2021 Curriculum learning syllabus: stage 1

Published: 04/02/2021

Perioperative Medicine and Health Promotion

Stage learning outcomes

  • Identifies clinical and social challenges that increase risk for patients undergoing surgery.
  • Appreciates the principles of sustainability in clinical practice

Key capabilities A to F

A

Explains the patient, anaesthetic and surgical factors influencing patient outcomes

B

Applies a structured approach to preoperative anaesthetic assessment of ASA 1-3 patients prior to surgery and recognises when further assessment and optimisation is required

C

Explains the effect that co-existing disease, subsequent treatment and surgical procedure may have on the conduct of anaesthesia and plans perioperative management accordingly

D

Explains individualised options and risks of anaesthesia and pain management to patients

E

Describes the importance of perioperative nutrition and fasting
F Recognises and acts on the specific perioperative care requirements in frail and elderly patients and those with cognitive impairment

Examples of evidence

  • EPAs 1, 2, and 4
  • SLEs throughout stage of training across range of surgical specialties and experience in pre-operative assessment clinics.

Suggested supervision level

  • 2b - supervisor within hospital for queries, able to provide prompt direction/assistance.

Cross links with other domains and capabilities

  • General Anaesthesia

Key capability G

G

Considers patient informed preference when obtaining consent for anaesthetic procedures.

Examples of evidence

  • EPA 1

  • SLEs throughout stage of training across range of surgical specialties and experience in pre-operative assessment clinics.

Suggested supervision level

  • Not applicable.

Cross links with other domains and capabilities

  • General Anaesthesia
  • Regional Anaesthesia

Key capabilities H & I

H

Describes and recognises the role of socio-economic, environmental and lifestyle factors in health and illness

I

Identifies appropriate opportunities to educate patients in health matters

Examples of evidence

  • EPA 1
  • SLEs throughout stage of training across range of surgical specialties and experience in pre-operative assessment clinics.

Suggested supervision level

  • not applicable.

Cross links with other domains and capabilities

  • General Anaesthesia

Key Capability J

J

Describes and utilises appropriate antibiotic prophylaxis and prevention and treatment of infections

Examples of evidence

  • EPAs 2 and 4
  • SLEs throughout stage of training across range of surgical specialties.

Suggested supervision level

  • 2b - supervisor within hospital for queries, able to provide prompt direction/assistance.

Cross links with other domains and capabilities

  • General Anaesthesia
  • Intensive Care
     

Key capability K

K

Explains the environmental impact of healthcare and the principles of sustainable clinical practice

Examples of evidence

  • SLEs throughout stage of training across range of surgical specialties
  • demonstration of learning through reflection of journal articles, texts, eLearning, webinars, courses, etc.

Suggested supervision level

  • not applicable.

Cross links with other domains and capabilities

  • Intensive Care
     

Key capability L

L

Applies local policies to prevent venous thromboembolism and understands the implications for anaesthetic practice on an individualised basis

Examples of evidence

  • EPAs 1, 2, 3, and 4
  • SLEs throughout stage of training across range of surgical specialties.

Suggested supervision level

  • 2b - supervisor within hospital for queries, able to provide prompt direction/assistance.

Cross links with other domains and capabilities

  • General Anaesthesia
  • Regional Anaesthesia

Paediatric anaesthesia: key capability M

M

Explains the specific perioperative care requirements of children including anxiety management

Examples of evidence

  • SLEs throughout stage of training across range of paediatric surgical specialties.

Suggested supervision level

  • 2a - supervisor in theatre suite, available to guide aspects of activity through monitoring at regular intervals.

Cross links with other domains and capabilities

  • General Anaesthesia

Obstetric anaesthesia: key capability N

N

Explains the perioperative implications of pregnancy, and initiates management of common serious diseases relating to pregnancy

Examples of evidence

  • EPA 4
  • SLEs throughout stage of training in obstetrics.

Suggested supervision level

  • 2b - supervisor within hospital for queries, able to provide prompt direction/assistance.

Cross links with other domains and capabilities

  • General Anaesthesia
  • Regional Anaesthesia

Key capability O

O

Liaises with critical care when appropriate for post–operative care

Examples of evidence

  • SLEs throughout stage of training across range of surgical specialties.

Suggested supervision level

  • 2b - supervisor within hospital for queries, able to provide prompt direction/assistance.

Cross links with other domains and capabilities

  • Professional Behaviours and Communication
  • General Anaesthesia

Key capability P

P

Describes the perioperative requirements for day case surgery

Examples of evidence

  • EPAs 1 and 2
  • SLEs throughout stage of training across range of surgical specialties.

Suggested supervision level

  • not applicable.

Cross links with other domains and capabilities

  • General Anaesthesia

Key capability Q

Q

Safely prescribes and administers blood products

Examples of evidence

  • SLEs throughout stage of training across range of surgical specialties
  • blood transfusion training
  • EPA 4.

Suggested supervision level

  • 3 - supervisor on call from home for queries able to provide directions via phone or non-immediate attendance.

Cross links with other domains and capabilities

  • General Anaesthesia