Training activity information
Details
Produce plans for intraoperative neuromonitoring for spinal surgery to include cases that require:
- Lower limb somatosensory evoked potentials
- Upper limb somatosensory evoked potentials
- Lower limb motor evoked potentials
- Upper limb motor evoked potentials
- Upper limb free-run electromyography
- Lower limb free-run electromyography
Type
Entrustable training activity (ETA)
Evidence requirements
Evidence the activity has been undertaken by the trainee repeatedly, consistently, and effectively over time, in a range of situations. This may include occasions where the trainee has not successfully achieved the outcome of the activity themselves. For example, because it was not appropriate to undertake the task in the circumstances or the trainees recognised their own limitations and sought help or advice to ensure the activity reached an appropriate conclusion.
Reflection at multiple timepoints on the trainee learning journey for this activity.
Considerations
- Referral review
- Completeness of information
- Sources of clinical history
- Co-morbidities
- Modalities of monitoring
- Anatomy of the spinal column, cerebral cortex, spinal nerves and innervated muscles and dermatomes
- Patient positioning
- Recording of electromyographic potential during intraoperative neuromonitoring
- Requirement for pre-operative baselines
Relevant learning outcomes
| # | Outcome |
|---|---|
| # 1 |
Outcome
Plan and prepare for intraoperative neuromonitoring for spinal surgery |
| # 2 |
Outcome
Obtain clinical histories for patients undergoing intraoperative neuromonitoring. |
| # 3 |
Outcome
Identify other investigations and procedures required before spinal surgery is undertaken. |
| # 4 |
Outcome
Apply legislation and guidelines and manage risk in the performance of intraoperative neuro monitoring. |