Training activity information
Details
Support a complex device implant:
- CRT
- ICD
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 of CRT and ICD devices, lead placement, and potential complications do you need before assisting?
- What specific insights do you hope to gain regarding the practical aspects of complex device implantation? What is your current understanding of CRT and ICD implantation, and how do you expect this experience to build upon that?
- Have you discussed the specific case and your role with the supervising physiologist or consultant? What potential challenges do you anticipate (e.g., troubleshooting equipment, understanding specific patient anatomy), and how might you prepare for them? How do you feel about participating in a complex implant procedure, and what can you do to ensure you approach it with focus and a positive learning attitude?
In action
- Pay attention to your actions while supporting the implant. How are you assisting the team? Why are you performing specific tasks in that way? What decisions are you making as the implant progresses (e.g., regarding equipment, measurements)?What aspects of your support feel intuitive, and what requires more conscious effort?
- How effective are your actions in supporting the successful implantation of the complex device? What challenges are you facing during the procedure? What can you learn from how the implant unfolds in real-time? How does this experience connect with your understanding of complex device implants?
- Are there alternative ways you could be providing support? What support or guidance might you need from senior colleagues during the implant? Are you working within your scope of practice?
On action
- What did you notice? Describe the steps involved in supporting the complex device implant (CRT or ICD). Note the roles of the different team members, the equipment used, and any critical moments during the procedure.
- What did you learn from the activity? Reflect on your understanding of the implant procedure for CRTs or ICDs. Did you gain new insights into equipment setup, lead placement considerations, or communication within the team? Were there any challenges you observed or encountered, and what did you learn from them? How does supporting this complex implant relate to the competencies required of a Cardiac Specialist?
- What will you take from the experience moving forward? Identify any areas where you need to further develop your knowledge or skills related to complex device implants. How will this experience inform your future support of such procedures? What further learning or resources might be beneficial?
Beyond action
- Have you revisited experiences where you supported a complex device implant? Revisit reflections from subsequent experiences related to device implants and identify the learning and actions you will take.
- How have you applied the knowledge and skills gained from supporting complex device implants since the original experience? How has your skill in anticipating challenges or understanding equipment nuances developed? How has this experience influenced your wider practice in CRM?
- Identify the transferable skills you are developing through supporting complex device implants, such as technical proficiency, problem-solving during procedures, and communication within the multidisciplinary team. Identify clear actions for continued development of these skills introduced through these activities. How will you seek out opportunities to further refine your skills in supporting increasingly complex implants or new device technologies?
Relevant learning outcomes
| # | Outcome |
|---|---|
| # 1 |
Outcome
Demonstrate effective physiological and scientific support for complex CIED implant, providing technical expertise, ensuring patient safety and appropriate procedural documentation. |