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SCPs, cheaper, but are we fit for purpose?. A non medical practitioner, working in clinical practice as a member of the extended surgical team , who performs surgical intervention, pre-operative and post–operative care under the direction & supervision of a consultant surgeon” DoH 2006.
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A non medical practitioner, working in clinical practice as a member of the extended surgical team, who performs surgical intervention, pre-operative and post–operative care under the direction & supervision of a consultant surgeon” DoH 2006
The study TRIGGER: The impact of surgical care practitioners on surgical training (2006). Written by a group of surgical trainees. AIM: To establish whether tenured SCPs have their surgical skills assessed, either formally or informally
Methods • Electronic data collection • Anonymous • Recruitment • Registered with employing Trust’s R & D department
Results • 15% of respondents received regular formal feedback • 66% of respondents received regular informal feedback • 80% of respondents kept a logbook • 21 % of respondents did not receive any feedback
Impact of surgical skills assessment on practice • 70% of respondents felt that formal assessment had a positive impact on practice • 78% of respondents felt that informal assessment had a positive impact on practice
Legal considerations • General Medical Council • Surgical Royal Colleges • NMC / HPC • Legal opinion
Should SCPs undergo mandatory surgical skills assessment? • 78% of respondents supported this concept
Conclusions • Almost ¼ of respondents did not receive any on-going assessment of their abilities • For those receiving feedback it was primarily subjective • In the current climate, this is not acceptable
Where do we go from here? • ? Standardised skills assessment • ? Role specific DOPs forms • ? Regular log book inspection
References • Bruce, C., Bruce, I., & Williams, L. (2006). The impact of surgical care practitioners on surgical training. Journal of the Royal Society of Medicine, 99, 432 - 433. • Department of Health (2006) Curriculum Framework for the Surgical Care Practitioner • Dimond, B. (1994). Legal Aspects of Role Expansion. In G. &. Hunt (Ed.), Expanding the Role of the Nurse. Oxford: Blackwell. • General Medical Council. (2006). Good Medical Practice. Retrieved March 2008, from Regulating Doctors. Ensuring good medical practice: www.gmc-uk.org • Health Professions Council. (2008). Standards of Proficiency. - Operating Department Practitioners. London. • Nursing and Midwifery Council. (2008). The Code. Standards of conduct, performance and ethics for nurses and midwives. Nursing and Midwifery Council. • Royal College of Surgeons of England. (2011). Surgical Assistants College position statement:www.rcseng.ac.uk