Good Medical Practice (GMP) Domains:
Domain 1: Knowledge, skills and Performance
Domain 2: Safety and quality
Domain 3: Communication, Partnership and Teamwork.
Domain 4: Maintaining Trust
Key:
Common competency framework competencies Medical leadership framework competencies Health inequality framework competencies
COMPLETION OF MODULE 5
I confirm that all components of the module have been successfully completed:
Date
Name of educational supervisor
Signature of educational supervisor
6
GMC Good Medical Practice (GMP) Domains:
Domain 1: Knowledge, skills and Performance
Domain 2: Safety and quality
Domain 3: Communication, Partnership and Teamwork.
Domain 4: Maintaining Trust