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) ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ 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.