For a rotation to meet the requirements of Clinical Experience D, the prevocational doctor must be provided with opportunities to manage patients undergoing procedures. There should be involvement to all phases of the patient’s procedure, including pre, peri and post operative phases of care.
Term Descriptions will need to contain adequate evidence to support the clinical experience classification.
AMC description of Clinical Experience D:
Prevocational doctors must have experience in caring for patients undergoing procedures, including pre-, peri- and post-operative phases of care. Clinical experience should include all care phases for a range of common surgical conditions/procedures. Learning activities include preadmission, intraoperative care/attendance in theatre, peri-operative management, postoperative care and longitudinal outpatient follow-up. This might occur working in a range of settings such as in interventional cardiology, radiology, anaesthetic units or surgical units.
| Examples of how a rotation may meet the requirements of Clinical Experience D | Examples of how a rotation may not meet requirements of Clinical Experience D |
|---|---|
| The core work of the unit is procedural – i.e. Surgical operations and invasive interventional procedures). | The unit performs exclusively elective day surgery cases. |
| The rotation is focused on the procedural management of patients (e.g. Anaesthetics). | The prevocational doctor is not involved in the preoperative planning of the patient. |
| The prevocational doctor has allocated time to attend theatre or other interventions. | The prevocational doctor does not attend theatre or have any involvement in the procedures being performed. |
| There are clearly defined objectives to be achieved when attending in theatre or other cases. | The prevocational doctor has minimal involvement in the post procedure management of the patient. For example: - Predominantly bried day cases and no outpatient follow up. - Perioperative medical unit undertakes all of the management. |
| The prevocational doctor is involved in the preparation of patients for surgery – this may include attendance in outpatients as well as pre-admission clinics. | The prevocational doctors duties are predominantly administrative, compiling data for meetings and planning. |
| The prevocational doctor has a defined role in the post operative management on the ward – this may be undertaken with the support of a perioperative medical unit. | |
| The prevocational doctor participates in the after-hours or cover roster. |
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