Our vision for perioperative medicine

ANZCA Council approved a vision for the perioperative medicine program in February 2018. This vision and the ANZCA Strategic Plan 2018-2022 will guide and inform our work. 
 
 
By 2023, we aim to have the following in place:
 
  • Defendable economic case for perioperative care. Standard measures of quality care are defined and collected. Independent analysis looking specifically at value (outcome/cost) will demonstrate the case for resource allocation into POM.

  • A formal perioperative medicine qualification. The specifics are still in the early phases, but it will be a tier 1 or 2 level qualification, supported by ANZCA’s Education and Training business unit. The structure will be similar to the Faculty of Pain Medicine fellowship, and will allow specialist trainees to complete the program, providing prerequisite anaesthesia exposure is obtained. As part of the transition to a formal qualification, there is a robust and consistent recognition of prior learning process to “grandfather” those already practising perioperative medicine into the qualification.

  • Collaborative lobbying for the advancement of perioperative medicine. Surgeons, physicians, intensivists, anaesthetists, general practitioners, nurses, midwives and allied health professionals work collaboratively to advance perioperative medicine. This may evolve from the Perioperative Medicine Special Interest Group.

  • Government, health sector and community awareness of the benefits of perioperative medicine. Widespread support for appropriate remuneration and approaches to perioperative care across all sectors. 

  • External courses that support aspects of perioperative medicine are formally recognised. For example, echocardiography, regional anaesthesia, anaemia management, assessment of frailty and perhaps management courses. There is a structured template to evaluate educational products against ANZCA perioperative medicine standards.

  • Patient centred education and awareness of benefits of perioperative medicine. The benefits of perioperative medicine are widely understood and supported in the community. The role of anaesthetists in perioperative medicine is supported.

  • ANZCA professional documents related to perioperative medicine. A suite of professional documents outlines the key minimum requirements to maintain standards of perioperative medicine. 

  • Training site accreditation of perioperative medicine departments. Specific requirements to ensure perioperative medicine trainees get appropriate clinical exposure and teaching, particularly outside the operating theatre. Training Accreditation Committee (TAC) assessment tools are adapted to evaluate perioperative medicine. 

 
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