1. MSc Surgical Care Practice preceptorship session 15.6.2017
Susan Hall RGN MSc (Clinical Sciences)
Senior Lecturer in Surgical Care Practice

2. Session objectives Definition of the SCP role Establishing an SCP post
Trainers
Delegation & accountability
Clinical governance
Educational expectations
Support

3. What is a Surgical Care Practitioner?
‘SCPs are non-medical practitioners … who have extended the scope of their training to work as members of surgical teams. They can perform surgical intervention and preoperative and postoperative care under the supervision and direction of a consultant, although not independently.’
Royal College of Surgeons of England 2013

4. Why do we need extended & expanded roles?
12/09/2018
Why do we need extended & expanded roles?
To ensure patient safety by the provision of appropriately trained assistance, necessary due to:
The impact of the European Working Time Directive
Changes in training strategies for medical professionals
Changes in the popularity of specialities among surgical trainees
Reduction in the number of surgical trainees / increase in service provision needs

5. Establishing an SCP post
12/09/2018
Establishing an SCP post
Is it needed / are senior staff from all disciplines in agreement?
Risk assessment & review of policies & procedures
FUNDING
Suitable academic course
Intercollegiate basic surgical skills course
Identification of a support framework
Clinical Supervisor
Mentor
Job description
Robust
Relevant
TIME
Attendance on academic course
Personal study time
Ongoing assessment & CPD

6. Legal & ethical considerations in advanced roles
12/09/2018
Legal & ethical considerations in advanced roles
Governance of the role
Regulation of individual practitioners
Negligence
Bolam
Wilshire
Professional indemnity insurance
Demonstration of competence
Consent / refusal
Montgomery

7. ‘the standard of care of the SCP must be that of the medical role which she [sic] is replacing’
Dimond 2015

8. Course Outline

9. Bloom’s Taxonomy (revised)
Preceptorship session

10. 25 hours / week clinical time is required over a two year period

11. The successful trainee modified from Simpson & Rowlands (2008)
Understands that the patient remains their primary focus
Recognises their own limitations
Takes responsibility for their own learning
Is always willing to learn from colleagues across the interprofessional spectrum
Pays attention to the details of illness
Reflects on decisions made by themselves, and others
Develops the skills to work both independently and as part of a team
Takes responsibility for their own actions
Does not permit ego to affect their performance
Offers support to colleagues
Maintains an up to date, evidence based knowledge and skill level
Constantly works to improve their practice in line with the principles of clinical governance
Participates in departmental research

12. Delegation
It is the responsibility of the person delegating the task to ensure that the person to whom they are delegating is suitably:
Trained
Competent
Sufficiently experienced to perform the task safely
It is the responsibility of the delegating practitioner to ensure that appropriate supervision is provided

13. Logbook Logbooks Mandatory for surgical trainees
Recognised as best practice for consultant and staff grade surgeons
Required for SCP trainees
Recommended for tenured SCPs

14. Don’t tell me, MORE
paperwork!!##**

15. Core practice document
Identifies the core competencies expected of SCP trainees by the Royal College of Surgeons of England & Anglia Ruskin University

16. Learning agreements Enable maximisation of training opportunities
Support focus on competence
Start of training
After annual review
Goal setting
Identification of resources
Support interim, review meetings

17. SWOT analysis

18. Academic life It will be demanding
Time for self directed study is invaluable
The University offers assistance to students who have not been in active education for some time
Tutors are only an away