|Title||Advanced History Taking Vascular Science|
By the end of this module, The Clinical Scientist in HSST, with respect to advanced History Taking, will be able to analyse, synthesise, evaluate and apply their expert knowledge, perform and master a range of clinical skills and demonstrate the attitudes and behaviours necessary for the role of a Consultant Clinical Vascular 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.
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 history taking including:
- 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 e.g. diabetes, previous DVT.
- treatment history relevant to the specialism.
- the way that the history should inform examination, investigation and management e.g. previous intervention or surgery
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 spanning history taking, examination, decision-making, diagnostic skills, interpretation of physiological and laboratory measurements. They will also need to communicate effectively with patients and within the multi- disciplinary team. They will be expected to critically review, and where apropriate apply the recommendations arising from recent research whilst performing, adapting and mastering a range of clinical and communication skills. The Clinical Scientist in HSST will:
- actively listen to the patient.
- find clues in the vascular 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.
- recognise and interpret the use of non-verbal communication from patients and carers.
- focus on relevant aspects of vascular history.
- 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 be expected to consistently demonstrate the professional attributes and insights required of a Consultant Clinical Vascular Scientist working within the limits of professional competence referring as appropriate to senior staff and will:
- work to a consistently high standard of clinical practice working in partnership with patients and their carers and relatives and critically reflect on your performance
- use all of your senses to actively listen to the patient.
- keep an open mind and always ask yourself if you’re making assumptions.
- reconsider the causes of symptoms that you or a colleague have decided upon.
- work in partnership with patients placing the patient at the centre of care.
- maintain patient confidentiality and respect for patient’s privacy, involving the patient appropriately, and the circumstances when disclosure is allowed.
- adopt a no-blame culture for identification and investigation of error.
- recognise the importance of the multidisciplinary clinical team and take responsibility for ensuring appropriate and effective decision-making processes are in place.use all of your senses to actively listen to the patient.
- support and contribute to the development of multidisciplinary clinical team.