Specialties

• WHOLE PERSON
  • The Whole Person
  • The Medical Patient
  • The Surgical Patient
  • The Community Patient
• CARDIORESPIRATORY
  • Cardiovascular System
  • Respiratory System
  • Haematology
• METABOLISM
  • Gastrointestinal System
  • Renal and Urinary System
  • Endocrine System
• HUMAN DEVELOPMENT
  • Obstetrics and Gynaecology
  • Child Health
  • Sexual Health and HIV
• BRAIN AND BEHAVIOUR
  • Neuroscience
  • Psychiatry
  • Ophthalmology
  • Head and Neck (ENT)
• LOCOMOTOR
  • Musculoskeletal System
  • Health Care of the Elderly
  • Dermatology

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WHOLE PERSON: The Surgical Patient

Index

• General Outcomes for Surgical & Emergency Medicine & Anaesthesia
• Anaesthetics - General

• General Outcomes for Surgical & Emergency Medicine & Anaesthesia
  • Medical knowledge: PHYSIOLOGY (TD 8.2)
    • Blood Gases, Control of Ventilation and Plasma pH
      1. Have a basic understanding of Arterial Blood Gases (ABG’s), to allow interpretation of patient oxygenation and ventilation with respect to the inspired oxygen concentration.
    • General Outcomes for Physiology
      1. Know the patient physiology and pathology relevant to the peri-operative period
  • Medical knowledge: BIOCHEMISTRY (inc. Metabolism) (TD 8.3)
    • Acid-Base Balance
      1. Have an understanding of acid base balance and the causes of acidosis and alkalosis.
  • Medical knowledge: PATHOLOGY (TD 8.7)
    • General Pathology
      1. Be able to describe to a colleague or patient the basic science of the key conditions and procedures as set out for this module
      2. Revise and deepen your understanding of common emergency and long term “surgical” conditions so that you can contribute, under supervision, to their diagnosis and treatment. (Click here for list)
  • Medical knowledge: PUBLIC HEALTH and GLOBAL HEALTH (TD 11 a-j)
    • General Outcomes for Public Health
      1. Revisit the basic science, human science and public health aspects of surgical care, the use of evidence-based practice, guidelines and audit in surgical care.
      2. Be able to describe to a colleague or patient the human science and public health aspects of surgical care
  • Clinical skills: HISTORY (TD 13 a-b)
    • Taking a History
      1. Can take a detailed history from a surgical patient, relatives and others
  • Clinical skills: PHYSICAL EXAMINATION (TD 13 c)
    • Examining the Patient
      1. Can undertake a through physical examination of a surgical patient
  • Clinical skills: PLANNING AND INTERPRETING INVESTIGATIONS (TD 14 c-d)
    • General
      1. Be able to propose and interpret investigations (based on the results of history taking and physical examination) in the out-patient clinic, emergency room, ward and pre-admission setting
      2. Understand the importance of ensuring that investigations proposed are relevant based on the differential diagnosis arrived at through history and examination; fit for purpose and cost-effective for the patient and health service
  • Clinical skills: MAKING A DIAGNOSIS and CLINICAL JUDGEMENT (TD 14 e-f)
    • Diagnosis and Reasoning
      1. Propose a differential diagnosis for a surgical patient
  • Clinical skills: DIAGNOSTIC PROCEDURES (TD 18 a)
    • Urinalysis using Multistix
      1. Be able to interpret correctly the results of 4 urinary investigations (click here for list)
    • Venepuncture, Blood Sampling and Culture
      1. Be able to interpret the results of 10 blood tests (click here for list)
    • General Procedures
      1. Can perform 12 important medical procedures as listed in the Foundation Year curriculum (click outcome to see list)
    • Respiratory Function Tests
      1. Be able to interpret (with normal ranges provided) simple bedside lung function tests e.g. PEFR, Spirometry
  • Clinical skills: FORMULATING A TREATMENT PLAN (TD 14 g)
    • General Principles of Patient Management
      1. Is able to deliver (under supervision), peri-operative care to surgical patients (click here for list of 7 key competencies)
    • General Principles for Pain Relief
      1. Can describe a range of pharmacological, physical and psychological interventions for pain control.
      2. Can outline the role of the pain management specialist and demonstrate the ability to access and interact with the pain management team
    • Nutrition
      1. Can select an appropriate method of ensuring adequate nutrition to meet a patient's needs
      2. Can explain the role of nutrition as a major therapy in some medical and surgical conditions
      3. Knows how to appropriately access, refer and interact with the nutritional support team
      4. Be able to appropriately access, refer and interact with the nutritional support team
    • Blood Transfusion
      1. Has a full understanding of blood transfusions including management of adverse events.
  • Clinical skills: THERAPEUTIC PROCEDURES (TD 18 b)
    • General
      1. Be competent to perform various practical procedures (click here for list)
      2. perform basic suturing skills (MET3A)
  • Clinical skills: SURGERY and ANAESTHETICS (TD 14 g)
    • General Surgical Outcomes
      1. Is familiar with, and able to describe 14 common surgical procedures (click here for list)
  • Clinical skills: PRESCRIBING DRUGS SAFELY AND EFFECTIVELY (TD 17 a-h)
    • General Principles
      1. Understands prescription charts and can shadow prescribe medications under supervision
    • Pain Relief
      1. Can prescribe appropriately, under supervision, drugs and techniques used for pain relief
      2. Know how to select and initiate appropriate analgesia using local protocols
      3. Can prescribe appropriately (under supervision) drugs and techniques used for post-operative pain relief
  • Clinical skills: MANAGING INFORMATION (TD 15 c)
    • Keeping Patient Records and Notes
      1. Understand that records give an account of all relevant communications with patients, carers, relatives and colleagues.
      2. Understand the importance of data protection and keeping records that are legible, dated, signed, concise and contemporaneous
  • Clinical skills: EVIDENCE BASED MEDICINE
    • Evidence Based Medicine - General
      1. Be able to describe to a colleague or patient the application of evidence-based practice, guidelines and audit in the regulation and evaluation of surgical care.
  • Professional issues: ETHICS and LAW (TD 20 a-g)
    • Informed Consent
      1. Can describe the principles and practice of informed consent
  • Professional issues: GOVERNANCE, QUALITY MATTERS and AUDIT (TD 23 e)
    • Governance and Audit - General
      1. Be able to describe to a colleague or patient the application of evidence-based practice, guidelines and audit in the regulation and evaluation of surgical care.
• Anaesthetics - General
  • Anaethetics - General
    1. With regard to Intensive Care

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