Pain medicine

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