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