2021 Curriculum learning syllabus: stage 3

Published: 24/02/2021

Pain

Stage learning outcome

  • Able to initiate complex pain management for in-patients and to sign-post to appropriate pain management services

 

Key capabilities A to C

A

Applies knowledge and understanding of assessment and management of pain in a multiprofessional context

B

Demonstrates safe effective pharmacological management of acute and procedure pain in all age groups 

C

Acts as an effective member of the inpatient pain team

Examples of evidence

  • SLEs throughout stage of training across range of surgical specialties and from specialist pain clinics; for example:
    • managing and planning analgesia for patients with chronic pain who present for surgery
    • leading an inpatient acute pain round
    • recognition of comorbidities and adjustment of pain medications accordingly.

  • paediatric pain experience: paediatric acute pain rounds, paediatric pain reviews in recovery

Personal activities and reflections:
  • attendance at pain clinic, multidisciplinary pain meetings
  • development of an individual pain management care plan in pre-operative assessment clinic.

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

  • Team Working
  • Perioperative Medicine and Health Promotion
  • General Anaesthesia
  • Regional Anaesthesia
  • Intensive Care

 

Key capabilities D & E

D

Effectively engages with multi-disciplinary primary and secondary pain services and palliative care when necessary

E

Recognises the need for and complications of interventional pain procedures

Examples of evidence

  • SLEs throughout stage of training across range of surgical specialties, acute pain ward rounds and from specialist pain clinics; for example:
    • recognition of end-of-life care and adjustments to pain medication accordingly
    • managing and planning analgesia for patients with acute on chronic pain
    • assessing patients with chronic pain.
Personal activities and reflections:
  • experience of management of pain in the terminal care setting
  • attendance at pain intervention lists.

Suggested supervision level

  • not applicable.

Cross links with other domains and capabilities

  • Team Working
  • Perioperative Medicine and Health Promotion
  • General Anaesthesia

 

Key capability F

F

Prescribes appropriately in the perioperative period and recognises the long term implications of not reviewing patient analgesia in the post–operative period following discharge

Examples of evidence

  • SLEs throughout stage of training across range of surgical specialties, acute pain ward rounds, and from specialist pain clinics; for example:
    • managing and planning analgesia for discharge.
Personal activities and reflections:
  • identification and management of complications from patient controlled analgesia, neuraxial techniques and continuous regional techniques.

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

  • Perioperative Medicine and Health Promotion
  • General anaesthesia
  • Regional anaesthesia

 

Key capability G

G

Plans the perioperative management of patients for surgery who are taking high dose opioids and other drugs of potential addiction

Examples of evidence

  • SLEs throughout stage of training across range of surgical specialties, acute pain ward rounds, and from specialist pain clinics; for example:
    • management of the intra-venous drug user who presents for surgery
    • managing and planning analgesia for patients with chronic pain who present for surgery.

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

  • Perioperative Medicine and Health Promotion
  • General Anaesthesia
  • Regional Anaesthesia