This Form Is to Be Used by SAC Liaison Members and Training Programme Directors at Arcps

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

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Deanery / Programme

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National Training Number

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Date of ARCP

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Outcome of ARCP

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Specific Training Requirements (if outcome is other than ARCP 6)

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...... ST8 ARCP Checklist General Surgery Trainee Name......

Guidelines Clinical experience Satisfactory training posts Yes □ No □ sufficient clinical experience in the different components of general surgery Satisfactory emergency exposure Yes □ No □ as defined by the posts required in the Has the trainee presented 10 satisfactory CBDs in each of: curriculum emergency general surgery Yes □ No □ special interest Yes □ No □ other areas of general surgery Yes □ No □ Operative experience Has the trainee achieved a minimum of 1600 Yes □ No □ consolidated logbook evidence of the cases in total (excluding endoscopy)? breadth of operative experience as defined in the curriculum Please complete Appendix 1 giving the total number of procedures for the cases listed Operative competence Please complete Appendix 2 indicating the PBAs presented for the evidence of competence in indicative procedures listed operative procedures Research Has the trainee presented a minimum of: evidence of an understanding of, and three peer reviewed papers (not case reports) Yes □ No □ participation in, research as defined in the curriculum published in an indexed journal three first author presentations at a regional, Yes □ No □ national or international meetings did the trainee contribute significantly to each Yes □ No □ of these pieces of work Quality Improvement Has the trainee presented a minimum of: evidence of an understanding of, and three audit or service improvement projects Yes □ No □ participation in, audit or service improvement as defined in the has the audit cycle been completed in one? Yes □ No □ curriculum Medical Education and Training Has the trainee attended a “Training the Trainers” Yes □ No □ evidence of an understanding of, and course (or equivalent)? participation in, medical education and training as defined in the curriculum Has the trainee presented feedback on teaching ? Yes □ No □

Management and leadership Has the trainee attended a management course? Yes □ No □ evidence of an understanding of management structures and challenges Has the trainee completed a management role? Yes □ No □ of the NHS in the training jurisdiction

Additional courses / qualifications Is the trainee’s ATLS certificate valid? Yes □ No □ evidence of having attended specific courses as defined in the curriculum Has the trainee attended a course relevant Yes □ No □ to their special interest?

Educational conferences Has the trainee attended at least 4 national or Yes □ No □ evidence of having attended appropriate international meetings? educational conferences and meetings as defined in the curriculum 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 inguinal hernia 60 Yes □ No □ ……... cholecystectomy 50 Yes □ No □ ……... emergency laparotomy 100 Yes □ No □ ……... (peritonitis, obstruction, to include: trauma) Hartmann’s 5 Yes □ No □ ……... Segmental colectomy 20 Yes □ No □ …...... appendicectomy 80 Yes □ No □ ……...

Breast Special Interest breast lump excision 40 Yes □ No □ ……... mastectomy 50 Yes □ No □ ……... sentinel node biopsy 70 Yes □ No □ ……... axillary clearance 45 Yes □ No □ ……...

Colorectal Special Interest anterior resection 30 Yes □ No □ ……... fistula surgery 20 Yes □ No □ ……... segmental colectomy 50 Yes □ No □ ……... haemorrhoidectomy 15 Yes □ No □ ……... prolapse surgery 4 Yes □ No □ ……... (some colonic resections should be laparoscopic)

UGI Special Interest

Major UGI procedures 35 Yes □ No □ ……... (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 □ ……...

Vascular Special Interest

AAA repair 15 Yes □ No □ ……... (including 10 open - elective or emergency) carotid endarterectomy 30 Yes □ No □ ……... infrainguinal bypass 60 Yes □ No □ ……... varicose vein surgery 60 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 Number

Cadaveric multi-organ retrieval Yes □ No □ ……... Kidney transplant Yes □ No □ ……... Insertion of PD catheter Yes □ No □ ……... Creation of AV fistula Yes □ No □ ……...

Endocrine Special Interest

Thyroidectomy Yes □ No □ ……... Re-operative thyroid surgery Yes □ No □ ……... Parathyroidectomy Yes □ No □ ……... Adrenalectomy Yes □ No □ ……...

General Surgery of Childhood Special Interest

Paediatric hernia repair / hydrocoele Yes □ No □ ……... Paediatric circumcision Yes □ No □ ……... Orchidopexy 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 Special Interest 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 □ ……...

Colorectal Special Interest 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 □ ……...

Upper GI Special Interest 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 □ ……... 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 □ ……...

Transplant Special Interest Cadaveric multi-organ retrieval Level 4 Yes □ No □ ……... Kidney transplant Level 4 Yes □ No □ ……... Insertion of PD catheter Level 4 Yes □ No □ ……... Creation of AV fistula Level 4 Yes □ No □ ……...

Endocrine Special Interest Thyroidectomy Level 4 Yes □ No □ ……... Parathyroidectomy Level 4 Yes □ No □ ……... Adrenal surgery Level 3 Yes □ No □ ……...

General Surgery of Childhood Special Interest Paediatric hernia repair / hydrocoele Level 4 Yes □ No □ ……... Paediatric circumcision Level 4 Yes □ No □ ……... Orchidopexy Level 3 Yes □ No □ ……...

Advanced Trauma Special Interest 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 □ ……...

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.