2021 Curriculum learning syllabus: stage 2

Published: 09/02/2021

Pain

Stage learning outcome

  • Understands the aetiology and management of acute, acute on chronic and chronic pain

 

Key capabilities A & B

A

Utilises a multi-disciplinary approach to the management of complex pain within a biopsychosocial model of care

B

Can confidently manage acute pain in the whole perioperative pathway in a timely manner

Examples of evidence

  • SLEs throughout stage of training across range of surgical specialties and from specialist pain clinics
  • examples: regional anaesthesia techniques for post-operative pain
  • management plans for the transition to oral analgesia from PCA, neuraxial or regional anaesthesia techniques.
Personal activities and reflections:
  • leading pain round
  • attendance at specialist pain clinic
  • biopsychosocial approach in pain management programmes and multidisciplinary reviews.

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

  • Professional Behaviours and Communication
  • Team Working
  • General Anaesthesia
  • Regional Anaesthesia

 

Key capabilities C to E

C

Is able to assess patients, interpret investigations and initiate management of chronic malignant and non-malignant pain in a timely manner under distant supervision

D

Can assess and manage acute on chronic and chronic inpatient pain in adults and recognise when referral to specialist pain services is appropriate

E

Identify barriers to effective pain management including those related to patient beliefs, society, culture, and healthcare provision

Examples of evidence

  • SLEs throughout stage of training across range of surgical specialties and from specialist pain clinics.
Personal activities and reflections:
  • attendance at specialist pain clinic, pain intervention lists.

Suggested supervision level

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

Cross links with other domains and capabilities

  • Perioperative Medicine and Health Promotion

 

Key capability F

F

Explains the risk factors for persistent post-surgical pain including measures to minimise its occurrence

Examples of evidence

  • SLEs throughout stage of training across range of surgical specialties and from specialist pain clinics.

Suggested supervision level

  • not applicable.

Cross links with other domains and capabilities

  • Professional Behaviours and Communication
  • Perioperative Medicine and Health Promotion
  • General Anaesthesia