Fellowship - roles in practice

Question 1

A patient dies soon after induction of anaesthesia. As a senior clinician you are asked to arrange a debriefing. Outline the considerations.

Question 2

Your department has exceeded its drug budget for the last financial year. You have been asked to develop a departmental policy document for the rational use of sugammadex. Discuss the issues to be considered.

Question 3

You have been asked to formulate guidelines for your department on managing fatigue. List the hazards associated with fatigue in the practice of clinical anaesthesia. (30%) Outline your guidelines and discuss the potential consequences of their implementation. (70%)

Question 4

Describe the requirements for establishing an anaesthetic service for a neurosurgical theatre with a magnetic resonance imaging scanner (67.2%)

Question 5

You are developing an anaesthetic department policy for acute endovascular stroke intervention. Outline the issues to be considered in your policy.

Question 6

You are asked to initiate an opioid patient-controlled analgesia service in your hospital.a. How would you ensure patient safety? (70%)b. What are the key components to include in designing an order form? (30%)

Question 7

Justify the ongoing clinical use of nitrous oxide and ENTONOX (50%). Discuss how the environmental impact of their use can be minimised (50%).

Question 8

Describe your response to a formal complaint made by a patient about you to your head of department

Question 9

You are concerned about the possibility of substance abuse by a consultant colleague. Describe the signs that are suggestive of substance abuse in a colleague. (50%) Outline the steps that should be followed if this is suspected. (50%)

Question 10

“You have rated a workplace based assessment for a trainee as unsatisfactory. The trainee has now written to the head of the department complaining that you have been bullying him. Define the following (50%) -Bullying-Feedback Outline your approach to this
complaint. (50%) “

Question 11

An elderly patient has collapsed with a bleed into a known brain tumour and is unable to communicate. An advance health directive has been produced stating she would not wish to receive treatment if the most likely outcome was a significant permanent Define advance health directive, including its scope and legal status (50%) How would this advance health directive influence decision making around treatment options. neurological deficit. (50%)

Question 12

Outline the key steps in gaining informed consent for anaesthesia in a competent ASA 1 adult undergoing minor elective surgery.

Question 13

An elderly patient has previously declined an above knee amputation for a gangrenous leg. She becomes acutely unwell, confused and no longer competent to make decisions. At the request of the family, the surgeon has approached you to discuss whether to proceed with surgery or not. She is likely to die without the surgery.Outline the ethical considerations you would discuss with the surgeon.

Question 14

Explain the professional attributes of an anaesthetist in specialist practice.