Functional GI Physiology

Details

Title

Functional GI Physiology

Type

Stage Two

Module code

HPS318

Requirement

Compulsory

Module objective

By the end of this module the Clinical Scientist in HSST will be able to critically analyse and synthesise their understanding of the initial clinical assessment of the patient presenting with symptoms affect the GI tract; dysphagia, malabsorption, dysmotility, anorectal dysfunction, gastroparesis. The Clinical Scientist in HSST will be expected to apply their knowledge in the clinical setting with respect to the management options available and discuss these with the supervising clinician based on investigation findings and demonstrate the ability to evaluate their own response to both normal and complex situations using the professional attributes and insights required of a Consultant Clinical Scientist. They will be expected to recognise, deliver and report on the appropriate physiological test to address the findings from initial clinical assessment.

Knowledge and understanding

By the end of this module the Clinical Scientist in HSST will be able to critically analyse, synthesise and apply their detailed knowledge with respect to functional GI physiology including:

•  detailed anatomy and physiology of the GI tract.
• the clinical presentation of common functional GI disorders, including as a minimum:
  • functional dyspepsia.
  • functional vomiting.
  • Pelvic Floor dysfunction.
  • Irritable Bowel Syndrome. constipation or diarrhoea predominant
  • Rumination syndrome, aerophagia and belching
• pathophysiology of the common functional GI disorders given above:
• the epidemiology, risk factors and where applicable the genetic basis of the disorders given above.
• the physiological investigations appropriate for assessing these disorders given above.
• the possible management options for common functional GI disorders including the pharmacology pertaining to the GI 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 and critically evaluate their performance of a range of practical skills appropriate to delivery of the physiological investigations above. These will include:

• calibration.
• test preparation.
• performing the investigation.
• cleaning, sterilisation, disinfection.
• quality assurance.

By the end of this module the Clinical Scientist in HSST will be able to demonstrate a critical understanding of current relevant research, theory and knowledge and its application to the performance of clinical skills, applying rigorous scientific critiques to the evaluation of data related to clinical practice in the support of clinical decision making and patient management and critically reflect on their performance and be able to:

• take appropriate clinical history and critically assess the clinical question thereby making appropriate decision about specialist investigation.
• explain and justify the rationale for the investigation, its risks and benefits to the patient. Therefore obtain written informed consent.quality assurance.
• analyse and interpret clinical data and produce diagnostic quality clinical reports.

Clinical Scientists in HSST will be required, in partnership with the clinical team, to identify areas of current practice that could be improved and design and evaluate a suitable intervention based on a critical review of evidence to improve practice.

Attitudes and behaviours

By the end of the 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:

• maintain highest standards of professional behaviour including a prioritisation of patient’s dignity during intimate examinations.
• display awareness of 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.
• work in accordance with ethical principles prioritising patient safety, confidentiality and within the boundaries of informed consent.
• be committed to and support continuous improvement of gastrointestinal services, with particular reference to auditing practice, evidence based practice, innovation, new and improved technologies.