2021 Curriculum learning syllabus: stage 3 special interest areas

Published: 25/02/2021

Perioperative Medicine

  • Group 2: 3 to 6 months

Learning outcomes

  • Provides clinical management of patients in the preoperative, intraoperative and both immediate and longer term postoperative periods independently
  • Is capable of leading the delivery of care in this area of anaesthetic practice, to the benefit of both patients and the organisation

A

Provides expert opinion in the clinical management of patients in the whole perioperative process

B

Leads in decision making about the suitability of high risk patients for surgery

C

Manages the perioperative services, ensuring that the care delivered is safe and timely, benefiting both patients and the organisation

D

Develops and evaluates local services and practice

E

Seeks to ensure that perioperative services are fully integrated, consistent, and reliable and sustainable

F

Develops, maintains and evaluates partnerships with colleagues in other disciplines, in particular primary care

 Examples of evidence

Experience and logbook:
  • pre-operative assessment clinics, cardio-pulmonary exercise clinics, acute pain rounds, surgical multi-disciplinary team (MDT) meetings.
Supervised Learning Events (SLEs) can be used to demonstrate:
  • assessment of risk and management of high-risk patients
  • involvement of MDT and patient in shared decision making about high risk surgery
  • pre-operative assessment and management of, for example: anaemia, anticoagulant medication, diabetes, obstructive sleep apnoea, pacemakers, hypertension
  • assessment of frailty
  • use of risk scoring tools and models of functional capacity
  • perioperative analgesia management including regional techniques
  • assessment of post-operative pain
  • assessment and management of post-operative delirium
Personal Activities and Personal Reflections may include:
  • national and international meetings related to perioperative medicine
  • presentation at relevant meeting eg abstract or free paper
  • development of guidelines and policies
  • leadership of QI projects related to perioperative medicine
  • leadership training
  • experience of inpatient rounds such as orthogeriatrics
  • attendance at medical clinics such as cardiology and respiratory.
  • courses and eLearning: shared decision making.
Other evidence:
  • satisfactory MSF.

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
  • Pain