Published: 05/09/2019

Pain medicine

Wherever possible, this unit of training should be carried as a dedicated block.

Learning outcomes:

  • To build on the competencies gained during Basic Level training 
  • To be fully competent in the assessment and management of acute surgical and non surgical and acute on chronic pain in most patient groups and circumstances, including infants, children, the older person and those with communication difficulties
  • To be an effective member of the acute pain team
  • To have a knowledge of the assessment, management and wider treatment options for chronic and cancer pain in adults
  • To be aware of the need for multi-professional input and to embrace this in the management of chronic and cancer pain

 Core clinical learning outcomes:

  • To be competent in the assessment and management of acute surgical and non-surgical pain in most patient groups and circumstances
  • To be an effective member of the acute pain team
  • To understand the importance of managing acute or chronic pain in a timely manner 
  • To have knowledge of assessment and management of chronic and cancer pain

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

PM_IK_01

Describes the assessment and management of acute pain in all types of surgery  

A,C,E

1

PM_IK_02

Describes the assessment and management of acute non surgical pain

A,C,E

1

PM_IK_03

Describes the assessment and management of acute pain in special groups to include children, infants, the older person, the cognitive impaired, those with communication difficulties, the unconscious and critically ill patient  

A,C,E

1,2,3,4

PM_IK_04

Describes the basic assessment and management of chronic pain in adults  

A,C,E

1

PM_IK_05

Describes the basic assessment and management of cancer pain in adults

A,C,E

1

PM_IK_06

Recalls advanced pharmacology of drugs used to manage pain including neuropathic pain

A,C,E

1

PM_IK_07

Explains the rationale for the use of opioids in the management of chronic non malignant pain

A,C,E

1

PM_IK_08

Describes the requirement for the multidisciplinary management of chronic pain

A,C,E

1

Skills

Competence

Description

Assessment methods

GMP

PM_IS_01

Demonstrates the ability to undertake a significant role in an acute pain service

A,C,M

1

PM_IS_02

Demonstrates the ability to assess and manage acute pain for all surgery

A,C,D,M

1,2,3

PM_IS_03

Demonstrates the ability to assess and manage acute non-surgical pain

A,C

!,2

PM_IS_04

Demonstrates the ability to assess and manage acute pain for special groups to include children, infants, the older person, the cognitive impaired, those with communication difficulties, the unconscious and critically ill patient

A,C,M

1,2,3,4

PM_IS_05

Demonstrates proficiency in techniques for the management of acute pain in those on background large dose opioids

A,C

1,2

PM_IS_06

Demonstrates the ability to assess [to include thorough structured history taking, physical examination and interpretation of investigations] and carry out basic management of chronic pain in adults

A,C,D

1,2,3,4

PM_IS_07

Demonstrates the ability to assess [to include thorough structured history taking, physical examination and interpretation of investigations] and carry out basic management of cancer pain patients

A,C,D

1,2,3,4

PM_IS_08

Demonstrates the ability to assess the need for and appropriately prescribe opioids to those with chronic non-malignant pain

A,C

1,2,3,

PM_IS_09

Demonstrates the ability to recognise and manage neuropathic pain

A,C

1,2

PM_IS_10

Demonstrates the ability to:

  • Ensure appropriate continuity of care and communications occurs in the management of pain
  • Embrace multi-professional working in the management of pain

A,C,M

1,2,3,4