OCAP
Trainer Profile: Procedures
(010305)
Guidance notes:
This document mirrors the procedures list in the Electronic logbook, it is
structured as below:
1. Review the document, delete procedures that do not relate to your
practice
2. Add any procedures that are missing or details such as particular
approaches to a procedure that you consider important to the
experience you are providing
3. If the list is over long edit it with reference to what trainees will have the
opportunity to learn from you
4. Personalise the document by adding your name, remove this
guidance page and save it with a personal document title
5. Send a copy to your present trainees, and by e-mail to the OCAP
project (d.pitts@rcsed.ac.uk )
N.E.Surgeon
PROCEDURES PROFILE (010305)
Trainee:
Post/Post No:
Trainer 1:
GMC No:
Trainer 2:
Year of Training:
Trust:
Attachment Start Date:
Target Dates:
A:
B:
C:
Attachment End Date:
Notes:
Trainee to list experience level before 1 st meeting using “A”
Both to agree on realistic end of attachment target using “G” at first meeting
This to be checked at mid attachment meeting using “B” to denote progress if necessary, with explanatory
notes on learning agreement form.
Final standard to be marked “C” at end of attachment if goal not achieved or exceeded
Procedure
Assessment
1
2
3
4
General
Clinic activity in T&O
Debridement of Wound
Closed Management of Fracture
Trauma
Cervical Spine
Anterior fixation fracture / dislocation cervical spine {V469}
Application halo / tong traction cervical spine {V464}
MUA fracture / dislocation cervical spine {W663Z061}
Non-classifiable cervical spine trauma procedure {}
Posterior fixation fracture / dislocation cervical spine {V469}
Brachial Plexus
Exploration / repair / grafting brachial plexus {}
Thoracic Spine
Anterior decompression / fixation thoracic spine {V241}
Posterior decompression / fixation thoracic spine {V241}
Lumbar Spine
Anterior decompression / fixation lumbar spine {V258}
Posterior decompression / fixation lumbar spine {V253}
Pelvis
Acetabular fracture ORIF {W209Z756}
Pelvic fracture
o
Pelvic fracture external fixator application {W301Z759}
[1] Know about
© OCAP-BOA 2005
[2] Seen
[3] Managed with help
[4] Managed
[5] Confident to manage
2/12
5
Procedure
Assessment
1
o
2
3
4
Pelvic fracture ORIF {W209Z759}
Clavicle
ORIF clavicle fracture {W209Z681}
ORIF non-union clavicle fracture {W209Z681}
Shoulder
Anterior dislocation shoulder
o
Anterior dislocation shoulder closed reduction {669Z814}
o
Anterior dislocation shoulder open reduction +/- fixation {}
Acromioclavicular joint dislocation acute ORIF {}
Fracture proximal humerus
Glenoid fracture ORIF {W209Z684}
Posterior dislocation shoulder
Scapula fracture
Elbow
Dislocated elbow +/- fracture
o
Dislocated elbow +/- fracture closed reduction
{W663Z815}
o
Dislocated elbow +/- fracture open reduction +/- fixation {}
Intraarticular distal humerus fracture ORIF {W214Z697}
Lateral condyle fracture ORIF {W209Z695}
Medial condyle / epicondyle fracture MUA / K wire / ORIF {}
Olecranon fracture ORIF {W209Z711}
Radial head / neck fracture
o
Radial head / neck fracture MUA +/- K wire {}
o
Radial head / neck fracture ORIF {}
o
Radial head replacement for fracture {}
Supracondylar fracture
o
Supracondylar fracture MUA +/- K wires {W242}
o
Supracondylar fracture open reduction {W229}
Wrist
Carpal fracture / dislocation
o
Carpal fracture / dislocation MUA & percutaneous wires {}
o
Carpal fracture / dislocation MUA & POP {W663Z724}
o
Carpal fracture / dislocation ORIF {}
Scaphoid fracture
o
Scaphoid fracture ORIF {W209Z722}
o
Scaphoid fracture MUA & percutaneous wires
{W262Z722}
o
Scaphoid fracture non-union ORIF +/- graft {}
Hand
5th metacarpal fracture / dislocation
o
5th metacarpal fracture / dislocation MUA & percutaneous
wires {W028Z896}
o
5th metacarpal fracture / dislocation MUA & POP
{W663Z732}
o
5th metacarpal fracture / dislocation ORIF {}
[1] Know about
© OCAP-BOA 2005
[2] Seen
[3] Managed with help
[4] Managed
[5] Confident to manage
3/12
5
Procedure
Assessment
1
2
3
4
Finger tip reconstruction {W028Z896}
Infection
o
Infection hand drainage (not tendon sheath) {S472Z502}
o
Infection tendon sheath drainage {T728Y229}
IPJ fracture / dislocation
o
IPJ fracture / dislocation MUA & percutaneous wires {}
o
IPJ fracture / dislocation MUA +/- POP {}
o
IPJ fracture / dislocation ORIF {}
Ligament repair hand {W759Z894}
Metacarpal fracture (not 1st or 5th)
o
Metacarpal fracture (not 1st or 5th) MUA & Percutaneous
wires {W242Z732}
o
Metacarpal fracture (not 1st or 5th) MUA +/- POP
{W262Z732}
o
Metacarpal fracture (not 1st or 5th) ORIF {W209Z732}
Phalangeal fracture
o
Phalangeal fracture MUA & percutaneous wires {}
o
Phalangeal fracture MUA +/- POP {}
o
Phalangeal fracture ORIF {}
Tendon repair
o
Tendon repair extensor {T679Z567}
o
Tendon repair flexor {T679Z56}
MCPJ fracture / dislocation
o
MCPJ fracture / dislocation MUA & Percutaneous wires {}
o
MCPJ fracture / dislocation MUA +/- POP {}
o
MCPJ fracture / dislocation ORIF {}
Hip
Dislocated hip
o
Dislocated hip closed reduction {W669Z843}
o
Dislocated hip open reduction +/- fixation {}
Extracapsular fracture
o
Extracapsular fracture CHS / DHS {}
o
Extracapsular fracture intramedullary fixation {W192}
o
Extracapsular fracture other fixation {W198}
Intracapsular fracture
o
Intracapsular fracture hemiarthroplasty {}
o
Intracapsular fracture internal fixation {W209}
o
Intracapsular fracture intracapsular fracture THR {}
Femur
Diaphyseal fracture
o
Diaphyseal fracture intramedullary nailing {W192Z769}
o
Diaphyseal fracture plate/screw fixation {W201Z769}
Fasciotomy for compartment syndrome {T553Z769}
Subtrochanteric fracture
o
Subtrochanteric fracture intramedullary fixation
{W199Z764}
o
Subtrochanteric fracture plate/screw fixation {W201Z769}
Supracondylar fracture (not intraarticular)
o
Supracondylar fracture (not intraarticular) DCS / blade
plate etc {W201Z769}
o
Supracondylar fracture (not intraarticular) intramedullary
[1] Know about [2] Seen [3] Managed with help [4] Managed
© OCAP-BOA 2005
[5] Confident to manage
4/12
5
Procedure
Assessment
1
2
3
4
fixation {W192Z769}
Knee
Acute haemarthrosis arthroscopy {W852}
Acute ligament repair {}
Intraarticular fracture distal femur ORIF {W214Z765}
MUA +/- POP {}
Patella dislocation closed reduction +/- open repair {}
Patella fracture ORIF {W241Z787}
Patella tendon repair {T679Z787}
Quadriceps tendon repair {T679Z573}
Tibial plateau fracture
o
Tibial plateau fracture arthroscopically assisted fixture {}
o
Tibial plateau fracture ORIF with plates & screws
{W201Z774}
o
Tibial plateau fracture treatment with circular frame
{W301Z774}
Tibia & Fibula
Diaphyseal tibial fracture
o
Diaphyseal tibial fracture external fixation (including
frame) {}
o
Diaphyseal tibial fracture intramedullary nailing {}
o
Diaphyseal tibial fracture MUA & POP {}
o
Tibial shaft plating {}
Fasciotomy for compartment syndrome {}
Tibial non-union
o
Tibial non-union circular frame management {}
o
Tibial non-union intramedullary nailing +/- bone grafting {}
Ankle
Ankle fracture / dislocation
o
Ankle fracture / dislocation MUA & POP {W663Z856}
o
Ankle fracture / dislocation ORIF {}
Pilon fracture
o
Pilon fracture ORIF {W205Z856}
o
Pilon fracture with circular frame {W301}
Tendoachilles repair {T679Z581}
Foot
Amputation toe / ray for trauma {}
Calcaneal fracture ORIF {W209Z792}
Metatarsal fracture ORIF {W209Z802}
Phalangeal fracture MUA +/- K wire +/- ORIF {}
Talar, subtalar or midtarsal fracture / disloc
o
Talar, subtalar or midtarsal fracture / dislocation MUA +/POP +/- K wires {}
o
Talar, subtalar or midtarsal fracture / dislocation ORIF {}
Tendon repair {T679}
[1] Know about
© OCAP-BOA 2005
[2] Seen
[3] Managed with help
[4] Managed
[5] Confident to manage
5/12
5
Procedure
Assessment
1
2
3
4
Trauma General
Free flap {}
Full thickness skin graft {}
Muscle flap {}
Nerve repair {A642}
Other amputations {}
Pedicle flap {S199}
Removal external fixator or frame {W303}
Removal foreign body from skin / subcutaneous tissue {S456}
Removal K wires or skeletal traction {}
Removal metal {}
Split skin graft {S359}
Transpositional flap {}
Wound closure, delayed primary or secondary {}
Wound Debridement {S571}
Forearm
Fasciotomy for compartment syndrome {T522}
Fracture distal radius
o
Fracture distal radius external fixation {W301Z705}
o
Fracture distal radius MUA & percutaneous wires
{W242Z705}
o
Fracture distal radius MUA & POP {W262Z705}
o
Fracture distal radius ORIF {W209Z705}
Fracture shaft radius / ulna
o
Fracture shaft radius / ulna IM nailing {}
o
Fracture shaft radius / ulna MUA & percutaneous wires {}
o
Fracture shaft radius / ulna MUA & POP {}
o
Fracture shaft radius / ulna ORIF {}
Humerus
Fracture diaphysis humerus
o
Non-union ORIF +/- bone grafting {}
o
Fracture diaphysis humerus IM nailing {W192Z694}
o
Fracture diaphysis humerus MUA +/- POP {W262Z694}
o
Fracture diaphysis humerus ORIF plating {W201Z694}
Elective
Thoracic Spine
Anterior decompression +/- fixation / fusion {V241}
Biopsy thoracic spine {V472}
Posterior decompression +/- fixation / fusion {V241}
Scoliosis correction - anterior release +/- instrumentation
{V423V412}
Scoliosis correction - posterior fusion +/- instrumentation
{V428V411}
Thoracic spine operation not listed {}
[1] Know about
© OCAP-BOA 2005
[2] Seen
[3] Managed with help
[4] Managed
[5] Confident to manage
6/12
5
Procedure
Assessment
1
2
3
4
Brachial Plexus
Exploration / repair / grafting brachial plexus {}
Lumbar Spine
Caudal epidural injection {A522Z061}
Decompression lumbar spine with fusion +/- fixation {V251}
Decompression lumbar spine without fusion (not disectomy alone)
{V259}
Discectomy open / micro {V337}
Lumbar spine operation not listed {}
Nerve root / facet joint injection lumbar spine {V544Z665}
Pelvis
Shoulder
Acromioclavicular joint extension - arthroscopic / open / lateral
clavicle {}
Acromioclavicular joint reconstruction (e.g. Weaver Dunn)
{W771Z812}
Acromioplasty open {}
Anterior repair for instability arthroscopic {W778Z814}
Anterior repair for instability open including capsular shift
{W771Z814}
Arthroscopic subacromial decompression {}
Arthroscopic therapeutic procedure other than ASD or repair
{W869Z814}
Arthroscopy diagnostic {W889Z814}
Rotator cuff repair (open or arthroscopic) +/- acromioplasty {T791}
Shoulder operation not listed {W929Z814}
Sternoclavicular joint operation {W929Z811}
Total shoulder replacement {}
Foot
Amputation toe / ray {}
Calcaneal osteotomy {W159}
CTEV correction {X241}
Fifth toe soft tissue correction {W791}
First metatarsal osteotomy {W153}
First MTPJ arthrodesis {w593}
First MTPJ excision arthroplasty {W571}
First MTPJ soft tissue correction {W791}
Foot operation not listed {}
Hindfoot arthrodesis {W043}
Ingrowing toenail operation {}
Lesser metatarsal osteotomy {W158Z802}
Lesser toe arthrodesis {W599}
Lesser toe excision part/all phalanx {}
Lesser toe tenotomy {T702}
Tendon decompression or repair {}
[1] Know about
© OCAP-BOA 2005
[2] Seen
[3] Managed with help
[4] Managed
[5] Confident to manage
7/12
5
Procedure
Assessment
1
2
3
4
Tendon transfer foot {T642Z599}
Wedge tarsectomy {}
Clavicle
Elbow
Arthrolysis elbow (open/arthroscopic) {}
Arthroscopy elbow diagnostic {W889Z815}
Arthoscopy elbow therapeutic {W869Z815}
Arthrotomy elbow {W814Z815}
Excision radial head +/- synovectomy {}
Radial head replacement {}
Tennis / golfer elbow release {T699Z815}
Total elbow replacement {}
Ulnar nerve decompression / transposition {A733Z094}
Elective site non specific
Arthrodesis {W629}
Arthrotomy not listed elsewhere {W814}
Aspiration / injection joint {}
Benign tumour excision (not exostosis) {}
Biopsy bone - needle {W362}
Biopsy bone - open {W331}
Bursa excision {T622}
Cyst bone curettage +/- bone graft {}
Epiphysiodesis {W279}
EUA {}
Exostosis / osteochondroma excision {W083}
Ganglion excision (not wrist) {T599}
Lipoma excision {}
Malignant tumour excision {}
MUA injection point {W919W904}
MUA joint {W919}
Nerve decompression / neurolysis {}
Osteotomy not listed elsewhere {W169}
Release contracture joint {W789}
Removal metal {}
Synovectomy {W693}
Tendon decompression {T723}
Tenodesis {T645}
Ankle
Ankle operation not listed {W929Z856}
Arthrodesis ankle {W629Z856}
Arthroplasty ankle {}
Arthroscopy ankle diagnostic {W889Z856}
Arthroscopy ankle therapeutic {W869Z856}
Arthrotomy ankle {W814Z856}
Decompression tendons at ankle {T723}
Tendoachilles lengthening {T705Z581}
[1] Know about
© OCAP-BOA 2005
[2] Seen
[3] Managed with help
[4] Managed
[5] Confident to manage
8/12
5
Procedure
Assessment
1
2
3
4
Knee
ACL reconstruction {W742Z846}
Arthroscopic lateral release {W848}
Arthroscopic meniscectomy {W822]
Arthroscopic removal loose bodies knee {W851}
Arthroscopic synovectomy {W848}
Arthroscopic knee diagnostic {W879}
Arthroscopic knee other therapeutic procedure {W859}
Knee operation not listed {W929Z846}
Osteotomy distal femoral {W169Z765}
Osteotomy proximal tibial {W169Z778}
Patella realignment {W581Z846}
Patella resurfacing alone {W581Z787}
Release contracture knee {W783}
Revision TKR {}
TKR {}
Unicompartmental knee replacement {}
Tibia & Fibula
Amputation below knee {X095}
Tibial lengthening {}
Femur
Amputation above knee {X093}
Femoral lengthening {T705}
Femoral operation not listed {}
Osteotomy corrective (not for DDH) {W169Z769}
Hip
Arthrodesis hip {W629Z843}
Arthrogram hip {W902Z843}
Arthroscopy hip - diagnostic {W879Z843}
Arthroscopy hip - therapeutic {W889Z843}
Arthrotomy hip {W814Z843}
Excision arthroplasty hip (e.g. Girdlestone) {W572Z843}
Hip operation not listed {W929Z843}
Open reduction for DDH {X221}
Osteotomy hip - pelvic for DDH {X222}
Osteotomy hip - proximal femoral for DDH {X222}
Osteotomy pelvis - not for DDH {W169Z759}
Revision THR
o
Revision THR acetabular component {}
o
Revision THR both components {}
o
Revision THR femoral component {}
Slipped upper femoral epiphysis
o
Slipped upper femoral epiphysis open reduction
{W279W281}
o
Slipped upper femoral epiphysis pinning {}
THR
o
THR cemented {W371}
[1] Know about
© OCAP-BOA 2005
[2] Seen
[3] Managed with help
[4] Managed
[5] Confident to manage
9/12
5
Procedure
Assessment
1
o
o
o
2
3
4
THR hybrid {}
THR surface replacement {W581Z843}
THR uncemented {W381}
Wrist
Arthrodesis wrist (includes partial arthrodesis) {W629Z829}
Arthroscopy wrist {}
Carpal tunnel decompression {A651}
De Quervain's decompression {T728Z552}
Decompression / synovectomy tendons {}
Excision distal ulna {W085Z716}
Ganglion excision at wrist {T591]
Ulna shortening {W174Z719}
Ulnar nerve decompression at wrist {A658}
Wrist operation not listed {W929Z829}
Hand
Dupuytrens contracture operation {T521}
Excision synovial cyst {W698Y069}
Fusion of MCPJ or IPJ {}
Hand operation not listed {}
MCPJ replacement {}
Soft tissue reconstruction hand {W024]
Tendon graft hand {}
Tendon transfer hand {T642}
Tenolysis hand tendon {T691}
Trapezium excision or replacement {W068Z724}
Trigger finger release {T723Z896}
Trigger thumb release (T723Z895}
Cervical Spine
Anterior decompression +/- fixation / fusion (C2-C7) {V221}
Atlantoaxial fixation +/- fusion {V371}
Biopsy cervical spine {V471}
Cervical spine not listed {}
Excision cervical / 1st rib {W061}
Nerve root / facet joint injection cervical spine {V544Z663}
Occipito-cervical fusion +/- fixation {V379}
Posterior decompression +/- fixation / fusion (C20C7) {V229V372}
Humerus
Fracture diaphysis humerus IM nailing {W192Z694}
Fracture diaphysis humerus MUA +/- POP {W262Z694}
Fracture diaphysis humerus ORIF plating {W201Z694}
Non-union ORIF +/- bone grafting {}
Forearm
Fracture distal radius
o Fracture distal radius external fixation {W301Z705}
o Fracture distal radius MUA & percutaneous wires
{W242Z705}
[1] Know about [2] Seen [3] Managed with help [4] Managed
© OCAP-BOA 2005
[5] Confident to manage
10/12
5
Procedure
Assessment
1
2
3
4
o Fracture distal radius MUA & POP {W262Z705}
o Fracture distal radius ORIF {W209Z705}
Fasciotomy for compartment syndrome {T522}
Fracture shaft radius / ulna
o Fracture shaft radius / ulna IM nailing {}
o Fracture shaft radius / ulna MUA & percutaneous wires {}
o Fracture shaft radius / ulna MUA & POP {}
o Fracture shaft radius / ulna ORIF {}
[1] Know about
© OCAP-BOA 2005
[2] Seen
[3] Managed with help
[4] Managed
[5] Confident to manage
11/12
5
End of Attachment
Trainee Reflections
Trainer Comments/Recommendations
Signatures:
Trainer:
[1] Know about
© OCAP-BOA 2005
Trainee:
[2] Seen
[3] Managed with help
Date:
[4] Managed
[5] Confident to manage
12/12