Bariatric and Metabolic Fellowship Core Curriculum for the RCS National Surgical Fellowship Scheme 1
|
|
- Dorothy Quinn
- 5 years ago
- Views:
Transcription
1 1 Bariatric and Metabolic Fellowship Core Curriculum for the RCS National Surgical Fellowship Scheme 1 This programme aims to enhance the delivery of metabolic surgery through world-class fellowships in the UK. Currently one fellow per centre (North Tyneside, Sunderland, Luton and Dunstable, Imperial, UCH and Taunton) supported by an unconditional grant from an industrial partner for professional development of a metabolic surgery service, and intended to be applicable to other RCS-Approved Fellowships as and when approved Fellowships will usually be undertaken post CCT or within the last 12 months of ST training will be considered The fellowships are RCSEng approved in high volume centres providing specialist bariatric services OBJECTIVES Management of the patient who is morbidly obese and an understanding of the surgical treatment of morbid obesity including early and late complications Knowledge of the different patterns of presentations of complications To gain experience in Gastric Bypass and at least one other bariatric procedure and receive mentorship through the learning curve Produce work of scientific value in the field of bariatric and metabolic surgery Engage in teaching of junior medical staff and allied healthcare professionals Present and debate the management of patients at the bariatric MDT KNOWLEDGE Epidemiology of obesity Pathophysiology of morbid obesity and the metabolic syndrome Therapeutic options for morbid obesity Indications for weight loss and metabolic surgery The principles of perioperative management of the obese patient Types of operations performed and mechanisms of action Complications of metabolic surgery and their management Revisional metabolic surgery Long term management of the bariatric patient following surgery Essential components of a bariatric service Psychology of the morbidly obese patient
2 2 CLINICAL SKILLS History and examination of the obese patient Interpretation of investigations in the obese patient Preoperative evaluation and optimization Assessment of the post-operative bariatric patient Management decisions for early and late complications of bariatric surgery TECHNICAL SKILLS (see PBA forms: Level 4 competency in gastric band or sleeve required) Laparoscopic access in the morbidly obese (level 4) Roux en Y gastric bypass (level 4) o Repair of internal hernia after gastric bypass Insertion of laparoscopic gastric band (Level 2) o Aspiration of band port o Emergency release of band for slippage o Repositioning of band after slip Sleeve gastrectomy (Level 2) Participate in Revisional surgery for obesity (level 4) The management of general surgery in the super morbidly obese PROFESSIONAL ATTRIBUTES Participation and presentation of cases at bariatric MDT meetings Participation in departmental morbidity and mortality audit Knowledge of patient support group meetings Involvement in the debate and presentation of evidence-based surgery: fellows are expected to participate in the Bariatric and Metabolic Trainees Collaborative Involvement in surgical education with evidence of teaching and training: fellows are expected to participate in the BOMSS annual training day To facilitate this process support will be considered to attend the annual meetings of BOMSS and IFSO-EC. TARGET LOGBOOK (per 12 months) Total number of weight loss operations (primary surgeon in >51%) 100 Minimum stapling/anastomotic operations 50 Minimum banding 10 Minimum revisional (Level 2) 5
3 3 Evidence of reflection on a validated logbook will be required at the end of the fellowship. We encourage the regular use of the attached PBAs to achieve this. At the end of the fellowship, depending on the industrial partner, fellows will be invited to complete a Bariatric Fellowship Evaluation Document for quality assurance. Declaration This document has been drafted on behalf of the Education, Training and Research Committee of BOMSS by H Noble, A Osborne, D Mahon and R Welbourn. The framework of the curriculum is based on the bariatric section of the ISCP General Surgery Curriculum 2 and takes influence from the curricula of The Fellowship Council 3 and ASMBS
4 4 GENERAL SURGERY PBA: LAPAROSCOPIC GASTRIC BAND INSERTION Text in [RED] specific to bariatric surgery I. Consent Rating Comments C1 Demonstrates sound knowledge of indications and contraindications including alternatives to surgery C2 Demonstrates awareness of sequelae of operative or non-operative management C3 Demonstrates sound knowledge of complications of surgery C4 Explains the procedure to the patient / relatives / carers and checks understanding C5 Explains likely outcome and time to recovery and checks understanding II. Pre-operation planning Rating Comments PL1 PL2 PL3 PL4 Demonstrates recognition of anatomical and pathological abnormalities (and relevant comorbidities) and selects appropriate operative strategies / techniques to deal with these Demonstrates ability to make reasoned choice of appropriate equipment, materials or devices (if any) taking into account appropriate investigations e.g. x-rays Checks materials, equipment and device requirements with operating room staff Checks patient records, personally reviews investigations III. Pre operative preparation Rating Comments PR1 PR2 PR3 PR4 PR5 PR6 PR7 Checks in theatre that consent has been obtained Gives effective briefing to theatre team Ensures proper and safe positioning of the patient on the operating table Demonstrates careful skin preparation Demonstrates careful draping of the patient s operative field Ensures general equipment and materials are deployed safely (e.g. catheter, diathermy) Ensures appropriate drugs administered IV. Exposure and closure Rating Comments E1 E2 Demonstrates knowledge of optimum skin incision / portal / access Achieves an adequate exposure through purposeful dissection in correct tissue planes and identifies all structures correctly
5 5 E3 E4 Completes a sound wound repair where appropriate Protects the wound with dressings, splints and drains where appropriate V. Intra operative technique: global (G) and task-specific items (T) Rating Comments IT1 (G) IT2 (G) IT3 (G) IT4 (G) IT5 (G) IT6 (G) IT7 (G) IT8 (G) IT9 (G) IT10 (G) IT11 (G) IT12 (G) IT13 (T) IT14 (T) IT15 (T) IT16 (T) IT17 (T) IT18 (T) Follows an agreed, logical sequence or protocol for the procedure Consistently handles tissue well with minimal damage Controls bleeding promptly by an appropriate method Demonstrates a sound technique of knots and sutures/staples Uses instruments appropriately and safely Proceeds at appropriate pace with economy of movement Anticipates and responds appropriately to variation e.g. anatomy Deals calmly and effectively with unexpected events/complications Uses assistant(s) to the best advantage at all times Communicates clearly and consistently with the scrub team Communicates clearly and consistently with the anaesthetist Selects appropriate incision and enters abdominal cavity safely Dissects angle of His. Repairs hiatus hernia if present Creates pars flaccida retro gastric tunnel safely Inserts and positions band around stomach correctly Performs appropriate fixation with gastro-gastric sutures Tunnels tubing and secures port to abdominal wall appropriately Performs appropriate abdominal wall closure VI. Post operative management Rating Comments PM1 PM2 PM3 PM4 Ensures the patient is transferred safely from the operating table to bed Constructs a clear operation note Records clear and appropriate post operative instructions Deals with specimens. Labels and orientates specimens appropriately
6 6 Performance Level Rating Comments Level 0 Level 1 Level 2 Level 3 Level 4 Insufficient evidence observed to support a summary judgement Unable to perform the procedure, or part observed, under supervision Able to perform the procedure, or part observed, under supervision Able to perform the procedure with minimum supervision (needed occasional help) Competent to perform the procedure unsupervised (could deal with complications that arose) GENERAL SURGERY PBA: LAPAROSCOPIC ROUX EN Y GASTRIC BYPASS I. Consent Rating Comments C1 Demonstrates sound knowledge of indications and contraindications including alternatives to surgery C2 Demonstrates awareness of sequelae of operative or non-operative management C3 Demonstrates sound knowledge of complications of surgery C4 Explains the procedure to the patient / relatives / carers and checks understanding C5 Explains likely outcome and time to recovery and checks understanding II. Pre-operation planning Rating Comments PL1 PL2 PL3 PL4 Demonstrates recognition of anatomical and pathological abnormalities (and relevant comorbidities) and selects appropriate operative strategies / techniques to deal with these Demonstrates ability to make reasoned choice of appropriate equipment, materials or devices (if any) taking into account appropriate investigations e.g. x-rays Checks materials, equipment and device requirements with operating room staff Checks patient records, personally reviews investigations III. Pre operative preparation Rating Comments PR1 PR2 PR3 PR4 PR5 Checks in theatre that consent has been obtained Gives effective briefing to theatre team Ensures proper and safe positioning of the patient on the operating table Demonstrates careful skin preparation Demonstrates careful draping of the patient s
7 7 PR6 PR7 operative field Ensures general equipment and materials are deployed safely (e.g. catheter, diathermy) Ensures appropriate drugs administered IV. Exposure and closure Rating Comments E1 E2 E3 E4 Demonstrates knowledge of optimum skin incision / portal / access Achieves an adequate exposure through purposeful dissection in correct tissue planes and identifies all structures correctly Completes a sound wound repair where appropriate Protects the wound with dressings, splints and drains where appropriate V. Intra operative technique: global (G) and task-specific items (T) IT1 (G) Follows an agreed, logical sequence or protocol for the procedure IT2 (G) Consistently handles tissue well with minimal damage IT3 (G) Controls bleeding promptly by an appropriate method IT4 (G) Demonstrates a sound technique of knots and sutures/staples IT5 (G) Uses instruments appropriately and safely IT6 (G) Proceeds at appropriate pace with economy of movement IT7 (G) Anticipates and responds appropriately to variation e.g. anatomy IT8 (G) Deals calmly and effectively with unexpected events/complications IT9 (G) Uses assistant(s) to the best advantage at all times IT10 (G) Communicates clearly and consistently with the scrub team IT11 (G) Communicates clearly and consistently with the anaesthetist IT12 (G) Selects appropriate incision and enters abdominal cavity safely IT13 (T) Creates retro-colic tunnel or splits omentum IT14 (T) Identifies DJ flexure and measures limb lengths IT15 (T) Performs jejuno-jejunal anastomosis IT16 (T) Closes jejuno-jejunal mesenteric defect adequately IT17 (T) Creates gastric pouch. Repairs hiatus hernia if present IT18 (T) Performs gastric pouch-jejunal anastomosis IT19 (T) Performs adequate leak test Rating Comments
8 8 IT20 (T) IT21 (T) Closes Petersen s and mesocolic defects adequately Performs appropriate abdominal wall closure VI. Post operative management Rating Comments PM1 PM2 PM3 PM4 Ensures the patient is transferred safely from the operating table to bed Constructs a clear operation note Records clear and appropriate post operative instructions Deals with specimens. Labels and orientates specimens appropriately Performance Level Rating Comments Level 0 Level 1 Level 2 Level 3 Level 4 Insufficient evidence observed to support a summary judgement Unable to perform the procedure, or part observed, under supervision Able to perform the procedure, or part observed, under supervision Able to perform the procedure with minimum supervision (needed occasional help) Competent to perform the procedure unsupervised (could deal with complications that arose) GENERAL SURGERY PBA: LAPAROSCOPIC SLEEVE GASTRECTOMY I. Consent Rating Comments C1 Demonstrates sound knowledge of indications and contraindications including alternatives to surgery C2 Demonstrates awareness of sequelae of operative or non-operative management C3 Demonstrates sound knowledge of complications of surgery C4 Explains the procedure to the patient / relatives / carers and checks understanding C5 Explains likely outcome and time to recovery and checks understanding II. Pre-operation planning Rating Comments PL1 PL2 PL3 Demonstrates recognition of anatomical and pathological abnormalities (and relevant comorbidities) and selects appropriate operative strategies / techniques to deal with these Demonstrates ability to make reasoned choice of appropriate equipment, materials or devices (if any) taking into account appropriate investigations e.g. x-rays Checks materials, equipment and device requirements with operating room staff
9 9 PL4 Checks patient records, personally reviews investigations III. Pre operative preparation Rating Comments PR1 PR2 PR3 PR4 PR5 PR6 PR7 Checks in theatre that consent has been obtained Gives effective briefing to theatre team Ensures proper and safe positioning of the patient on the operating table Demonstrates careful skin preparation Demonstrates careful draping of the patient s operative field Ensures general equipment and materials are deployed safely (e.g. catheter, diathermy) Ensures appropriate drugs administered IV. Exposure and closure Rating Comments E1 E2 E3 E4 Demonstrates knowledge of optimum skin incision / portal / access Achieves an adequate exposure through purposeful dissection in correct tissue planes and identifies all structures correctly Completes a sound wound repair where appropriate Protects the wound with dressings, splints and drains where appropriate V. Intra operative technique: global (G) and task-specific items (T) IT1 (G) Follows an agreed, logical sequence or protocol for the procedure IT2 (G) Consistently handles tissue well with minimal damage IT3 (G) Controls bleeding promptly by an appropriate method IT4 (G) Demonstrates a sound technique of knots and sutures/staples IT5 (G) Uses instruments appropriately and safely IT6 (G) Proceeds at appropriate pace with economy of movement IT7 (G) Anticipates and responds appropriately to variation e.g. anatomy IT8 (G) Deals calmly and effectively with unexpected events/complications IT9 (G) Uses assistant(s) to the best advantage at all times IT10 (G) Communicates clearly and consistently with the scrub team IT11 (G) Communicates clearly and consistently with the anaesthetist IT12 (G) Selects appropriate incision and enters abdominal Rating Comments
10 10 IT13 (T) IT14 (T) IT15 (T) IT16 (T) IT17 (T) IT18 (T) IT19 (T) cavity safely Performs perigastric dissection of omentum from greater curve of stomach Divides short gastric vessels Mobilises stomach dividing posterior gastric adhesions. Repairs hiatus hernia if present Creates sleeve over bougie with appropriate stapling techniques Performs adequate leak test Retrieves resected stomach Performs appropriate abdominal wall closure VI. Post operative management Rating Comments PM1 PM2 PM3 PM4 Ensures the patient is transferred safely from the operating table to bed Constructs a clear operation note Records clear and appropriate post operative instructions Deals with specimens. Labels and orientates specimens appropriately Performance Level Rating Comments Level 0 Level 1 Level 2 Level 3 Level 4 Insufficient evidence observed to support a summary judgement Unable to perform the procedure, or part observed, under supervision Able to perform the procedure, or part observed, under supervision Able to perform the procedure with minimum supervision (needed occasional help) Competent to perform the procedure unsupervised (could deal with complications that arose) Education, Training and Research Committee August 2013 (Revision due August 2015)
STANDARDIZED PROCEDURE VENTRICULAR SEPTAL DEFECT (VSD) CLOSURE ASSIST (Neonatal, Peds)
I. Definition A ventricular septal defect is an abnormal opening in the wall (septum) that divides the two lower chambers of the heart (ventricles). A ventricular septal defect closure is a procedure performed
More informationMIS/Bariatric/Endoscopy Service
MIS/Bariatric/Endoscopy Service Here is an introductory document about your upcoming rotation on our team. First of all, we would like to state our general expectations, which are that you come ready and
More informationHealth Sciences Centre, Team C, Dr. M. Wells (Breast and Hernia) Medical Expert
Health Sciences Centre, Team C, Dr. M. Wells ( and ) Introduction The goal of this rotation is to afford senior residents the best possible opportunity to develop the foundational knowledge and skills
More informationMINIMALLY INVASIVE AND DIGESTIVE DISEASES SURGERY SECTION
MINIMALLY INVASIVE AND DIGESTIVE DISEASES SURGERY SECTION Faculty Dr. Michael Edwards 1-4686 pager 8015 Dr. Bruce MacFadyen 1-4687 pager 6528 Dr. Jeremy Warren 1-4687 pager 1300 Dietitian Dr. Emily Van
More informationZ: Perioperative Nursing Specialty
Z: Perioperative Nursing Specialty Alberta Licensed Practical Nurses Competency Profile 263 Major Competency Area: Z Perioperative Nursing Specialty Priority: One Competency: Z-1 HPA Authorizations and
More informationRE: MBSAQIP Draft Standards for Public Comment
December 19, 2012 RE: MBSAQIP Draft Standards for Public Comment Dear Colleagues: For decades, surgeons have recognized the importance of accreditation as a way for programs to demonstrate their commitment
More informationSOReg Annual Report Norway and Sweden Published December SOReg SCANDINAVIAN OBESITY SURGERY REGISTRY
SOReg SCANDINAVIAN OBESITY SURGERY REGISTRY SOReg 2016 Norway-Sweden first joint report Published December 2017 Can be downloaded from http://helse-bergen.no/soreg or www.ucr.uu.se/soreg/ 1 Table of contents
More informationRIGHT HEMICOLECTOMY. Patient information Leaflet
RIGHT HEMICOLECTOMY Patient information Leaflet April 2017 WHAT IS A RIGHT HEMICOLECTOMY? This is an operation that is designed to remove the right side of your large bowel. Part of the large bowel is
More informationVERNON COLLEGE SYLLABUS. DIVISION: Allied Health and Human Services DATE:
VERNON COLLEGE SYLLABUS DIVISION: Allied Health and Human Services DATE: 2011-2012 CREDITS HRS: 4 HRS/WK LEC: 2 HRS/WK LAB: 6 LEC/LAB COMB: 8 I. VERNON COLLEGE GENERAL EDUCATION PHILOSOPHY STATEMENT General
More informationLaparoscopic adjustable gastric band surgery
Procedure 208 Clinical PRIVILEGE WHITE PAPER Laparoscopic adjustable gastric band surgery Background Laparoscopic adjustable gastric band surgery (also referred to as LAGB) promotes weight loss by restricting
More informationSURGICAL ONCOLOGY MCVH
SURGICAL ONCOLOGY MCVH PGY-4 and PGY-5 Medical Knowledge: Demonstrates knowledge about established and evolving biomedical, clinical, and cognate (e.g. epidemiological and social-behavioral) sciences;
More informationSAMPLE Bariatric Surgery Program Survey for Facilities and Surgeons
I. Facility Section (to be completed by the facility s risk and/or quality department) Facility Name: Address: Date: Contact Person: Directions Please check the appropriate yes or no answer boxes where
More informationSurgical Residency Curriculum
Community Memorial Hospital Surgical Residency Curriculum Program Director: G. W. Iwasiuk MD FACS 2016 Educational Goals & Objectives Surgeons provide continuing care for patients with a myriad of surgical
More informationDepartment of Veterans Affairs VHA Directive Washington, DC March 5, 2016 PREVENTION OF RETAINED SURGICAL ITEMS
Department of Veterans Affairs VHA Directive 1103 Veterans Health Administration Transmittal Sheet Washington, DC 20420 March 5, 2016 PREVENTION OF RETAINED SURGICAL ITEMS 1. REASON FOR ISSUE: This Veterans
More informationSCOPE OF PRACTICE PGY 1-6
PGY1 Complete history and physical on each patient admitted as assigned by the attending surgeon. Participate in daily ward rounds. Assist operating surgeons and senior residents in the operating room
More informationBlue Distinction Centers for Bariatric Surgery 2017 Provider Survey
Blue Distinction Centers for Bariatric Surgery 2017 Provider Survey Printed version of this document is for reference purposes only. A completed Provider Survey will need to be submitted via the BD Link
More informationLaparoscopic Radical Nephrectomy
Urology Department Laparoscopic Radical Nephrectomy Information Aims of this leaflet To give information on the intended benefits and potential risks of kidney surgery To guide you in the decisions you
More informationAdvanced Roles and Workforce Planning. Sara Dalby SFA, ANP, SCP Associate Lecturer Winston Churchill Fellow
Advanced Roles and Workforce Planning Sara Dalby SFA, ANP, SCP Associate Lecturer Winston Churchill Fellow Confusion of Advanced Roles Clinical Support Worker (CSW) Nurse Practitioner (NP) Physicians Associate
More informationCREATING THE SURGICAL ENVIRONMENT AST. Association of Surgical Technologists
CREATING THE SURGICAL ENVIRONMENT AST Association of Surgical Technologists ASSURING HIGHER OR QUALITY AND LOWER CARE COSTS? For CSTs and CSFAs, it s a matter of principles. Skilled in the principles of
More informationTRAUMA AND EMERGENCY SURGERY CORE OBJECTIVES: PGY 4
TRAUMA AND EMERGENCY SURGERY CORE OBJECTIVES: PGY 4 GOALS Through rotation on the trauma and emergency surgery service, residents shall attain the following goals: I. Patient Care A. Trauma Resuscitations
More informationCONSENT FORM UROLOGICAL SURGERY
CONSENT FORM for UROLOGICAL SURGERY (Designed in compliance with consent form 1) PATIENT AGREEMENT TO INVESTIGATION OR TREATMENT Patient Details or pre-printed label Patient s NHS Number or Hospital number
More informationMANAGEMENT OF DELIVERY
MANAGEMENT OF DELIVERY Module 11 : Management of Delivery Learning outcomes: To understand and demonstrate appropriate knowledge, skills and attitudes relating to management of delivery. Knowledge criteria
More informationPGY-1 Overall Goals & Objectives
PGY-1 Overall Goals & Objectives PGY-1 residents are expected to accomplish and maintain the following objectives: Develop personal values and interpersonal skills appropriate for the surgical resident
More informationRADICAL REMOVAL OF THE KIDNEY AND URETER
Procedure Specific Information What is the evidence base for this information? This publication includes advice from consensus panels, the British Association of Urological Surgeons, the Department of
More informationSurgical Variance Report General Surgery
Surgical Variance Report General Surgery Table of Contents Introduction to Surgical Variance Report: General Surgery 1 Foreword 2 Data used in this report 3 Indicators measured in this report 4 Laparoscopic
More informationGlobal Surgery Package for Professional Claims
Manual: Policy Title: Reimbursement Policy Global Surgery Package for Professional Claims Section: Administrative Subsection: None Policy Number: RPM011 Date of Origin: 1/1/2000 Last Updated: 3/6/2017
More informationFormative DOPS: Diagnostic upper gastrointestinal endoscopy (OGD)
Date of procedure Trainee name Trainer name Membership no. (eg. GMC/NMC) Membership no. (eg. GMC/NMC) Outline of case Difficulty of case Easy Moderate Complicated Please tick appropriate box Level of Complete
More informationLOYOLA UNIVERSITY MEDICAL CENTER RESIDENCY PROGRAM IN GENERAL SURGERY CLINICAL ROTATION DESCRIPTION
LOYOLA UNIVERSITY MEDICAL CENTER RESIDENCY PROGRAM IN GENERAL SURGERY CLINICAL ROTATION DESCRIPTION Loyola University Medical Center Department of Surgery Colorectal Surgery RESIDENT COMPLEMENT: ROTATION
More informationPGY-7 (2 nd Year) GOALS AND OBJECTIVES VANDERBILT UNIVERSITY MEDICAL CENTER VASCULAR SURGERY PROGRAM ROTATION-BASED GOALS AND OBJECTIVES
PGY-7 (2 nd Year) GOALS AND OBJECTIVES VANDERBILT UNIVERSITY MEDICAL CENTER VASCULAR SURGERY PROGRAM ROTATION-BASED GOALS AND OBJECTIVES A. VANDERBILT HOSPITAL VASCULAR SURGERY SERVICE COMPETENCY BASED
More informationGynecology Rotation for PGY 3-5
McGill University Obstetrics and Gynecology Residency Program Goals and Objectives Gynecology Rotation for PGY 3-5 Overview This document describes the Obstetrics and Gynecology residency rotation in Gynecology
More informationImproving RCTs in surgery: describing
Improving RCTs in surgery: describing standardising & monitoring interventions Jane M Blazeby Professor of Surgery & Honorary Consultant Surgeon, Director MRC ConDuCT-II Hub for Trials Methodology Research
More informationObesity - Tier 3 Weight Management Programme and Bariatric Surgery Criteria Based Access Protocol
NHS Dorset Clinical Commissioning Group Obesity - Tier 3 Weight Management Programme and Bariatric Surgery Criteria Based Access Protocol Supporting people in Dorset to lead healthier lives 1. INTRODUCTION
More informationSurgical Oncology II: R5 Tuesday, February 02, 2016
Stanford University General Surgery Residency Program Surgical Oncology II Goals and Objectives for Residents: R-5 Rotation Director: Ralph Greco, MD Description The Surgical Oncology II rotation at Stanford
More informationProgram Selection Criteria: Bariatric Surgery
Program Selection Criteria: Bariatric Surgery Released June 2017 Blue Cross Blue Shield Association is an association of independent Blue Cross and Blue Shield companies. 2013 Benefit Design Capabilities
More informationUniCare Professional Reimbursement Policy
UniCare Professional Reimbursement Policy Subject: Global Surgery Policy #: UniCare 0012 Adopted: 07/15/2008 Effective: 08/01/2017 Coverage is subject to the terms, conditions, and limitations of an individual
More informationEmpire BlueCross BlueShield Professional Reimbursement Policy
Subject: Global Surgery NY Policy: 0012 Effective: 02/01/2014 05/31/2014 Coverage is subject to the terms, conditions, and limitations of an individual member s programs or products and policy criteria
More informationSGT 222 SURGICAL PROCEDURES
SGT 222 SURGICAL PROCEDURES PRESENTED AND APPROVED: AUGUST 9, 2012 EFFECTIVE: FALL 2012-13 Prefix & Number SGT 222 Course Title: Surgical Procedures Purpose of this submission: New Change/Updated Retire
More informationEmpire BlueCross BlueShield Professional Commercial Reimbursement Policy
Subject: Global Surgery NY Policy: 0012 Effective: 10/01/2016 Coverage is subject to the terms, conditions, and limitations of an individual member s programs or products and policy criteria listed below.
More informationSt Peter s Hospital. Guildford Road Chertsey, Surrey KT16 0PZ Anaesthetic Department Direct Line: College Tutor: Dr Robert Menzies
St Peter s Hospital Guildford Road Chertsey, Surrey KT16 0PZ Anaesthetic Department Direct Line: 01932 722153 College Tutor: Dr Robert Menzies http://www.multimap.com/maps/?qs=&countrycode=gb&maptype=&overview=#map
More informationLAPAROSCOPIC RADICAL REMOVAL OF THE KIDNEY AND URETER
Procedure Specific Information What is the evidence base for this information? This publication includes advice from consensus panels, the British Association of Urological Surgeons, the Department of
More informationHaving a staging laparoscopy
Information for patients Having a staging laparoscopy Turnberg Building Upper GI General Surgery 0161 206 5062 Page 1 of 5 This booklet has four aims: l To help you and your family become better informed
More informationAnthem Blue Cross and Blue Shield Commercial Professional Reimbursement Policy
Subject: Global Surgery IN, KY, MO, OH, WI Policy: 0012 Effective: 01/01/2018 Coverage is subject to the terms, conditions, and limitations of an individual member s programs or products and policy criteria
More informationANTERIOR RESECTION WHAT ARE THE BENEFITS OF HAVING AN ANTERIOR RESECTION?
WHAT IS AN ANTERIOR RESECTION? ANTERIOR RESECTION This is an operation that is designed to remove part of your lower large bowel and then join the bowel ends back together again. This is called an anastamosis.
More informationLOYOLA UNIVERSITY MEDICAL CENTER RESIDENCY PROGRAM IN GENERAL SURGERY CLINICAL ROTATION DESCRIPTION. Hines VA Hospital General Surgery
LOYOLA UNIVERSITY MEDICAL CENTER RESIDENCY PROGRAM IN GENERAL SURGERY CLINICAL ROTATION DESCRIPTION Hines VA Hospital General Surgery RESIDENT COMPLEMENT: ROTATION DURATION: PG1, PGY 3 & PG5 PG1 1 month
More informationG: Surgical. College of Licensed Practical Nurses of Alberta, Competency Profile for LPNs, 3rd Ed. 67
G: Surgical College of Licensed Practical Nurses of Alberta, Competency Profile for LPNs, 3rd Ed. 67 Major Competency Area: G Surgical Competency: G-1 Surgical Nursing Date: June 1, 2015 G-1-1 G-1-2 G-1-3
More informationSurgery Road Map. General practices. Road map sections
Surgery Road Map MHA s road maps provide hospitals and health systems with evidence-based recommendations and standards for the development of topic-specific prevention and quality improvement programs,
More informationPrimary Supervisors: Dr. Robert Atkinson (Office: ) Dr. Daniel Singer (Office: ) Dr. John Juliano Dr. Shim Ching (Plastic Surgery)
Hand Surgery Rotation At Queen s Medical Center, PGY-5 Description of Rotation The Hand Surgery rotations include a three-month rotation as a PGY-5 (Chief) resident. Residents on rotation participate in
More informationSURGICAL RESIDENT CURRICULUM FOR NORTH CAROLINA JAYCEE BURN CENTER. Residency years included: PGY1 _X PGY2 PGY3 _X PGY4 PGY5 Fellow
SURGICAL RESIDENT CURRICULUM FOR NORTH CAROLINA JAYCEE BURN CENTER Residency years included: PGY1 _X PGY2 PGY3 _X PGY4 PGY5 Fellow I. Clinical Mission of the North Carolina Jaycee Burn Center The clinical
More informationThe operation will take several hours and you will stay in the recovery room until you are ready to return to the ward.
This booklet is designed to give you information about having a free flap following a lower limb injury. We hope it will answer some of the questions that you, or those who care for you, may have at this
More informationWest Middlesex Junior Doctors Handbook in Colorectal Surgery
West Middlesex Junior Doctors Handbook in Colorectal Surgery Page 1 of 10 INTRODUCTION Welcome to surgery and to the colorectal team! This guide is meant to be just that, a guide and has been principally
More informationSURGICAL RESIDENT CURRICULUM FOR THE DIVISION OF GENERAL and PEDIATRIC SURGERY
SURGICAL RESIDENT CURRICULUM FOR THE DIVISION OF GENERAL and PEDIATRIC SURGERY I. The Clinical Mission of the Division of Pediatric Surgery The clinical mission of the Division of Pediatric Surgery at
More informationLaparoscopic partial nephrectomy
Laparoscopic partial nephrectomy This leaflet is written to give you information and answer questions you may have about your surgery. If you have any further questions, please speak to your doctor or
More informationJersey Shore University Medical Center Ob/Gyn Residency Program Educational Goals and Objectives for GYNECOLOGY PGY
These are the Educational Goals and Objectives for the Gynecology Rotation. Please review and become familiar with these goals and objectives. The Chief Resident on the Gynecology Rotation is responsible
More informationThe Children s Hospital. Gastrostomy. Information for parents and carers
The Children s Hospital Gastrostomy Information for parents and carers What is a gastrostomy? A gastrostomy is a tube which is inserted through the abdominal wall (tummy) into the stomach. There are two
More informationConsensus Reports and Recommendations to Prevent Retained Surgical Items
Consensus Reports and Recommendations to Prevent Retained Surgical Items Summary by the Institute for Population Health Improvement, UC Davis Health System Category Items included in surgical count When
More informationSurgical procedures discussed in this course are general, hernias, liver and biliary, GYN, thyroid, breast, eyes and plastic surgeries.
COURSE INFORMATION Course Prefix/Number: SUR 103 Course Title: Surgical Procedures I Lecture Hours/Week: 2.0 Lab Hours/Week: 6.0 Credit Hours/Semester: 4.0 VA Statement/Distance Learning Attendance Textbook
More informationINTERNATIONAL SYMPOSIUM: Prevention and Management of Complications in Bariatric Surgery
Endorsed By: Digestive Disease Institute INTERNATIONAL SYMPOSIUM: Prevention and Management of Complications in October 17 18, 2014 InterContinental Hotel and Bank of America Conference Center and Simulation
More informationLAPAROSCOPIC SIMPLE REMOVAL OF THE KIDNEY
Procedure Specific Information What is the evidence base for this information? This publication includes advice from consensus panels, the British Association of Urological Surgeons, the Department of
More informationSTANDARDIZED PROCEDURE LUMBAR DRAIN INSERTION (Adults, Peds)
I. Definition The purpose of this standardized procedure is for the Advanced Health Practitioner to safely place a lumbar drain. II. Background Information A. Setting: The setting (inpatient vs outpatient)
More informationPerioperative Learning Center Mission Statement: The mission of the Perioperative Learning Center is to provide excellence in the education and
Perioperative Learning Center Mission Statement: The mission of the Perioperative Learning Center is to provide excellence in the education and training of team members in an effort to deliver safe, competent
More informationObjectives. Positioning the Bariatric Patient in the OR. Goals of Positioning. Airway challenges 6/9/2014
Objectives To identify proper positioning of Bariatric patients for surgery Barbara Lawrence RN MEd ONC Clinical Education Specialist Magee-Womens Hospital of UPMC To recognize patients who are more vulnerable
More informationNBSTSA CSFA Pre-Authorization for Clinical Experience Certified Surgical First Assistant (CSFA) Examination (For CSTs with Currency)
This Pre-Authorization Form MUST be submitted prior to beginning clinical experience and the application process. NBSTSA CSFA Pre-Authorization for Clinical Experience Certified Surgical First Assistant
More informationTo provide trainees an opportunity to participate in the perioperative and operative aspects of burn surgery
July 2011 ROTATION: BURN SURGERY ROTATION DIRECTOR: Warren Garner, MD SITE: Los Angeles County USC Medical Center GOALS AND OBJECTIVES: To provide trainees an opportunity to participate in the perioperative
More informationRoles, Responsibilities and Patient Care Activities of Residents PEDIATRIC UROLOGY FELLOWSHIP. Seattle Children s Hospital
Roles, Responsibilities and Patient Care Activities of Residents PEDIATRIC UROLOGY FELLOWSHIP Definitions Seattle Children s Hospital Resident: A physician who is engaged in a graduate training program
More informationRURAL & COMMUNITY SURGERY SMH, Gatineau, Joliette, Ormstown, Val D Or and Lakeshore Sites
RURAL & COMMUNITY SURGERY SMH, Gatineau, Joliette, Ormstown, Val D Or and Lakeshore Sites Goals & Objectives Preamble The general objective of our rural and community surgery rotations is to provide the
More informationDistrict of Columbia Surgical Assistant Laws
District of Columbia Surgical Assistant Laws District of Columbia Official Code Division I. Government of District. Title 3. District of Columbia Boards and Commissions. Subtitle I. General. Chapter 12.
More informationOVERALL GOALS AND OBJECTIVES FOR EACH RESIDENT LEVEL 3 rd YEAR GENERAL SURGERY RESIDENT PATIENT CARE
OVERALL GOALS AND OBJECTIVES FOR EACH RESIDENT LEVEL CRITERIA FOR ADVANCEMENT TO PGY-4 YEAR: Satisfactory completion of all rotations and fulfillment of all performance objectives listed above as judges
More informationTrauma. Level 2. This resident can lead a to recognize common. This resident can. accurately diagnose. team that cares for traumatic conditions and
Page 1 of 7 Trauma Subject Name Status Employer Program Rotation Evaluation Dates Evaluated by: Evaluator Name Status Employer Program 1 (Trauma) Patient Care: Ward Care This resident is not able lead
More informationJOB DESCRIPTION: SURGICAL TECHNOLOGIST
1507.00. JOB DESCRIPTION: SURGICAL TECHNOLOGIST 1507.01. The Standards & Guidelines for the Accreditation of Educational Programs in Surgical Technology have been approved by the Association of Surgical
More informationStanford Multiorgan Transplant Surgery: R-1 Tuesday, February 02, 2016
Stanford University General Surgery Residency Program Abdominal Transplant Surgery Goals and Objectives for Residents: R-1 Rotation Director: Carlos Esquivel, M.D., Ph.D. Description The Abdominal Transplant
More informationFamily Medicine Residency Surgery Rotation
Family Medicine Residency Surgery Rotation Rotation Goal The overall goal for the educational experience provided in the areas of general surgery, trauma surgery, office orthopedic surgery and sports medicine,
More informationEnhanced Recovery Programme
Enhanced Recovery Programme Page 14 Contact details South Tyneside NHS Foundation Trust Harton Lane South Shields Tyne and Wear NE34 0PL For advice please contact ward 1 on 4041001 Or ward 3 on 0191 4041003.
More informationA Total Colectomy is the surgical removal of the entire colon (last part of the intestine/gut). It does not involve the removal of the rectum.
Total Colectomy What is a Total Colectomy? A Total Colectomy is the surgical removal of the entire colon (last part of the intestine/gut). It does not involve the removal of the rectum. Before an ileostomy
More informationLAPAROSCOPIC RECONSTRUCTION OF THE PELVIS OF THE KIDNEY
Procedure Specific Information What is the evidence base for this information? This publication includes advice from consensus panels, the British Association of Urological Surgeons, the Department of
More informationACUTE BURN SURGERY ROTATION - PGY-2 Resident. 1. Fulfill all the objectives of the PGY1 Burn Rotation
ACUTE BURN SURGERY ROTATION - PGY-2 Resident Medical Knowledge Goal: The resident will achieve a detailed knowledge of the evaluation and management of burn patients. 1. Fulfill all the objectives of the
More informationFormative DOPS: Percutaneous endoscopic gastrostomy (PEG)
Date of procedure Trainee name Trainer name Formative DOPS: Membership no. (eg. GMC/NMC) Membership no. (eg. GMC/NMC) Outline of case Difficulty of case Easy Moderate Complicated Please tick appropriate
More information2017 Participation Guide
2017 Participation Guide The Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) has been approved as a Qualified Clinical Data Registry (QCDR) for 2017 facs.org/quality-programs/mbsaqip/resources/data-registry
More informationAppendix A.1 SURGICAL TECHNOLOGIST WORK PROCESS SCHEDULE AND RELATED INSTRUCTION OUTLINE
WORK PROCESS SCHEDULE AND RELATED INSTRUCTION OUTLINE A.1-1 WORK PROCESS SCHEDULE O*NET-SOC CODE: 29-2055.00 RAPIDS CODE: 1051CB This schedule is attached to and a part of these Standards for the above
More informationThe United Kingdom National Bariatric Surgery Registry
1 The United Kingdom National Bariatric Surgery Registry PUBLICATION OF SURGEON-LEVEL DATA IN THE PUBLIC DOMAIN FOR BARIATRIC SURGERY IN NHS ENGLAND Summary The NBSR Committee on behalf of the British
More informationHaving an open partial nephrectomy
Having an open partial nephrectomy The aim of this information sheet is to help answer some of the questions you may have about having part of your kidney removed using conventional open surgery this is
More informationYour Hospital Stay After Fibular Free Flap Surgery
Your Hospital Stay After Fibular Free Flap Surgery What to expect This handout explains what to expect during your hospital stay after your fibular free flap surgery. It includes where you will stay after
More informationGENERAL PROGRAM GOALS AND OBJECTIVES
BENJAMIN ATWATER RESIDENCY TRAINING PROGRAM DIRECTOR UCSD MEDICAL CENTER DEPARTMENT OF ANESTHESIOLOGY 200 WEST ARBOR DRIVE SAN DIEGO, CA 92103-8770 PHONE: (619) 543-5297 FAX: (619) 543-6476 Resident Orientation
More informationSupervision of Residents/Chain of Command
Supervision of Residents/Chain of Command Creighton University Department of Surgery Residency Training Program Chain of command for Surgery residents at CUMC PGY1: The intern on call covers the two general
More informationUNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL ANESTHESIOLOGY RESIDENCY PROGRAM GOALS AND OBJECTIVES
UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL ANESTHESIOLOGY RESIDENCY PROGRAM GOALS AND OBJECTIVES CA-2/CA-3 REQUIRED ROTATIONS IN PEDIATRIC ANESTHESIOLOGY The Department of Anesthesiology has established
More informationPurpose/goal. Statementt. Objectives After. Requirements. Sponsorship. reading this. 2. Read and. review the. completion. This activity was.
INSTRUCTIONS & DISCLOSURE STATEMENT Course 10: Perform Sponge, Sharp, and Instrument Counts Purpose/goal Statementt The purpose of this chapter is to describe the perioperative nurse s role in preventing
More informationPolicy :Department of Cardiology
Policy :Department of Cardiology Title: PROTOCOL FOR CARDIAC NURSE SPECIALIST PERFORMING IMPLANTABLE CARDIAC MONITOR PROCEDURE Authors: Simon Adams Accepted by: Acute Care Division Active date: Ratification
More informationANZELA-QI DATASET & HELPFILE v7.10
-QI DATASET & HELPFILE v7.10 Australia and New Zealand Emergency Laparotomy Audit Quality Improvement Notes to assist data entry Data capture and recording It is the universal experience that the best
More informationLaparoscopic nephrectomy surgery
Laparoscopic nephrectomy surgery This leaflet explains more about laparoscopic nephrectomy including the benefits, risks and any alternatives, and what you can expect when your child comes in to hospital
More informationSurgical Education Week: ASE/ARCS/APDS
Surgical Education Week: ASE/ARCS/APDS Association of Residency Coordinators in Surgery April 12, 2007 Morbidity & Mortality Analysis: Relationship to the Core Competencies Donna Turovac Past President,
More informationSurgical Care, Centered on You
General Surgery Surgical Care, Centered on You Having surgery is an important decision, and so is choosing where to have surgery. At Woman s, your surgery will be performed by experienced specialists and
More informationMonitoring of the accomplishment of the stated objectives will be performed using the following methods:
July 2011 ROTATION: PLASTIC SURGERY ROTATION DIRECTOR: Tim Miller, M.D. SITES: RRUMC; Greater Los Angeles VA Medical Center, Olive View UCLA Medical Center GOALS AND OBJECTIVES: 1. Obtain clinical experience
More informationInstitutional Handbook of Operating Procedures Policy
Section: Clinical Policies Institutional Handbook of Operating Procedures Policy 09.13.28 Responsible Vice President: EVP & CEO Health System Subject: Patient Risk, Treatment, and Safety Responsible Entity:
More informationImplementation of Surgical Safety Checklist
Implementation of Surgical Safety Checklist The World Health Organisation has identified through consultation with surgeons, anaesthetists and nurses a checklist of critical steps that are common to all
More informationAims. - Surgical Assistance - Hands up if you think expectations of the perioperative team are to high? Adrian Jones : RN - SCP AfPP Vice President
- Surgical Assistance - Hands up if you think expectations of the perioperative team are to high? Adrian Jones : RN - SCP AfPP Vice President Aims Interactive session exploring challenges facing perioperative
More informationGlobal Days Policy. Approved By 7/12/2017
Global Days Policy Policy Number 2018R0005A Annual Approval Date 7/12/2017 Approved By Reimbursement Policy Oversight Committee IMPORTANT NOTE ABOUT THIS You are responsible for submission of accurate
More informationLevel 3 Diploma in Healthcare and Social Care Support Skills (QCF)
Level 3 Diploma in Healthcare and Social Care Support Skills (QCF) Qualification Specification ProQual 2015 Contents Page Introduction 3 The Qualifications and Credit Framework (QCF) 3 Qualification profile
More informationRight Hemicolectomy. Patient information - General Surgery. Right Hemicolectomy
Right Hemicolectomy General Surgery Right Hemicolectomy Patient information - General Surgery Introduction This booklet provides information about your operation. Please do not hesitate to ask any questions
More informationSurgical Technologist
Surgical Technologist Study Guide Assessment: 8621 Surgical Technologist Overview This study guide is designed to help students prepare for the Surgical Technologist assessment. It not only includes information
More informationROLE OF THE PERFUSIONIST
ROLE OF THE PERFUSIONIST Ce document est également disponible en francois November 2009 Endorsed by: THE ROLE OF THE CLINICAL PERFUSIONIST IN CANADA The Canadian Anaesthetist Society The Canadian Society
More informationPediatric Surgery Curriculum Clinical Base Year
Pediatric Surgery Curriculum Clinical Base Year Collaborating Faculty: Cindi Graves, MD Residency Program Director Department of Surgery Purpose and Educational Value The purpose of the Pediatric Surgery
More information