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.