|Title||Developing Clinical Practice in GI Physiology and Urodynamic Science|
In this module, Clinical Scientists in HSST will be expected to develop and critically apply clinical, scientific and professional practice to Gastrointestinal and Urodynamic Sciences within a framework for safe and dignified application of their scientific and clinical knowledge. They are expected to respond to the challenges of applying research to practice in relation to these procedures and suggest improvements to practice, building on a critique of available evidence.
Knowledge and understanding
By the end of this module the Clinical Scientist in HSST will be able to critically analyse and synthesise their knowledge whilst planning and evaluating their professional practice in gastrointestinal physiology and urodynamic science across a range of investigations in routine situations. Key elements include:
- the ethical, legal and governance requirements arising from working at the level of Consultant Clinical Scientist.
- local complaints procedure.
- importance of an effective apology.
- key theories and concepts of behavioural change.
- the importance of patient compliance with prescribed medication.
- adverse effects of commonly prescribed medicines.
- indications for commonly used drugs that require monitoring to avoid adverse effects.
- the relationship between good team-working and patient safety.
- root cause analysis.
Data and Information
- the legislation, regulatory guidance and national and local protocols relating to the security, confidentiality and appropriate sharing of patient information.
- the information governance implications for individuals and organisations of information sharing and communication between professions, with patients/clients and across organisations.
- the principles and purpose of effective quality control and validation of data and the impact of poor quality data on management and healthcare outcomes.
- the range, purposes, benefits and potential risks of sharing, integrating and aggregating clinical data and information.
- the implications of patient access to records and clinical information for inter- professional practice and multi-disciplinary care.
- the basis, application and evaluate the limitations of the different clinical coding systems in use and the importance of high quality coded clinical data in communication and to patient safety.
- the importance of ICT in supporting clinical practice and new ways of working in healthcare drawing on examples from national and local policy strategy.
- emerging information and communication technologies and their application in health and care.
Quality Assurance and Safety
- the principles of Quality Assurance (QA) and Good Scientific Practice (GSP) and Quality Management Systems for ensuring the quality of services.
- QA and QC processes and documentation.
- the use of appropriate internal controls and monitoring performance
- current national standards underpinning medical device risk management and governance services.
- internal quality assurance.
- external quality assurance.
- validity and reliability of test results and their application.
- uncertainty of measurement.
- use of systems to produce timely, accurate and relevant diagnostic reports with appropriate interpretation.
- health and safety of diagnostic services.
- accreditation of work places.
- maintaining the quality service and safeguarding high standards of care.
Technical and clinical skills
By the end of this module the Clinical Scientist in HSST will be able to demonstrate a critical understanding of current research and its application to the performance and mastery of the following technical skills:
- send, receive and store communications containing patient/clinical information safely and securely in accordance with policy, protocols, legislation and codes.
Clinical Scientists in HSST will be expected to 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 critically evaluate their own response to both normal and complex situations consistently demonstrating the professional attributes and insights required of a Consultant Clinical Scientist within the limits of professional competence referring as appropriate to senior staff and will:
- respond honestly and promptly to patient questions but knows when to refer for senior help and always take account of patients’ beliefs.
- always seek senior help and advice when one does not know answer to patients’ queries.
- always ask patients if there is anything else they need to know or ask.
- wherever possible involve patients in decision making.
- apologise to the patient for any failure as soon as it is recognised, however small.
- act promptly when a patient’s condition deteriorates and always escalate concerns promptly.
- rectify an error immediately and/or report it and learn from errors.
- lead team discussions on risk assessment and risk management and work with the team to make organisational changes that will reduce risk and improve the safety of a gastrointestinal physiology and urodynamic service.
- promote patient safety to more junior colleagues.lead team discussions on risk assessment and risk management and work with the team to make organisational changes that will reduce risk and improve the safety of a gastrointestinal physiology and urodynamic service.
- apply the skills of deep reflection to identify personal development needs to transform and maintain performance.