CCT in Anaesthetics - Core Level Training

POM_BK_01

Describes the importance of comorbid disease in the planning and safe conduct of anaesthesia

A,C,E

1,2

POM_BK_02

Describes the role of ‘do not resuscitate’ procedures

A,C,E

1,3,4

POM_BK_03

Describes the effects of acute and chronic disease on patient outcomes after surgery

A,C,E

1,2

POM_BK_04

Describes the requirements for preoperative investigations including indications for specific tests

A,C,E

1,2

POM_BK_05

Interprets fundamental preoperative investigations

A,C,D,E

1

POM_BK_06

Describes the adjustments needed to provide anaesthesia for the following patient groups: the elderly, pregnant women, patients with cognitive impairment, patients with chronic pain, and substance misusers

A,C,E

1,3

POM_BK_07

Recounts implications of lifestyle factors such as smoking, alcohol intake and substance abuse on patient outcomes  

A,C,E

1,3

POM_BK_08

Discusses the management of concurrent medication in the perioperative period  

A,C,E

1

POM_BK_09

Describes thromboprophylaxis in the perioperative period

A,C,E

1

POM_BK_10

Describes methods of risk assessment and stratification relevant to the provision of perioperative care  

A,C,E

1,2

POM_BK_11

Describes methods of patient optimisation which reduce risk in the perioperative period

A,C,E

1,2

POM_BK_12

Describes how integrated perioperative care pathways in primary and secondary care affect patient outcomes

A,C,E

3

POM_BK_13

Describes specific organisational interventions which improve patient outcomes (e.g. care bundles, enhanced recovery pathways)

A,C,E

1,2,3

POM_BK_14

Describes the legal and ethical principles for obtaining informed consent in adults and the correct processes for patients who are unable to consent

A,C,E

3,4

POM_BK_15

Describes the legal and ethical considerations for determining mental capacity

A,C,E

3,4

POM_BK_16

Explains how patients requiring emergency surgery may differ from those presenting for elective surgery in terms of physiology, psychology and preparation

A,C,E

1

POM_BK_17

Describes optimal perioperative fluid and feeding regimes 

A,C,E

1

POM_BK_18

Describes the impact of nutritional status on patient outcomes 

A,C,E

1

POM_BK_19

Describes the effects of ethnicity on physiology

C,E

1,3,4

POM_BS_01

Conducts a comprehensive preoperative assessment in the outpatient clinic 

A,D,E

1,3

POM_BS_02

Assesses patient suitability for day case admission

A,C,E

1,2,3

POM_BS_03

Evaluates co-morbidity in ASA 1-3 patients 

A,C,E

1,3

POM_BS_04

Initiates optimisation where appropriate

A, C, D

1,3

POM_BS_05

Organises appropriate special investigations

A,C,D,E

3

POM_BS_06

Makes appropriate referrals to other specialties when required

A,C,E

3

POM_BS_07

Works in a multi-professional team and ensures effective communication with other members

A,E,M

3

POM_BS_08

Communicates anaesthetic options with patients or surrogates effectively

A,D,E

3,4

POM_BS_09

Synthesises relevant information to develop a safe anaesthetic plan, taking the patient’s wishes into consideration

A,C,D,E

1,3

POM_BS_10

Treats all patients with respect and compassion, especially those with particular physical, psychological and educational needs

(See Annex A, Domain 10 of CCT in Anaesthetics, 2010)

A,D,M

3,4

POM_BK_20

Describes risks and benefits of different anaesthetic techniques including their effect on early mobilisation and restoration of function

A,C,E

1

POM_BK_21

Describes the effect of perioperative analgesia on patient outcome

A,C,D,E

1

POM_BK_22

Describes strategies to minimise the risk of infection in the postoperative period 

A,C,E

1,2

POM_BK_23

Describes the effect of hypothermia on patient outcome  

A,C,E

1

POM_BK_24

Develops an effective patient-specific strategy to minimise post-operative nausea and vomiting  

A,C,E

1

POM_BK_25

Lists the risk factors for  postoperative cognitive dysfunction

A,C,E

1

POM_BK_26

Recalls principles of advanced haemodynamic monitoring

A,C,E

1

POM_BK_27

Describes perioperative fluid management strategies, with reference to maintaining homeostasis

A,C,E

1

POM_BK_28

Explains the indications for the use of blood products and describes the effective management of major haemorrhage  

A,C,E

1,3

POM_BK_29

Describes the consequences of failing to maintain normal biochemical parameters, e.g. acid-base balance, blood glucose

A,C,E

1

POM_BS_11

Uses operating theatre safety checklists effectively (at the appropriate time, avoiding distraction and engaging the full team)

D,M,S

2,3

POM_BS_12

Administers intravenous fluids and blood products appropriately

A,E,S

1

POM_BS_13

Uses non-invasive and invasive monitoring appropriately

A,D,S

1

POM_BS_14

Employs effective techniques to minimise the risk of aspiration of gastric contents in at-risk patients

A,D,S

1

POM_BS_15

Employs effective strategies to maintain normal body temperature intraoperatively

A,E,S

1

POM_BK_30

Describes the consequences of postoperative malnutrition

C,E

1

POM_BK_31

Describes a patient-centred approach to postoperative analgesia and demonstrates understanding of the importance of providing adequate analgesia in the context of perioperative care

A,C,D,E

3,4

POM_BK_32

Describes the indications for Critical Care admission postoperatively

A,C,E

1,2

POM_BK_33

Describes the components of a safe and effective immediate postoperative plan (e.g. oxygen therapy, frequency and nature of observations, antibiotic prescription, thromboprophylaxis, management of glycaemic control etc.)

A,C,E

1

POM_BS_16

Recognises limits of competence and seeks advice where appropriate when managing of postoperative complications

A,C,E,M

3,4

POM_BS_17

Plans the transition from intravenous to enteral hydration, nutrition and analgesia where appropriate

C,E

1

POM_BS_18

Manages postoperative nausea and vomiting effectively

A,C,E

1

POM_BS_19

Manages coexisting disease and medications in the immediate postoperative period in ASA 1-3 patients

A,C,E

1

POM_BS_20

Recognises common anaesthetic and surgical complications

A,C,E

1