SLO 6: Deliver Key Procedural Skills in Emergency Medicine
In the fast-paced environment of Emergency Medicine (EM), having the ability to perform key procedural skills safely and efficiently is crucial. SLO 6 of the CESR Portfolio Pathway focuses on delivering these essential skills, ensuring that you not only have the knowledge and practical ability but also the competence to guide and supervise others. In this blog, we will walk you through the core components of SLO 6 and provide guidance on how to meet the required capabilities, as well as the necessary evidence for your application.
Understanding SLO 6: Deliver Key Procedural Skills
Key Capabilities of SLO 6
SLO 6 covers a range of critical skills and competencies in the field of Emergency Medicine, focusing on both your ability to perform procedures and your understanding of when they are necessary. To meet the requirements, you must demonstrate the following key capabilities:
|
Capability |
Description |
|
Clinical Knowledge |
Understand when key EM practical emergency skills are indicated, based on clinical assessment and patient needs. |
|
Psychomotor Skills |
Possess the knowledge and physical skills to perform EM procedures safely and in a timely manner. |
|
Supervision and Guidance |
Ability to supervise and guide colleagues in performing procedural skills, ensuring safety and efficacy during practice. |
Essential Procedural Skills in Emergency Medicine
Emergency Medicine involves a variety of procedural skills, from basic interventions to more complex procedures. As part of your CESR application, it’s important to demonstrate proficiency in these areas.
Some of the key procedural skills you should focus on include:
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Airway Management (e.g., endotracheal intubation, laryngeal mask airway)
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IV Access and Fluid Resuscitation (e.g., central line insertion, peripheral venous cannulation)
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Chest Decompression (e.g., needle thoracostomy)
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Wound Management (e.g., suturing, wound debridement)
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Cardiac Resuscitation (e.g., defibrillation, advanced life support techniques)
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Orthopedic Procedures (e.g., splinting fractures, reduction of dislocations)
These are only a few examples; the procedural logbook will need to document your experience in performing a broad range of procedures relevant to your practice.
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How to Demonstrate Your Competence for SLO 6
To meet the requirements of SLO 6, it’s essential to provide comprehensive and detailed evidence of your experience and abilities. Below is a guide on how to structure your portfolio and gather the necessary documentation.
Suggested Evidence for SLO 6
The evidence you submit should highlight your direct involvement in procedures and reflect your progress and learning. Here are the key forms of evidence you should consider submitting:
|
Evidence Type |
Description |
|
FRCEM or Equivalent |
If you hold the FRCEM or an equivalent qualification, include this as evidence. If not, you must provide evidence of completing objective summative assessments. |
|
Assessment of Simulated Practice |
Include any simulated practice assessments, as these demonstrate your ability to perform under controlled conditions. |
|
ACCS Reflective Case Histories |
Provide reflective case histories from the Acute Care Common Stem (ACCS) program, focusing on procedures you’ve performed or assisted with. |
|
DOPS (Direct Observation of Procedural Skills) |
All DOPS assessments should be included under this SLO to show direct observation of your procedural skills. |
|
EM Reflective Case Histories |
Include detailed case histories from your emergency medicine practice that reflect your procedural experience. |
|
ESLE |
A record of evaluations of your skills and learning progress throughout your career. |
|
IAC including EPA1 and EPA2 |
Evidence of your progress within the IAC (Improving the Assessment of Clinical) framework, specifically within EPA1 and EPA2. |
|
MCR (Medical Competency Records) |
Document your competency progress, including reflections on procedures and feedback from peers or supervisors. |
|
Procedural Logbook |
Maintain a detailed logbook that includes key information about each procedure you’ve participated in (see further details below). |
Detailed Procedural Logbook
Your procedural logbook is an essential component of your portfolio. It must contain specific details to ensure that it meets the requirements set out by CESR. Each entry should include:
|
Logbook Entry |
Details to Include |
|
Age and Gender |
Record the patient’s age and gender for each procedure performed. |
|
Date of Procedure |
The exact date of the procedure. |
|
Full Name of the Procedure |
Provide the exact name of the procedure, as it appears in the relevant medical guidelines or literature. |
|
Role in Procedure |
Indicate whether you assisted, performed the procedure personally, performed under direct supervision, or supervised a junior colleague. |
|
Critical Incidents |
If applicable, include any critical incidents during the procedure and how you managed or responded to them. |
|
Hospital/Clinic |
The name of the hospital or clinic where the procedure was performed. |
|
Reflections on Learning |
Include a brief reflection on your learning from the procedure. This could cover the challenges you faced, what you learned, or what you might do differently in the future. |
Guidance on Reflective Practice
Reflective practice is essential in the CESR Portfolio, as it helps demonstrate your ability to critically evaluate your performance. For each procedure, reflect on the following:
-
What went well? Identify aspects of the procedure you performed confidently and efficiently.
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What could be improved? Consider areas where you faced challenges or could improve your technique.
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How did you manage complications? Reflect on how you handled any complications during the procedure, as this demonstrates your clinical judgment and adaptability.
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Learning Points: Highlight the key takeaways from the procedure and how you plan to improve in the future.
SLO 6: Delivering Key Procedural Skills is a crucial part of your CESR Portfolio in Emergency Medicine. It requires you to demonstrate not only the knowledge and ability to perform key procedures but also the capacity to supervise and guide others. With the right evidence, including FRCEM qualifications, DOPS, reflective case histories, and a well-maintained procedural logbook, you can show your competence in this area.
At CESR Portfolio, we specialize in helping doctors like you navigate the CESR application process and provide expert guidance in preparing your portfolio. We understand the importance of providing comprehensive and well-documented evidence. If you need expert assistance in ensuring your portfolio meets all the required standards, visit us at CESR Portfolio to get started today.
For more information please refer to gmc Specialty specific guidance for Portfolio pathway applications
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