Care of the Critically Ill Surgical Patient

Care of the Critically Ill Surgical Patient (CCrISP) is a training programme for doctors. The course covers the theoretical basis and practical skills required to manage critically ill surgical patients. Teaching is in small groups and includes the use of simulated patients. The course duration is 2.5 days.[1][2]


CCrISP was designed by Mr. Iain Anderson, Senior Lecturer in Surgery, Manchester University, for the Royal College of Surgeons of England, as a result of the Hillsborough disaster. The first course was run in 1998 by the Hillsborough Trust.[3]

Training bodies

CCrISP courses are run by the following surgical training bodies:


Australia and New Zealand

The Royal Australasian College of Surgeons requires surgical trainees to complete CCrISP within the first 2 years of training (SET 1-2).[5] The course is also mandatory for trainees in oral and maxillofacial surgery.[3]


The Royal College of Surgeons in Ireland recommends at least 6 months of general surgery training before taking the course.[6] Irish courses are aimed at surgical trainees in the second year of Basic Surgical Training (ST2).[2] Candidates must be registered with the Medical Council (Ireland) or the General Medical Council.[2]

United Kingdom

Courses are open to doctors who have completed the Foundation Programme and is usually taken during ST1-3 or CT1-2 training.[7][8]


Candidates receive a course manual and must pass a pre-course multiple choice question assessment.[1][9] Successful participants receive a certificate from the Royal College of Surgeons of England.[6]

The main course elements include:[7]

Theory stations include:[9]

Practical skills stations include:[9]

See also


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