Perioperative medicine for older people undergoing surgery rotation competencies and generic capabilities/transferable skills
| Competencies | |
|---|---|
| Core | Evidence-based medicine. |
| Long-term condition management. | |
| Recognition and resuscitation of the acutely unwell medical patient in the context of medical and surgical complexity/uncertainty. | |
| Geriatric medicine | Comprehensive geriatric assessment.
Multimorbidity and frailty. |
| Cognitive disorders. | |
| Advanced care planning. | |
| Perioperative medicine | Preoperative risk assessment and optimisation. |
| Perioperative planning. | |
| Shared decision making. | |
| Postoperative medical management, rehabilitation and discharge planning. | |
| Surgery/anaesthesia | Physiological assessment to inform anaesthetic management. |
| Surgical stress response. | |
| Pathway of care. | |
| Generic capabilities/transferable skills | |
| Communication and professionalism | Collaborative interspecialty and multidisciplinary working. Patient and relative communication:
Multidisciplinary team meetings. |
| Teamwork | Within POPS team (consultant, registrar, nurse specialists, allied healthcare professionals). |
| Joint working between POPS, surgery, anaesthesia, critical care, palliative medicine, oncology. | |
| Leadership | Patient advocacy. |
| Chairing MDMs. | |
| Quality improvement | Compulsory completion of QI project with dedicated sessions to complete this. |
| Formal teaching on QI methodology. | |
| Formal teaching on presenting and publishing findings. | |
MDMs = multi-disciplinary meetings; POPS = perioperative care for older people undergoing surgery; QI = quality improvement.