In the fast-paced and rewarding world of healthcare, a career as a Surgical First Assistant (SFA) offers a unique opportunity to play a critical role in the operating theatre. Surgical First Assistants are highly trained professionals who work closely with surgeons, providing hands-on support during procedures to ensure patient safety and the smooth execution of surgeries. For healthcare professionals in the UK looking to expand their skills and take on this challenging role, understanding the necessary qualifications, experience, and career pathways is essential. This blog, brought to you by Medical Staffing, explores how you can become an SFA and offers insights into the opportunities available in this vital profession.
What Is a Surgical First Assistant?
A Surgical First Assistant is an advanced practitioner who assists the surgeon directly during operations. This role involves tasks such as preparing the operating room, retracting tissue, controlling bleeding, suturing, and ensuring the surgical field remains sterile. SFAs require an in-depth understanding of anatomy, surgical techniques, and aseptic protocols, and they are integral to the success of surgical teams.
SFAs are distinct from Scrub Practitioners and Operating Department Practitioners (ODPs), as their role is more hands-on during the actual procedure. As a result, becoming an SFA involves additional training and expertise.
Pathway to Becoming a Surgical First Assistant in the UK
1. Start with a Healthcare Qualification
To begin the journey to becoming a Surgical First Assistant, you must first have a background in healthcare. Common starting points include:
Registered Nurse (RN) with experience in perioperative care.
Operating Department Practitioner (ODP) registered with the Health and Care Professions Council (HCPC).
A solid foundation in healthcare is essential, as it provides the clinical knowledge and skills needed to support patients before, during, and after surgery.
2. Gain Operating Theatre Experience
Before pursuing an SFA qualification, it is crucial to gain experience in the operating theatre. This allows you to become familiar with surgical environments, procedures, and the dynamics of working in a multidisciplinary team. Many SFAs begin their careers as Scrub Nurses or ODPs, which gives them hands-on exposure to surgical instruments, sterile techniques, and patient care in theatre.
3. Complete a Surgical First Assistant Course
Once you have sufficient operating theatre experience, you can enrol in a Surgical First Assistant training programme. These courses are typically offered by universities, healthcare training organisations, or NHS trusts and must meet the guidelines set out by the Perioperative Care Collaborative (PCC).
Key components of an SFA course include:
Theoretical Training: Covers anatomy, physiology, surgical techniques, and legal/ethical considerations.
Practical Training: Includes supervised practice in theatre, allowing you to develop hands-on skills.
Most programmes are part-time and designed to fit around your current work commitments, lasting between 6 and 12 months.
4. Achieve Certification and Registration
Upon completing your training, you will receive a certificate confirming your competence as a Surgical First Assistant. While SFAs are not yet required to have a separate registration beyond their initial professional qualification (e.g., NMC or HCPC), it’s essential to work within your scope of practice and adhere to your organisation’s governance policies.
5. Pursue Continuing Professional Development (CPD)
The field of surgery is continually evolving, and staying updated on the latest techniques and advancements is crucial. Regular CPD activities, such as attending workshops, conferences, or additional courses, will enhance your skills and ensure you remain at the forefront of the profession.
Career Opportunities for Surgical First Assistants
The demand for Surgical First Assistants is growing across the UK, driven by the increasing complexity of surgical procedures and the need for specialised perioperative support. SFAs can find opportunities in NHS trusts, private hospitals, and specialist surgical centres. Additionally, the role can serve as a stepping stone for further career progression, such as becoming an Advanced Clinical Practitioner (ACP) or specialising in surgical education.
At Medical Staffing, we work closely with healthcare professionals and employers to match skilled SFAs with rewarding opportunities. Whether you’re newly qualified or an experienced SFA seeking your next role, we are here to support your career journey.
Why Choose a Career as a Surgical First Assistant?
Becoming a Surgical First Assistant is a fulfilling career choice for healthcare professionals who thrive in high-pressure environments and are passionate about delivering exceptional patient care. The role allows you to work at the cutting edge of medicine, develop specialised skills, and make a tangible difference in patients’ lives.
If you’re ready to take the next step in your career or need guidance on becoming an SFA, Medical Staffing is here to help. With our expertise in healthcare recruitment, we can connect you with training opportunities, mentorship, and the perfect role to achieve your career aspirations.