Training activity information
Details
Make prescriptive recommendations and/or programming changes based on device follow up and patient presentation:
- Pacemaker
- ICD
- CRT
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 device parameters, algorithms, patient symptoms, and clinical data do you need to formulate recommendations?
- What specific insights do you hope to gain regarding the decision-making process for device programming? What is your current understanding of pacemaker, ICD, and CRT programming, and how will this activity enhance your skills?
- Have you reviewed relevant device manuals and programming guidelines? What potential challenges do you foresee (e.g., interpreting complex device data, considering conflicting information), and how will you approach them? How confident do you feel about making programming recommendations, and what steps can you take to prepare thoroughly?
In action
- Focus on the steps you are taking to assess the device data and the patient’s condition. How are you analysing the information? Why are you considering specific programming changes? What decisions are you making regarding potential recommendations or programming adjustments? What aspects of the analysis and decision-making feel intuitive, and what requires more conscious thought?
- How effective are your current steps in leading towards appropriate recommendations or programming changes? What challenges are you encountering in interpreting the data or understanding the patient’s presentation in relation to the device? What insights are you gaining as you review the information? How does this activity relate to your existing knowledge of device follow-up and programming?
- Are there other data points or aspects of the patient’s history you should be considering? What support or guidance might you need from your supervisor regarding complex cases or programming dilemmas? Are you ensuring your recommendations are within best practice guidelines?
On action
- What did you notice? Summarise the patient’s presentation, the device follow-up data, and the recommendations or programming changes you made (or observed being made). What factors influenced the decision-making process?
- What did you learn from the activity? Reflect on how you integrated patient information and device data to formulate recommendations or programming changes. Did you learn more about specific device features or algorithms? Were there any challenges in interpreting the data or deciding on the best course of action? How does this activity contribute to your ability to manage CIED patients effectively
- What will you take from the experience moving forward? Identify any areas where you need to improve your skills in interpreting device data or making programming recommendations. How will you apply this learning in future device follow-up clinics? What resources or further training would be helpful?
Beyond action
- Have you revisited experiences where you made programming recommendations? Compare these experiences with routine follow-ups – what differences in your approach or confidence do you notice? Revisit reflections from subsequent experiences related to device follow-up and programming. Discuss challenging cases with colleagues to see if your perspective has evolved.
- Recognise how this training activity builds upon your foundational knowledge of device function and patient management. How has your ability to analyse device data and patient symptoms to inform programming decisions improved since these experiences? How has this experience influenced your communication with patients regarding device settings and their implications?
- How might these experiences contribute towards your future practice? Identify transferable skills such as critical thinking, data interpretation, and clinical decision-making. What clear actions will you take to continue developing your skills in advanced device programming and troubleshooting? How will you stay updated on new device features and programming algorithms?
Relevant learning outcomes
| # | Outcome |
|---|---|
| # 2 |
Outcome
Perform and interpret complex CIED follow up and effectively communicate results to patients and clinical staff as appropriate. |
| # 7 |
Outcome
Critically appraise current literature/research studies that address the issues of the diagnosis and management of cardiac rhythm disorders, incorporating evidence-based practice. |