CCT in Anaesthetics - Intermediate Level Training

Published: 05/09/2019

Orthopaedic surgery

(Incorporating peri-operative care of the elderly)

Learning outcomes:

Build on the knowledge, understanding and skills gained in Basic Level training
To gain knowledge, skills and experience of the perioperative anaesthetic care of patients requiring major spinal and pelvic orthopaedic surgery

Core clinical learning outcomes:

Deliver safe perioperative anaesthetic care to complicated ASA 1-3 adult patients for all elective and emergency orthopaedic/trauma surgery identified at the
Basic Level as well as those requiring lower limb primary joint replacement surgery
Manage elective and emergency operating sessions with such patients with distant supervision

NB: All competencies annotated with the letter ‘E’ can be examined in any of the components of the Final examination identified in the FRCA examination blueprint section.

Knowledge

Competence	Description	Assessment Methods	GMP
OR_IK_01	Explains the difference in anaesthetic and surgical complexity between primary and secondary lower limb arthroplasty	A,C,E	1
OR_IK_02	Recalls/describes the principles of perioperative anaesthetic care for elective and emergency spinal surgery including but not exclusively: Scoliosis surgery including the need for, and implications of, neurophysiological monitoring Spinal trauma and the associated complications of spinal cord trauma	A,C,E	1,2,3,4
OR_IK_03	Recalls/describes the principles of perioperative anaesthetic care for pelvic bone and joint surgery	A,C,E	1,2,3,4
OR_IK_04	Recalls/discusses blood conservation strategies that are used in orthopaedic surgery	A,C,E	1,2

Skills

Competence	Description	Assessment Methods	GMP
OR_IS_01	Demonstrates the provision of safe perioperative anaesthetic care for a variety of orthopaedic surgical procedures in elderly patients and those with significant co-morbidities [including but not exclusively]: Primary and revision lower limb arthroplasties Upper limb surgery in the head-up and sitting positions All ORIF surgery	A,C,D	1,2,3,4
OR_IS_02	Demonstrates the ability to manage elective and emergency orthopaedic and trauma theatre sessions safely and effectively	A,C,D,M	1,2,3,4

Competence

Description

Assessment

Methods

GMP

OR_IS_01

Demonstrates the provision of safe perioperative anaesthetic care for a variety of orthopaedic surgical procedures in elderly patients and those with significant co-morbidities [including but not exclusively]:

Primary and revision lower limb arthroplasties
Upper limb surgery in the head-up and sitting positions
All ORIF surgery

A,C,D

1,2,3,4

OR_IS_02

Demonstrates the ability to manage elective and emergency orthopaedic and trauma theatre sessions safely and effectively

A,C,D,M

1,2,3,4