PY Surgery COR
Surgery
PY Clinical Outcome Record (COR)
*Completion of this form is required as evidence of your clinical placement assessments.
Failure to fully complete all sections with the required evidence will affect your academic
progression.*
PART A - CASE/EVENT DETAILS
This section is to be completed by the student
Number of Cases
How many cases were seen/observed? Please enter a numerical value in number format, e.g. '3'.
24
Number of Contact Cases
Number of cases where you had longer clinical contact (took a history/focused history or performed
clinical examination).
Logbook
Is a logbook used during this attachment? If YES, please take a copy of your log book with you to your sign
off session so that it can be discussed with your clinical supervisor in conjunction with the clinical outcome
record.
Yes
Learning Events - Week 1
Provide a brief outline of the learning events of the week. Record the event you attended
each day and any interesting cases that you wish to reflect on more fully. Indicate the
number of patients you saw in each session.
Monday AM
Urology surgeries in main theatres with the urology team -- observed surgeries and procedures such as:
Flexible cystoscopy for suspected bladder cancer -- done to exclude differential
Rigid cystoscopy for bladder cancer monitoring
Trans-urethral resection of bladder tumours (TURBT)
Monday PM
Urology surgeries in main theatres with the urology team -- observed surgeries and procedures such as:
Flexible cystoscopy for suspected bladder cancer -- done to exclude differential
Rigid cystoscopy for bladder cancer monitoring
Trans-urethral resection of bladder tumours (TURBT)
Tuesday AM
Urology ward round with the urology team -- observed common urological conditions such as:
Kidney stones
Ureteric strictures
Acute pyelonephritis
Tuesday PM
Urology surgeries in main theatres with the urology team -- observed surgeries and procedures such as:
Flexible cystoscopy for suspected bladder cancer -- done to exclude differential
Rigid cystoscopy for bladder cancer monitoring
Wednesday AM
Urology ward round with the urology team -- observed common urological conditions such as:
Kidney stones
Acute pyelonephritis
Urinary tract infection due to indwelling catheter
Wednesday PM
SPORTS AFTERNOON
Thursday AM
Urology ward round with the urology team -- observed common urological conditions such as:
Kidney stones
Acute pyelonephritis
Infection of the ureteric stump post-nephrectomy -- also took a history from this patient
Removal of a nephrostomy
Thursday PM
Urology CEPOD surgeries in emergency surgery theatres with the urology team -- observed procedures
and surgeries such as:
X-ray guided ureteric stent insertion for renal stones
Friday AM
Ward round with the urology team -- observed common urological conditions such as:
Kidney stones
Urinary retention post TURP
Bladder cancer
Renal mass and pelvic ureteric junction obstruction (PUJO)
Friday PM
Clinical skills workshop teaching session with the undergraduate team -- session on documenting and
setting up an IV injection.
We discussed the steps of setting up and IV injection, what types of drugs are commonly prescribed
through this method and the correct way of calculating the dilution and doses of drugs and how these
must be checked and documented to prevent prescribing errors. We also discussed the no-touch aseptic
technique to prevent infection.
Weekend
Self directed learning
Learning Events - Week 2
Provide a brief outline of the learning events of the week. Record the event you attended
each day and any interesting cases that you wish to reflect on more fully. Indicate the
number of patients you saw in each session.
Monday AM
Sick leave - self directed learning
Monday PM
Sick leave - self directed learning
Tuesday AM
Colorectal ward round with the colorectal team -- observed colorectal surgery conditions such as:
Strangulated inguinal hernia -- post inguinal hernia repair
Colorectal tumours
Post-colorectal resection surgery
Per rectum bleed - passing fresh blood with clots
Ischaemic colitis
Tuesday PM
Cancelled endoscopy -- self directed learning, ward work/ DOPs
Wednesday AM
Colorectal ward round with the colorectal team -- observed colorectal surgery conditions such as:
Colorectal tumours
Post-hemicolectomy surgery
Appendix mucocele
Appendicitis -- perforated appendix
Diverticulitis -- perforation of diverticula
Wednesday PM
SPORTS AFTERNOON
Thursday AM
Sick leave -- self directed learning
Thursday PM
Sick leave -- self directed learning
Friday AM
Ward work/ DOPs
Friday PM
self directed learning
Weekend
Self directed learning
Interesting Cases for Reflection
Outline any interesting cases that allow you to address your clinical outcomes for this attachment. You
should record the patient’s gender, and age. Use age bands (e.g. 3 months for babies/young children, 2
years for older children, 25-30 years for adults). You should also record brief clinical details. You should
not record any patient identifiable information.
1. 75-80F with severe generalised abdominal pain for 1 day, has not passed stools or gas for 1 day -- CT
abdomen and pelvis was performed and showed a distended appendix -- differentials were an appendix
mucocele and inflammatory colitis
2. 80-85M with severe right groin and flank pain radiating to the back, also experienced nausea and
vomiting. Past medical history of nephrectomy of the right kidney -- Raised inflammatory markers on
bloods -- pain suspected to be due to infection of ureteric stump post nephrectomy, treated with
antibiotics.
I have chosen these cases for reflection as these patients presented with signs and symptoms that could
have an obvious differential such as pyelonephritis or bowel obstruction. However through deeper history
taking and investigations the differential became wider and and it became harder to diagnose the
problem. Shows the importance of not ruling out differentials without thorough history taking,
examination and investigations as something that may seem to be obvious may not be so.
PART B - REFLECTIONS
This section is to be completed by the student
Positive Impact of Learning Events
What positive impact have the learning events of this week had on your knowledge in this field of
medicine? When completing this, try to be reflective by thinking about the impact learning has had on
your:
clinical skills
clinical management skills
communication skills with patients and healthcare professionals
understanding of the social context of the patient and how that impacts on healthcare
These 2 weeks I saw a wide variety of urology and colorectal conditions. I was able to observe the ward
rounds and see how patients with certain conditions present, their initial investigations and management.
This has helped improve my clinical reasoning and management skills. I was also able to take histories
before looking at the patients initial diagnosis. This has helped me practice creating a differentials list in
my head through the patients symptoms and has allowed me to practice asking specific questions to rule
out certain differentials. Through this I have also been able to practice my clinical reasoning skills and has
helped improve my communication skills with patients.
Effective Learning
Are there any things you could have done differently this week to learn more effectively?
When completing this, try to think about how you approached your learning and how this helped you to
gain new knowledge. Try to move beyond simply describing what happened to analysing why it happened,
what you felt and thought and what you have learned as a result.
These weeks I was able to take histories which helped improve my clinical communication skills, however I
could have tried to perform more examinations to help improve my clinical skills and enable me to
practice for CCAs. I would have also liked to attend more colorectal surgeries and endoscopy which could
help me with learning about how colonoscopies are performed through practical demonstration and learn
different methods of colorectal surgery.
Focussed Learning
What areas of learning are you planning to focus on in the next week of placement to get the most out of
this attachment/next attachment?
Practice taking more histories and examinations to help improve clinical skills and communication skills
with patients.
Patient Data
I confirm that no patient identifiable data is included in this form.
b
c
d
e
f
g I confirm
PART C - Placement Details
This section is to be completed by the student
Placement site
Which placement site are you completing this assessment at?
Croydon
Other Placement Site
If 'Other' was selected above for the name of the placement site, please provide the site name here.
Student Confirmation
A signature is required to confirm completion of this record. Please DO NOT sign this form until all
questions are complete and you are ready to formally submit it.
Signed on 04-Mar-2025 at 11:14
