Autoimmunity —
Training activity: 6

Details

Perform and interpret appropriate investigations for the detection of antibodies in coeliac disease

Type

Entrustable training activity (ETA)

Evidence requirements

Evidence the activity has been undertaken by the trainee repeatedly, consistently, and effectively over time, in a range of situations. This may include occasions where the trainee has not successfully achieved the outcome of the activity themselves. For example, because it was not appropriate to undertake the task in the circumstances or the trainees recognised their own limitations and sought help or advice to ensure the activity reached an appropriate conclusion. ​

Reflection at multiple timepoints on the trainee learning journey for this activity.

Considerations

• Factors affecting assay validity
• Reference methods
• Performance characteristics, including sensitivity and specificity
• Uncertainty of measurement
• Guidelines and diagnostic criteria
• IQC and EQA
• Analytical and clinical

Reflective practice guidance

The guidance below is provided to support reflection at different time points, providing you with questions to aid you to reflect for this training activity. They are provided for guidance and should not be considered as a mandatory checklist. Trainees should not be expected to provide answers to each of the guidance questions listed.

Before action

• What does success look like?
  • Identify what is expected of you in relation to the specific activity e.g. review the learning outcomes related to the training activity
  • Discuss with your training officer to gain clarity of what is expected of you
• What is your prior experience of this activity?
  • Think about what you already know about the task / activity
  • Consider possible challenges you might face during the activity, and think about how you might handle them
  • Recognise the scope of your own practice for this activity i.e. know when you will need to seek advice or help and from whom
  • Acknowledge how you feel about embarking on this training activity
• What do you anticipate you will learn from the experience?
  • Consider the specific skills you want to develop – drawing upon previous experiences of the activity
  • Identify the specific insights you hope to gain from engaging with the activity
• What additional considerations do you need to make?
  • Consult actions identified following previous experience of the activity
  • Identify important information you need to consider before embarking on the activity

In action

• During the activity, is anything unexpected occurring?
  • Make a note of anything that feels surprising or different from what you anticipated
  • Consider how this experience compares with previous experiences of similar activities
• How are you reacting to the unexpected development?
  • Recognise how this is impacting upon your actions e.g. are you responding to the situation appropriately? Are you adapting or changing your approach? Is it affecting your ability to undertake the activity independently?
  • Consider how you feel in the moment e.g. are you finding it difficult to adapt? Is it affecting your confidence? Do you feel positive you can reach a successful conclusion?
• What is the conclusion or outcome?
  • Be aware of how you are working within your scope of practice
  • Acknowledge what you are learning as a result of the unexpected development

On action

• What happened?
  • Begin by summarising the key points of the experience
  • Consider specific events, actions or interactions which felt important including your own feelings during the experience
  • Include any ‘reflect-in-action’ moments, where you adapted to the situation as it unfolded
• How has this experience contributed to your developing practice?
  • Identify what learning you can take from the experience e.g. what strengths did you demonstrate? What skills and / or knowledge gaps were evident?
  • Compare this experience against previous engagement with similar activities – were any previous identified actions for development achieved? Has your practice improved?
  • Identify any challenges you experienced and how you reacted to these e.g. did this affect your ability to deal with the situation? Were you able to overcome the challenges?
  • Identify anything significant about the activity e.g. did you need to seek advice or clarification? Or did you need to escalate to ensure that you were working within your scope of practice?
  • Acknowledge any changes in your own feelings now you are looking back on the experience
• What will you take from the experience moving forward?
  • Identify the actions / ‘next steps’ you will now take to support the assimilation of what you have learnt, including from any feedback you have received e.g. what will you do differently next time?
  • Has anything changed in terms of what you would do if you were faced with a similar situation again?
  • Do you need to practise any aspect of the activity further?

Beyond action

• Have you revisited the experiences?
  • Have you reviewed your actions from your previous reflections for this activity? What actions did you identify you would need to take to improve your practice? Have you completed these actions? Are you ready to demonstrate this new learning into practice?
  • Engage in professional storytelling with peers, near peers or colleagues. Consider if your view of the situation has changed because of analysing this with others. Mutual exchange of experiences can lead to transformation.
• How have these experiences impacted upon your current practice?
  • Consider how the learning will support you in preparing for the observed ‘in-person’ assessments for the module (Direct Observations of Practical Skills, Observed Communication Events and Case-based Discussions).
  • Consider how your practice has developed and evolved over time, including recognising when something is beyond your scope of practice.

Relevant learning outcomes

#	Outcome
# 1	Outcome Select and perform appropriate methods for the investigation of organ specific and systemic autoimmune disease.
# 2	Outcome Interpret and report results for autoimmune investigations in the light of clinical details and other laboratory tests.