Stage learning outcomes

• Works with patients to reduce the risks associated with surgery

Experience and learning requirements

• further exposure to pre-operative assessment clinics with experience of ASA 1-4 patients for elective surgery
• experience of emergency surgery for ASA 1-3 patients
• safe delivery of perioperative care for these patients with supervisor on call from home for queries able to provide directions via phone or non-immediate attendance (supervision level 3).

Examples of evidence

Supervised Learning events (SLEs) across a range of surgical specialties and pre-operative assessment clinics, including high risk obstetric clinics, demonstrating:

• delivery of high quality, individualised perioperative care to ASA 1-4 patients for elective surgery and ASA 1-3 emergency patients, focusing on optimising patient experience and outcome
• supervision level 3.

Personal activities and reflections:

• knowledge of NICE guidance on shared decision making

• awareness of integrated care pathways in the devolved nations

• involvement with health promotion interventions with patients in pre-operative assessment clinics such as smoking cessation, prehabilitation

• knowledge of guidance of use of blood and blood products in Jehovah’s Witnesses

• knowledge of local and national guidance on management of anaemia perioperatively

• attendance at obstetric anaesthesia clinics.