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Generic Job Families
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Specialist Areas
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Functional Requirements
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Details/Health and Safety Indicators
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Outpatient work
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See general outpatient work
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Inpatient work
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See general inpatient work
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Exposure prone procedures
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Ability to perform exposure prone procedures (most but not all surgery is exposure prone)
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See exposure prone procedures
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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
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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
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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
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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.
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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
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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.
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Otolaryngology
Includes:
Elective otology
Paediatric otolaryngology
Diseases of the head and neck
Elective rhinology
Emergency otolaryngology
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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
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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
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Ability to perform exposure prone procedures
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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
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Trauma and Orthopaedic Surgery:
Management of fractures and fracture fixation; dislocations, amputations.
Elective orthopaedic surgery
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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
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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
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Ophthalmology
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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
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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
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Ability to perform exposure prone procedures e.g. orbital surgery
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Most eye surgery is not exposure prone-needs individual risk assessment
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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.
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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
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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
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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.
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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
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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.
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