| Title of Clinical Placement |
Surgery as part of Year 3 LIC |
| Placement Overview |
In Year 3 students should have plenty of opportunity to visit surgical wards to develop history taking and bedside clinical skills. During attachments they should be able to attend theatre and endoscopy sessions. Students should see patients on the ward and in clinics, as well as follow elective surgical patients through their peri-operative inpatient journey. Opportunities should be available in Year 3 to attend emergency surgical wards to see the acutely ill surgical patients and help with their management. Students should be encouraged to follow acute surgical patients from the Emergency Department through their inpatient journey. |
| Level of Students |
Year 3 |
| Placement Duration |
Variable depending on Trust arrangements for LIC |
| Placement Learning Outcomes |
See specific learning outcomes and required clinical skills |
| Specific Learning Outcomes |
Knowledge |
| • Recognition of surgical conditions that are common, urgent, or easily missed (for example, all students should know the features of an early cancer diagnosis) |
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| • Recognition of emergency surgical presentations |
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| • List available treatment possibilities for surgical conditions (including non-operative) |
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| • Be able to explain the principles of optimisation of a patient for surgical treatment |
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| • Be able to discuss the principles of perioperative care |
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| • List types and risks of anaesthetics |
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| • Be able to explain normal postoperative courses and deviations from these |
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| • List common potential postoperative complications |
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| Skills |
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| • Recognise the sick patient and list the pathways of escalation of care |
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| • Be able to explain in general terms to a patient, the implications of a common surgical diagnosis |
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| Professionalism |
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| • Be able to discuss the principles of informed consent |
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| General Objectives |
As above |
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| Student Responsibilities |
Attendance and engagement with MyProgress |
| Expected Attendance |
100% |
| Teaching Opportunities |
Variable depending on Trust. |
| Required Clinical Skills |
See MyProgress Year 3 Clinical Learning Activities |
| Assessment & Feedback Methods |
As per LIC arrangements |
| MyProgress Requirements |
Surgery specific |
| Mandatory |
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| 3 x Clinical Case Assessments: Surgery |
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| Surgery Theatre x 2: Discuss a patient case with an anaesthetic team member including a) intraoperative monitoring b) fluid management c) potential complications in recovery and d) post-operative analgesic strategies |
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| Observation of WHO Surgical Safety Checklist completion |
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| Optional |
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| AHP / Specialist Nurse – Discuss a case with a Pre-Op Assessment Nurse |
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| Discuss a patient case with a dietician |
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| Learning Resources |
During the Year 3 the major topics and key principles underlying current surgical practice will be covered. Students are encouraged to watch the relevant online lecture (by a senior clinician/ surgeon) on Thursday afternoons. The recordings along with the uploaded slides are available on the Year 3 section of the portal. |
| Students should make sure to read around topics . Our recommended textbook is “Principles and Practice of Surgery”. The latest edition of this book is available as hard copy but can be viewed electronically via the QUB library. |
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| Students should remember to look at the other content on the portal. For instance, the videos and additional material on various examinations and scrubbing are available. Students should make sure to watch the male catheterisation video before the practical session during the introductory week in August. |
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| Surgical Podcasts are also a good way to learn and can fit in around the student's daily routine (e.g., listening when commuting to placement). Some recommended Podcasts include School of Surgery and Behind The Knife. |
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| Case Presentations (if required) |
3 x Clinical Case Assessments: Surgery |
| Workplace Assessments (if required) |
See MyProgress section above |
| Supervision Structure |
Assignment of supervisor as per LIC arrangements |