Peninsula School ACCS CT2 Acute Medicine ARCP Checklist
Name: |
|
GMC Number: |
|
Anaesthetics Placement |
|||
Dates: ……………………………. to ……………………………. |
|||
1. Introduction to Anaesthesia Workbook completed. |
|||
2. The following WPBAs have been completed on e-portfolio: |
|||
|
Pre-assessment Module |
||
|
|
CBD: Describe methods used for assessing the airway |
|
|
|
A-CEX: Demonstrate ability to take a focussed full history |
|
|
|
DOPS: ………………………………………………………… |
|
|
Pre-medication Module |
||
|
|
CBD: ………………………………………………………….. |
|
|
|
A-CEX: ……………………………………………………….. |
|
|
|
DOPS: ………………………………………………………… |
|
|
Post-Operative and Recovery Room Care Module |
||
|
|
CBD: Discuss O2 therapy including indications and techniques |
|
|
|
CBD: Discuss the assessment and management of post-op pain |
|
|
|
CBD: Discuss the assessment and management of PONV |
|
|
|
A-CEX: Demonstrate the ability to extubate |
|
|
|
DOPS: Manage a PCA |
|
|
Peri-operative Management of Emergency Surgery Module |
||
|
|
CBD: Discuss problems that abdominal surgery causes the anaesthetist |
|
|
|
A-CEX: ……………………………………………………….. |
|
|
|
DOPS: ………………………………………………………… |
|
|
Induction of General Anaesthesia Module |
||
|
|
CBD: Discusses the methods available to manage a difficult intubation |
|
|
|
CBD: Discusses safe practice in checking the patient in |
|
|
|
A-CEX: Correctly conducts an RSI and demonstrates cricoid pressure |
|
|
|
DOPS: Checks the anaesthetic machine |
|
|
|
DOPS: Failed intubation drill (may be simulated) |
|
|
Intra-operative Care Module |
||
|
|
CBD: Discusses the choice of induction agents and muscle relaxants |
|
|
|
A-CEX: Manages anaesthesia in a spontaneously breathing patient |
|
|
|
A-CEX: Manages anaesthesia in a ventilated patient |
|
|
|
DOPS: Directs the team for safe transfer and positioning of patient |
|
|
Management of Respiratory and Cardiac Arrest Module |
||
|
|
DOPS: Demonstrates CPR on a manikin |
|
|
|
A-CEX: ……………………………………………………….. (if last ALS over one year ago) |
|
|
|
DOPS: ………………………………………………………… (if last ALS over one year ago) |
|
|
Control of infection Module |
||
|
|
DOPS: Demonstrates scrubbing and gowning |
|
|
ACCS Extra Module 1: Choice of Airway, Sedation, Transfer Medicine or Critical Incidents |
||
|
|
CBD: ………………………………………………………….. |
|
|
|
A-CEX: ……………………………………………………….. |
|
|
|
DOPS: ………………………………………………………… |
|
|
ACCS Extra Module 2: Choice of Airway, Sedation, Transfer Medicine or Critical Incidents |
||
|
|
CBD: ………………………………………………………….. |
|
|
|
A-CEX: ……………………………………………………….. |
|
|
|
DOPS: ………………………………………………………… |
|
3. Clinical Supervisor’s Structured Training Report complete on e-portfolio (also seen by Educational Supervisor) |
|
Intensive Care Medicine Placement |
||||
Dates: …………………….. to …………………….. |
||||
1. The following WPBAs have been completed (6 x DOPS, 3 x I-CEX, 4 x CBD): |
||||
|
DOPS |
Demonstrates aseptic peripheral venous cannulation |
|
|
|
Demonstrates aseptic arterial cannulation |
|
||
|
Demonstrates aseptic placement of CVC catheter |
|
||
|
Connects mechanical ventilator and selects initial settings |
|
||
|
Additional DOPS: ………………………………………………………… |
|
||
|
Additional DOPS: ………………………………………………………… |
|
||
|
ICEX |
Obtains an arterial blood gas sample, interprets results correctly |
|
|
|
Safe use of vasoactive drugs and electrolytes |
|
||
|
Delivers a fluid challenge safely to an acutely unwell patient |
|
||
|
CBD |
Discusses safe use of drugs to facilitate mechanical ventilation |
|
|
|
Discusses principles of monitoring respiratory function |
|
||
|
Discusses assessment of patient with poor compliance during ventilatory support |
|
||
|
Describes actions required for accidental displacement of tube |
|
||
2. Training programme grid for ICM at ACCS level reviewed with supervisor, requirements met |
|
|||
3. Any outstanding major presentations not completed in CT1 (e.g. sepsis, shock) now complete |
|
|||
4. ICM “Completion of Unit of Training” equivalent Structured Training Report completed on e-portfolio by clinical supervisor (also seen by Educational Supervisor) |
|
|||
Two Weeks Prior to ARCP Deadline (to allow supervisor/college tutor to complete STR) |
||||
ARCP Paperwork Deadline: ……………………………. ARCP Date: ……………………………. |
||||
1. |
ACCS CT1 Record Book Reviewed: |
|
||
|
i) All 25 common competencies signed off (50% at level 2 or above) |
|
||
|
ii) WPBA, e-learning or reflection completed for all major and acute presentations |
|
||
|
iii) Minimum 11 of 17 general practical procedures signed off (see list overleaf) |
|
||
2. |
Learning Agreement or PDP approved by supervisors and on/uploaded to eportfolio |
|
||
3. |
Initial Assessment of Competence Certificate completed and uploaded to eportfolio |
|
||
4. |
Multi-source feedback complete (NB: minimum 1 MSF required per year, 2 is ideal) minimum 12 responses, including 4 consultants to meet below requirement. |
|
||
5. |
Multiple Consultant Report uploaded to e-portfolio (done separately or within MSF above) |
|
||
6. |
All “Basis of Anaesthesia” modules signed off and uploaded to eportfolio |
|
||
7. |
At least 2 extra modules signed off (any 2 of Sedation, Critical Incidents, Transfer Medicine, or Airway) and uploaded to eportfolio |
|
||
8. |
“Introduction to Anaesthesia” workbook completed and uploaded to eportfolio. |
|
||
9. |
Evidence of courses attended, e.g. ALS, APLS, etc, uploaded to e-portfolio |
|
||
10. |
Evidence of completion of MRCP Part 1 uploaded on e-portfolio |
|
||
11. |
Evidence of other achievements, e.g. QIPs, etc, uploaded to e-portfolio (if applicable) |
|
||
12. |
Form R completed and emailed to school manager and copy uploaded to e-portfolio |
|
||
13. |
Educational Supervisor’s Structured Training Report summarising the whole year completed on the e-portfolio |
|
||
As the trainee’s educational supervisor, I have seen all evidence presented either above or the equivalent on the trainee’s e-portfolio (the trainee must show you this). I have ensured that all areas above, particularly pastoral concerns, have been discussed and documented either on the e-portfolio structured training report or on the paper report above. To the best of my knowledge there are no other outstanding issues with progression of their training. |
|
Educational Supervisor signature:
Date: |
Trainee signature:
Date:
|
Appendix: List of Practical Procedures
There is a list of 45 “practical procedures” in the ACCS curriculum that must be assessed during ACCS training programme. Of these:
- 11 are WPBAs (DOPS, CEX and CBD) that must be completed during ICM placement, as per the ACCS CT2 ARCP checklist;
- 17 are WPBAs (DOPS, CEX and CBD) that must be completed during anaesthesia placement as part of IAC, as per the ACCS CT2 ARCP checklist;
- 17 are “general practical procedures,” which are listed below.
General Practical Procedures |
||
|
Lumbar Puncture |
|
|
Pleural Tap |
|
|
Intercostal Drain (Seldinger) |
|
|
Intercostal Drain (Open) |
|
|
Ascitic Tap |
|
|
Ascitic Drain |
|
|
Basic Airway Protection |
|
|
Basic and Advanced Life Support |
|
|
Knee Aspiration |
|
|
Temporary Pacing (External or Transvenous) |
|
|
Fracture Manipulation and Joint Reduction |
|
|
Large Joint Examination |
|
|
Wound Management |
|
|
Trauma Primary Survey |
|
|
Initial Assessment of Acutely Unwell |
|
|
Secondary Assessment of Acutely Unwell |
|
11 of 17 “general practical procedures” must be completed by end of ACCS CT2; all 17 must be completed by ACCS CT3. Some will have been completed in CT1.