Surgery

Generic Job Families

Specialist Areas

Functional Requirements

Details/Health and Safety Indicators

Outpatient work

 

 

See general outpatient work

Inpatient work

 

 

See general inpatient work

Exposure prone procedures

 

Ability to perform exposure prone procedures (most but not all surgery is exposure prone)

See exposure prone procedures

 

General surgery

 

The major areas of special interest associated with the specialty of general surgery are as follows:

·         Upper Gastrointestinal Surgery (Oesophagogastric and Hepatopancreaticobiliary)

·         Colorectal surgery

·         A combination of Upper Gastrointestinal Surgery and Coloproctology, known as General Gastrointestinal Surgery or Specialist GI surgery

·         Vascular Surgery

·         Transplantation (Renal, Hepatic and Pancreatic)

·         Breast and Oncoplastic Surgery

·         Endocrine Surgery

Good hand eye coordination

 

Good vision

 

Use of fine and gross motor skills

 

Repetitive upper limb movements with wrists in awkward and hyperextend positions requiring definition and strength

 

Ability to stand and sustain concentration and posture for prolonged periods

 

 

 

 

 

 

 

 

 

 

 

Ability to wear surgical gloves for long periods

May present difficulties for doctors with visual acuity problems

 

May present difficulty for doctors with advanced/arthritic bone conditions of the hands which limits manual dexterity

 

 

 

 

 

May present difficulties for doctors with underlying musculoskeletal limitations i.e. low back pain.

 

May present problems for doctors suffering from psychological conditions such as depression and anxiety

 

May present difficulties for doctors with hand dermatitis/skin problems

 

 

 

Cardiothoracic and vascular surgery

 

Cardiothoracic Surgery is the speciality of medicine that deals with the diagnosis, evaluation and surgical management of diseases of the heart, lungs oesophagus and chest. Cardiothoracic

operations tend to be major and often complex procedures.

Good hand eye coordination

 

Good vision

 

Use of fine and gross motor skills

 

 

Good upper body strength to accommodate lead apron

 

Ability to stand and sustain concentration and posture for prolonged periods

 

 

 

 

 

 

 

 

 

 

 

Ability to wear surgical gloves for long periods

 

 

 

 

Use of PPE/headgear/eye wear/microscopes

 

May present difficulties for doctors with visual acuity problems

 

May present difficulty for doctors with advanced/arthritic bone conditions of the hands which limits manual dexterity

 

May present difficulties for doctors with underlying musculoskeletal limitations i.e. low back pain.

 

May present problems for doctors suffering from psychological conditions such as depression and anxiety

 

May present difficulties for doctors with hand dermatitis/skin problems

 

 

Endovascular procedures unlikely to be exposure prone as long as fingers remain visible. Open surgery will be EPP.

 

 

 

 

Otolaryngology

 

Includes:

 

Elective otology

Paediatric otolaryngology

Diseases of the head and neck

Elective rhinology

Emergency otolaryngology

 

 

Good hand eye coordination

 

Good vision

Use of fine and gross motor skills

 

 

Repetitive upper limb movements with wrists in awkward and hyperextend positions

 

 

 

Ability to stand and sustain concentration and posture for prolonged periods

 

 

 

 

 

 

 

 

 

 

 

 

Ability to wear surgical gloves for long periods

 

 

 

Use of PPE/headgear/eye wear/microscopes

 

 

May present problems for doctors with Visual acuity problems

 

 

 

 

May present difficulty for doctors with advanced/arthritic bone conditions of the hands which limits manual dexterity

 

May present difficulties for doctors with underlying musculoskeletal limitations i.e. low back pain.

 

May present problems for doctors suffering from psychological conditions such as depression and anxiety

 

 

May present difficulties for doctors with hand dermatitis/skin problems

 

 

 

Ability to perform exposure prone procedures

Some procedures are not exposure prone and can be performed by doctors who are not fit to perform EPPs (e.g. stapedectomy/ stapedotomy, insertion of ventilation tubes and insertion of a titanium screw for a bone anchored hearing aid. Requires individual risk assessment

 

Trauma and Orthopaedic Surgery:

 

Management of fractures and fracture fixation; dislocations, amputations.

 

Elective orthopaedic surgery

Good hand eye coordination

 

Good vision

 

Use of fine and gross motor skills

 

Repetitive upper limb movements with wrists in awkward and hyperextend positions

 

Good upper body strength

to accommodate lead apron

 

Ability to stand and sustain concentration and posture for prolonged periods

 

 

 

 

 

 

 

 

 

 

Use of PPE/headgear/eye wear/microscopes

 

 

Ability to wear surgical gloves for long periods

 

May present difficulties for doctors with visual acuity problems

 

May present difficulty for doctors with advanced/arthritic bone conditions of the hands which limits manual dexterity

 

 

 

 

 

 

 

May present difficulties for doctors with underlying musculoskeletal limitations i.e. low back pain.

 

May present problems for doctors suffering from psychological conditions such as depression and anxiety

 

 

 

 

 

May present difficulties for doctors with hand dermatitis/skin problems

 

 

Ophthalmology

Good hand eye coordination

 

Good vision

 

Use of fine and gross motor skills

 

 

Repetitive upper limb movements with wrists in awkward and hyperextend positions

 

Ability to stand and sustain concentration and posture for prolonged periods

 

 

 

 

 

 

 

 

 

 

Use of

PPE/headgear/eye wear/microscopes

 

 

Ability to wear surgical gloves for long periods

 

 

May present difficulties for doctors with visual acuity problems.  Good binocular vision and stereopsis is considered to be an advantage for all ophthalmologists in surgical procedures, clinical assessment and in the interpretation of some investigations.

 

May present difficulty for doctors with advanced/arthritic bone conditions of the hands which limits manual dexterity

 

 

 

May present difficulties for doctors with underlying musculoskeletal limitations i.e. low back pain.

 

May present problems for doctors suffering from psychological conditions such as depression and anxiety

 

 

 

 

 

May present difficulties for doctors with hand dermatitis/skin problems

 

 

 

 

Ability to perform exposure prone procedures e.g. orbital surgery

Most eye surgery is not exposure prone-needs individual risk assessment

 

Plastic Surgery

 

The specialty of plastic and reconstructive surgery is that branch of surgery concerned with the

restoration of normal form and function. It is a varied specialty involving adults and children and

encompassing a wide range of conditions affecting different parts of the body.

 

Good hand eye coordination

 

Good vision

 

Use of fine and gross motor skills

 

Repetitive upper limb movements with wrists in awkward and hyperextend positions

 

Good upper body strength

to accommodate lead apron

 

Ability to stand and sustain concentration and posture for prolonged periods

 

 

 

 

 

 

 

 

 

 

Use of PPE/headgear/eye wear/microscopes

 

 

Ability to wear surgical gloves for long periods

 

Musculo-skeletal conditions limiting movement and restricting posture may cause difficulties.

 

Conditions causing tremor of the hands are likely to affect fitness to practice as are conditions affecting manual dexterity.

Use of the operating microscope. Bronchoscopy is required. Endotracheal intubation are other skills that are necessary in the management of burns.

 

May present problems for doctors suffering from psychological conditions such as depression and anxiety

 

 

Urology

 

There is a requirement for  the management of

“everyday” general elective and emergency urology.

 

Areas of special interest include:

 

Urological oncology: the assessment and treatment of patients with urological malignancy. The major urological malignancies are prostate, bladder, renal, testicular and penile cancer.

• Endourology: the use of endourological techniques to treat urinary tract disease. This primarily

includes the treatment of urinary tract stone disease, but also includes the endourological treatment

of other benign diseases of the upper urinary tract.

• Female and Reconstructive urology: the assessment and treatment of patients with urinary incontinence, patients with neurological disease and patients undergoing reconstruction of the urinary tract. The subdivisions of this area include female urology, pelvic reconstruction and

neurourology.

• Andrology: the assessment and treatment of patients with conditions affecting sexual and reproductive function. Including male factor infertility, urethral reconstruction and other benign disorders of penile function. It may also include penile cancer.

 

Good hand eye coordination

 

Good vision

 

Use of fine and gross motor skills

 

 

Good upper body strength to accommodate lead apron

 

Ability to stand and sustain concentration and posture for prolonged periods

 

 

 

 

 

 

 

 

 

 

 

Ability to wear surgical gloves for long periods

 

 

 

 

Use of PPE/headgear/eye wear/microscopes

May present difficulties for doctors with visual acuity problems

 

May present difficulty for doctors with advanced/arthritic bone conditions of the hands which limits manual dexterity

 

 

 

May present difficulties for doctors with underlying musculoskeletal limitations i.e. low back pain.

 

May present problems for doctors suffering from psychological conditions such as depression and anxiety

 

 

 

 

 

May present difficulties for doctors with hand dermatitis/skin problems

 

Endourology is essentially a non-EPP area of practice.