Training activity information
Details
Provide advice to healthcare professionals regarding pre-procedure temporary reprogramming of CIEDs for patients undergoing the following procedures:
- Radiotherapy
- Surgery
- MRI
- Endoscopy
Type
Developmental training activity (DTA)
Evidence requirements
Evidence the activity has been undertaken by the trainee.
Reflection on the activity at one or more time points after the event including learning from the activity and/or areas of the trainees practice for development.
An action plan to implement learning and/or to address skills or knowledge gaps identified.
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 knowledge do you need about the interactions between CIEDs and radiotherapy, surgery, MRI, and endoscopy, and the necessary reprogramming steps?
- What specific insights do you hope to gain regarding the nuances of temporary CIED reprogramming for various medical procedures? What is your current understanding of CIED interactions with these procedures, and how will this activity expand your knowledge?
- Have you reviewed guidelines on CIED management during these specific procedures (e.g., BHRS/HRS guidelines on MRI and CIEDs)? What potential challenges might arise (e.g., conflicting advice, urgent requests), and how will you prepare to handle them professionally? How comfortable are you communicating this specialist advice to other healthcare professionals?
In action
- Pay attention to how you are assessing the procedure type and the patient’s CIED. What information are you prioritising? Why are you suggesting specific temporary reprogramming steps? What decisions are you making regarding the necessary reprogramming parameters and potential risks? What aspects of providing this advice feel intuitive based on your knowledge, and what requires more careful consideration?
- How effective is your advice in ensuring patient safety and appropriate device function during the procedure? What challenges are you facing in understanding the specific requirements of the planned procedure and its potential interaction with the CIED? What are you learning about the nuances of CIED management in different clinical settings? How does this task connect to your broader understanding of CIED functionality and potential interferences?
- Are there alternative temporary reprogramming strategies you should be considering based on the specific procedure? What further information might you need from the requesting healthcare professional to provide the most appropriate advice? Are you ensuring your advice aligns with relevant guidelines and local protocols?
On action
- What did you notice? Describe the clinical scenario, the type of procedure the patient was undergoing, and the advice you provided regarding temporary device reprogramming. What information did you need to consider to give appropriate advice?
- What did you learn from the activity? Reflect on your understanding of potential device interactions with different medical procedures (radiotherapy, surgery, MRI, endoscopy). Did you gain knowledge about specific reprogramming protocols or precautions? Were there any challenges in communicating the necessary information clearly and effectively to the healthcare professional? How does this activity contribute to ensuring the safety of CIED patients?
- What will you take from the experience moving forward? Identify any areas where you need to enhance your knowledge of CIED interactions with medical procedures or your communication skills with other healthcare professionals. How will you apply this learning in future similar situations? What resources or guidelines will you refer to?
Beyond action
- Compare different scenarios (e.g., MRI vs. surgery) – did your advice differ and why? Review reflections from experiences involving CIED interactions with other procedures. Discuss challenging advisory cases with senior colleagues to see if your understanding has deepened.
- How have these experiences impacted upon your current practice? Recognise the importance of understanding potential device-environment interactions. How has your confidence in providing clear and concise advice to other healthcare professionals evolved? How has this experience influenced your understanding of the risks and benefits of temporary reprogramming?
- How might these experiences contribute towards your future practice? Identify transferable skills such as communication, risk assessment, and understanding of national guidelines. What steps will you take to ensure your knowledge of CIED interactions with various procedures remains current? How will you contribute to developing local protocols or guidelines for pre-procedure CIED management?
Relevant learning outcomes
| # | Outcome |
|---|---|
| # 2 |
Outcome
Perform and interpret complex CIED follow up and effectively communicate results to patients and clinical staff as appropriate. |