Training activity information
Details
Produce a clear, accurate and concise report of device follow-up
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.
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 constitutes a clear, accurate, and concise report of device follow-up.
- Consider how the relevant learning outcomes, specifically concerning summarising complex information into a concise and logical report for specialist and non-specialist audiences.
- Discuss with your training officer to gain clarity on expectations for report format, content, and clinical relevance, for example, the required structure for including lead parameters and battery status.
What is your prior experience of this activity?
- Think about what you already know about writing clinical reports, specifically for device follow-up.
- Consider possible challenges that might arise e.g., summarising complex data, using appropriate terminology for both audiences 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 regarding report phrasing or structure, and from whom.
- Acknowledge how you feel about reporting accurately for device follow up.
What do you anticipate you will learn from the experience?
- Consider the specific skills you want to develop related to clinical writing, data summarisation, and effective communication in reports.
- Identify specific insights you hope to gain regarding the information needs of those who will read the report.
What additional considerations do you need to make?
- Consult actions identified from previous experiences with writing reports or receiving feedback on them.
- Identify any specific institutional templates or reporting standards you need to consider beforehand.
In action
Is anything unexpected occurring?
- Are you noticing anything surprising or different from what you anticipate whilst structuring the report or phrasing recommendations?
- Are you encountering situations such as:
- Significant difficulty accurately describing a complex arrhythmia or justifying a programming change concisely in the report?
- Uncertainty about the clinical significance of a finding, making it difficult to formulate clear clinical recommendations?
How are you reacting to the unexpected development?
- How is this impacting your actions? For example, are you responding to the situation appropriately? Are you deciding how to summarise complex events or which specific data points to include?
- Consider the steps you are taking in the moment, such as:
- Actively concentrating on accurately describing complex arrhythmias or formulating clear clinical recommendations?
- Seeking immediate guidance from a senior colleague or physician if you are unsure about the appropriateness of a recommendation or how to phrase a complex technical issue?
- How are you feeling in that moment? For instance, are you finding it difficult to formulate clinical recommendations? Is it affecting your confidence in ensuring the report is concise yet comprehensive?
What is the conclusion or outcome?
- Identify how you are working within your scope of practice. For example, are the interpretations and recommendations you are including appropriate for your level of training and supervision?
- What are you learning as a result of the unexpected development? For example, are you learning which report formats are most effective or how to phrase technical findings clearly for different audiences?
On action
What happened?
- Begin by summarising the key points of the experience of generating the report.
- Consider specific events, actions, or interactions which felt important, such as the key information you included, the structure of the report, and any challenges in summarising complex data clearly and concisely.
- Include any ‘reflect-in-action’ moments where you had to adapt to the situation as it unfolded, for instance, debating the specific phrasing of a clinical finding to ensure conciseness or adjusting the format based on audience needs. How did you feel during this experience?
How has this experience contributed to your developing practice?
- Identify what learning you can take from this experience regarding reporting skills. What strengths did you demonstrate (e.g., accuracy)? What skills and/or knowledge gaps were evident, such as learning new ways to structure the report for maximum clarity?
- Identify any challenges you experienced, such as summarising complex data clearly and concisely, and how you reacted to these. How does this activity contribute to effective communication with the healthcare team?
- 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 or ‘next steps’ you will now take, including from any feedback you have received about the accuracy of your report writing skills.
- Identify areas for improvement in your report writing e.g., conciseness, clinical correlation, presentation of key findings. What templates or feedback will help you refine your reporting? 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, such as reviewing institutional reporting standards?
Beyond action
Have you revisited the experiences?
- Have you reviewed your actions from your previous reflections for this activity? What aspects of structuring the report, clearly communicating findings, or ensuring conciseness did you previously identify as needing improvement? Have you completed these previously identified actions? For example, if you planned to review institutional report templates, how did this action support you in producing current reports that are more clear, accurate, and concise?
- Engage in professional storytelling with peers, near peers, or colleagues about reporting best practices, challenges with summarising complex information (e.g., multiple arrhythmic episodes), or phrasing clinical recommendations. Did this process highlight best practices in reporting or areas where your communication could be clearer, influencing how you structure and write future reports?
How have these experiences impacted upon current practice?
- Consider how the accumulated learning from performing or reflecting on report production will support you in preparing for observed ‘in-person’ assessments for the module, such as Case-Based Discussions where you need to present complex findings clearly.
- How has your ability to synthesise complex device data and clinical information into a clinically relevant report evolved? For example, how does this development support effective communication with the clinical team when discussing complex cases requiring multidisciplinary input?
- What transferable skills e.g., concise technical writing or logical information structuring did you develop through this activity, and how will this skill help you draft reports for other diagnostic modalities e.g., Holter monitoring or echocardiography?
Relevant learning outcomes
| # | Outcome |
|---|---|
| # 2 |
Outcome
Perform and interpret complex CIED follow up and effectively communicate results to patients and clinical staff as appropriate. |