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Scottish Doctors 2

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Scottish Doctors 3

Learning Outcomes for Practical Procedures

Level 1 - What the doctor is able to do

Level 2 - Outcomes for Practical Procedureslink to Tomorrows doctors

Mastery of appropriate practical procedures at the time of graduation is an essential part of the smooth transition from undergraduate to PRHO. The following are suggested procedures that the new graduate should be able to carry out unsupervised. Some of these procedures also feature in the domain of Patient Investigation and many others are not specifically mentioned here as they should be covered by normal physical examination e.g. fundoscopy, visual field testing, otoscopy, rectal examination etc.

Level 3

This could include: Level 4

Measuring and recordinglink to Tomorrows doctors

radial pulse rate

peripheral pulses

blood pressure

body temperature

peak expiratory flow rate

blood glucose using Reagent sticks with and without a glucometer

urinalysis using Multistix

faecal occult blood testing

pregnancy testing

perform and interpret a 12 lead ECG

manage an ECG monitor

height and weight of adults and children

interpretation of growth charts

CVP measurement

transcutaneous O2 saturation

Administering and doinglink to Tomorrows doctorslink to Tomorrows doctorslink to Tomorrows doctorslink to Tomorrows doctorslink to Tomorrows doctorslink to Tomorrows doctorslink to Tomorrows doctors

first aid

basic resuscitation and basic life support for adults and children/infants

administration of oxygen therapy

venepuncture

take a blood culture

establish intravenous access and set up a giving set

male and female urinary catheterisation

collection of MSU

arterial puncture

scrub up and gown for surgical and sterile procedures

skin suturing

wound care and basic wound dressing

make up drugs for parenteral administration

administration of intravenous, intramuscular and subcutaneous injections

dosage and administration of insulin and use / prescribing of sliding scales

use iv infusion and volumetric pumps

take nose, throat and skin swabs

cervical smear

writing drug kardex

requesting a cross-match

setting up a blood transfusion

Specific Issues

Recommended methods of assessment for Practical Procedures include:
OSCE
OSSE
OSPE
OSLER (to some extent)
Logbook
Certification of procedure

The use of logbooks is less reliable and valid than OSCE stations and there is no measure of reliability or validity for certification of procedures.

The use of video may increase reliability of the OSCE.

Potential new methods of assessment include:
Linked OSCE and EMI questions in alternate stations
Linked OSCE stations