|Title||Performing a Focused, Relevant Clinical Examination CCVRS|
During this module, the Clinical Scientist in HSST will build on their previous experience and develop their knowledge, skills and experience across a range of patients with increasingly complex issues and in increasingly challenging circumstances. They will be able to relate the physical findings to the history in order to establish diagnosis(es) and formulate a management plan working within a multi-disciplinary team.
The Clinical Scientist in HSST working in Vascular Science will be expected to perform focused and relevant clinical examinations appropriate to each patient/patient pathway. They will be expected to critically apply their expert knowledge whilst performing a range of technical procedures and clinical skills as part of the clinical examination process. The will also be expected to consistently demonstrate the attitudes and behaviours necessary for the role of a Consultant Clinical Vascular Scientist.
Knowledge and understanding
By the end of this module, Clinical Scientist in HSST will analyse, synthesise, evaluate and critically apply their expert knowledge with respect to clinical examination including:
- the anatomical and physiological basis for clinical signs and the relevance of positive and negative physical signs.
- the need for a relevant and targeted physical examination as appropriate in the role of a Consultant Clinical Vascular Scientist knowing when to refer to medical colleagues for further expertise.
- constraints (including those that are cultural or social) to performing physical examination and strategies that may be used to overcome them.
- the relevance and impact of previous treatments.
- the limitations of physical examination, in particular in relation to the role of a Consultant Clinical Vascular Scientist and the need for adjunctive forms of assessment to confirm diagnosis when the offer/use of a chaperone is appropriate or required.
Technical and clinical skills
By the end of this module, the Clinical Scientist in HSST will be able to undertake a range of clinical skills including history taking, examination, decision-making, diagnostic skills, interpretation of physiological and laboratory measurements. They will be expected to be effective communicators with patients and within the multi-disciplinary team. They will be expected to demonstrate a critical understanding of current research and its application to the performance, adaptation and mastery of a range of clinical and communication skills and will:
- perform a focused, appropriate and relevant vascular examination that is valid, targeted and time efficient, and elicit physical signs that are relevant to the presentation, both positive and negative physical signs.
- ascertain the possibility of deliberate harm in vulnerable patients and report suspicions to appropriate agencies.
- elicit important clinical findings.
- perform the relevant adjunctive examinations.
- gain appropriate informed consent prior to undertaking examination.
- 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 increasingly complex situations. They will be expected to 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.
- 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.
- show respect and behave in accordance with Good Scientific
- work in partnership with patients placing the patient at the centre of care.
- ensure that examination, whilst clinically appropriate is within the constraints of the role of consultant clinical scientist.
- consider social, cultural and religious boundaries.show respect and behave in accordance with Good Scientific Practice.
- communicate findings appropriately and make alternative arrangements where necessary.