Core Module 7: Surgical Procedures Learning outcomes: To understand and demonstrate appropriate knowledge, skills and attitudes in relation to surgical procedures Knowledge criteria GMP Clinical competency GMP Professional skills and attitudes GMP Training support Evidence/assessment SURGICAL PROCEDURES Knowledge of the NHS Improvement Programme Enhanced Recovery principles to enhance patient safety and ensure: patients are in the optimal condition for treatment patients have different care during their operation patients experience optimal postoperative rehabilitation Relevant basic sciences Knowledge of instruments and sutures 1 Management of Bartholin s abscess/cyst Evacuation of uterus Diagnostic laparoscopy** Sterilisation** First trimester surgical termination (unless conscientious objection) Diagnostic hysteroscopy (inc endometrial polypectomy)** Minor cervical procedures (inc polypectomy) Excision of vulval lesions Laparotomy for ectopic pregnancy Ovarian cystectomy for benign disease Elective peritoneal adhesiolysis Myomectomy 1 3 Have the knowledge to choose appropriate instruments, sutures, drains and catheters Know own limitations and when to seek help Demonstrate the use of diathermy, endoscopic and other equipment safely and efficiently Show evidence of thinking ahead during procedure Amend surgical procedure appropriately when necessary following consultation Demonstrate the ability to work effectively with other members of the theatre team, showing leadership where appropriate 1,2 2 2 3 Observation of, assisting and discussion with Senior Medical Staff RCOG Basic Practical Skills course Learning resources available at NHS Improvement Programme website Enhanced Recovery (Gynaecology) http://www.improvem ent.nhs.uk/enhancedre covery2/gynaecology.a spx **Use of low fidelity [box] trainers or virtual reality (VR) simulation to enhance psychomotor skills National Institute for Clinical Excellence (NICE) Balloon catheter insertion for Bartholin's cyst or abscess OSATS Diagnostic laparoscopy OSATS Operative laparoscopy OSATS Diagnostic hysteroscopy OSATS Uterine evacuation Successful patient outcomes Logbook Reflective diary ARCP MRCOG Part One MRCOG Part Two StratOG.net: Surgical Procedures and Postoperative Care e- 1
Knowledge criteria GMP Clinical competency GMP Professional skills and attitudes GMP Training support Evidence/assessment tutorials The Obstetrician and Gynaecologist journal 2
Core Module 7 Logbook Competence level Basic level Intermediate level Advanced level Not required Level 1 Level 2 Level 3 Date Signature Date Signature Date Signature Evacuation of uterus Management of Bartholin s abscess/cyst Laparotomy for ectopic pregnancy Excision biopsy of benign vulval lesion (LA or GA) Vulval biopsy under local anaesthesia Abdominal hysterectomy ± bilateral salpingo-oophorectomy Vaginal hysterectomy Oophorectomy Ovarian cystectomy Adhesiolysis Transabdominal myomectomy Diagnostic laparoscopy Management of pelvic abscess (a) Non-surgical management of pelvic abscess OM (i.e. conservative, interventional radiology/needle 3
Core Module 7 Logbook Competence level Basic level Intermediate level Advanced level Not required Level 1 Level 2 Level 3 Date Signature Date Signature Date Signature drainage) (b) Surgical management of pelvic abscess Laparoscopic sterilisation Diagnostic hysteroscopy Hysteroscopy and polypectomy Minor cervical procedures Minor perineal revision surgery OM Training Courses or sessions Title Signature of educational supervisor Date 4
Authorisation of signatures (to be completed by the clinical trainers) Name of clinical trainer (please print) Signature of clinical trainer OSATS Each OSATS should be successfully completed for Independent Practice on 3 occasions before the module can be signed off Diagnostic laparoscopy Operative laparoscopy Diagnostic hysteroscopy 5
OSATS Each OSATS should be successfully completed for Independent Practice on 3 occasions before the module can be signed off Laparoscopy management of ectopic pregnancy COMPLETION OF MODULE 7 I confirm that all components of the module have been successfully completed: Date Name of educational supervisor Signature of educational supervisor 6