2021 Curriculum learning syllabus: stage 3 special interest areas

Published: 25/02/2021

Anaesthesia for Major General Surgery

  • Group 2: 3 to 6 months

Learning outcomes

  • Provides safe perioperative anaesthetic care for a wide variety of complex general surgical, urological and gynaecological patients
  • 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

Provides and evaluates safe perioperative care for patients with significant co-morbidities for complex intra-abdominal surgery across all surgical disciplines

B

Knows and can evaluate developments in the anaesthetic care for complex procedures for cancer surgery across the general surgical, gynaecological and urological disciplines

C

Can assist colleagues in the perioperative planning and management of major cases

D

Provides expert perioperative care for patients with complex endocrine surgery

Examples of evidence

Experience and logbook:
  • pre-operative assessment clinics including risk assessment for patients undergoing major abdominal surgery and planning for high risk patients
  • involvement with pre-operative surgical preparation pathways such as enhanced recovery
  • experience of broad range of elective and emergency major procedures in general, gynaecological and urological surgery including major cancer and intra-abdominal endocrine surgery such as adrenal gland and carcinoid tumours.
Supervised Learning Events (SLEs) can be used to demonstrate:
  • involvement of multi-disciplinary team in shared decision making for high risk patients undergoing major procedures
  • pre-operative preparation of patients with endocrine abnormalities for example thyroid and parathyroid disease
  • assessment and peri-operative management of patient undergoing elective major intra-abdominal cancer surgery
  • analgesic strategies and techniques for patients undergoing intra-abdominal procedures
  • management of patients for minimally invasive abdominal and pelvic surgery including effects of positioning for prolonged laparoscopic procedures.
Personal Activities and Personal Reflections may include:
  • national and international meetings related to anaesthesia for major general surgery
  • presentation at relevant meeting eg abstract or free paper
  • development of guidelines and policies related to management of patients for major general surgery including pre-operative preparation and enhanced recovery programmes
  • leadership of QI projects related to anaesthesia for major general 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
  • Intensive Care