|Title||Advanced History Taking Cardiac Science|
By the end of this module the Clinical Scientist in HSST, with respect to advanced history taking, will be able to critically analyse, synthesise, evaluate and apply their expert knowledge, perform and master a range of clinical skills and consistently demonstrate the attitudes and behaviours necessary for the role of a Consultant Clinical Scientist and be able to:
- elicit a relevant focused history from patients with increasingly complex issues and in increasingly challenging circumstances;
- record the history accurately and synthesise this with relevant clinical examination;
- formulate a management plan that takes account of likely clinical evolution.
All Clinical Scientists in HSST working in a paediatric setting or who see patients of paediatric age in their practice must be appropriately trained in child safeguarding.
Knowledge and understanding
By the end of this module the Clinical Scientist in HSST will critically analyse, synthesise, evaluate and critically apply their expert knowledge with respect to history taking in adult and paediatric patients as appropriate to their clinical practice, including:
- protecting patients of paediatric age and vulnerable adults from maltreatment, abuse, neglect, or exploitation (safeguarding);
- the importance of different elements of the patient history;
- patients not always presenting their history in a structured fashion;
- likely causes of and risk factors for conditions relevant to the presentation;
- the way that the history should inform examination, investigation and management.
Technical and clinical skills
By the end of this module the Clinical Scientist in HSST will be able to demonstrate a range of clinical skills in adult and paediatric patients as appropriate to their clinical practice. This will span history taking, examination, decision making, diagnostic skills, interpretation of physiological and laboratory measurements, communication with the multidisciplinary team and patients. They will also be expected to have a critical understanding of current research and its application to the performance, adaptation and mastery of the range of these clinical and communication skills and will:
- clearly explain the role of the Clinical Scientist/Consultant Clinical Scientist to the patient and if necessary the differences between them and a medical consultant;
- find clues in the cardiac history to allow for provisional diagnosis and planned management;
- recognise and overcome barriers to effective communication, manage time and draw consultation to a close appropriately;
- supplement history with standardised instruments/questionnaires when relevant;
- manage alternative and conflicting views from family, carers and friends;
- assimilate history from the available information from patient and other sources;
- focus on relevant aspects of cardiac history;recognise and interpret the use of non verbal communication from patients and carers;
- reflect on the challenges of applying research to practice in relation to these procedures and suggest improvements, building on a critique of available evidence.
Attitudes and behaviours
By the end of this module the Clinical Scientist in HSST will be expected to evaluate their own response to both normal and complex situations. They will consistently demonstrate the professional attributes and insights required of a Consultant Clinical Scientist working within the limits of professional competence, referring as appropriate to senior staff, showing respect and behaving in accordance with Good Scientific Practice.