Care of the Critically Ill Surgical Patient (CCrISP)


Find a surgeon

The Find a Surgeon directory is a listing of active Fellows of the Royal Australasian College of Surgeons who meet the requirements of the College's Continuing Professional Development (CPD) Program and have opted to be on the list. This list excludes retired or inactive Fellows.



On this page:

Course overview
Schedule and fees

CCrISP® 4th Edition launch 2018

RACS launches Edition 4 of the Care of the Critically Ill Surgical Patient (CCrISP®) course in 2018 across Australia and New Zealand.

The CCrISP® course teaches participants to adopt a structured and comprehensive approach to managing surgical patients, to recognise the deteriorating patient and to judge which patients are at most risk.


Below are the key changes to the CCrISP® program:

  • CCrISP® has been significantly revised, with new interactive sessions, increased interactivity and less didactic lectures 
  • New sessions 'Difficult decision making' and 'Optimisation of recovery'
  • Increased emphasis on teaching and practicing communication skills, which are embedded throughout the program 
  • Four eLearning modules and an online pre-course test are available to course participants upon enrolment


The CCrISP® program offers participants the following benefits:

  • Opportunity to network with your peers 
  • Access to expert faculty; local leaders in surgical care
  • High teacher student ratio (1:2), with a volunteer faculty of eight doctors 
  • A mentor system whereby course participants connect with faculty members prior to and throughout the course
  • A program that is highly reflective of Australian and New Zealand clinical practice and standards

View the CCRISP® 4th Edition Provider course program

Course overview


Care of the Critically Ill Surgical Patient (CCrISP®) is a product of the Royal College of Surgeons of England and was designed by Mr. Iain Anderson, Senior Lecturer in Surgery, Manchester University.

The establishment of the CCrISP® course was a major educational project and was born out of the Hillsborough Soccer tragedy of 1989. The development of the program was sponsored by the Hillsborough Trust and RCS launched their first course in 1998. It was acknowledged that a systematic approach to the management of actual or potentially ill patients would maximise the chances of a good clinical outcome. This was reinforced by Australian research which demonstrated a high mortality rate of unexpected admission to ICU and an average delay in definitive management despite several episodes of medical review.

The CCrISP® course assists doctors in developing simple, useful skills for managing critically ill patients, and promotes the coordination of multidisciplinary care where appropriate. The course is as much about putting clinical knowledge, acumen, and procedural skills to use as it about communication, responsibility and leadership. The CCrISP® course encourages trainees to adopt a system of assessment to avoid errors and omissions, and uses relevant clinical scenarios to reinforce the objectives.

Target audience

  • Trainees of the Royal Australasian College of Surgeons (mandatory)
  • Oral & Maxillofacial Surgery trainees (mandatory)
  • Post-graduate year (PGY) 3+ registered medical graduates (e.g. MBBS) working and training across the range of medical disciplines


CCrISP® is directed at doctors to advance the practical, theoretical and personal skills necessary for the care of the critically ill surgical patient.

The following principles are reinforced throughout the course:

  • Accept responsibility for patient management
  • Adopt a systematic approach to patient assessment
  • Appreciate that complications tend to cascade rapidly
  • Anticipate and prevent complications with simple, timely actions
  • Apply effective communication skills to facilitate patient care
  • Ask for appropriate assistance in a timely manner


The CCrISP® course covers the following:

  • Assessment of the critically ill surgical patient
  • Airway and tracheostomy management
  • Respiratory compromise in the surgical patient
  • Arterial blood gases and acid-base balance
  • Cardiovascular monitoring and support
  • Renal failure, prevention and management
  • Peri-operative management of the surgical site
  • Fluid and electrolyte management
  • Sepsis and multiple organ failure
  • Nutrition in the surgical patient
  • Pain management
  • Communication, organisation and leadership in surgical care
  • Assessment of surgical risk and peri-operative care

The course features:

  • Simulated patient assessment
  • Clinical decision making
  • Legal, ethical and communication issues
  • Analysis of data in critical care
  • Systems and protocol based learning

The emphasis is on small group teaching, hands on training and the performance of practical procedures. Candidates are supplied with a detailed course manual (to keep) and personal feedback will be provided during the course.


For an outline of the three day course please view the CCrISP® course program  (PDF 104KB)

Course materials

Course participants are provided with a CCrISP® course manual and certificate upon successful completion.


For information about course governance please visit  CCrISP® Committee.
For information about course policies please visit Skills Training Policies.

back to top


To attend CCrISP® you must be a medical graduate.  Places will only be available to doctors post-graduate year 3+.

You must be eligible at the time of enrolment.

back to top

Schedule and fees

Course Schedule

CCrISP® courses are held on various dates and locations across Australia and New Zealand.

CCrISP® Course Schedule 2018 (PDF 84KB)



  • Australia - A$3,325.00 (incl. GST)
  • New Zealand - NZ$3,720.00 (incl. GST)

In Australia, the CCrISP® course is an approved course under the tax system. This exempts surgical Trainees of the College from having 10% GST levied on their course fees. Australian fees for all other CCrISP® course participants are subject to 10% GST.

Courses conducted in New Zealand will be invoiced in NZ dollars, regardless of residential country of applicant.

back to top


Skills courses no longer use a waiting list. Online enrolment for all 2018 courses is now open to eligible applicants:

Candidates are encouraged to enrol in the course at least six weeks prior to course commencement to ensure adequate preparation. Enrolments close three weeks prior to course commencement.

Courses running soon with places available

Enrol today in one of the following CCrISP courses:

Please note: candidates may access and enrol in all available 2018 courses by selecting any of the links above.

How to enrol

  • Visit   online enrolment 
  • Log in or create a College account 
  • Have your medical registration number on hand (your eligibility to attend is determined by your date of first registration)
  • Full payment is required at the time of enrolment
  • You may nominate up to six reserve places for courses that are already full
  • Join the Skills Training  mailing list to be kept up to date with release dates

Advanced access

  • SET Trainees and International Medical Graduates required to complete skills courses are given priority access four weeks prior to general release dates
  • All other eligible applicants are then able to enrol for skills courses

Cancellation policy

  • Cancellations of more than 10 weeks prior to course: 95% refund of course fee
  • Cancellations of less than 10 weeks prior to course: 50% refund of course fee
  • Cancellations of less than 6 weeks prior to course: No refund of course fee

This policy also applies should you elect to enrol in an alternative course within this time frame.

Cancelled courses

In the unlikely event that a course is cancelled, RACS will not be held responsible for reimbursing airfare, hotel or other costs incurred by the registrant. A course can be cancelled up to 3 weeks prior to course commencement, whereby candidates are issued a 100% refund.

Withdrawals and transfers

  • To withdraw from your allocated course, please complete the 
  • Unfortunately transfers to alternative courses are not possible. Applicants are required to withdraw from their original course then enrol in another course.

Further information

Please visit  Frequently Asked Questions for further information.

back to top



CCrISP® Program Administrator
Skills Training Department
Division of Education Development and Assessment
Royal Australasian College of Surgeons
College of Surgeons' Gardens
250-290 Spring Street
East Melbourne VIC 3002

Telephone: +61 3 9276 7421
Fax: +61 3 9249 1298

New Zealand 

Administration Officer
Royal Australasian College of Surgeons
PO Box 7451
Wellington South Wellington 6242
New Zealand

Telephone: +64 4 385 8247
Fax: +64 4 385 8873

Stay up-to-date

message-update  Join the Skills Training mailing list

facebook Like Us On Facebook

twitter Follow us on Twitter: and look out for #RACSskills