|Title||The Role of Chest X Ray in Respiratory Physiology|
By the end of this module Clinical Scientists in HSST, in respect to respiratory and sleep disorders, will be able to analyse, synthesise, evaluate and apply knowledge to assess, form differential diagnosis and be aware when to request medical support in patients with (i) localised abnormalities on chest x-ray, chest CT scan and MRI for instance mass lesions and (ii) diffusely abnormal x-ray, CT scan and MRI of the chest for instance interstitial pulmonary fibrosis. Clinical Scientists in HSST will also be able to formulate, an appropriate plan for investigation and management, in conjunction with medical colleagues
Knowledge and understanding
By the end of this module the Clinical Scientist in HSST will analyse, synthesise, evaluate and critically apply their expert knowledge with respect to:
- normal and abnormal anatomy as appropriate to imaging of the chest.
- causes of abnormal chest X-ray, CT scan and MRI.
- differential diagnosis of causes.
- the pathogenesis of causes.
- formulating a plan for further investigation and management, with assistance from medical colleagues.
Technical and clinical skills
By the end of this module the Clinical Scientist in HSST will be expected to critically reflect and apply in practice a range of clinical and communication skills to advise and communicate effectively with patients, relevant clinicians, patients and the public and other healthcare professionals and will:
- interpret chest imaging and relate normal and abnormal imaging to underlying normal and abnormal chest anatomy.
- take a thorough, relevant and focused history.
- elicit relevant physical signs within the scope of practice (e.g. auscultation).
- plan appropriate further investigations using specified protocol.
- formulate an appropriate differential diagnosis and management plan.
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 demonstrating the professional attributes and insights required of a Consultant Clinical Scientist working within the limits of professional competence referring as appropriate to senior staff and will:
- recognise, where necessary, the urgency of the situation, where assistance from medical colleagues is essential and to expedite management appropriately.
- consider the most important and serious causes first and seek to exclude them
- show understanding of the patient’s anxiety and be sympathetic
- explain the possible causes to patient and relatives where appropriate and outline the investigation and management plan within the scope of practice for a Consultant Clinical Scientist
- involve the multi-disciplinary team where appropriate
- display skill and sensitivity in breaking bad news where appropriate
- show respect and behave in accordance with Good Scientific Practice