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Assessment of Surgical Care Practitioners in Clinical Practice

This study explores the impact of Surgical Care Practitioners (SCPs) on surgical training, focusing on how SCPs' surgical skills are assessed. Findings reveal the importance of formal and informal feedback, the necessity for ongoing skills assessment, and the legal considerations surrounding SCPs' roles. Recommendations include standardized assessment methods and role-specific forms for SCPs to ensure competence. Overall, the study emphasizes the need for structured assessment processes to enhance SCPs' effectiveness in surgical care.

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Assessment of Surgical Care Practitioners in Clinical Practice

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  1. SCPs, cheaper, but are we fit for purpose?

  2. 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

  3. 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

  4. Methods • Electronic data collection • Anonymous • Recruitment • Registered with employing Trust’s R & D department

  5. 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

  6. 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

  7. Is subjective assessment sufficient?

  8. Legal considerations • General Medical Council • Surgical Royal Colleges • NMC / HPC • Legal opinion

  9. Should SCPs undergo mandatory surgical skills assessment? • 78% of respondents supported this concept

  10. 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

  11. Where do we go from here? • ? Standardised skills assessment • ? Role specific DOPs forms • ? Regular log book inspection

  12. There are two ways to do this – my way & the wrong way!

  13. 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

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