Perioperative Problem Based Medicine

Perioperative care begins from the time a patient enters surgical clinic with a potential surgically treatable problem and continues through surgery until full recovery. The care encompasses attention to detail involving multiple specialists to ensure patients’ preoperative clinical condition and is optimised based on their comorbidities and achieve successful outcome with minimal / zero morbidity and mortality. The basic concept is Patient centric multidisciplinary care based on surgical factors and patient factors.

The course focusses on:

1. Knowledge of perioperative medicine

2. Clinical skills and

3. Non-technical skills which are the equally important, i.e. team work and communication at the right time to improve care. This training will help the participants to develop the thought process in the right direction.

Over the last decade, we see more of high-risk patients across all the age groups due to multiple comorbidities. Clinicians need to understand the pathophysiology of how a particular patient will respond to surgical stress, dynamics under anaesthesia and the potential problems that may arise in the postoperative period. With this knowledge, they will be taught to assess, treat and escalate management as appropriate. This is a very unique course as we address issues that can be modified to achieve excellence in patient care. Team building exercises will be conducted to understand importance of communication and documentation. Overall, the course will provide a 360-degree approach to the care of a surgical patient - preoperative, intraoperative & postoperative.

LEARNING OBJECTIVES :

•  Learn the systematic ABCDE approach to patient assessment and management
•  Understand principles of Multidisciplinary approach to Perioperative care

               a. Preop assessment and risk stratification

               b. How well preoptimization helps to enhance outcomes

               c. ERAS principles and application

               d. Identification and management of sick postoperative patient

•  Teamwork and Soft skills
•  Communication and Documentation

CONTENTS OF THE COURSE :

1. Physio-pathological changes in the perioperative period

2. Traditional versus Patient focussed perioperative care

3. Preop assessment and risk stratification

4. Multidisciplinary team involvement

5. Preop optimisation to enhance surgical outcomes with reduced morbidity and mortality

6. Intraoperative care, Enhanced recovery after surgery (ERAS)

7. Communication and Documentation including consenting process

8. Post operative complications – Recognition and Prevention

9. Identification of deteriorating patient (NEWS) and initiation of appropriate management and escalation of care if needed.

10. Follow up of patient

CURRICULUM :

a) ONLINE MODULES:

•  All Lectures will be delivered as interactive online modules through LMS
•  Module release 2 weeks prior to course
•  Access for one month
•  Completing online modules is mandatory for certification

b) CONTACT COURSE:

•  Small group learning
•  Interactive scenario discussion
•  Simulation training scenarios
•  Team behaviour and Leadership skills

ELIGIBILITY CRITERIA :

•  MBBS completed candidates
•  Medical candidates currently pursuing their P.G
•  Practitioners who have completed P.G

TARGET AUDIENCE :

•  Anaesthetists
•  Surgical trainees
•  Medical trainees
•  Practitioners