Key:

Common competency framework competencies Medical leadership framework competencies Health inequality framework competencies

Core Module 7: Surgical Procedures

Learning outcomes:

To understand and demonstrate appropriate knowledge, skills and attitudes in relation to surgical procedures

Knowledge criteria

GMP

Clinical competency

GMP
Professional skills and attitudes
SURGICAL PROCEDURES

GMP

Training support

Evidence/assessment

Have the knowledge to choose

appropriate instruments, sutures,
drains and catheters

1,2

Observation of,
assisting and
discussion with
Senior Medical Staff

OSATS Diagnostic
laparoscopy

Know own limitations and when to

seek help

First trimester surgical termination (unless

conscientious objection)

Demonstrate the use of diathermy,

endoscopic and other equipment
safely and efficiently

Diagnostic hysteroscopy (inc endometrial

polypectomy)**

Show evidence of thinking ahead

during procedure

Minor cervical procedures (inc polypectomy)

Amend surgical procedure

appropriately when necessary
following consultation

Marsupialisation of Bartholins abscess

Knowledge of the NHS Improvement

Programme Enhanced Recovery
principles to enhance patient safety and
ensure:

patients are in the optimal

condition for treatment

patients have different care

during their operation

patients experience optimal

post-operative rehabilitation

Evacuation of uterus
Diagnostic laparoscopy**
Sterilisation**

Relevant basic sciences

1

Knowledge of instruments and sutures

Excision of vulval lesions
Laparotomy for ectopic pregnancy
Ovarian cystectomy for benign disease

Demonstrate the ability to work

effectively with other members of the
theatre team, showing leadership
where appropriate

Elective peritoneal adhesiolysis

Myomectomy

OSATS Operative
laparoscopy

RCOG Basic
Practical Skills
course

OSATS Diagnostic
hysteroscopy

Learning resources
available at NHS
Improvement
Programme website
Enhanced
Recovery
(Gynaecology)
http://www.improvem
ent.nhs.uk/enhancedr
ecovery2/Gynaecolo
gy.aspx

OSATS Uterine
evacuation

**Use of low fidelity

[box] trainers or
virtual reality (VR)
simulation to
enhance
psychomotor skills

MRCOG Part One

Successful patient
outcomes
Logbook
Reflective diary
ARCP

MRCOG Part Two

National Institute for

Clinical Excellence
(NICE) Balloon
catheter insertion for
Bartholin's cyst or
abscess

StratOG.net: Surgical
Procedures and
1
GMC Good Medical Practice (GMP) Domains:

Domain 1: Knowledge, skills and Performance

Domain 2: Safety and quality

Domain 3: Communication, Partnership and Teamwork.

Domain 4: Maintaining Trust

Key:
Common competency framework competencies Medical leadership framework competencies Health inequality framework competencies

Knowledge criteria

GMP

Clinical competency

GMP

Professional skills and attitudes

GMP

Training support

Evidence/assessment

Postoperative Care etutorials

The Obstetrician and
Gynaecologist journal

2
GMC Good Medical Practice (GMP) Domains:

Domain 1: Knowledge, skills and Performance

Domain 2: Safety and quality

Domain 3: Communication, Partnership and Teamwork.

Domain 4: Maintaining Trust

Key:
Common competency framework competencies Medical leadership framework competencies Health inequality framework competencies

Competence level
Core Module 7 Logbook

Basic level

Intermediate level

Level 1
Date

Advanced level

Level 2

Signature

Date

Signature

Not required
Level 3

Date

Signature

Evacuation of uterus
Marsupialisation of bartholins cyst
Laparotomy for ectopic pregnancy
Excision biopsy of benign vulval lesion (LA or GA)
Vulval biopsy under local anaesthesia
Abdominal hysterectomy bilateral salpingo-oophorectomy
Vaginal hysterectomy
Oophorectomy
Ovarian cystectomy
Adhesiolysis
Transabdominal myomectomy
Diagnostic laparoscopy

3
GMC Good Medical Practice (GMP) Domains:

Domain 1: Knowledge, skills and Performance

Domain 2: Safety and quality

Domain 3: Communication, Partnership and Teamwork.

Domain 4: Maintaining Trust

Key:
Common competency framework competencies Medical leadership framework competencies Health inequality framework competencies

Competence level

Basic level

Intermediate level

Advanced level

Not required

Core Module 7 Logbook

Level 1
Date

Level 2

Signature

Date

Signature

Level 3
Date

Signature

Management of pelvic abscess

(a) Non-surgical management of pelvic abscess OM
(i.e. conservative, interventional radiology/needle
drainage)
(b) Surgical management of pelvic abscess
Laparoscopic sterilisation
Diagnostic hysteroscopy
Hysteroscopy and polypectomy
Minor cervical procedures
Minor perineal revision surgery OM

Training Courses or sessions

Date
Title

Signature of educational supervisor

4
GMC Good Medical Practice (GMP) Domains:

Domain 1: Knowledge, skills and Performance

Domain 2: Safety and quality

Domain 3: Communication, Partnership and Teamwork.

Domain 4: Maintaining Trust

Key:
Common competency framework competencies Medical leadership framework competencies Health inequality framework competencies

Authorisation of signatures (to be completed by the clinical trainers)

Name of clinical trainer (please print)

Signature of clinical trainer

Each OSATS should be successfully completed for Independent Practice on 3 occasions before the module can be signed off

OSATS

Diagnostic laparoscopy

Operative laparoscopy

Date

Date

Date

Signature

Signature

Signature

Date

Date

Date

Signature

Signature

Signature

Date

Date

Date

Signature

Signature

Signature

Diagnostic hysteroscopy

5
GMC Good Medical Practice (GMP) Domains:

Domain 1: Knowledge, skills and Performance

Domain 2: Safety and quality

Domain 3: Communication, Partnership and Teamwork.

Domain 4: Maintaining Trust

Key:
Common competency framework competencies Medical leadership framework competencies Health inequality framework competencies

Each OSATS should be successfully completed for Independent Practice on 3 occasions before the module can be signed off

OSATS

Laparoscopy management of
ectopic pregnancy

Date

Date

Date

Signature

Signature

Signature

COMPLETION OF MODULE 7
I confirm that all components of the module have been successfully completed:
Date

Name of educational supervisor

Signature of educational supervisor

6
GMC Good Medical Practice (GMP) Domains:

Domain 1: Knowledge, skills and Performance

Domain 2: Safety and quality

Domain 3: Communication, Partnership and Teamwork.

Domain 4: Maintaining Trust