Perioperative medicine survey
Summary of the results from our 2018 survey of fellows, trainees and specialist international medical graduates (SIMGs) about perioperative medicine.
In October 2018, we invited all of our fellows, trainees and SIMGs to take part in a survey exploring:
- Current perioperative medicine (PoM) practice;
- The skills required for perioperative care; and
- The level of support for the development of PoM training.
The survey achieved a 27 per cent response rate (n=2077/7751). Member of the Perioperative Medicine SIG represented about 15 per cent of these responses. Through the survey, the college confirmed general support for the development of perioperative medicine education offerings
Almost two-thirds of respondents indicated an extra year of training to become a perioperative medicine specialist was reasonable. Support was highest amongst trainees (74 per cent) and lowest in specialists with 20 to 30 years of experience.
Similarly trainees and provisional fellows (56 per cent and 53 per cent respectively) are more likely to consider doing an additional year of training. Specialists with more than 30 years of experience were least likely to consider any additional training (19 per cent).
More than 70 per cent of respondents want a perioperative medicine specialist to have:
- Pre-operative management skills to identify and mitigate risk factors.
- Post-operative management skills including consideration of surgical stress response, fluid management, acute and persistent pain, and delirium management.
- Discharge planning and an understanding of intra-operative anaesthesia management.
Most respondents saw a perioperative medicine service and/or specialist adding particular value in optimising care for higher risk patients (77 per cent), co-ordinating care between medical and surgical specialties (68 per cent) and delivering high quality post-operative care (60 per cent).