2021 Curriculum learning syllabus: stage 3 special interest areas

Published: 25/02/2021

Anaesthesia for Complex Orthopaedic Surgery

  • Group 2: 3 to 6 months

Learning outcomes

  • Provides safe perioperative anaesthetic care for a wide variety of complex orthopaedic procedures independently
  • Is capable of leading the delivery of care in this area of anaesthetic practice, to the benefit of both patients and the organisation

Key capabilities

A

Independently manages the perioperative care of patients for major complex orthopaedic surgery including scoliosis surgery, pelvic surgery and major orthopaedic cancer surgery

B

Engages in local policy making for orthopaedic anaesthetic and analgesic techniques

C

Ability to perform a variety of regional anaesthesia techniques for peri-operative analgesia and to facilitate rehabilitation

D

Can independently practice safely a wide range of regional techniques for all upper limb and shoulder surgery under block alone, including the management of continuous nerve catheters for post-operative analgesia

E

Can independently practice safely a wide range of regional techniques for lower limb surgery, including the management of continuous nerve catheters for post-operative analgesia

Examples of evidence

Experience and logbook:
  • preoperative clinic based assessment and preparation for surgery of patients
  • a wide range of cases including patients for revision arthroplasty, major complex oncological resections and scoliosis/oncological spinal surgery.
Supervised Learning Events (SLEs) can be used to demonstrate:
  • preoperative assessment for high risk orthopaedic cases
  • ability to manage major haemorrhage
  • ability to provide safe and effective postoperative analgesic options
  • effective list management.
Personal Activities and Personal Reflections may include:
  • national and international meetings related to anaesthesia for complex orthopaedic surgery
  • presentation at relevant meeting eg abstract or free paper
  • development of guidelines and policies
  • leadership of QI projects related to anaesthesia for complex orthopaedic surgery
  • leadership training.
Other evidence
  • satisfactory MSF.

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

  • all generic professional domains of learning
  • Perioperative Medicine and Health Promotion
  • General Anaesthesia
  • Regional Anaesthesia