CCT in Anaesthetics - Intermediate Level Training

POM_IK_01

Describes the uses and limitations of common risk scoring systems

C,E

1

POM_IK_02

Describes the use of ‘do not resuscitate’ procedures and appropriate limitations of care

C,E

3,4

POM_IK_03

Describes strategies for prehabilitation and patient optimisation and the limits of such strategies

A,C,E

1

POM_IK_04

Recalls the principles of enhanced recovery pathways

A,C,E

1

POM_IK_05

Describes the requirements for investigations in patients with complex comorbidities

C,E

1

POM_IK_06

(formerly

VS_IK_02)

Lists methods of assessment of functional cardiorespiratory capacity

C,E

1

POM_IK_07

Describes appropriate preoperative strategies for minimising the use of blood products

C,E

1

POM_IK_08

Describes the effects of ethnicity on pre-operative assessment

C,E

1,3,4

POM_IS_01

Assesses the patient with complex comorbidities, taking into account their individual needs and requirements

A,C,E,L

1,3,4

POM_IS_02

Liaises effectively with colleagues in Intensive Care in planning care

A,C,E,L,M

3

POM_IS_03

Explains risks and benefits of available anaesthetic techniques to patients in a manner they can understand

A,D,E,L

3

POM_IS_04

Formulates an individualised perioperative plan with the patient, using an evidence-based approach

A,E,L

1

POM_IS_05

Balances the need for early surgery against the need for further investigation, prehabilitation and pre-optimisation

A,C,E

1,2

POM_IS_06

Responds appropriately to investigation results when planning perioperative care

A,E

1

POM_IS_07

Demonstrates the ability to communicate with other specialists as part of integrated care

A,L,M

3

POM_IS_08

Conducts a comprehensive preoperative assessment for a patient with multiple co-morbidities in the outpatient preassessment clinic

A,L

1,3

POM_IS_09

Manages existing medications and makes appropriate changes

A,C,E

1

POM_IS_10

Discusses the risks and benefits of the transfusion of blood products with patients

A,E

1,2

POM_IS_11

Discusses requirements of postoperative organ support and its limitations

C,E

1,3,4

POM_IK_09

Describes the concept of Goal-Directed Therapy 

C,E

1

POM_IK_10

Describes the use of different types of intravenous fluid 

C,E

1

POM_IK_11

Explains the potential impact of anaesthetic technique on patient outcome

A,C,E

1

POM_IK_12

Describes the effects of deviation from normal physiological parameters on short and long-term outcomes

C,E

1

POM_IK_13

Describes rationale for point of care testing

C,E

1

POM_IK_14

Recalls the principles and interpretation of depth of anaesthesia monitoring

C,E

1

POM_IK_15

Explains how ethnicity may influence conduct of anaesthesia

C,E

1,3,4

POM_IS_12

Chooses appropriate anaesthetic technique for patients with complex comorbidities

A,C,E

1

POM_IS_13

Interprets information from commonly used modalities for advanced haemodynamic monitoring

C,E,S

1

POM_IS_14

Uses results from point of care testing to direct treatment

C,E,S

1

POM_IS_15

Demonstrates the use of appropriate blood conservation strategies

A,S

1,2

POM_IS_16

Assumes a leadership role in patient safety in the perioperative period

A,L,M,S

3

POM_IS_17

Recognises the deteriorating perioperative patient

A,E,L,S

1

POM_IS_18

Institutes appropriate measures to stabilise the deteriorating patient 

A,E,S

1

POM_IS_19

Communicates effectively with and leads the theatre team where there is cause for concern over patient condition

A,M,S

3

POM_IS_20

Uses antibiotics and other measures to reduce the risk of infection

A,E

1,2

POM_IS_21

Uses strategies to minimise post-operative cognitive dysfunction

A,E

1

POM_IS_22

Uses strategies to minimise the risk of accidental awareness under general anaesthesia

A,E

1

POM_IK_16

Explains how a multidisciplinary team approach improves patient recovery and outcomes

C,E

3

POM_IK_17

Manages common anaesthetic and surgical complications safely as part of a multidisciplinary team

A,E,S

1,3

POM_IK_18

Plans appropriate postoperative analgesia using multimodal techniques, including those required for patients with complex analgesic needs

C,E,L

1

POM_IK_19

Initiates communication with patients regarding adverse events and organises appropriate follow up

A,E,M

3,4

POM_IK_20

Contributes to discharge planning 

A,E,L

3

POM_IK_21

Plans postoperative care in keeping with relevant enhanced recovery pathways

C,E,L

1,3

POM_IK_22

Describes the effects of ethnicity in postoperative management, including pain management

C,E

1,3,4