By the end of this module the Clinical Scientist in HSST will be able to critically analyse and synthesise their understanding of functional urology. The Clinical Scientist in HSST will be expected to apply their knowledge in the clinical setting and demonstrate the initial clinical assessment of the patient presenting with lower urinary tract symptoms, voiding dysfunction, and urinary retention (acute or chronic). They will also be able to recognise, deliver and report the appropriate physiological test to address the findings from initial clinical assessment and apply a detailed knowledge of management options available to the supervising clinician based on the investigative findings whilst critically evaluating their own response to both normal and complex situations using the professional attributes and insights required of a Consultant Clinical Scientist.
Knowledge and understanding
By the end of this module the Clinical Scientist in HSST will be able to critically analyse, synthesise and critically apply their expert knowledge with respect to functional urology including:
- anatomy and physiology of the lower urinary tract in men and women.
- the clinical presentation of common functional urological disorders, including as a minimum: benign prostatic enlargement; bladder neck stenosis; urethral stricture; detrusor over-activity and overactive bladder syndrome; and interstitial cystitis/painful bladder syndrome.
- the pathophysiology of the common functional urological disorders given above.
- the epidemiology, risk factors and where applicable the genetic basis of the common functional urological disorders given above.
- the physiological investigations appropriate for assessing these disorders given above.
- the possible management options for common functional urological disorders. This should include: a detailed knowledge of the pharmacology pertaining to the uro-genital organs and drugs used in the management of lower urinary tract dysfunction including side effects and complications; a working knowledge of surgical/operative treatments is also required.
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 appropriate to delivery of the physiological investigations above including:
- aseptic technique.
- test preparation.
- performance of each investigation.
- cleaning, disinfection and sterilisation:
- quality control/quality assurance.
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 and other healthcare professionals and will:
- take appropriate clinical history and critically assess the clinical question.
- make appropriate decision about specialist investigation.
- explain and justify the rationale for the investigation, its risks and benefits to the patient.
- obtain written informed consent.
- interpret clinical data.quality control/quality assurance.
- produce diagnostic quality clinical reports.
- reflect on the challenges of applying research to practice in relation to these areas of practice 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 working within the limits of professional competence referring as appropriate to senior staff and will:
- maintain the highest standards of professional behaviour including a prioritisation of the patient’s dignity during intimate examinations.
- work within personal limitations and know when to ask for help, especially with regard to clinical issues.
- use effective judgement and decision-making skills.
- work effectively in a multi-disciplinary team and demonstrate leadership where appropriate.
- manage time and prioritise workload e.g. balance urgent and important demands.
- apply ethical principles, safety, confidentiality and consent.
- be committed to and support continuous improvement of urodynamic services, with particular reference to auditing practice, evidence based practice, innovation, new and improved technologies.