This form is to be used by SAC Liaison Members and Training

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ST8 ARCP Checklist Form General Surgery
This form is to be used by SAC Liaison Members and Training Programme Directors at
ARCPs held at the end of ST8.
It is mapped to the 2013 Curriculum in General Surgery and is intended to assist ARCP panels
in determining whether a trainee has achieved all the curriculum requirements for CCT.
Any deficiencies identified should be noted and the appropriate ARCP outcome and training
plan recorded.
Trainee Name
.........................................................................................................................................
Deanery / Programme
..........................................................................................................................................
National Training Number
.........................................................................................................................................
Date of ARCP
..........................................................................................................................................
Outcome of ARCP
...........................................................................................................................................
Specific Training Requirements (if outcome is other than ARCP 6)
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ST8 ARCP Checklist General Surgery Trainee Name.......................................................
Guidelines
Clinical experience
sufficient clinical experience in the
different components of general surgery
as defined by the posts required in the
curriculum
Operative experience
consolidated logbook evidence of the
breadth of operative experience as
defined in the curriculum
Operative competence
evidence of competence in indicative
operative procedures
Satisfactory training posts
Satisfactory emergency exposure
Yes □ No □
Has the trainee presented 10 satisfactory CBDs in each of:
emergency general surgery
Yes □ No □
special interest
Yes □ No □
other areas of general surgery
Yes □ No □
Has the trainee achieved a minimum of 1600
cases in total (excluding endoscopy)?
Yes □ No □
Please complete Appendix 1 giving the total number of procedures for the
cases listed
Please complete Appendix 2 indicating the PBAs presented for the
procedures listed
Research
Has the trainee presented a minimum of:
evidence of an understanding of, and
participation in, research as defined in
the curriculum
three peer reviewed papers (not case reports)
published in an indexed journal
three first author presentations at a regional,
national or international meetings
Quality Improvement
Yes □ No □
did the trainee contribute significantly to each
of these pieces of work
Has the trainee presented a minimum of:
Yes □ No □
Yes □ No □
Yes □ No □
evidence of an understanding of, and
participation in, audit or service
improvement as defined in the
curriculum
three audit or service improvement projects
Yes □ No □
has the audit cycle been completed in one?
Yes □ No □
Medical Education and Training
Has the trainee attended a “Training the Trainers”
course (or equivalent)?
evidence of an understanding of, and
participation in, medical education and
training as defined in the curriculum
Management and leadership
evidence of an understanding of
management structures and challenges
of the NHS in the training jurisdiction
Additional courses / qualifications
evidence of having attended specific
courses as defined in the curriculum
Educational conferences
evidence of having attended appropriate
educational conferences and meetings
as defined in the curriculum
Yes □ No □
Has the trainee presented feedback on teaching ?
Yes □ No □
Has the trainee attended a management course?
Yes □ No □
Has the trainee completed a management role?
Yes □ No □
Is the trainee’s ATLS certificate valid?
Yes □ No □
Has the trainee attended a course relevant
to their special interest?
Has the trainee attended at least 4 national or
international meetings?
Yes □ No □
Yes □ No □
ST8 ARCP Checklist General Surgery Trainee Name.......................................................
Appendix 1 – Has the trainee achieved the indicative operation numbers (P+ S-TS + S-TU + T) for General
Surgery (all trainees) and for at least one of the special interests by CCT?
General Surgery - All trainees
Number
Yes □ No □
……...
Yes □ No □ ……...
Yes □ No □ ……...
inguinal hernia
60
cholecystectomy
50
emergency laparotomy
100
(peritonitis, obstruction,
to include:
80
……...
Yes □ No □ …......
Yes □ No □ ……...
breast lump excision
40
Yes □ No □
mastectomy
50
sentinel node biopsy
70
axillary clearance
45
……...
Yes □ No □ ……...
Yes □ No □ ……...
Yes □ No □ ……...
anterior resection
30
Yes □ No □
fistula surgery
20
Yes □ No □
segmental colectomy
50
Yes □ No □
haemorrhoidectomy
15
Yes □ No □
prolapse surgery
4
Yes □ No □
……...
……...
……...
……...
……...
Yes □ No □
……...
trauma)
appendicectomy
Hartmann’s
5
Segmental colectomy
20
Yes □ No □
Breast Special Interest
Colorectal Special Interest
(some colonic resections should be laparoscopic)
UGI Special Interest
Major UGI procedures
35
(includes anti-reflux, obesity and upper GI/HPB resection)
(some trainees will choose to focus primarily on benign and others on resectional)
cholecystectomy
110
Yes □ No □
……...
15
Yes □ No □
……...
Vascular Special Interest
AAA repair
(including 10 open - elective or emergency)
carotid endarterectomy
30
infrainguinal bypass
60
varicose vein surgery
60
Yes □ No □
……...
Yes □ No □ ……...
Yes □ No □ ……...
ST8 ARCP Checklist General Surgery Trainee Name.......................................................
There is, at present (May 2013), insufficient data to give indicative numbers for the special interests listed on
this page. Future versions of this form will include this.
Liaison Members and Training Programme Directors should use their judgement in determining whether
sufficient experience is being obtained .
Is the trainee on track to achieve sufficient operative experience by CCT?
Transplant Special Interest
Cadaveric multi-organ retrieval
Kidney transplant
Insertion of PD catheter
Creation of AV fistula
Number
Yes □ No □
……...
Yes □ No □ ……...
Yes □ No □ ……...
Yes □ No □ ……...
Endocrine Special Interest
Thyroidectomy
Re-operative thyroid surgery
Parathyroidectomy
Adrenalectomy
Yes □ No □
……...
Yes □ No □ ……...
Yes □ No □ ……...
Yes □ No □ ……...
General Surgery of Childhood Special Interest
Paediatric hernia repair / hydrocoele
Paediatric circumcision
Orchidopexy
Yes □ No □
……...
Yes □ No □ ……...
Yes □ No □ ……...
Advanced Trauma
Trauma laparotomy
Yes □ No □
Paediatric trauma laparotomy
Yes □ No □
Trauma thoracotomy
Yes □ No □
Severe peripheral trauma
Yes □ No □
Surgical airway management
Yes □ No □
Stabilisation of jaw
Yes □ No □
……...
……...
……...
……...
……...
……...
Remote and Rural Surgery is not included as there are no specific index procedures listed in the curriculum.
The skills required need to be determined according to the particular consultant post under consideration.
ST8 ARCP Checklist General Surgery Trainee Name.......................................................
Appendix 2 - PBAs required for General Surgery
Has the trainee presented at least 3 PBAs by different assessors for each of the procedures under “General
Surgery – All Trainees” and for each of the procedures under at least one Special Interest
General Surgery – All Trainees
Number
Hernia repair – all types
Level 4
Yes □ No □
Emergency laparotomy
Level 4
Yes □ No □
Cholecystectomy (both laparoscopic and open)
Level 4
Yes □ No □
Hartmann’s procedure
Level 4
Yes □ No □
Segmental colectomy
Level 4
Yes □ No □
Appendicectomy
Level 4
Yes □ No □
Breast lump excision
Level 4
Yes □ No □
Image guided breast excision
Level 4
Yes □ No □
Mastectomy
Level 4
Yes □ No □
Sentinel lymph node biopsy
Level 4
Yes □ No □
Axillary clearance
Level 4
Yes □ No □
Duct and nipple surgery
Level 4
Yes □ No □
Implant reconstruction
Level 4
Yes □ No □
Pedicle flaps
Level 2
Yes □ No □
Mammoplasty: augmentation and reduction
Level 4
Yes □ No □
Anterior resection (high)
Level 4
Yes □ No □
Segmental colectomy
Level 4
Yes □ No □
Fistula surgery
Level 4
Yes □ No □
Surgical treatment of haemorrhoids
Level 4
Yes □ No □
Colonoscopy - diagnostic
Level 4
Yes □ No □
Prolapse surgery
Level 4
Yes □ No □
Liver resection
Level 3
Yes □ No □
Pancreatic resection
Level 3
Yes □ No □
Oesophago-gastro-duodenoscopy
Level 4
Yes □ No □
Anti-reflux surgery (both laparoscopic and open)
Level 4
Yes □ No □
Oesophagectomy
Level 3
Yes □ No □
Gastrectomy
Level 3
Yes □ No □
Cholecystectomy
Level 4
Yes □ No □
……...
……...
……...
……...
……...
……...
Breast Special Interest
……...
……...
……...
……...
……...
……...
……...
……...
……...
Colorectal Special Interest
……...
……...
……...
……...
……...
……...
Upper GI Special Interest
……...
……...
……...
……...
……...
……...
……...
ST8 ARCP Checklist General Surgery Trainee Name.......................................................
Vascular Special Interest
Open aortic aneurysm repair
Level 4
Yes □ No □
……...
……...
……...
……...
……...
Carotid endarterectomy
Level 4
Yes □ No □
Infra-inguinal bypass
Level 4
Yes □ No □
Varicose vein surgery
Level 4
Yes □ No □
Creation of AV fistula
Level 4
Yes □ No □
Cadaveric multi-organ retrieval
Level 4
Yes □ No □
Kidney transplant
Level 4
Insertion of PD catheter
Level 4
Creation of AV fistula
Level 4
……...
Yes □ No □ ……...
Yes □ No □ ……...
Yes □ No □ ……...
Thyroidectomy
Level 4
Yes □ No □
Parathyroidectomy
Level 4
Adrenal surgery
Level 3
……...
Yes □ No □ ……...
Yes □ No □ ……...
Paediatric hernia repair / hydrocoele
Level 4
Yes □ No □
Paediatric circumcision
Level 4
Orchidopexy
Level 3
……...
Yes □ No □ ……...
Yes □ No □ ……...
Trauma laparotomy
Level 4
Yes □ No □
Paediatric trauma laparotomy
Level 4
Yes □ No □
Trauma thoracotomy
Level 4
Yes □ No □
Severe peripheral trauma
Level 4
Yes □ No □
Surgical airway management
Level 4
Yes □ No □
Stabilisation of jaw
Level 4
Yes □ No □
Transplant Special Interest
Endocrine Special Interest
General Surgery of Childhood Special Interest
Advanced Trauma Special Interest
……...
……...
……...
……...
……...
……...
Remote and Rural Surgery is not included as there are no specific index procedures listed in the curriculum.
The skills required need to be determined according to the particular consultant post under consideration.
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