2021 Curriculum learning syllabus: stage 3

Published: 23/02/2021

Perioperative Medicine and Health Promotion

Stage learning outcomes

  • Manages perioperative care at an individual and service-wide level 
  • Applies the principles of sustainability to clinical practice

 

Key capabilities A to E

A

Delivers high quality perioperative care of all patients for elective and emergency surgery, developing expertise in an area of anaesthetic special interest

B

Describes the impact of patient mental health and well-being on perioperative care and applies this to practice

C

Describes the principles of person-centred care, including effective self-management, self-care and expert patient support

D

Describes the reasonable limitations of perioperative interventions

E

Can make reasoned clinical decisions in the face of uncertainty

Examples of evidence

  • SLEs throughout stage of training including special interest area and experience in pre-operative assessment clinics demonstrating, for example:
    • ability to work independently in special interest area (ALMAT)
    • leading a pre-operative assessment clinic
    • discussion and advice on likely outcomes and recovery following anaesthesia and surgery for complex patients
    • discussion of alternative treatment pathways and their relative risks and benefits.
Personal activities and reflections:
  • courses and e-Learning: scientific meetings on perioperative medicine.

Suggested supervision level

  • 4 - should be able to manage independently with no supervisor involvement (although should inform consultant supervisor as appropriate to local protocols).

Cross links with other domains and capabilities

  • Professional Behaviours and Communication
  • General Anaesthesia
  • areas of special interest

 

Key capabilities F & G

F

Applies the principles of shared decision making about the suitability of surgery and anaesthesia with high-risk patients and colleagues

G

Evaluates information gained through preoperative assessment and applies the principles of shared decision making with the patient and multi-disciplinary team

Examples of evidence

  • SLEs throughout stage of training including special interest area and experience in pre-operative assessment clinics demonstrating, for example:
    • leadership in discussion of patient care with surgical team.
Personal activities and reflections:
  • courses and e-Learning: NICE guidance – shared decision making.

Suggested supervision level

  • 4 - should be able to manage independently with no supervisor involvement (although should inform consultant supervisor as appropriate to local protocols).

Cross links with other domains and capabilities

  • Professional Behaviours and Communication
  • General Anaesthesia

 

Key capabilities H & I

H

Acts as an advocate for health promotion and illness prevention in the perioperative period

I

Supports members of the preoperative team to deliver perioperative health promotion strategies

Examples of evidence

  • SLEs throughout stage of training including special interest areas and experience in pre-operative assessment clinics.
Personal activities and reflections:
  • activities related to enhanced recovery programmes
  • development of preparation for surgery strategies eg RCoA Fitter Better Sooner.

Suggested supervision level

  • 4 - should be able to manage independently with no supervisor involvement (although should inform consultant supervisor as appropriate to local protocols).

Cross links with other domains and capabilities

  • General Anaesthesia

 

Key capability J

J

Promotes strategies to support sustainable healthcare in clinical practice

Examples of evidence

  • SLEs throughout stage of training including special interest areas.
Personal activities and reflections:
  • courses and e-Learning: environmental impact of anaesthesia
  • quality improvement project looking at sustainability in operating departments.

Suggested supervision level

  • not applicable.

Cross links with other domains and capabilities

  • Safety and Quality Improvement
  • General Anaesthesia

 

Key capability K

K

Develops an understanding of the basic principles of global health including governance, health systems and global health risks

Examples of evidence

Personal activities and reflections:
  • courses and e-Learning: anaesthesia in developing countries.

Suggested supervision level

  • not applicable.

Cross links with other domains and capabilities

  • Safety and Quality Improvement
  • General Anaesthesia