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Knowledge Area 4 – Postoperative care

Capability in practice (CiP)

  • 1: The doctor is able to apply medical knowledge, clinical skills and professional values for the provision of high-quality and safe patient-centred care
  • 6: The doctor takes an active role in helping self and others to develop
  • 9: The doctor is competent in recognising, assessing and managing emergencies in gynaecology and early pregnancy

 

Summary Knowledge Requirements

PART 1 MRCOG

  • Applied clinical science related to the postoperative period, including physiological and biochemical aspects of fluid balance, the metabolism of nutrients after surgery and the biochemistry of enzymes, vitamins and minerals
  • Organisms implicated in postoperative infections and the therapies used to treat them
  • Therapeutic drugs used perioperatively, including analgesics and thromboprophylactic agents
  • Histopathology of the pelvic organs, the breast and the endocrine organs, including the pituitary and the hypothalamus
  • Classification systems of gynaecological and obstetric conditions

PART 2 MRCOG

  • Demonstrate an understanding of all aspects of postoperative care (immediate, short-term and long-term), including the ability to assess a postoperative patient, know the diagnosis and know how to deal with it
  • Know how to prevent common postoperative problems
  • Understand all aspects of surgery, complications and follow-up

PART 3 MRCOG

  • Demonstrate an understanding of all aspects of postoperative care (immediate, short-term and long-term), including the ability to assess a postoperative patient, know the diagnosis and know how to deal with it
  • Know how to prevent common postoperative problems
  • Be able to discuss all aspects of surgery, complications and follow-up with patients and relatives

 

Detailed Knowledge Requirements

  • Knowledge of the NHS Improvement Programme Enhanced Recovery principles to enhance patient safety and ensure patients experience optimal post-operative rehabilitation
  • General pathological principles of postoperative care
  • Postoperative complications related to obstetric, gynaecological and non-gynaecological procedures
  • Fluid/electrolyte balance
  • Wound healing
  • Late postoperative complications, including secondary haemorrhage