CCT in Anaesthetics - Stage 1 Training

1_POM_A: Explains the patient, anaesthetic and surgical factors influencing patient outcomes 

1_POM_A_1	Integrated perioperative care pathways in primary and secondary care and patient outcomes
1_POM_A_2	Organisational interventions which improve patient outcomes (eg care bundles, enhanced recovery programmes)
1_POM_A_3	Effects of acute and chronic disease on patient outcomes after surgery
1_POM_A_4	Implications of lifestyle factors such as smoking, alcohol intake and substance abuse on patient outcomes

1_POM_B: Applies a structured approach to preoperative anaesthetic assessment of ASA 1-3 patients prior to surgery and recognises when further assessment and optimisation is required 

1_POM_B_1	Understands and explains the appropriate role of other specialties in preoperative optimisation
1_POM_B_2	Preoperative investigations including indications for specific tests
1_POM_B_3	Interprets common preoperative investigations
1_POM_B_4	Risk assessment and stratification relevant to the provision of perioperative care
1_POM_B_5	Emergency surgery vs elective surgery in terms of physiology, psychology and preparation
1_POM_B_6	ASA and NCEPOD classifications; their implications in preparing for and planning anaesthesia and postoperative care
1_POM_B_7	Implications of common co-existing diseases on anaesthesia and surgery including but not exclusively: obesity, diabetes, asthma, ischaemic heart disease, hypertension, rheumatoid disease, epilepsy

1_POM_C: Explains the effect that co-existing disease, subsequent treatment and surgical procedures may have on the conduct of anaesthesia and plans perioperative management accordingly

1_POM_C_1	Relevance of comorbid disease when planning and in the safe conduct of anaesthesia
1_POM_C_2	Patient optimisation and risk reduction in the perioperative period
1_POM_C_3	Management of drug therapy for co-existing disease in the perioperative period including, but not exclusively, diabetic treatment, steroids, anticoagulants, cardiovascular and respiratory medication, anti-convulsants
1_POM_C_4	Current guidance on early surgical management of hip fractures and the necessary assessment for anaesthesia, timing of surgery and reasons for delay
1_POM_C_5	Pathophysiology of obstructive sleep apnoea and its relevance to anaesthesia

1_POM_D: Explains individualises options and risks of anaesthesia and pain management to patients

1_POM_D_1

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

1_POM_E: Describes the importance of perioperative nutrition and fasting

1_POM_E_1	Nutritional status on patient outcomes
1_POM_E_2	Perioperative fluid and feeding regimes
1_POM_E_3	Indications for preoperative fasting and appropriate regimens

1_POM_F: Recognises and acts on the specific perioperative care requirements in frail and elderly patients and those with cognitive impairment

1_POM_F_1

Anaesthetic implications for the following patient groups: the elderly, pregnant women, patients with cognitive impairment, patients with chronic pain and recreational drug users

1_POM_G: Considers patient informed preference when obtaining consent for anaesthetic procedures

1_POM_G_1

Principles of consent for surgery and anaesthesia, including the issue of capacity

1_POM_G_2

Explains the guidance given by the GMC on consent, in particular:  Understands that consent is a process that may culminate in, but is not limited to, the completion of a consent form  Understands the particular importance of considering the patient's level of understanding and mental state [and also that of the parents, relatives or carers when appropriate] and how this may impair their capacity for consent

1_POM_H: Describes and recognises the role of socio-economic, environmental and lifestyle   factors in health and illness

1_POM_H_1

Demonstrates understanding of the relevance of socio-economic, environmental and lifestyle factors on outcomes from surgery

1_POM_J: Describes and utilises appropriate antibiotic prophylaxis and prevention and treatment of infections

1_POM_J_1	Types of hospital acquired infections and the precautions needed to reduce their transmission including prions
1_POM_J_2	Concept of cross infection including:  Modes of cross infection   Common cross infection agents
1_POM_J_3	Explains the need for antibiotic policies in hospitals
1_POM_J_4	The causes, prevention and treatment of infections seen in surgical, critically ill and immunocompromised patients
1_POM_J_5	Discusses the need for, and application of, hospital immunisation policies
1_POM_J_6	Principles and practice in using prophylactic antibiotics
1_POM_J_7	Explains the principles and philosophy of antibiotic stewardship

 
1_POM_K: Explains the environmental impact of healthcare and the principles of sustainable clinical practice

1_POM_K_1

Demonstrates understanding of the environmental impact of anaesthesia

1_POM_L: Applies local policies to prevent venous thromboembolism and understands the implications for anaesthetic practice on an individualised basis

1_POM_L_1	Thromboprophylaxis in the perioperative period
1_POM_L_2	Prevention of thromboembolic disease following surgery
1_POM_L_3	Local/national guidelines on management of thrombo-embolic risk

1_POM_M: Explains the specific perioperative care requirements of children including anxiety management

1_POM_M_1

Knowledge of premedication for children

1_POM_N: Explains the perioperative implications of pregnancy and initiates management of common serious diseases related to pregnancy

1_POM_N_1

Understanding of the management of pregnancy related hypertension including pre-eclampsia

1_POM_P: Describes the perioperative requirements for day surgery

1_POM_P_1	Assesses patient suitability for day case admission
1_POM_P_2	Factors determining suitability for treatment as an ambulant or day-stay patient
1_POM_P_3	Principles of preoperative assessment and investigation of patients requiring day surgery including nurse-led assessment
1_POM_P_4	Describes protocols for selection of day surgery patients including medical, surgical and social factors
1_POM_P_5	Postoperative care specific to day case including discharge criteria, transport arrangements and when to drive
1_POM_P_6	Causes of unanticipated in-patient admission following day surgery

1_POM_Q: Safely prescribes and administers blood products

1_POM_Q_1	Infections transmitted through contaminated blood including but not limited to: HIV, Hepatitis B and C
1_POM_Q_2	Understanding of methods of safe transfusion of blood and blood products