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Written by Dr Kubli
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Management Module (Post FRCA ST5-7 trainees)
As part of the training modules available once the ST3 year modules are completed then some suggested activities could include:
- attending a pre-assessment meeting (discuss with lead for pre-assessment)
- attending a trust board meeting (discuss with clinical director)
- attending a clinical governance meeting (discuss with lead for governance)
- attending a trust clinical audit meeting (discuss with lead for anaesthetic audit)
- discuss this module with current clinical director for anaesthetic services
- shadowing the chief executive for half a day (contact College Tutor to arrange)
- attending executive board meeting (discuss with clinical director)
- shadowing the head of KSS school of anaesthesia
- shadow clinical director in anaesthetics and intensive care medicine
- attend junior anaesthetic and ITU appointment interviews (trust and deanery level)
- become the representative at the trusts Local Faculty Group meetings
- become pro-active and organise the Christmas rota
Courses provided free of charge by the trust Clinical Effectiveness Support Unit include:
- On-line equal opportunities & diversity training session (print certificate once completed)
- Clinical Audit training
- Communication training
- Introduction to project management
- Questionnaire design
Attending an external management course would be of value.
Vascular Module
There are 2 all day vascular lists available each week for experience in Vascular anaesthesia.
Anaesthetic experience can be gained in:
- Aortic aneurysm repair occurs in the open and closed (Endovascular Repair - EVAR) manners.
- local and general anaesthesia for Carotid surgery
- EVAR Thoracic aneurysm with lumber CSF drain insertion is practiced in the angiography suite.
- Axilliary to femoral & Fem-fem crossover shunts
- Femoral popliteal bypass surgery
- venous surgery
- Limb Amputations
- Emergency in hospital cover for vascular injury
General surgery
- Major lower bowel surgery (anterior resections, abdominoperineal)
- Gall bladder surgery (not including hepatobiliary)
- Paediatric hernia surgery
- Laparoscopic gastric bandings
- Endocrine surgery - Thyroid, para-thyroid, neo-endocrine
- Breast
Ear Nose & Throat
- Day surgery operations (no laryngectomies or major head and neck)
- Abundance of paediatric case load (tonsils, grommets, adenoids)
- Sinus surgery
Eye surgery
- limited to adult cataract day surgery cases
- Paediatric squint & ductal surgery
Gynaecology
- there is a full range of major and minor surgeries including major cases involving bowel surgery for endometriosis and malignancies.
- Endometrial ablation
Trauma & Orthopaedics
- Application of ilizarov frames (cyclical external fixators)
- Upper limb surgery (interscalene blocks performed)
- Major joint replacement
- Long and short bone fractures
- Thoracic epidurals for fractured ribs
Dental & Minor Maxillofacial
- Day case adult and paediatric population
Urological surgery
- Regional centre for bladder cystectomies
- Radical prostatectomy
- Paediatric circumcision
- Nephrectomy
- Kidney stone surgery
Ashford & St Peter's does not offer Thoracic, Cardiac or neurosurgery.
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Anaesthetics Training